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Good morning and hello everybody.
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Welcome back to today's nutrition. I'm
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Dr. Deb Ford, dietician and doctor of
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clinical nutrition. And here every week
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I bring you the latest on food,
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lifestyle, natural approaches, all the
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new information you need to help you
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lose weight, feel great, and reverse
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aging. Today I am tackling something
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that's hot in the news. a medication
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that some of us have in our purse, our
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glove compartment, our nightstand.
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Simple Tylenol, also known as
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acetaminophen. It is considered so safe
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that hospitals hand it out like candy.
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Pediatricians recommend it for teething
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babies and it is included in hundreds of
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over-the-counter products, cold
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remedies, sleep aids, sinus medicine,
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and pain relievers.
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But here, I'm going to give you the
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truth. Just because it's common does not
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mean it is safe. In fact, acetaminophen
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is the leading cause of acute liver
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failure in the United States, bypassing
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sugar, bypassing alcohol by far. Yeah,
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you heard me right. This most trusted
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household painkiller is also one of the
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most dangerous and misused. So today I'm
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going to break down six major problems
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with Tylenol. I'm going to unpack each
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one in everyday language, give you some
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real life scenarios, and of course share
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safer alternatives. So grab your morning
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coffee, or better yet, green tea,
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mushroom coffee, and let's dive in.
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First things really important, liver
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toxicity. Your body has a chemical
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factory and that is your liver. It takes
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everything you eat, drink, breathe,
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swallow, whether it's kale, alcohol, or
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Tylenol, it decides what you're going to
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do with it. Now, Tylenol is metabolized
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through a detox pathway that uses
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glutathione.
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Glutathione is one of your body's most
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important antioxidants.
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mostly made in the liver. But here's the
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problem. When you take too much Tylenol
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or take it too often, you drain your
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glutathione reserves. And once that's
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depleted, a toxic byproduct that goes by
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Napqi.
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It builds up and that compound literally
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burns holes in your liver cells. N
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acetal pquinone
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amine.
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What is it? It's just a toxic compound
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produced when your liver breaks down
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acetaminophen Tylenol. Normally your
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body can neutralize it with glutathione,
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but
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it runs out of that. It's used up a lot
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and if you take too much Tylenol
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chronically, it can cause cellular
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damage that can lead to liver failure.
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In fact, every year in the US, about
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50,000
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emergency room visits are related to
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Tylenol overdose. And it is the number
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one reason for liver transplants. And
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here's the scary part. It doesn't take
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too much. Just doubling the recommended
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dose over several days, maybe enough to
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do a lot of damage. Maybe it's cuz your
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back hurts. Maybe you've got the flu. It
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can tip you into danger territory. I'll
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never forget one client, a sweet little
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grandma who took Tylenol round the clock
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for her arthritis.
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She wasn't abusing it. She was just
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following the label on the bottle. But
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her liver enzymes skyrocketed. She had
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no idea that the pills she trusted for
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pain relief were poisoning her liver.
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Luckily caught it early and she worked
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on restoring her glutathione levels with
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different nutrients. Okay, I'm going to
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give you a list of the key nutrients
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that support glutathione.
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Vitamin C about 1,000 milligs. That's a
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common dose. Food sources though, citrus
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fruit, bell peppers, kiwi, strawberries,
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and broccoli. Second thing, vitamin E,
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400 I use is the common food sources,
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almonds, sunflower seeds, spinach, and
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avocado. Third thing, vitamins B6, B9,
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also known as folate, and B12. You want
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to get the activated ones like in our ne
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multivitamin because these vitamins are
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required for methylation pathways.
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That's where glutathione is made. Food
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sources for B6 going to be chickpeas,
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poultry, salmon, bananas, folate, all
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your leafy greens of course, and
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lentils. B12 basically is going to be
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your protein foods, fish, meat, eggs,
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dairy. Okay? And now selenium. We don't
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have any in our soil around here. So
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you've got to get it from a supplement
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or you've got to get it from food.
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Brazil nuts, sardines, and eggs. Fifth
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and sixth thing, magnesium, and zinc.
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Food sources: pumpkin seeds, spinach,
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cashews, quinoa, and oysters. Now, these
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foods directly boost glutathione. And
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they're basically your sulfur rich
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foods. So you've got the cruciferous
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vegetables. You've got the alams like
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garlic, onions, and leaks. And then of
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course your protein sources. Hay is
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going to be a good one. Pastured eggs,
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grass-fed beef, and poultry. Now my
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favorites, your herbs, milk thistle,
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by far the best. Turmeric, curcumin, my
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favorite is curin extra strength of
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course. And then green tea, really rich
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in the EGCG polyphenols. Some people
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just want to take a supplement NAC which
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stands for an acetylcysteine. That is
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the most direct precursor supplement.
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Hospitals in fact use it for Tylenol
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overdose and they even tried to make it
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an expensive prescription during CO
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alpha lipoic acid and CoQ10 and natural
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lifestyle things. I like to recommend
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moderate exercise, not overtraining, but
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moderate exercise, deep restorative
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sleep, your liver pathways reset when
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you sleep, and avoiding toxins.
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Alcohol, smoking, pesticides, plastics,
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all deplete glutathione, just like
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Tylenol. So bottom line, Tylenol doesn't
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just take the edge off pain, it can take
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out your liver if you're not careful.
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Second thing, it has a narrow safety
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margin. Most medications have a pretty
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wide safety window, meaning there's a
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big gap between a helpful and a harmful
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dose. Tylenol is different. Its margin
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between safe and toxic is razor thin. So
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let me put it in perspective.
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Recommended dose 3,000 to 4,000 mg.
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That's for an average size man. Women
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typically would require less. So that's
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going to be about 6 to 8 extra strength
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pills. If you go over that, even by a
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small amount, you're putting your liver
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at risk. But here's the catch. Tylenol
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hides in so many over-the-counter
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prescription products that it's easy to
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overdo it. Cold and flu meds, sinus
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meds, sleep meds often contain
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acetaminophen. Take a couple along with
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your pain meds and you have just doubled
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your intake without knowing it. It's
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like playing Russian roulette with your
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health. Unlike alcohol that shows
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obvious signs of overuse, Tylenol
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doesn't. It sneaks up. You don't
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necessarily feel worse right away, but
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inside your liver can be crying for
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help. And for parents, this is even more
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concerning. Kids liquid formulations can
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vary in concentration. So even
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well-meaning parents can be given the
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kids too much. Hospitals have seen
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tragic cases where a baby was overdosed
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because the dosing was not clear. You
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have to know that Tylenol safety is
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really a marketing myth. There is a
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narrow safety margin. It's far too thin
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for comfort for me. Okay. Point three,
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kidney and gut damage. Now, most of us
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associate side effects from net enses
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like ibuprofen and aspirin, but Tylenol
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isn't off the hook. When we think of
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Tylenol for quick relief, no stomach
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irritation like aspirin, no risk of
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bleeding like ibuprofen, but dig a
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little deeper into the research and the
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picture is not so rosy. Chronic Tylenol
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use has been linked to an increased risk
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for chronic kidney disease. Another one
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of those epidemics we're seeing. It's
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really something we have to be careful
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of. There are studies that show people
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who regularly take Tylenol for years are
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more likely to end up on dialysis.
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And while Tylenol may not erode the
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stomach lining, it still can create
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digestive issues when combined with
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alcohol or other meds. People who drink
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socially while using Tylenol put their
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liver and their gut in double jeopardy.
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Alcohol is going to magnify the effects
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because you've got even more to
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detoxify.
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Another concern is that Tylenol doesn't
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just relieve symptoms, it masks them. A
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fever, for example, is your body's way
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of fighting infection. When you dock it
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down artificially, you're interfering
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with your immune system's natural
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defenses while stressing the detox
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pathways. So, while Tylenol is targeted
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as the gentle option, the truth is it's
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neither gentle on your kidneys or your
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gut.
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Point number four, increased risk of
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other chronic diseases. As if chronic
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kidney disease wasn't bad enough, blood
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pressure and heart disease are linked to
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increased risk.
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Study in circulation journal found that
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regular Tylenol users had a
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significantly higher risk of
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hypertension. Maybe because its effect
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on the kidneys. It can be nudging you
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towards heart disease and also immune
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function. It's probably because it
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depletes glutathione. Low glutathione is
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linked to faster aging
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and poor immune defense. Some scientists
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argue that explains why chronic Tylenol
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users often struggle more with
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infections and inflammation.
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Okay. Point number five, and I find this
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a truly unacceptable problem, the link
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to autism and ADHD.
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This touches in research
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up to
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21 in 100 baby boys born.
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That is up from 1 in 100,000
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or more.
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Unacceptable problem if you ask me. And
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while this is not
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totally
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without controversy, I think it's so
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important.
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Over the last decade, dozens of studies
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have looked at prenatal exposure to
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acetaminophen
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increasing the risk of autism and
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spectrum disorder. In 2025, Mount Sinai
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reviewed 46 studies. There were over
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100,000 participants found consistent
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association between prenatal
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acetaminophen exposure and increased
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risk of autism and ADHD. We look at
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potential for oxidative stress, and
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disruption or even epigenetic changes in
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fetal development.
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In Harvard, a review summarized a lot of
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studies warning that acidophen in
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pregnancy and they put it in bold may
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not be as benign as once thought and
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caution is highly warranted. Another
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2020 JAMAMA psychiatry study measured
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acetaminophen in umbilical cord blood.
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Babies with the highest exposure had up
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to a 3.6 six times greater odds of
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developing autism than those with the
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lowest exposure. Now, when I look at
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this, I see a strong potential for
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problems because of the depletion of
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glutathione.
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Without antioxidants,
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and that's the really important one,
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glutathione, how does the delicate
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nervous system protect itself from
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toxins? Heaven knows our culture exposes
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us to tens of thousands of chemicals
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every day. And if you add lack of
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glutathione to deal with it, stands out
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like a sore thumb. The evidence is so
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troubling. Of course, more investigation
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needs to be done, but here's my take.
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I'm conservative. If there's even a
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chance that Tylenol can increase the
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risk for autism or ADHD, something can
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at least alter if not destroy human
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potential. Shouldn't we take
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precautionary principle?
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Use only when absolutely necessary, the
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lowest possible dose for the shortest
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period of time, if at all. We want to
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stimulate the body to heal on its own.
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Tylenol doesn't heal anything. Moms,
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dad, grandparents listening, it's not
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about guilt. It's about informed
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choices. For decades, we thought Tylenol
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was harmless. Now we know better.
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Science evolves. We got to keep up.
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Number six, masking symptoms without
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healing. Here's something else I want
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you to think about. Tylenol does not
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cure anything. It doesn't fight
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infection. It doesn't reduce
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inflammation. It doesn't rebuild tissue.
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Alls it does is turn down the pain
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alarm. Like you're driving and your oil
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light comes on or check engine. So
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instead of checking the engine, you just
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put a piece of tape over the light.
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That's what Tylenol does. It hides the
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signal that your body is giving you.
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Fever. That's your immune system working
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hard to fight invaders. And a little bit
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of fever boosts your white blood cell
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count so it can do a better job. Tylenol
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knocks that down, but the infection is
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still raging. Back pain and your body's
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trying to tell you something. Tylenol is
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just going to dull the pain. Doesn't fix
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the root cause. So that's why I
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encourage people listen to your body
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instead of silencing it. If you're in
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pain, let's ask why. Is there
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inflammation? Is it poor posture? Is it
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stress? Is it bad diet? Is it mold
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exposure? Is it nutrient deficiency? Is
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it just pain? I've used that joint too
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much. There are so many root causes that
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we can actually address with food, with
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lifestyle and natural remedies. Things
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that have been used for thousands of
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years safely, and modern research is
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proving how good they are. And so I'm
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not saying never to use Tylenol in
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emergencies, but when relying on it as a
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band-aid is like ignoring the warning
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signals on your dashboard. Eventually
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that engine is going to break down.
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You're going to be on the side of the
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road. So my favorite tried andrude are
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Curaman Extra Strength from Terry
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Naturally or Boswellia Complex from
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Standard Process. When it comes to
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inflammation, your body has two switches
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that turn pain and swelling off.
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One switch makes chemicals called
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prostaglandins that create soreness and
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stiffness. The other one lucotrien
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that's more involved with asthma,
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allergies, and joint inflammation. Most
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relievers like ibuprofen block that
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pathway. That's why they help with pain,
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but they're going to irritate the deeper
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chronic problem. Here's where nature
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shines. Curcumin, my favorite curin
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extra strength, helps calm down that
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prostaglandon pathway by reducing the
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COX 2 expression. Bosellia from
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frankincense works on the lucotriine.
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It's a huge powerful five locks
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inhibitor. When you put them together,
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you get coverage from both sides. It's
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like turning both of those switches off
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instead of just one. That's why I like
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curum extra strength. Some people like
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the Boswellia complex. I just love Curum
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and Extra Strength. It's been
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life-changing for so many people. Okay,
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so that's why I like the combination and
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it's so effective for joint pain,
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stiffness, breathing issues without the
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side effects of controversial
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conventional pain meds. So, there you
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have it. Six big reasons to think twice
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before reaching for Tylenol. My advice,
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try to avoid it. Support your body with
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anti-inflammatory foods, exercise,
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stress management, and natural pain
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relief instead. As always, dig for the
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root cause. This is Dr. Deb Ford
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reminding you, health is a choice we
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make every single day. Choose wisely,
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stay curious, and keep tuning in to
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today's nutrition. Have a great day.