End of Life Cachexia

Cachexia. End of Life Cachexia – Search (bing.com)
When the desire to eat leaves, and your weight is low, it would take so many calories
to add any weight and one needs a desire to eat for that. Starvation is what is happening.
A slow slide. Have your end-of-life documents present, at the ready, especially if there is  Do-Not-Resuscitate    Guide Using Our Simple Step-By-Step Process.

COLUMBUS, Ohio-Patients with cancer cachexia have been successfully treated in
a small clinical trial with the oral administration of a high-calorie nutritional supplement combined with eicosapentaenoic acid (EPA), a polyunsaturated fatty acid derived from fish oil, Kenneth C. H. Fearon, Cachexia EPA Kenneth C. H. Fearon, FRCS, said at the Society for Nutritional Oncology Adjuvant Therapy (NOAT) annual congress.  Amazon.com : maxepa   

This combination of supplements resulted in net weight gain rather than simple weight stabilization. The dietary supplements are now the subject of a randomized trial of 80 patients, said Dr. Fearon, a reader in surgery, Royal Infirmary of Edinburgh. His group’s goal is to address the metabolic changes that underlie the weight loss and muscle wasting of patients with cachexia while also providing them with conventional nutritional support.

In a study of 20 cachectic patients with advanced pancreatic cancer, patients were asked
to drink two cans per day of an oral supplement combined with EPA,” Dr. Fearon said.
The EPA was in the form of mixed marine triglycerides.
Each 8-oz can of the oral supplement contained 310 kcal, 16 g of protein and 1.09 g of EPA. Drinking two cans a day, therefore, resulted in a dietary increase of about 600 kcal, 32 g of protein, and 2 g of EPA. The total fat increase was 6.5 g.
This drink was an addition to the patient’s diet and did not take the place of other calories. The oral supplement is not commercially available. After 3 weeks of taking this supplement, average weight gain was 1 kg.
The patients dramatically increased their lean body weight, Dr. Fearon said.
He emphasized that water retention was not responsible for the weight gain.
After 7 weeks, average weight gain was 2.5 kg.
“Patients noted a significant trend of increase in appetite, he said.
The nutritional supplement also seemed to inhibit the hypermetabolism that is a frequent component of cachexia. By arresting anorexia and metabolic change, it led to a reversal of cachexia. 
“This type of result has never been achieved before with oral supplements, ”
Dr. Fearon said. NOAT president Daniel Nixon, MD, agreed. This is the very first time lean body mass has been put back on a cachectic patient, he said during the question period.

A Multifactorial Problem
Cachexia, which means poor condition in Greek, is characterized by weight loss,
anorexia, early satiety, fatigue, anemia, and edema. Body fat mass is reduced 85%,
and muscle protein is reduced 75%.
Cachexia differs from simple starvation, however, in that non-muscle mass is relatively unaffected, Dr. Fearon said. In simple starvation, muscle mass and non-muscle mass waste similarly. The weight loss of cachexia is caused by increased energy expenditure, reduced food intake, or a combination of the two.
Cachexia is a multifactorial problem that needs a multifactorial approach,
Dr. Fearon said. “The precise metabolic alterations that underlie weight loss and muscle wasting are poorly understood, he said. The dominant mechanism in cachexia, which seems to vary among patients and tumor types, is a raging question in medical science,
he added.”

In animal models:
The action of cytokines has been implicated in the development of cachexia.
The University of Edinburgh group hypothesizes that the metabolic abnormalities seen
in cachexia are caused by pro-inflammatory cytokines interacting with neuroendocrine catabolic factors. The cytokines may be produced by the tumor cells themselves or by the tumor host. However, investigators have been unable to target one dominant cytokine.
An acute-phase protein response (APPR) is a biomarker for the production of pro-inflammatory cytokines and for the hypermetabolism seen in cachexia. Earlier studies by Dr. Fearon’s group showed that an APPR is a useful predictor of survival in patients with unresectable pancreatic cancer. The group hypothesized that the metabolic disturbances associated with an APPR might be a worthwhile therapeutic target (Falconer JS et al: Cancer 75:2077-2082, 1995).
Fifty years of research had shown that giving cachectic patients more food to eat failed to reverse weight loss, Dr. Fearon said. His group set out to improve the efficacy of conventional nutritional food support.

A Series of Experiments
In one experiment, he said, the group gave fish oil capsules to 18 pancreatic cancer patients who had lost, on average, 16% of their body weight. The capsules, known as Maxepa Soft Gelatin Capsule: Buy bottle of 30 soft gelatin capsules at best price in India | 1mg contained EPA and docosahexaenoic acid. The administration of 12 g/day of MaxEPA was shown to stabilize weight loss or even result in weight gain in the majority of patients (Wigmore SJ et al: Nutrition 12(suppl 1):S27-S30, 1996).
After this experiment, the University of Edinburgh group hypothesized that EPA was the anticachectic agent in fish oil. It appears that EPA acts, in part, by downregulating the pro-inflammatory cytokine release and the APP response.
The group then did another series of experiments showing that patients who received high-purity EPA for a month had a significant decrease in their levels of serum C-reactive protein, an acute-phase protein. Amazon.com: Solgar MaxEPA – 1000 mg – 60 Softgels : Health & Household
The next step, the one that resulted in the current experiment, was to give additional calories along with the EPA in order to facilitate weight gain. Spirulina and cachexia – Bing video

Spirulina another source of omega-3 from plants and shares similar characteristics
with seaweeds. Vegan DHA content in this food is low, but it has high amounts of EPA
and omega-6 fatty acids. You can sprinkle some powder into your salad or add it to
your morning shake.
What’s more, it is a powerful antioxidant and an alternative to the commercial sugary protein shakes. This is because it contains as much as 70% of protein by dry weight.
One of the super greens, spirulina is easy to incorporate into your diet. 

RELATED: Your Protein Shake’s Secret Power Ingredient: Spirulina

Does spirulina have DHA and EPA – Search (bing.com)
How much protein in spirulina – Search (bing.com) 4 grams
f You Do This Your Insulin Resistance Will Be Normal In 2 Weeks! – Search (bing.com)
Top 8 Plant-Based Sources Of Omega-3: Vegan DHA, ALA & EPA (sunwarrior.com)
What are healthy fats? They’re essential, and here’s one you should consume more of.

As a scientist, I’m not allowed to tell the full truth about climate change (msn.com)
EPA-enriched oral nutritional support in patients with lung cancer: Effects on nutritional status and quality of life | Request PDF (researchgate.net)

Appetite stimulants for patients with cancer: current evidence for clinical practice | Nutrition Reviews | Oxford Academic (oup.com)

Eicosapentaenoic acid (EPA, an omega‐3 fatty acid from fish oils)
for the treatment of cancer cachexia – PMC (nih.gov)

MCT Oral Supplement MCTprocal® Unflavored 16 Gram Individual Packet Powder – 1136504BX – Shoplet.com

Distinct microalgae species for food—part 1: a methodological (top-down)
approach for the life cycle assessment of microalgae cultivation in tubular photobioreactors | Journal of Applied Phycology (springer.com)

Distinct microalgae species for food—part 2: comparative life cycle assessment of microalgae and fish for eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA),
and protein | Journal of Applied Phycology (springer.com)

4 things that could help you live a long, healthy life, according to a longevity scientist.
It’s Worse Than We Thought! This ‘Healthy’ Protein Actually Causes Inflammation.
Distinct microalgae species for food—part 1: – Bing video
Distinct microalgae species for food—part 2: – Bing video

Daily Diet Composition Charts for Carbs, Protein, and Fat (verywellfit.com)
nutrition-suggested-protein-supplements.pdf (hopkinsmedicine.org)
The 14 Best Fish Oil Supplements of 2023 (healthline.com)
16 g of protein and 1.09 g of EPA. – Search (bing.com)
Fish Oil | New Chapter Vitamins & Supplements
Eicosapentaenoic acid – Bing video

10 Things To Stop Doing if You Want To Live a Long Life (msn.com)
I have experience with the big C. 
I have researched colloidal silver and cancer, very beneficial for lots of issues, including that. | colloidal silver, end stage cachexia – Search (bing.com)
You can find a lot of info at: The Natural Health Library Facebook or web page – Search (bing.com) web page. 
Doterra Digestzen oil I have lots of experience with! It’s great for stomach issues.
Might get some help from this supplement, add to her water. Easy to tolerate, slight sweet taste.
Good luck, sounds rough.  Jarrow Formulas, D-Ribose Powder, 7.05 oz (200 g) (iherb.com)

Paul Stamets, – YouTube Turkey tail mushrooms are used in western countries to fight breast cancer.

But tell her to see the doctor.
My sister died trying to treat herself for throat cancer at 49.

Go to the Cancer Tutor website for information but yes definitely pickle juice. – Search (bing.com) There is a cycle that is going on in her body that needs to be broken.

You can find some natural protocols for cachexia in this post.
Cachexia – Cancer Compass An Alternate Route (cancercompass alternate route.com)

Anti-Cancer Diet, pH Balance, A Matter of Life or Death (chimachine4u.com)

Please post your diet suggestions here, not as in “no meat, no dairy, no this, no that” but in a sense of what you are able to eat or get others to eat while they’re going through the Cannabis Oil protocol. Cannabis Oil can have an anti-hunger reaction for many if not most.

Richard Carnell
If the Endocannabinoid System was taught as part of the Basic Biology Curriculum we all learn in school – it would go something like this…
“What I’m about to show you was discovered because of Cannabis and the Cannabinoids it makes – Cannabinoids are an entirely new class of chemicals which is a huge discovery on its own – but how important are they to the human body?

Our bodies also make their own ‘Endocannabinoids’ from the Omega fats.
– Importantly these Endocannabinoids are used in our bodies to both Activate and Modulate our cells using the Cannabinoid Receptors that are attached to the cell membrane of every cell – that makes them part of our Cellular Biology and where the ECS is directly regulating – there are many of them attached to each cell (the scientists call that ‘high expression’ of these receptors)
-High expression is found in the Brain, the Immune System and the Endocrine System so the ECS directly regulates Neurotransmission, the Immune System and Hormones and it has a hand in everything else…

The metabolization of Endocannabinoids from omega 6 and 3 takes time – though that gives us the opportunity to eat optimally and adjust the ‘ratio’ of Endocannabinoids that will be Activating and Modulating these receptors, the Endocannabinoid System is the largest, most concentrated and widespread neurotransmitting system in our bodies – neurotransmission is how our cells perform the functions that they do, how they are controlled and balanced to work optimally and with ease as they should, that’s what good health IS.

– So whilst the Endocannabinoid System isn’t everything – it is the most important thing to learn about and make changes if we want to remain healthy and effectively protect ourselves from all of the health conditions that plague us, that includes cancer, diabetes, heart disease, dementia, autoimmune conditions and everything else – this discovery really is THAT huge and important.
– Cannabis is ALSO able to Activate AND Modulate our receptors and faster than the Omega metabolites because their metabolization takes time and the ratio of Omega 6 and Omega 3 in our bodies takes time to change – but the Phytocannabinoids (Plant Cannabinoids) from Cannabis work much like the ‘Active’ Omega Endocannabinoids which makes Cannabis an effective tool to adjust the ECS as needed as an effective treatment.
THC works much like the Activating Endocannabinoids made from Omega 6 (Anandamide and 2ag) CBD works much like the Modulating Omega 3 Endocannabinoids but also other Omega 3 metabolites that aren’t Cannabinoids – at times scientists have wondered if CBD is a Cannabinoid at all, but actually it is and also more…

-Additionally DHA from Omega 3 makes up part of the foundation of our cells and their receptors so we need enough of it compared to Omega 6 intake during our growth and development and before birth – the ECS will do the best it can as a regulating system without everything it needs but problems will gradually develop in our later years if they aren’t obvious much earlier.
Cannabis is a Synergistic Toolkit of ‘noids’ with Cannabinoids, Flavonoids, Terpenoids and Terpenes working Synergistically together to far greater effect than the sum of its parts – the natural variety of Cannabis strains gives us the opportunity to find a plant profile (Cultivar) that works well for any condition or disease and improve it further from there using lab tests to see what’s working for each problem and finding another Cultivar that’s even more effective and so on – thanks to the Global Decriminalization of Cannabis we can now work together as a species to perfect Cannabis for everything we need it for.

On Science’s behalf, I’m sorry it’s taken 30 years for me to be able to reveal this about our Cellular Biology and how important it is for the management of our health, but medicine as we understand it is changing, along with our understanding of how the body uses inflammation and how the ECS regulates it – man isn’t smarter than nature as nature has shown us what we needed to know with Cannabis.
Modern medicine has made some very important discoveries and many are still valid and lifesaving, but they developed all of them whilst deliberately ignoring the most important system that is part of all of the others and regulates them – our health has suffered massively because knowledge of this system and its true relevance has been ignored whilst our diets evolved to harm us, but we know that now.

Cannabis was kept illegal due to the fear of THC but whilst problems do happen – it’s a preventable and fixable imbalance – think of THC as a power button and CBD as a dimmer switch, we were told too much power can be a bad thing and thats true and has been true of our diets – but they didn’t tell us about the dimmer switches, the ECS really IS the dimmer switch for our cellular health – we need the correct level of power and modulation for optimum cellular performance and optimal good health.
– Unfortunately heavy Omega 6 cooking oils have been used because they have higher smoke points and longer shelf lifes – but it wasn’t realised how biologically active these Omega fats are and how damaging a distorted Omega Ratio and the resulting Overactivated ECS is to our health, instead we were told ‘fats are bad’ but actually the Omega fats contained the answers we needed and scientists only knew to look there because of Cannabis, it has shown us the way…

Balance can be achieved dietarily or temporarily as an effective treatment with Cannabis but the best way is both, too much THC or Omega 6 can be a bad thing without enough CBD or Omega 3 and that’s also true of too much CBD and Omega 3 without enough THC and Omega 6 and because the target Is balance which isn’t possible without both – in some ways these are opposites that only together can create Balance – this is also why different ratios of THC and CBD are used to effectively treat different conditions – the effects we experience from Cannabis will depend on the ratio of Omega 6 and 3 metabolites we already have in our bodies, People that have problems using THC and don’t like the effect will have a more severe Omega 3 deficiency but if that happens – now we know we can just use CBD to turn the effect down to comfortable.

After enough people learned this simple truth – Governments weren’t able to justify keeping Cannabis illegal and criminalising people that use it though they did try and showed us who they really work for in the process, if a policy causes and defends Genocide which Cannabis prohibition did for too many years – we will learn the truth eventually – no one, especially an industry that profits from our ill-health and dis-ease has the right to dictate our health choices and what we are and aren’t allowed to use so that we don’t need them as much, a monopoly might be a good thing if it’s completely benevolent, but that isn’t what we had, now we know better and again because of Cannabis.
Now I have a video for you to watch about the true relevance of what we have allowed to be ignored for too long, I’m glad this is finally out there as part of the biology curriculum and I’m allowed to fully talk about it and the hope it brings for our future, this is also what we needed to learn these past 2 years because the ECS regulates the immune system – If we need to turn down severe symptoms from virus’s as an effective treatment – we needed a dimmer switch and we have one already – it’s part of every one of us written on all of our cells – but it wasn’t part of doctors, virologists or epidemiologists training…

Science can be amazing but it can also ignore the most important thing to know.
Welcome to your Endocannabinoid System – the body’s Universal Cellular Regulator and the most important medical discovery ever made and because we are made of cells and ‘because’ every one of them has Cannabinoid Receptors.”
https://m.youtube.com/watch?v=oJbOQ9P2NYQ

The endocannabinoid system and the revolution of one | Rachel Knox | TEDxPortland
YOUTUBE.COM

Cancer patients who fail to respond to chemotherapy offered new hope (msn.com)
30 Best Anti-Inflammatory Foods – Search (bing.com) (msn.com)

EXPLORE FURTHER
Top 7 Strongest Weed Strains 2022 – The Lodge Cannabis – Search (bing.com)

List of Strongest Weed Strains in 2022 – Maryland GreenScript … – Search (bing.com)
OG Kush is great for breast cancer because it has certain Terpenes in it that work together. Thank you so much for thinking of me. You’re such a sweetheart. My preference for giving advice for certain strains is that it’s not a sativa because sativa is having people feel anxiety and they don’t want that. It has a certain Terpenes in it. However, I kind of stick with Indica because it’s easier to fight not feeling lazy and it is to have that high anxiety with feeling your heartbeat real fast.

Cannabis Strains for medicinal purpose  👇 
Chronic Thunder  Godfather OG  OG Kush Blue Dream Garlic Breath Sour Diesel Strawberry strain   Animal Cookies strain    Biscotti strain Gelato strain GMO Cookies Granddaddy Purple Purple Oreoz  Purple Punch  Sunset Sherbert Super Silver Haze  Wedding Cake Strain  Afghani Strain Apple Punch Banana Punch Blue Zkittlez Blueberry CBD  Northern Lights  Chemdawg  Durban Poison Ghost OG Gorilla Glue Strain Moon Rocks Strain Lemon haze Strain – Search (bing.com)

Cancer patients who fail to respond to chemotherapy offered new hope (msn.com)

What Biden gets wrong about nursing homes: The President is trying to lump us all together.

8 high-fiber foods popular in Blue Zones where people often live to 100 – Search (bing.com)

Rather than what not to eat, what are some ideas on what to eat?

This is the diet post, so please, add if you have some beneficial suggestions. Thanks!
How Does Tamarind protect the great detoxifier : Ask Health Professionals (msn.com)

Excellent topic Jon Marsh.
I would start with grans spelt & brown rice. Try to eat as much organic veggies.
 Chia seeds , quinoa , soups , minimum fresh fruit, fresh carrots celery cucumber apple ginger turmeric juice or add pineapple fresh aloe Vera , smoothie, you need to bring your immune system up . Which is the main reason vitamin c ivy mistletoe injection and oxygen therapy plus daily vitamins. Try to buy natural vitamins: vitamin d3. I take 4-5 tablets, iron , zinc, vitamin a calcium, k2 , Vitamin B12 Deficiency black seeds oil, much much more. Detoxing please check youtube for detoxingEspecially when you do any scans .

Coriander blend with filter water and fresh lemon juice  according to your test is a great detox . – Search (bing.com)

Jack’s Garage | The Documentary | Part 1 | Jack Kungel – YouTube

Franck Muller
I have been juicing for a while. I would strongly recommend a good quality juicer, Top 10 Juicers 2023 (buyersguide.org) The cheaper ones are hard to clean this means you may not make the effort. I have been using a champion juicer, which is easy to clean. I have no vested interest in this product.

Cancer feeds on sugar, even natural fruit sugar.
It was suggested to only have one serving of fruit a day or none. Comments?
High sugar levels feed inflammation disease and help free radical formation. Adequate intake of super fruits help prevent cancer based on holistic science. There are great potent superfood powders with almost no sugar also.

Mary Ann Clarke
Cancer feeds on sugar, even natural fruit sugar. It was suggested to only have one serving of fruit a day or none. Comments?

Connie Sportiello
Mary Ann Clarke High sugar levels feed inflammation disease and help free radical formation. Adequate intake of super fruits help prevent cancer based on holistic science. There are great potent superfood powders with almost no sugar also.

Linda Hardy
Mary Ann Clarke who told you sugars in fruit caused cancer ? Fruit alkalizes the body where a cancer cannot survive.

Jon Marsh
AuthorAdmin
Linda Hardy who told you cancer can’t survive in an “alkaline body”? That’s a huge myth, as false as anything. 
Zero truth about alkalinity staving off cancer, it actually doesn’t even make sense

Linda Hardy
You can have your opinion…I stand by mine based on terrain theory – Bing video

Jon Marsh
Author Admin
Linda Hardy it’s science and the alkaline theory is bunk.
It’s very easy to “get alkaline” by every standard imaginable. It’s also very easy to maintain being “alkaline” so that being actual fact, 
how can anyone believe that simply “becoming alkaline” will prevent cancer from continuing to develop and possibly thrive?
It’s nonsense. Humans would have to be the most ignorant fools to walk this earth if it was that simple to prevent cancer.
It’s not even worth discussing, so you can have your opinion but it’s based on nonsense

Linda Hardy
Oh dear seems like I hit a nerve

Jon Marsh
AuthorAdmin
Linda Hardy only because this is the Group I started about 10 years ago and to think it’s as simple as just eating the right “alkaline” diet…. 
Yeah, ignorance is painful. I was blown away by what is being said about cancer and fasting. I recorded a bit of what he said in regards to fasting.

Rachel Briseno
Gennifer Guzman his name is Dr. Pradnip Jamnadas. He’s a cardiologist from Florida. This particular video is called Fasting for Survival lecture – Search (bing.com)There’s a lot of other doctors that are also saying the same thing ….Dr. William Li, Cancer and Diet —  Dr. Jason Fung Cancer and DietDr. Mark Hyman.Cancer and Diet. You can see them on you tube. Very interesting what they have to say. 

Audrey Drummonds
The only thing I could eat while on chemo was egg omelets with cheese, Tomatoes, and onions. All the healthy stuff sounded good.
But I couldn’t keep it down. I would also eat a half bag of cheetos in between treatments.

Emma Clare
Is juicing better than smoothies for battling cancer?  I have read that juicing means your body gets the raw nutrients from the fruit and veg faster as it’s not lumpy and thick like a smoothie so it has quicker digestion? I’m undecided whether to get a blender or a juicer…

Emma Clare
Jon Marsh do you know of any specific smoothie recipes to help fight cancer? Would be grateful to be pointed in the right direction x

Jon Marsh
Author Admin
Emma Squidge Collens I would literally Google
“Smoothie recipes for cancer” – Bing video

Cannabis juicing Dr. William Courtney – Bing video

Dr. William Courtney is who the guy to Google 

Image result for juicing verssus smoothies
The powerful enzymes are destroyed when using a high-speed juicer/blender since it heats up. So if you want optimum juicing, use a slow-moving centrifugal juicer……unfortunately it takes longer. Dr Rudolph Breuss has the best vegetable juicing recipe for cancer! Read his book……

“Fiber Fueled” by Dr. Will Bulsiewicz. – Bing video

Cathy Carter
Stopped 99% sugar intake, dairy cut to maybe 2 times a week (as some days I’m not able to eat..but a milkshake helps those days) I drink only distilled water with minerals added back after distilling. I’ve not had much if any appetite and have since the first of the year have lost about 70 lbs. I have been taking organic vinegar (with mother)..about a shot with a Tbsp organic local honey daily ..daily multivitamin, magnesium, vit D3, quercetin, vitamin c

After suffering years with inflammatory bowel diagnosis…having a precancerous tumor and 4 polyps removed Dec 2011. I haven’t returned for colonoscopy…6 years overdue. I had taken the oil on and off with great results (less discomfort, less pain, and finally an end to nearly 2 years of severe diarrhea). Since starting feco.. I’m feeling much better, able to do things I haven’t been able to do for several years. I haven’t got a doctor to monitor me..other than family docs that I don’t mention feco to as of yet.

…to heal my gut! Cancer or not…I am on the mend..one day at time. Thank you !!!
Oh…also been taking a 5 mushroom blend supplement. Praying I am healing and though I have some rough hours, days…it’s no longer weeks or months. For my feco, I prefer Indica strains and usually mix 2 or 3 strains to make a batch. I eat lots less…less everything…but especially meat and processed foods. Weight loss is just a side effect. Of all the diet changes,.drinking gallons of water and determination to be better.

Cathy Carter how do you stop 99% of your sugar intake?
There are sugars in almost everything including fruits and vegetables.

Jon Marsh
AuthorAdmin
“Almost” everything. Until you’re susceptible to sugar feeding cancer, you have to choose everything from the “almost” list and eat it. As bland as it may seem, spice it up with herbs and spices, things known to kill cancer as well. Garlic it up.

Michael Hadler
Jon Marsh The sugar feeding cancer is more of a myth based on actual scientific data except for a few “researchers. A lot of people seem to think you should avoid sugar when you have cancer because of the known risks that it increases your risk for cancer. What they leave out is 5hat it’s not the sugar itself that increases the risk but the obesity itself from consuming too much.

Every cell in your body requires glucose. The closest thing to avoiding sugar I have ever heard from an actual neuro oncologist was to avoid dramatic spikes in sugar intake but he said even that was not founded in actual rigorous science and was more theoretical than anything. I’ve also seen some very loose evidence about it possibly making a difference for hormonal base cancers which brain cancer is not.

Cathy Carter
Michael Hadler I should have said simple sugars and flour products. I eat fruit..I use honey or maple syrup to sweeten and I use lots of spices…many are beneficial for inflammation and healing.

Shaz Van Kann
Juicing is ridiculously time consuming…

Kathleen Wheeler
Well, for cancer diets both our alternative doctors said, no sugar, no dairy, no meats, a plant-based diet, no processed foods and that is what we have followed, and it worked thus far. You can eventually add some of it back but at the beginning you have to be very ridged! There are tons of other things to eat or substitute. Nuts, nut butters, coconut milk, lots of research on google for substitutions have been doing this since 2014.

Life Expectancy In The U.S. Is Declining at a Rapid Rate –
it is Began Much Earlier Than We Thought (msn.com)

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