Health for a Lifetime

What Is Optimum Cholesterol?

Three Angels Broadcasting Network

Program transcript

Participants: Don Mackintosh, Tim Arnott

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Series Code: HFAL

Program Code: HFAL000086


00:47 Hello and welcome to "Health for a Lifetime"
00:49 Today, we're with Dr. Tim Arnott
00:52 He is a physician at the Lifestyle Center in Oklahoma
00:56 Welcome doctor! Thank you, it's good to be here
00:58 We're going to be talking today about heart disease,
01:00 and so if you have someone in your family
01:02 that has heart disease, or if you would like the information
01:06 yourself, get a pen or a pencil, take a few notes...
01:09 You're going to find that this is a fascinating program
01:12 as we talk more specifically about CHOLESTEROL!
01:15 Doctor, what exactly is cholesterol?
01:17 How does the body produce it or DOES the body produce it?
01:21 What is it? Cholesterol is a type of fat.
01:25 It's a waxy substance and it's very, very important to the body
01:30 In fact, every cell of the body has cholesterol in it.
01:33 And what the cholesterol actually does is it
01:36 sits in the cell wall...
01:38 In other words, the covering of the cell
01:40 is where the cholesterol is found.
01:42 And it stabilizes that cell wall, gives it STABILITY.
01:46 Otherwise, we'd be much more "fluid" individuals;
01:50 so it gives us some stability.
01:51 So it's a GOOD thing, I mean, so often we hear about
01:54 cholesterol and it sounds like it's just a BAD thing,
01:56 but we really NEED it!
01:58 You know, if it wasn't for cholesterol,
01:59 none of us would be here.
02:01 Because cholesterol is actually what is used...
02:05 The raw material for something called "progesterone"
02:09 Progesterone is that very important chemical
02:13 that keeps the pregnancy developing.
02:16 And so if it wasn't for cholesterol,
02:18 we couldn't produce children.
02:21 Now, you are a specialist in family practice,
02:23 and you've done work in lifestyle medicine as well
02:25 at the Lifestyle Center in America there,
02:27 what, doctor, is a good cholesterol level and why?
02:32 Well that's a very important question...
02:35 And as we look at that question,
02:37 I'd like to take our listeners out to Massachusetts.
02:41 There's a little town outside of Boston called "Framingham"
02:45 and our government has been studying this very question of
02:50 "Why people die of heart disease" for over 50 years
02:54 in Framingham, Massachusetts, and they've learned some
02:57 very exciting things.
02:59 There are a group of people in this country,
03:02 less than 1% of us, but there's a special group,
03:07 and that group, in over 40 years developed NO heart attacks;
03:13 NO heart disease in over 40 years!
03:16 These are individuals with a total cholesterol LESS than 150.
03:23 Now, what's important about that is that many of our
03:27 listeners have probably been to the physician's office,
03:30 and they've had their cholesterol tested...
03:32 And when you look at the sheet where the cholesterol
03:37 is actually reported...
03:38 Over on the right-hand side, you will see a normal range...
03:43 Normal and then what you have... EXACTLY
03:46 And typically, most labs will tell you that if your
03:50 total cholesterol is less than 200, you're okay.
03:55 Yeah, that's right... 240 or less or something like that,
03:57 they say, "You're just fine"
03:58 You're just fine, that's right.
04:00 So a LOT of people are walking into the physician's office
04:03 and they're being told you're okay.
04:06 But you're saying, it has to be below 150
04:09 to really prevent or avoid heart attacks.
04:12 Well what we saw at Framingham, in over 40 years,
04:15 is no one developed heart attacks if their
04:18 total cholesterol was less than 150.
04:21 So, that becomes the new goal standard.
04:25 And what people don't understand is that if your
04:28 total cholesterol is between 150 and 200,
04:33 individuals with cholesterols in that range 150-200
04:38 have 35% of ALL the heart attacks in this country.
04:43 Is that right? Between 150 and 200.
04:46 Now if they got their lab report back,
04:49 and they looked at it, it would be in the normal range.
04:51 Say a cholesterol of 180 or 190,
04:54 it would be in the normal range,
04:55 but yet those individuals have heart attacks.
04:57 So, you're saying we need to be ABNORMAL.
05:00 We need to be abnormal.
05:02 We need to shift the normal range down about 50 points.
05:06 So how can we do that?
05:07 Well, that's a very interesting question,
05:10 and I think what we are learning is,
05:14 ...if I may take us back to a study in the
05:16 "British Journal of Medicine"
05:19 What they found in that study as they were looking
05:20 at different populations of people,
05:22 is the AVERAGE cholesterol in different groups.
05:27 And what they found was something very interesting.
05:29 Individuals who were eating an average American diet,
05:34 had a total cholesterol about 190 or 200
05:39 Individuals who were eating a vegetarian diet,
05:43 but using some dairy products,
05:45 had a total cholesterol of about 180.
05:48 And individuals who were using a TOTAL vegetarian diet,
05:52 - in other words, ONLY plants no other animal products -
05:58 their total cholesterol was about 160.
06:01 And in OTHER research, we find that the ONLY
06:04 individuals who were able to get their total cholesterol
06:07 DOWN, below 150, are total vegetarians
06:12 Do total vegetarians ever have problems with cholesterol?
06:15 And if so, why?
06:17 That's a VERY good question!
06:19 Because there are actually a number of individuals
06:21 out there, probably some who are listening in today,
06:24 who are TOTAL vegetarians and may have been
06:27 total vegetarians for years,
06:29 and yet, their cholesterol is running above 150
06:32 I can think of several...
06:33 We do a program that I'm involved with where we take
06:36 the blood levels as well, and there is one lady who
06:39 is a TOTAL vegetarian but she has a very high cholesterol;
06:43 always seems to have it.
06:45 And there is about 1 out of 500 individuals who actually have a
06:50 genetic problem and they actually don't make enough of
06:54 the receptors that absorbs the cholesterol...
06:59 and so they have a very high cholesterol level.
07:02 Is that dangerous for them?
07:04 Oh, it's absolutely dangerous.
07:05 In fact, these individuals have heart attacks in their
07:07 late 20s, early 30s, but that's a rare situation.
07:13 And I think the message we want to get out to individuals
07:17 is that it's possible to be a total vegetarian
07:20 and still be on a highly refined and highly processed diet.
07:26 And what I mean by that is
07:29 you know, take for example yesterday...
07:31 We were out looking for some bread in a grocery store,
07:35 and in many different products you find in the grocery store
07:40 you will find one particular ingredient...
07:43 You'll want to watch for this ingredient.
07:45 It's called "partially hydrogenated vegetable oil"
07:50 Now, it sounds healthy because it's vegetable,
07:53 and it's total vegetarian and yet this substance
07:57 "partially hydrogenated vegetable oil"
08:01 actually acts in the body JUST like saturated fat!
08:06 Now you might ask, "Well what is saturated fat?
08:08 And how does it interact with cholesterol?
08:11 Saturated fat is a fat that, at room temperature is solid.
08:16 So butter is a good example,
08:18 very high concentrations of saturated fat.
08:21 What we know is that the saturated fat that you eat
08:26 is actually 2 or 3 times MORE POWERFUL at raising your
08:32 cholesterol level than if you were to eat
08:34 cholesterol itself.
08:36 Oh so, if you eat it, it's just like turns the
08:40 ...magnifies the cholesterol that's there!
08:42 Well actually, the cholesterol
08:43 is made by every cell in the body.
08:46 But, most of the cholesterol comes from the liver;
08:50 at least 500 mg a day...
08:52 But when you INCREASE the amount of saturated fat
08:57 in the diet, it's like pushing down
08:59 on the accelerator and speeding up the cholesterol
09:04 manufacture, the cholesterol production
09:07 that the liver does.
09:08 So that's why it's important to move away from
09:12 partially hydrogenated vegetable oils in particular.
09:16 So, two things... 1. Try and get the cholesterol
09:19 below 150 total.
09:22 Secondly, avoid partially hydrogenated vegetable oil.
09:28 You know this is very easy. Okay
09:30 It may sound difficult, but actually if you choose
09:32 foods just as they come from nature...
09:35 If you get your food right from the Hand of the Creator,
09:39 you will miss out on all of these additives
09:43 that can actually increase the cholesterol level
09:46 such as partially hydrogenated vegetable oils.
09:49 So what we're talking about is when you go into the
09:51 grocery store... where you want to spend
09:54 your time is primarily the produce section...
09:59 fruits and vegetables.
10:00 Is there anything in the produce section that we should avoid?
10:04 You know, to my knowledge, there is NOTHING
10:07 in the produce section that will raise your
10:10 total cholesterol above 150.
10:12 Unless it's in a little box or container NEXT to the produce
10:14 thing that they want you to put on top... Exactly!
10:16 If the Creator produced it, and it hasn't had
10:19 something added or something removed,
10:22 it will not raise your total cholesterol above 150.
10:25 So I'm a total vegetarian, let's say,
10:27 and I take my cholesterol... it is still above 150,
10:33 or somewhere between there and 200,
10:36 and I'm trying to do these things you're mentioning,
10:39 and I've tried to cut out the
10:41 partially hydrogenated vegetable oil,
10:44 should I look somewhere else - is there anything else besides
10:47 the genetic and that substance?
10:49 That's a very good question!
10:51 And Dr. Gabe Mirkin out at Georgetown University
10:56 has been doing some nutritional research out there,
10:59 and he has found out something very interesting...
11:01 What he has found out is that whenever we eat MORE calories
11:05 than what we need for any given day,
11:07 the body has to take the excess calories and store it...
11:12 But in order to make those storage packages
11:15 that are headed out to the fat cells out to the storage areas,
11:19 it has to generate cholesterol.
11:22 So whenever you eat more calories than what
11:25 you're burning, you are RAISING your cholesterol level.
11:29 Now what most people may not understand is as we get OLDER,
11:33 the basal metabolism of the body, in other words,
11:38 the rate at which we burn up energy,
11:41 actually starts to decline as we get older.
11:44 So if you continue the same eating habits,
11:47 the same eating patterns, as you get older,
11:50 you're more and more likely to be taking in more calories
11:54 that you're burning up... So you need to eat LESS
11:55 as you get older. EXACTLY!
11:56 So the real KEY is as you get older,
12:00 go to a lighter and lighter EVENING MEAL,
12:03 because that one has the most power to actually
12:06 decrease the weight and decrease the calorie intake.
12:12 And this will help to reduce the cholesterol.
12:14 So, increase the things from the produce section,
12:20 decrease the saturated fat or partially
12:24 hydrogenated vegetable oil, ... Absolutely
12:27 Decrease the cholesterol below 150, if possible.
12:32 And make sure that you're eating LESS as you get older.
12:37 Now, what do you mean "when you're older"
12:38 Am I older?
12:39 Well, you know the other way around this is to increase
12:43 your exercise level.
12:45 Okay, so you can eat, even at my age...
12:47 So you are saying - I'm older.
12:48 Is that what you're trying to tell me?
12:50 Ha, ha, ha ha... No, that's not what I'm trying to tell you.
12:53 But honestly, I mean, it depends
12:57 on the individual's activity level.
12:59 And what I would say is this...
13:01 It's very important when you go to the physician's office
13:04 to get a COPY of that cholesterol level.
13:07 In other words, don't just have the physician tell you
13:10 what it is, because when you get home, you're going to forget
13:13 Get a copy of it, and KNOW where you are,
13:17 and then know what your goals are.
13:18 And if you're not reaching your goals of getting it down
13:22 to 150-160 or below,
13:25 then that's where you might
13:26 want to back off on the evening meal.
13:29 So, know what your goals are,
13:31 and then have a set of tools to get you there.
13:34 Now you're a family physician,
13:36 when is it that you should start knowing what your
13:39 cholesterol level is as an American, I mean...
13:41 Is it when you're in your teens?
13:43 Is it when you're 1-2-3 years old or 20s?
13:48 When should you start checking your cholesterol level
13:51 with a blood stick or however you do that?
13:54 Well that's a very good question because
13:56 what they're finding out now
13:58 is that if you are in your 20s and you have a total cholesterol
14:03 that's greater than 240, those individuals will live
14:08 6 years less than the rest of the individuals who have
14:12 total cholesterols UNDER 240.
14:15 So in your 20s, you need to
14:16 start getting it checked, or earlier?
14:18 They are recommending it... when you get to 20 years of age,
14:20 you should get it checked about every 5 years.
14:23 But I would say that if you're entering the 40s and 50s,
14:29 you probably should get it checked at LEAST every year.
14:33 But the KEY is to know where your goals are...
14:37 To know that that total cholesterol should be under 150
14:41 NOT just under 200.
14:43 Do you get yours checked every year?
14:44 Yes, I usually do, yes.
14:47 I'm not going to ask you what it is...
14:49 But that's important to know
14:51 and so this is something you should be doing.
14:52 Your doctor probably won't tell you to get it checked
14:54 every couple of years normally.
14:57 They may or they may not. Okay
14:59 So we need to get it checked.
15:00 We need to decrease the amount of food that we're eating
15:04 especially if we're not exercising...
15:06 If we're not meeting our goal.
15:07 Right, if we are not meeting our goals.
15:08 We need to have some kind of target,
15:10 and that target, you're suggesting, for everybody
15:12 is 150 or less. Absolutely!
15:16 We're talking with Dr. Tim Arnott
15:19 We're talking about cholesterol and heart disease.
15:22 And we've got some very practical suggestions
15:24 about what to do to know where we are...
15:27 And we have talked about how we need to set goals
15:31 and look at that 150 level as being optimal.
15:35 When we come back, we're going to talk more
15:37 about practical things to do to lower our cholesterol
15:40 We're glad that you have joined us,
15:42 and we hope that you DO join us when we come back!
15:46 Have you found yourself wishing that
15:48 you could shed a few pounds?
15:49 Have you been on a diet for most of your life,
15:52 but not found anything that will really keep the weight off?
15:55 If you've answered "yes" to any of these questions,
15:58 then we have a solution for you that works!
16:00 Dr. Hans Diehl and Dr. Aileen Ludington
16:03 have written a marvelous booklet called...
16:06 "Reversing Obesity Naturally"
16:08 and we'd like to send it to you FREE of charge.
16:10 Here's a medically sound approach successfully used by
16:13 thousands who were able to eat more and lose weight
16:16 permanently without feeling guilty or hungry
16:19 through lifestyle medicine.
16:21 Dr. Diehl and Dr. Ludington have been featured on 3ABN
16:24 and in this booklet, they present a sensible approach
16:27 to eating, nutrition and lifestyle changes
16:30 that can help you prevent heart disease, diabetes,
16:33 and EVEN cancer.
16:34 Call or write today for your free copy of...
16:36 "Reversing Obesity Naturally"
16:38 and you could be on your way to a healthier, happier YOU!
16:41 It's ABSOLUTELY free of charge, so call or write today.
16:47 Welcome back or welcome if you've just joined us.
16:50 We've been talking with Dr. Tim Arnott
16:52 He is a specialist in lifestyle medicine,
16:55 and also family practice.
16:57 We've been talking about heart disease and cholesterol.
16:59 And we've discovered that our body makes it, it's essential...
17:02 The problem is that we, many times, have TOO MUCH of it
17:05 because of the diet that we eat,
17:07 and we've been talking about how it is that we can
17:09 LOWER our cholesterol levels...
17:11 And you've suggested a very, well, it's lower that most of us
17:17 think about, but a goal of 150 to have our cholesterol level at
17:22 Now, let's say I go to my doctor and say, "I heard this program
17:27 on TV and the physician there
17:28 was saying my cholesterol needs to be at 150."
17:31 Is the doctor going to be aware of that?
17:32 Well, more and more people are becoming aware of this.
17:36 In fact, the editors of "Scientific American Medicine"
17:40 a MAJOR textbook in internal medicine,
17:43 have now come out and recommended, as of 1998,
17:47 that the IDEAL total cholesterol is under 150.
17:52 So it's making headway; more and more individuals are
17:57 understanding this and it's primarily from the research
18:00 that's coming out of Framingham, Massachusetts
18:02 Now, you mentioned that we should be getting
18:04 our cholesterol checked by having our blood drawn
18:07 at least in our early 20s.
18:09 But let's say that I am 10 years old or 15 years old,
18:12 what should my cholesterol be at 10 years old, 15 years old
18:16 What should the level be?
18:18 Well USUALLY it's going to be 100 plus your age.
18:23 That's probably a normal cholesterol
18:26 until you reach the age of 50.
18:29 100 plus your age is the goal standard
18:33 for a total cholesterol or less.
18:35 Now, when we were talking before, you also mentioned that
18:37 as we get older, we sometimes need to decrease the amount of
18:41 food that we're eating depending on what our exercise is.
18:44 Is this the REASON that we have increased cholesterols
18:49 when we get older... is because we're not exercising
18:51 as MUCH and what role does exercise play
18:55 in LOWERING cholesterol?
18:56 Well actually, a very interesting study was done
18:59 at Stanford University...
19:01 And what they did was they took the 2 diets that are
19:05 recommended by the "American Heart Association"
19:08 called a Step 1 and a Step 2 diet.
19:10 The Step 2 diet is a little bit more conservative;
19:13 you're allowed a little less cholesterol,
19:14 a little less saturated fat.
19:16 And what they found was that they were not able to
19:21 get individuals cholesterol levels down on
19:24 on those Step 1 and Step 2 diets.
19:27 In other words, the diets that are currently being
19:31 recommended to help us avoid heart disease
19:33 ...they showed did NOT lower cholesterol
19:37 UNLESS the individuals exercised!
19:40 The individuals who did the Step 2 diet,
19:43 the special heart prevention diets AND exercised
19:47 were able to lower their cholesterol.
19:49 So what we can see happening here is...
19:52 as you exercise, the basal metabolism of the body
19:56 actually speeds up... you're burning off more energy.
19:59 Even after you exercise because that effect of exercise
20:02 LASTS for many hours.
20:04 And so you are actually burning off more calories,
20:07 and remember, your cholesterol RESPONDS to this balance of
20:12 the energy that you take in
20:13 versus the energy that you burn off.
20:15 So if you're burning off MORE,
20:17 your cholesterol level is going to tend to be lower.
20:19 So it REALLY is important to exercise...
20:22 Your diet IS important but EQUALLY important
20:25 would you say exercise is?
20:26 You know, one of the other important things about exercise
20:30 that sort of relates to cholesterol is that
20:33 in the body, the Creator has put in these extra blood vessels
20:38 They are called "collateral" blood vessels.
20:42 In other words, in the heart there are 3 main arteries,
20:46 but there are these collateral arteries that also go down the
20:50 same general pathways, but in a little bit different routes.
20:55 And what can happen is if you exercise on a
20:58 REGULAR basis, you know, vigorous exercise
21:02 to the point of sweating...
21:03 Over time, those collateral blood vessels,
21:06 those extra blood vessels, will actually ENLARGE,
21:09 and in a sense, you can do your own bypass.
21:12 Now I'm not recommending that, someone who needs
21:16 a bypass, they can just exercise and perhaps...
21:18 You're talking about bypass surgery, in other words,
21:20 if they get blocked, they bypass it with another artery
21:24 or vein that they take from somewhere else. Exactly
21:27 But this is an important concept in physiology that individuals
21:31 can understand... that they can actually INCREASE the flow of
21:34 blood to their tissue and actually move blood around
21:38 those blocked areas through an exercise program.
21:41 We've talked about diet and how it can lower our cholesterol...
21:44 We've talked about exercise and how it can do the same,
21:47 and help us avoid a heart attack like you're talking about here,
21:49 or surgery... something to that nature.
21:52 We've talked a lot about plant foods
21:56 and a total vegetarian diet.
21:59 Are there any plant foods that could actually
22:02 ELEVATE our cholesterol?
22:05 Well according to Dr. Gabe Mirkin,
22:08 there at Georgetown University,
22:10 what he has found is that the SATURATED fat that we eat
22:17 here in this country is not largely used for energy.
22:22 Now what he has found in the research literature
22:25 is that in individuals who aren't eating enough calories,
22:29 ...in other words, they don't have much to eat,
22:31 the saturated fat that they take in
22:34 is actually burned for energy.
22:35 But in a society such as we have,
22:38 where we have PLENTY to eat,
22:39 that the saturated fat that you eat,
22:42 isn't USED for energy.
22:44 It actually goes to RAISE your cholesterol levels.
22:47 So like nuts?
22:49 So ANY FOOD that does have saturated fat in it...
22:54 If you are on a diet that has plenty of calories...
22:57 If you get TOO MUCH of those saturated fats,
23:00 you could POTENTIALLY raise your total cholesterol level.
23:03 So, yes, if you eat too many nuts, too many olives, seeds,
23:08 avocados, and your cholesterol is not in that area where you
23:13 want it to be, you might want to decrease
23:16 those higher fat plant foods.
23:18 They are not unhealthy for you if you are not overdoing it.
23:22 They are VERY healthy foods.
23:24 No question about it, we need ALL of these different fats.
23:27 We need SATURATED fat.
23:28 We need all of the different fats, but the point is,
23:32 if you're NOT getting the cholesterol down,
23:34 this is something else that you can think about doing
23:37 that may help you...
23:39 Decreasing the amount, the proportion of the nuts
23:42 and olives and those higher fat plant foods.
23:45 Now I know that the target here is 150 for our cholesterol,
23:50 but is it EVER POSSIBLE for someone to have
23:54 a cholesterol of 150 and still develop
23:57 a blockage in their arteries?
23:59 Well, you know, I was recently out at some meetings
24:01 at Loma Linda University, and a gentleman came up to me
24:04 who told me that his cholesterol level had been averaging
24:09 around 140 for many years,
24:12 and yet he had been diagnosed with coronary artery disease.
24:16 And, upon further questioning, he told me that
24:22 his homocysteine level was 15.
24:26 Now what individuals need to understand
24:30 if they're going to embrace this plant-based diet
24:33 is that something very important must be added to the diet,
24:39 and that is vitamin B12
24:42 because if you don't get enough vitamin B12,
24:46 there is an amino acid inside the body that can start to go up
24:51 And what we know now is that total vegetarians
24:54 have the lowest B12 levels of individual groups out there.
25:00 They ALSO have the HIGHEST homocysteine levels.
25:05 And homocysteine... In fact,
25:08 the "Physicians Health Study" done at Harvard University...
25:12 The individuals that were the top 5% for homocysteine
25:16 had almost 9 times the risk of a heart attack.
25:20 So you HAVE to have the vitamin B12
25:23 to DECREASE your homocysteine. Exactly!
25:29 You need adequate levels of vitamin B12
25:31 to keep the homocysteine level down.
25:34 And if that homocysteine level goes UP,
25:36 you can develop a blockage and have heart disease
25:38 just like anybody else. That's right!
25:41 And not only heart disease,
25:43 but ALSO stroke and cerebrovascular disease.
25:46 So, if I go to my physician and say,
25:48 check my homocysteine level,
25:50 are most labs set up to do that?
25:51 Can I do that just about everywhere now?
25:53 Yes, actually they can.
25:54 We use a lab, it's very easily able to do the
25:58 homocysteine level.
26:00 Do most people in the world have problems with heart disease
26:02 You know, according to Dr. William Castelli,
26:06 who was one of the directors of the Framingham Heart Study
26:10 that we mentioned earlier...
26:11 He was there for over 30 years INTENSIVELY studying
26:15 WHY do Americans develop heart disease,
26:18 and he was looking at the WORLD literature...
26:20 What he discovered was that 4 out of 5 people on this planet
26:25 cannot get their total cholesterol above 150.
26:30 So, in other words, they don't have all of the bad substances
26:34 here that we have to do that.
26:35 They're living on unrefined, unprocessed PLANTS primarily.
26:40 And the other thing that he found out was that
26:43 1 out of 5 people in this world
26:46 can't get their total cholesterol BELOW 150.
26:50 And I think I know where those people live...
26:51 mostly in Western countries, right?
26:55 That's right and what he found out was that
26:57 the first group... Those who can't get it above 150
27:01 they don't get heart disease.
27:03 The OTHER group who can't get it down BELOW 150...
27:06 They get the heart disease.
27:09 We've been talking with Dr. Tim Arnott
27:11 from the "Lifestyle Center of America"
27:12 We've been talking about heart disease as it relates to
27:16 cholesterol...
27:17 And we have learned that there are some special
27:19 things we need to do to avoid elevating our cholesterol
27:23 and that is not eating a lot of food,
27:26 especially if we're getting adequate nutrition,
27:29 make sure to decrease the saturated fat in our diets,
27:33 and many other tips that you've learned today.
27:35 We hope that this program has been helpful to you
27:37 and that if you have a family, that you are aware of
27:41 where you are in terms of your numbers;
27:43 even if your children or the young people in your home are
27:46 in their 20s, it's a good idea to get their cholesterol checked
27:50 to know where they stand.
27:51 We hope that today's program has been helpful,
27:53 and that as a result
27:55 you'll have health that lasts for a lifetime!


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Revised 2014-12-17