Health for a Lifetime

Trans Fats

Three Angels Broadcasting Network

Program transcript

Participants: Don Mackintosh, George Guthrie

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Series Code: HFAL

Program Code: HFAL000132


00:46 Hello and welcome to "Health for a Lifetime"
00:48 I'm glad you've joined us today!
00:49 We're going to be talking about an interesting subject -
00:52 that being TRANS FATS... Now, don't turn the dial!
00:56 It's going to be interesting, I can assure you.
00:58 Helping us make it interesting
01:00 is going to be Dr. George Guthrie
01:02 He has a great way of making the complex simple,
01:05 and Dr. Guthrie is a physician
01:08 at the "Lifestyle Center of America" in Oklahoma
01:12 and he spends ALL DAY making the complex simple
01:15 for people that come from around the country
01:17 to deal with various lifestyle diseases.
01:20 And, Dr. Guthrie you've been a doctor now for many years,
01:23 about 14 years, you told me, in family practice.
01:25 You've also taught on the college and university level,
01:29 medical students and whatnot.
01:30 Now you're teaching again...
01:32 I understand that's what the word "doctor" means.
01:34 Yes! It's an enjoyable part of what I do.
01:37 And today we're going to talk about TRANS FATS!
01:41 And, why is it that we should be talking about this?
01:44 Well, it ends up that trans fats are a significant health risk
01:50 in our lives.
01:52 They're in our diet and they're presence actually
01:55 causes a significant amount of disease.
01:58 I think we have a graphic for people to look at...
02:01 It's a quote from a fellow by the name of
02:03 Walter Willett who wrote the textbook on, in essence,
02:07 evaluating the diet of people and looking for
02:11 the diet effect on disease. Notice this...
02:32 Now that's a pretty dramatic statement!
02:35 That's a POWERFUL statement.
02:37 So we want to know what trans fats are;
02:39 what is saturated fat; what is the whole issue with fat
02:41 You know, there was a couple of things in that quote.
02:43 SURE... let's talk a bit about it. Okay
02:46 And in order to do that, we really need to
02:48 understand how fats are put together.
02:51 Sugars are actually rings of carbons;
02:54 generally 5 or 6 in the ring.
02:57 FATS are LONG CHAINS of carbons.
03:01 God designed these things that way,
03:03 it's fascinating to chemists, and I suppose it's
03:05 interesting to us common folks.
03:08 Long chains of carbon have hydrogens
03:12 attached to each carbon.
03:14 Each carbon has 4 hands;
03:15 it hangs on this side to a carbon on each side,
03:18 and when it does it this way, it's hanging on to the hydrogen.
03:22 Now these long straight chains stack very nicely.
03:29 So like logs!
03:32 Like logs - if you're stacking firewood,
03:34 and they're long and straight, it makes a nice straight row
03:39 that doesn't fall over very well.
03:41 This is good when you're stacking logs,
03:43 but when you're worried about the cholesterol
03:46 and heart attack risk in your body,
03:48 these long straight fats TEND to
03:52 make your risk of heart attack go up.
03:54 They raise your cholesterol level and LDL,
03:57 the bad cholesterol, so these long straight fats
04:01 or SATURATED fats are bad.
04:03 Now trans fats are actually related to these saturated fats,
04:08 but before we understand them,
04:10 we need to understand something about UNSATURATED FATS.
04:14 Okay, so we've got saturated fats - those are the ones
04:17 that are real stackable... Those are stackable and straight
04:19 And they cause problems because they're big clumps.
04:20 We're going to talk ultimately about trans fats,
04:22 so you're going to explain that to us,
04:24 but before we get there, we have to understand
04:27 something about UNSATURATED fats. Right!
04:28 We've all heard that unsaturated fats are good for us, right?
04:31 Yes, so what are those?
04:32 Well, if you take a couple of carbons in that chain of
04:37 saturated fat, and they let go of the hydrogen...
04:41 You see, it was saturated because every hand was full...
04:43 If they let go of the hydrogen, it becomes an unsaturated fat...
04:49 A MONOUNSATURATED fat.
04:51 I think there's a graphic that could demonstrate that.
04:53 Yes, let's see if we can look at that.
04:54 Show us what we're looking at here.
04:56 You see there on the left, it's called stearic acid...
04:57 It has 18 carbons, every hand in the carbon
05:00 is full of the little gray hydrogen.
05:03 The one on the right, 2 hydrogen have been let go,
05:07 so it's no longer saturated, it is UNSATURATED,
05:11 and UNSATURATED fats are bent.
05:15 The bent makes them less stable and in their
05:21 physical state, they are actually more likely
05:23 to be liquid.
05:25 Okay, so the saturated then are stackable,
05:28 and they get all together and
05:29 and they cause problems. That's correct
05:31 The UNSATURATED, they kind of bend and so they don't
05:34 stack easily and they can just kind of float away. That's right
05:38 Now you and I, when we deal with these fats in a physical state
05:42 on the table, prefer, for example,
05:44 the one that was straight that we saw on the graphic,
05:48 was actually what you'd see in butter,
05:51 and that's something you could spread.
05:52 The one that's bent doesn't stack nearly as well,
05:55 and it comes out like an oil and that's hard to spread.
05:58 So we prefer the long straight ones in some of the ways
06:03 that we eat fats.
06:04 Can you get anything that spreads,
06:06 because I REALLY like spreading.
06:09 Yes, we like spreads... Unfortunately,
06:12 as we look at our fats, we find out that the more
06:15 solid they are at room temperature,
06:17 the worse they are for us,
06:19 but we're getting a little off track there.
06:21 Okay, well you know - just forgive me.
06:24 Well then, what's the next thing we need to know
06:26 about these trans fats?
06:28 You've made the complex simple and helping us understand
06:31 the stackable versus unstackable,
06:33 and I'm sure we want to have the unstackable,
06:35 the liquid forms, but what do we need to know next?
06:38 Okay we know that the trans fats are straight, they act that way;
06:43 we know that trans fats are not good for us,
06:46 so we, as the American public, having been told this
06:49 by the scientists, are asking industry to please give us
06:55 fats that are UNSATURATED.
06:58 So industry wanting to give us unsaturated fats have
07:02 had a dilemma because we still want to be able to spread IT
07:06 ...you see, but if it's unsaturated, it is actually
07:11 not spreadable - it's more like an oil.
07:14 They came up with a solution!
07:16 A solution that probably helps them but maybe doesn't help us?
07:19 Well, it helps us because it gives us what WE want
07:22 on both accounts...
07:24 We want unsaturated AND we want to be able to spread it.
07:27 So this is what they did... you ready?
07:29 Okay, what did they do?
07:31 They took unsaturated fats;
07:33 they put them under high heat... Okay
07:37 And they put them under pressure...
07:38 Turned up the heat, put them in a pressure cooker.
07:40 That's right - over a period of
07:42 time, 6 or 8 hours something like that,
07:44 and instead of having a fat that is BENT - like this,
07:47 it actually does this to them.
07:50 So they are still unsaturated but now they have a little jog
07:55 in them and they are straight.
07:57 They can call them unsaturated and we smile because we
08:00 look at the label and we say it's unsaturated
08:02 BUT it acts like a saturated, it can be spread.
08:07 Okay, let me see if I understand this...
08:08 So you have this kind of... this is a saturated one that's
08:11 all just straight? Um hm
08:13 But then they put a little crook in it, so it's like that.
08:16 Ahhh - you're kind of close.
08:18 Here, let's try it like this. All right
08:19 You've got a saturated fat;
08:22 now you have an UNsaturated fat - looking like that,
08:26 and then when you turn into a trans fat, you do this with it.
08:31 So it's very similar to a saturated fat.
08:33 It's just kind of jogged over a little bit,
08:35 but it's lost the bend.
08:37 When it does this, it will stack like good firewood,
08:40 but we can call it unsaturated and so we're happy.
08:44 Okay and this is really dangerous like you said.
08:47 I mean, our first graphic was this causes a significant amount
08:50 of actual deaths because that's really just like the
08:55 saturated fat in terms of what happens in our body.
08:58 It makes the cholesterol go up
08:59 and does all those bad things. Exactly!
09:02 So, what do we do?
09:04 So what do we do - how do we avoid it?
09:07 Yeah - or are there are kinds of fats that we need
09:09 to know about before we talk about that?
09:11 Well, there's another fat that might be interesting
09:14 before we delve further into it,
09:16 and that's the polyunsaturated fats.
09:19 We've helped you understand that when it's unsaturated,
09:23 it's got a band in it - that would be a monounsaturated fat.
09:26 If we actually have several of these,
09:29 we end up having a polyunsaturated fat...
09:32 I think they need a wide angle if you look at this.
09:34 Okay, do this again... do that again - how does it go?
09:37 Okay, you've got a saturated,
09:40 then you've got a monounsaturated,
09:42 and then you start going polyunsaturated,
09:44 and you get these things that are ALL bent up
09:46 in odd sorts of ways.
09:48 These are sometimes called, some of them,
09:53 "essential fatty acids"
09:55 They are more complex fats that have
09:57 important functions to do in our body.
10:00 So the more they curl up and everything...
10:02 I mean, we could turn this program into
10:04 an exercise video at home...
10:05 "Let's do the saturated... Let's do the polys"
10:08 Right but when they go from saturated
10:12 to the unsaturated, to polyunsaturated,
10:17 they are less and less dangerous? Yes or no?
10:20 Well, the polyunsaturated fats
10:22 have a lot of benefits to provide.
10:23 They tend to help insulin resistance.
10:25 They tend to help the cholesterol come down.
10:27 They improve lots of things.
10:29 Generally, these fats, they don't get changed from
10:32 trans fats into polyunsaturates
10:34 they actually come in foods.
10:36 For example, soybean oil will tend to be polyunsaturated
10:40 Now it will have a little bit of saturated fat,
10:47 and a little bit of monounsaturated fat,
10:48 but it has some more of the polyunsaturated fats.
10:51 And you have a graphic that shows
10:53 kind of all of these together, right?
10:54 Okay, before we get to that one...
10:56 In essence, what that graphic is trying to demonstrate
10:59 is that when those fats are put through the
11:02 "trans" process, they are actually changed in
11:05 some really weird ways because not every one of
11:09 those bends will be affected in the same way.
11:12 So, one might - you know,
11:13 see it kind of off in some funny angles.
11:16 Let's see that graphic to demonstrate that.
11:19 On the left there, you see a trans fat,
11:22 and you see the little bit of notch - the little crook
11:25 just after it says "fat"
11:27 The next one over is a polyunsaturated fat,
11:31 and that would, of course, be good.
11:32 It has several bends in it.
11:34 Now, next to that is a partially hydrogenated fat,
11:37 and you see some of the bends are straightened out,
11:40 but others are not.
11:41 Then there's a fully hydrogenated fat
11:44 where all hydrogen has been put back and it has changed from a
11:49 It's completely straightened out just like a saturated fat,
11:52 and that last one is kind of a mixture.
11:53 You see that it's partially hydrogenated,
11:55 and it's a trans fat.
11:57 There is a little nick in it which makes it straight.
11:59 The dilemma from these particular fats is actually
12:05 that they tend to clog up some
12:07 of the enzyme systems in the body.
12:11 All of them do?
12:12 No, I think there are probably formed somewhat randomly
12:16 during the process of this hydrogenation
12:20 or partial hydrogenation.
12:23 So when you kind of heat them up and do all that stuff,
12:25 you never know what they're going to do,
12:26 and in essence, it could clog something up
12:29 differently than you expected. Right
12:32 One of the questions that people ask me as I talk about this
12:35 to them is - "When I use a polyunsaturated fat to cook,
12:41 am I making trans fats?"
12:45 When you heat it up? I mean if I take my canola oil,
12:49 and put it in the pan and I heat my food up,
12:52 am I going to make it into a trans fat?"
12:55 And what do you say? The answer is generally - no
12:59 because the temperatures and pressures need to be so high
13:03 to actually do this and it often takes hours,
13:06 and they use like a nickel-type of helper chemical inside it.
13:15 So you can't do that at home unless you're a really BAD cook!
13:18 Unless you're a real bad cook, not something to worry about...
13:21 BUT, the polyunsaturated fats can be hurt by cooking,
13:26 but generally, you don't turn them into trans fats.
13:29 We've been talking with Dr. George Guthrie
13:31 from the Lifestyle Center of America.
13:33 He spends all day talking to people about how to
13:35 improve their life through lifestyle changes,
13:39 and through understanding things like we're talking about
13:41 today - fats and trans fats and it's been fascinating to
13:45 look at the complex and make it
13:46 more simple to help us understand.
13:48 When we come back, we're going to look even closer
13:51 at this subject of trans fats and how they affect us.
13:55 We hope that you join us when we come back.
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14:58 Welcome back, we've been talking with
15:00 Dr. George Guthrie from the Lifestyle Center of America
15:03 We've been talking about trans fats,
15:05 and we've learned several interesting
15:07 things about trans fats.
15:08 We've learned, first of all, they are very harmful to us...
15:11 And, Dr. Guthrie, again let's just summarize here...
15:15 I mean, we should be having a wide shot of you
15:18 when you're making these motions here...
15:21 But the trans fats versus the saturated fats, I guess...
15:25 Let me see if I'm right...
15:27 The saturated fats when you look at them
15:29 in the body, they're just completely
15:30 straight across. That's right!
15:31 But once they get... No - that's saturated fats...
15:36 That's saturated fats, but then once they get
15:39 heated up and all kinds of things done to them...
15:41 You're almost there.
15:43 We actually get the trans fats from the unsaturated fats.
15:47 So they are bent. They're bent.
15:49 They're bent and then they try and straighten them out.
15:52 They straighten them out kind of funny-like
15:54 so they got a little bit of notch in them.
15:56 Okay! And we like that because they act like saturated fats
16:02 which we like so much because we can
16:04 spread them on things and eat them and everything...
16:07 But they really are pretty harmful to us -
16:08 We looked at those quotes by
16:11 Walter Willett about heart disease.
16:14 Well, let's come back now and talk more about the PROBLEMS!
16:19 I mean, some people out there listening and saying...
16:21 You guys are making all these motions,
16:23 looks like an exercise video and you're talking about fats...
16:25 But those that have hung with us, they are saying...
16:28 Wait a minute - so what's the big DEAL about this trans fats?
16:31 What's the problem with it?
16:32 I made a little list here - let me kind of go down through it...
16:35 Trans fats tend to RAISE the total cholesterol.
16:38 And that's bad because every elevation in cholesterol
16:42 increases your risk of... Heart attack!
16:44 Okay - That's right All right!
16:46 AND it increases the bad cholesterol, the LDLs
16:49 It also DECREASES the GOOD cholesterol, the HDLs
16:54 Those are the ones that pickup all the trash.
16:56 They pickup all the trash. The LDLs are the ones that
16:57 trashed all over the place. Yes - that's right
16:59 It increases something called "Lp - little a"
17:03 And this is one of those things that is associated with
17:05 increased clotting in the blood; makes it more likely to clot.
17:08 So you could have a clot or a
17:09 stroke or a thrombus or something.
17:11 That's right - it increases the triglycerides;
17:13 it increases, as we mentioned, the platelet stickiness,
17:16 and there's even some evidence that it worsens
17:19 insulin resistance, increases the risk of diabetes
17:22 and possibly even Alzheimer disease.
17:25 Boy, for just a tiny, little thing, it really makes a lot
17:27 of problems! It SURE does
17:29 That's like maybe someone's little brother!
17:34 It's certainly something that I'm trying to avoid in MY diet -
17:36 as I have learned how important it can be in causing disease.
17:42 Well, we talked a little bit about the problems
17:45 and the dangers... You were talking with me
17:49 about a study that kind of elucidates this even further.
17:53 Why don't we put that up as a graphic,
17:55 and I think we'll be able to look at this study
17:58 actually from the Nurses' Health Study,
18:02 noticed that elevation in trans fats, 3% of total calories
18:10 increases the heart attack risk in essence 53%
18:15 compared with those with the lowest trans fat.
18:19 That, in essence, works out to be about 4.5 grams of trans fats
18:27 per day, actually making about a
18:30 50% difference in heart attack rate.
18:33 WOW! So just having this little, tiny bit of trans fats
18:37 can just increase your risk of heart problems
18:42 from trans fats 53%
18:45 Yeah, 4.5 grams of trans fats,
18:47 there may be that much in a DONUT!
18:50 Hmmm... boy, you're now, oh man, I bet you there's a GASP
18:55 People in their homes are going ... A DONUT!
18:58 They are called "do-nots" for a reason, Don!
19:02 So that can REALLY put you at high risk.
19:05 Is it a sudden thing?
19:07 No, generally it's a slow sort of a thing,
19:10 but the risk builds and the scientists are telling us
19:13 this is an extremely important item as far as our
19:18 cardiovascular health is concerned.
19:21 So where do we find trans fats in our diets?
19:25 I mean, we've already said "donuts"
19:27 might be one of the things, but else do we find them?
19:30 I mean, donuts are a pretty obvious thing.
19:31 I think maybe everybody that has a donut, they kind of go -
19:34 "Well you know, I can maybe have 1 of those,
19:35 or 2 of those, or maybe 5 of those, but no more.
19:38 You know, they KNOW it's probably not the best thing.
19:41 Where else do we find them?
19:42 You know, it's really hard to identify
19:45 ALL the trans fats in our diets.
19:46 We're not exactly sure how MUCH we're actually getting
19:49 because it's used in so many places, for example...
19:53 Things like custards and puddings, baked goods -
19:59 wherever those long straight fats actually bring out the best
20:03 consistency - pie crust for that matter.
20:06 So, it's really ALL through our
20:09 processed food chain, if we put it that way.
20:14 There are no trans fats "yes or no" in plant products.
20:18 It is my understanding that that's the case.
20:21 There are not even very many trans fats in animal products
20:27 if they're taken - for example, if you had meat
20:30 there might be a little bit because the bacteria
20:32 in the stomach of a cow may make a few trans fats,
20:35 but, generally, it's an oil-processing problem that
20:41 leads to this trans fat.
20:43 So - things like french fries?
20:45 Okay - maybe, especially if they're done with
20:50 unsaturated vegetable oils.
20:53 So give me a list like what kind of things?
20:56 Like baked products when you're talking about pie crusts...
21:00 Sure, that would be a good one, breads.
21:04 You know, it's so ubiquitous...
21:08 You may have to start looking at labels to find it.
21:12 Ooo - looking at labels but the simplest thing
21:14 if you don't want to look at labels
21:16 is just eat foods as grown.
21:18 That's right... if you get it out of ground, in essence,
21:22 the vegetables, the fruits, the whole grains,
21:25 you're not going to have any trouble with trans fats.
21:28 It's a processing issue...
21:29 As we try to take unsaturated fats,
21:31 and make them act like saturated fats in our prepared foods.
21:36 So none of the birds or the cows out there,
21:38 or the goats or whatever, they're not going to
21:40 drop over dead from the trans fats.
21:41 I don't think that will be a problem.
21:43 Okay, so then you said - but if we really want to know
21:46 if we get into processed-type foods like your breads,
21:49 your pastries, your cakes, your whatever,
21:50 whatever you like... or whatever maybe you
21:54 need to move away from, you can tell by looking at labels
22:00 In January 2006, the government had said they are going to start
22:04 putting or REQUIRING that people who label food,
22:08 actually put on there how much of the trans fat is in the food.
22:13 So, I mean, that's a ways to wait, especially if you think
22:17 it is really important.
22:18 Notice the label that we have up on the screen...
22:23 One of the ways you can actually find out is to look at
22:27 the fats on the label.
22:28 If you look at the total fat,
22:30 subtract out the monounsaturated fat, the saturated fat,
22:36 and the polyunsaturated fat...
22:37 Just take those completely out;
22:40 the number that you have left
22:41 is actually the trans fat that is left over.
22:44 So if you have a label and it says on it,
22:46 Okay, I've got 100 grams of fat - say.
22:52 Oh boy, that's a big one!
22:54 That's a BIG one, let's put a simple number, all right. Okay
22:57 And it lists poly and it has 25
23:00 and it lists mono and it's got 25 and what
23:03 would be another one I'd put in there?
23:05 POLYunsaturated. All right polyunsaturated is 25.
23:08 If I got mono, it's 25... You have mono, the saturated,
23:14 the polyunsaturated, you add those together
23:16 And they'll say I have 75...
23:17 because whatever is not listed there - that's the trans.
23:20 And subtract it away from the total and what's left
23:22 is the trans fat.
23:24 Now at this point, do they have to put all those
23:25 numbers on there we suggested? No, they don't have to
23:27 What do they have to put on right now.
23:29 Well, they need to put on the total fat,
23:31 and many food manufacturers are putting on the
23:35 saturated fat or the UNsaturated fat because
23:38 they want us to know.
23:40 So, there's another way that you can tell though.
23:43 How can you tell?
23:44 If you'll go over on the label to the list of ingredients,
23:49 and the list of ingredients on the label has first those
23:54 ingredients that are most and then it goes down by, in essence
23:59 if I remember correctly, weight.
24:00 If it says in the list of ingredients, something like
24:05 partially hydrogenated soybean oil...
24:12 If it EVER says partially hydrogenated - you know that
24:16 THAT has trans fat in it.
24:18 Oh, yes, one of my favorites is popcorn...
24:22 that microwave popcorn and so far the ones I've seen
24:26 all have trans fat in them, so I've had to switch
24:29 just for my health.
24:31 So do you eat popcorn?
24:33 OH YES! But I'm popping it myself,
24:36 not having the microwave do it now.
24:38 I see and that gets rid of the trans fats.
24:40 Well, look on the label.
24:41 Maybe they'll come out with one that doesn't have
24:44 the trans fats in there, or the partially hydrogenated...
24:46 So even if it says on there like the microwave popcorn
24:49 that I get - it says X amount of percentage less fat,
24:53 it doesn't mean that it's getting rid of
24:56 all the trans fats.
24:58 It may be low fat and the fat still may be trans.
25:00 As-a-matter-of-fact, they'll probably say,
25:02 "I'll be Don wants unsaturated fat in this,
25:05 but you know, we don't want it to be oil floating around
25:09 in the bag, so let's partially hydrogenate it so it will
25:12 stay still in the bottom of the bag until it heats up.
25:17 You deal with people every day throughout the year at the
25:21 Lifestyle Center of America in Oklahoma
25:23 where you practice as a physician,
25:25 and you're creating training programs also for people to do
25:29 in their communities as well to use...
25:33 A lot of people out there, they love certain things
25:36 that I'm sure are trans fats.
25:38 We mentioned some of them... donuts, the list went on,
25:43 POPCORN - I mean, you almost are not a person
25:47 if you don't eat those things.
25:49 How do you help people change?
25:50 Boy, that is a challenge!
25:52 Fortunately, our palate is educable and we can actually
25:58 learn to like things.
26:00 One of the things that has been most helpful for ME
26:03 AND for those that I'm teaching, is simply understanding,
26:06 and when you DON'T know, the taste seems more important
26:10 than anything else.
26:11 When you understand that there are problems from it,
26:13 remembering that helps one steer away
26:15 from those things that are bad for you.
26:18 So that's how you help people avoid it,
26:19 just by education. By education!
26:21 Education, education, education.
26:23 I can't follow them home and say, "You can't have that"
26:27 It has to be their choice, they need to be
26:29 convinced in their own minds.
26:30 In your own life, was there a time you really enjoyed
26:33 the trans fats and then you had to make a decision to change?
26:36 Yes sir! I just kind of made this discovery about a year ago,
26:39 and there is a lot of things changing in my household
26:42 as I've discovered the problem here.
26:44 And the Lord is giving you the strength to do that.
26:47 Exactly and what's more, knowing this helps me make maybe even
26:51 better choices because there is a principle behind it all
26:54 that he shouldn't forget and that is...
26:57 God made food that was good for us.
27:01 It seems that the more man kind of manipulates it
27:04 and changes it, the more problems they cause.
27:06 So what that has done is pulled me back from some
27:09 of the crackers, for example, and baked products
27:12 that may not have been so good for me,
27:13 and moved me towards whole grain-type cereals,
27:16 fruits and vegetables.
27:18 Food as grown, we like to say.
27:20 So the people out there, if I was listening to this
27:23 for the first time and hearing these things, I'd say,
27:25 "Boy, I need help here; I can see that I've got all
27:30 kinds of trans fats; it's causing problems for me"
27:33 What kind of hope can you give
27:35 them in the last few seconds here?
27:37 Well, I think, yes, changing is a bit of a challenge.
27:41 One of the things you can do is actually make sure
27:43 trans fats are WAY down on the label. Okay
27:46 So move them to the side of the plate,
27:48 instead of the middle of the plate first off,
27:49 and just keep trying!
27:52 We're glad you've joined us on "Health for a Lifetime"
27:53 and we hope that you have
27:55 HEALTH that LASTS for a LIFETIME!


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Revised 2014-12-17