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The Stress Test Can…Save Your Life!

April 26th, 2012

Tonight, as I write this for Thursday morning, I have to confess that I’m a bit
tired. I had a stress test today, in fact, a stress echocardiogram.

No, there’s nothing wrong. No chest pain, shortness of breath, or any other
signs of heart disease. Quite the contrary. This test is for purposes of ensuring
my continued good heart health. If you don’t look, you won’t see trouble coming.

My problem, if I’m completely honest about it, is that I’m getting older. I guess
I just don’t bounce back quite as quickly as I used to. I felt a bit “washed out” for
much of the day, after the test, until I had a bite to eat, later in the afternoon.
Then, I felt a good deal better, but still a bit tired from the maximal exertion.

When I thought about it, I realized that I had probably depleted all my glycogen
stores. Then, when they were repleted after eating a meal with some carbs,
I felt better.

See? It’s all applied biochemistry.

So, after hooking me up to six electrodes on my chest, they did a resting
echocardiogram. This is an ultrasound imaging test, which uses sound waves,
like sonar, to visualize the walls of the beating heart and its valves, while at rest.
At that time, my resting pulse was about 64-68, with a resting blood pressure of
110/64.

Then, I took my place on the treadmill and we started off with a very slow rate,
only about 1.7 mph at a 5% incline. It was so slow, it was hard not to walk off the
moving belt. But after three minutes, the machine sped up to 2.5 mph, a nice walking
pace, with a modest increase of incline to 7%.

After another three minutes, it sped up again to 3.5 mph and the incline increased
to 10%. By now, I was beginning to breathe more heavily. My systolic blood pressure
(the upper number) had begun to climb a bit, which is normal during exercise. But the
diastolic (lower number) remained well within the desired range.

Then, the last three minute segment hit high gear, which sped the treadmill up to 4.2 mph,
which is a pretty good clip, just short of running, especially for my poor, stumpy little legs.
The incline was jacked up to 15%, which is about 5% higher than the incline at which I
normally train.

By this time, I was really pushing. My heartbeat was up to a maximal rate of 158,
2 beats/min. higher than the calculated maximum of 156, for my age. I was beginning to
feel a bit tired and I was certainly huffing and puffing, by this time. Maximal BP was
144/77, at my peak. Not too bad.

Then, it was over (Thank God!). I was really starting to tire. Last time (2009), I
remember still having some juice left. Or, maybe that’s what I want to remember.

In any case, I jumped off the treadmill and resumed the position on the exam table, on
my left side, left arm folded under my head, right arm straight down at my side,
right shoulder slightly twisted back toward the ultrasound technician.

She then repeated the echocardiogram, to see the effect of maximal exercise on the
function of my left ventricle. From this, they can calculate my ejection fraction
(how much of the blood in the ventricle is pumped out, with each contraction). She
also checked my valves, be sure they aren’t “leaking” (they aren’t).

With that, a cardiologist came in and read my stress test, on the spot. He was very
pleased with what he saw. “Great! This is a normal study. Very good!” he said. Man!
No waiting. Instant feedback. That is service! Looks like I’m going to live.

So, having gotten the good news, I got dressed again and left, while they hustled
their next victim in….

Before the test, I had thought I would go down to the cardiac rehab unit, for a bit
of pumping iron, after my stress echo. But afterward, I realized I was feeling pretty
tired, with no residual energy. I guess my intentions were a bit unrealistic. I just had
nothing left for any more work.

Well, if I don’t seem to have the energy reserves of my younger self, at least I still
seem to be in pretty good cardiac shape. I guess all those sessions, running up the
hill every other day (Hill Sprints), have paid off! Not to mention all the dietary measures
I recommend in my new HEART HEALTH PROGRAM.

Seeing is believing. That’s the point of testing. It tells you that what you’re doing
is working, that it’s all worthwhile and that it really makes a difference.

How about you? If you’re middle aged, or better, ask your doctor to get a stress test
on you, at a minimum, if he or she is not already doing that.

A regular stress test, stress echo, or a nucear stress test, depending on what your
own doctor thinks is best for you. Combined with periodic lab tests, to keep an eye
on your blood lipids (ie., triglycerides & cholesterol) and daily supplements, to help
keep those lipids under control and inhibit clotting, any variation of the stress test can,
quite literally, save your life!

And so can the steps I advise in my new heart program.

It gives you all you need to know, in small, bite size pieces, in plain English, to
reduce your cardiac risk and slash your odds of a heart attack or stroke. There’s
even a special Heart Health Workout, designed and demonstrated by world fitness
authority and Zen Master, Matt Furey, just for you.

It’s all here, in easy, incremental “baby steps.” All you need to do is mix with
some minimal effort and DO IT! Just click the link and GET IT HERE.

You CAN make a difference and alter your risk profile for the better. Try it and
see for yourself. Do it now, before it’s too late. Til next time, my friend, be well.

Yours for reduced cardiac risk and your optimal heart health,

Dr. Bill

P.S. Remember, the most common first sign of heart disease is SUDDEN DEATH.
Don’t become a statistic. Clik the link. GET IT HERE. And give your poor,
suffering heart a new lease on life.

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“Sssmokin’!”

April 25th, 2012

The other day, while leaving the hospital, I saw an amazing sight. Here was this
overweight (and here, I’m being kind) middle aged guy, walking with a cane, entering
a car that the valet attendant had just brought up. He no sooner had entered the car,
when he put a cigarette in his mouth and lit up.

Wow! This guy could be the poster child for exactly what NOT to do, to live a long,
healthy and happy life. Sadly, from the New York Mets and Rangers decals plastered
all over his car, I’m guessing he was a New Yorker.

He either doesn’t know, or doesn’t care, that this is probably the most vile and
poisonous thing you can do to damage your body. As I’ve often said, I just don’t
understand smoking, as a vice. I mean, where’s the pleasure?

Eating to excess, yes I can identify. Eating is a passive pleasure and gustatory
sensation one of the most satisfying. Yummy! My newer, slimmer self is purchased at
the cost of constant vigilance.

I can appreciate the mellow glow from a touch too much wine (though the appeal of
drinking yourself blind, ’til you vomit green stuff, has always escaped me, too), or
a toke of pot, or the illicit drug du jour (I never tried cocaine, chiefly because,
given my personality, I’m afraid I would love it. But I wouldn’t love what it did
to me. So, I’ve chosen to abstain.). And the voluptuous joys of sex are obvious.

But smoking?

I confess, I just don’t get it.

Besides raising your blood pressure, it makes your blood vessels stiffer, your
platelets stickier (promoting clot formation), raises your “bad” cholesterol,
lowers your “good” cholesterol and thereby vastly increases your risks for heart
disease, heart attack, stroke, peripheral vascular disease, cancer of the lung,
mouth, tongue, throat, esophagus, kidney, pancreas and more.

It also causes impotence, because it promotes narrowing of blood vessels. So smoking
is a major contributing factor to ED. (Fortuntely, we CAN do something about that, with
the various ED drugs and, better yet, my MegaRex Formula.)

In addition, nicotine is a stimulant that increases dopamine secretion in the brain,
and is highly addictive. Some researchers have gone on record as saying that nicotine
is as physically and psychologically addictive as cocaine and heroin.

The combustion products of burning tobacco leaf release noxious fumes, including
carbon dioxide and carbon monoxide (which binds to hemogobin in red blood cells,
interfering with their ability to carry oxygen), as well as quite a few chemical
carcinogenic compounds, which bind to DNA, causing mutations and cancers.

Then, there is radioactivity. Ha! Betcha didn’t know about that.

Oh, yes. Cigarette smoke contains small amounts of lead-210 (210Pb) and polonium-210
(210Po),
which are both radioactive carcinogens. And because tobacco tars tend to get
deposited where bronchioles branch and are resistant to dissolving in lung fluids, they hang
around in lung tissue for a long time, giving these radioisotopes a prolonged period to deliver
radiation to lung tissues. This is probably why brochogenic carcinoma is the most prevalent
type of lung cancer and is the type most closely associated with smoking.

It has been estimated that a radiation dose of 80-100 rads (a carcinogenic dose) is
delivered to the lung tissue of patients who eventually die of lung cancer.

Are you losing your taste for smoking, yet?

Did you know that plastic surgeons routinely demand that potential patients agree
to quit their smoking habit, before they will perform plastic procedures?

Why? Because the constriction of the smallest blood vessels inhibits healing and
makes the wounds knit much more slowly. It also greatly increases the risk of wound
breakdown and infection. It makes your skin behave as though you were a very bad
diabetic. It’s even worse if you are a diabetic and smoke.

I’ve personally seen fully healed, fresh surgical incisions subsequently break down,
requiring additional surgery, to cut back to healthier tissue and repair the damage.

So, what happens if you decide to quit and actually DO IT?

Well, just 20 minutes after you stop smoking, your blood pressure and pulse, which
have been significantly elevated, return close to normal and the temperature of your
hands and feet, cooler from vasoconstriction, begin to warm up again.

Carbon monoxide levels begin to be reversed, allowing higher levels of oxygen to
return to the bloodstream. within eight hours of quitting. By 24 hours, you already
have a lower risk of heart attack, but you begin to feel restless and unfocused, as
the urge for a cigarette rises in response to your body ridding itself of nicotine.

Two days after quitting smoking, you begin regrowing nerve endings and your
sensations of taste and smell are already improved. But by the third day, you’re in
full withdrawal, with strong urges for a smoke. You may temporarily lose your taste
for food again, coughing will increase as the body tries to clean your lungs. You
can often develop some constipation, too.

By the fourth day, the worst is past. Smell and taste are dramatically improved nd
breathing becomes easier. This contoinues into the fifth day as your breathing further
improves. By the end of the first week, you feel much better. You smell better and your
teeth begin to brighten.

During the next three months, your circulation improves, it becomes easier to walk,
phlegm production decreases and lungs become cleaner and more resistant to infection
with less coughing and wheezing. You begin to have more energy and less fatigue. Lung
function impoves with less shortness of breath. Cilia regrow and begin cleaning out the
lungs of mucus and debris, reducing the risk of infection.

By one year after quitting, your risk of coronary artery disease and heart attack is
HALF what it was and your risk of cancer is greatly decreased, as well.

By the five year mark, your risk for stroke is about the same as a non-smoker.
By ten years, your risk of cancers of the mouth, esophagus, bladder kidney and pancreas
are further reduced
(though lung cancer risk remains higher than that of a non-smoker).

And by 15 years after quitting, cardiac risk is finally similar to that of a non-smoker.

I always would tell my patients, “If you want to add 20 years to your life, just quit smoking.”
And that’s pretty close to the truth, if you add in the additional risks that accompany smoking,
such as obesity, diabetes, and so on. In fact, that’s why smoking is one of the major bad habits
I ask you to quit in my new HEART HEALTH PROGRAM.

This program represents the “Cliff Notes” version of everything you need to know to
slash your risk of heart attack and stroke. From the core diet and lifestyle
recommendations to the special Heart Health Workout, designed and demonstrated by
my friend and mentor, Matt Furey, Zen Master of Health & Fitness,(R) this is simple
to understand, easy to follow and can, quite literally, save your life!

If you are afraid you may have some risk factors for heart disease, whether family
history, lifestyle, diet, or environmental factors, and you want to shift the odds
back into your favor
, or you are in good health now, but want to stay that way and
avoid problems later, this is for YOU. But I can’t do it for you. YOU have to make
the first move.

So click the link. GET IT HERE. And do it now. A few simple changes, a few steps
at a time, and you can make a world of difference in your health. But the sooner you get
started, the better.

You’ll lose weight, gain muscle, be more energized, get stronger, breathe deeper, feel
better and look better, too. So the next time someone says, “Sssmokin’!” they’ll be
referring to how good you look… not what you’re doing. Til next time, my friend, be well.

Yours for reduced cardiac risk and optimal heart health,

Dr. Bill

P.S. Remember, the most common first sign of heart disease is… SUDDEN DEATH!
So if you don’t want to be a another statistic, click the link.  GET IT HERE.
And do it now, while you have the chance. Because tomorrow may be too late….

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Go With God, Ruby

April 25th, 2012

I got a bittersweet email yesterday. An old friend of mine wrote
to say that his mother had passed this past Sunday, at about 8:55AM.
While losing a parent is always a bit traumatic, she was a very special
lady.

You see, she died at age…103! So, while death is never pleasant,
she certainly enjoyed a pretty good run. Her name was Ruby.

Reportedly, she passed peacefully, in her own bed, at home, surrounded
by her loving family and her priest. She had been progressively more
affected with dementia for the last few years, so this was a release
for her and her family. That’s something I know about, first hand.

What made this woman special to me, however, was that I had operated
on her and replaced both her knees when she was in her very late 80′s.
And she died with them intact.

They gave her more than a decade of mobility and pain relief. In fact,
they got her out of a wheelchair, so she could walk about, travel and
spend her remaining years in comfort, visiting family, friends and having
fun.

What was even more remarkable was that she had the knee replacements
and her entire hospitalization… for free.

You see, Ruby had no insurance, and she was a native of the island of
St. Vincent, not a U.S. citizen. So she was not eligible for Medicaid, or
Medicare. And her son, Anthony, my veterinarian, was just beginning
to develop a practice, so he could not have afforded the help she needed
out of pocket.

He mentioned her plight to me, one time, over one of my pets. I asked
him to let me see her x-rays. When I saw them, I understood at once
why she was stuck in a wheelchair. She had end stage osteoarthritis,
with bone-on-bone throughout both joints and early bow-legged deformities.

I offered to do her surgery gratis, but he was afraid he couldn’t
even handle the hospital bills, not to mention the various other
doctors that would be needed for consultation in such an elderly
woman. “Leave that to me,” I said.

I went to the hospital administrator and asked him to absorb the
costs of this woman’s surgery. That request included the costs of the
O.R., the services of the nursing staff in the O.R. and on the Joint
Implant Unit, all medications, anesthesia and fluids, blood, if needed,
and the cost of the implants (if I couldn’t get them donated), as
well as postop physical therapy.

I pointed out that this would be good will and great positive publicity
for the hopsital. And that this was part of the mission of the hospital,
to heal the sick and help the needy. It didn’t hurt that he was well
aware of how many millions I had brought to the hosiptal, every year
of my tenure, but I believe it was her story itself that moved him
to agree.

Then, I asked the implant manufacturer, Zimmer, to donate a pair of
total knee implants. And they did. I asked an internist and
rheumatologist, a cardiologist, and a pulmonologist to see her in
consultation preop and follow her with me, after surgery.

My great friend Izhar (who succeeded me as Chairman of the Department of
Orthopaedics) agreed to assist me, again gratis, as a favor to me.

Not one person refused me.

And so it was that we replaced Ruby’s knees in a marathon surgery session.
And, true to form, she was an ideal patient. Didn’t turn a hair in the
postop period. No complications, whatever, though all the common
wisdom was that I was crazy to do such a big surgery on such an old woman.

So, it was with some satisfaction that I observed that she outlived
many of the doom-sayers and pessimists. She did fantastic! She did
everything she was told to do and was a spectacular success, much to
the amazement of many. And she and her family were very grateful.

Years ago, when I was very young medical student, just an intern at
MCV, a very senior surgeon told me, “Bill, never be afraid to operate on
an older patient. They got to BE old by being a helluva lot tougher
than you!”
And he was right! 

As for me, the whole thing was one of my most wonderful professional
experiences. I was very pleased to know that she was able to walk
without pain, and had a new lease on life, because of me and my friends.
It felt great! This represented everything to me that being a healer
was all about. Her case, in a way, was a metaphor for my entire career
in Medicine.

So, it was with no small degree of affection and a bit of wistful
sadness, when I learned that she had finally passed on, total knees
and all. She was quite a lady. It was a privilege to know her and I’m
only glad I could be of help, when she needed it. And I’m prouder
than I can say that I made a real difference in her life.

Go with God, Ruby. You will be missed.

Til next time, my friend, be well.

Yours for a pain-free tomorrow and your optimal health,

Dr. Bill

P.S. If YOU have knee pain, there are many options
you can choose, short of knee replacement. From the
latest mainstream treatments to the alternative
methods that work, see what your choices are. Get my
knee pain guide, right here:

DR. BILL’S LITTLE GREEN BOOK FOR ELIMINATING KNEE PAIN,

And get rid of knee pain FAST!
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Live To Be A Supercentenarian

April 25th, 2012

Last week, there was a significant event that may have escaped your notice. 
It was the 115th birthday of the new world’s oldest man, Jiroueman Kimura,
of Kyoto, Japan, who was born on April 19, 1897. He became the world’s oldest
man (and the third oldest on record, according to the Gerontology Research Group)
when the former oldest man died, earlier this year, at age 114.

Mr. Kimura had seven children (five still live), 14 grandchildren, 25 great grandchildren
and 13 great great grandchildren.

When asked about his long life and his new status as the oldest living man, he said,
“It is a great honor and words alone cannot describe my feelings. I take it as a sign from
heaven and I am deeply moved.” The venerable Mr. Kimura worked as a postal worker
for 38 years, then he became a farmer and worked in the fields until he was 90.

Hmmm. Humble, philosophical, hard working and reserved in his appetites. Seems his
life has much to teach us, if we but listen to the world’s oldest man. Imagine what he
has lived to see…from the 19th to the 21st centuries.

Mind you, he is not the world’s oldest person. That would be our own Bessie Cooper,
of Georgia, who was born on August 26, 1896. But hey, his is still a pretty good run,
especially for a guy.

Most people who make it past 110, the so-called supercentenarians (only 70 are alive
today, according to the GRG), are females. In fact, 90% of them are ladies at 110.
When you go to 112 years old, the percentage rises to 92% and to 115, 95%. So it’s
clear that if you’re female, your odds of joining that club are much better than if you
happen to be a man.

(There is that old joke about guys not living as long as women, because they just can’t
stand listening to them anymore… but I won’t bring that up.)

The fact is, one of the fastest growing demographics is that of the centenarians, people
who live to or past 100 years old. Much has been written about why their numbers are
expanding. Certainly a lot of it is due to genetics, but also to improved hygeine and public
health, better nutrition, advances in Medicine and perhaps even nutritional supplementation,
which is now commonplace, though it remains questionable, still regarded with skepticism by
many mainstream clinicians.

Know what would be interesting? To find out how many members of that rather exclusive
century club are really fat. I’ll bet not many, if any. Other than smoking, drinking to excess,
or poisoning yourself with drugs, I can’t think of a better way to shorten your lifespan than
getting and remaining obese.

As I’ve told you many times, obesity is linked to all the top killer diseases: heart attacks,
cancer, strokes, lung disorders, accidents, diabetes, even Alzheimer’s. It’s not only that
obesity places a great strain on your heart and blood vessels, but excess fat is
pro-inflammatory, and inflammation is a major part in the genesis and propagation
of all manner of diseases.

Basically, you could say that “fat kills.”

Mr. Kimura attributes his longevity to his practice of eating small portions. He said that
he eats until he is about 80% full… then stops. Oddly enough, that parallels the exact
advice I offer in my powerful new plan for change, my RAPID FIRE FAT LOSS PROGRAM.

You can be a skeptic and say all you want about the fundamental role of genetics. And
there’s no denying that genes provide the essential limiting factors. But there are a lot of
things your can do to modify your programmed fate.

Eating small portions, more frequently, not only results in fewer calories consumed,
which eventually results in weight loss, but it also keeps your appetite under control.
And appetite is the single most important factor, not only in initially losing weight,
but in keeping it off.

Now, I can’t guarantee that if you get my program you’ll live to be a supercentenarian.
But I CAN promise you that you are far more likely to live much longer than you would
have otherwise, if you follow my advice.

This program is composed of the best factors from the best diet plans of the past. I took
from each whatever actually WORKS and combined all these factors, with some observations
and tricks of my own, into a synthesis for long lasting, if not permanent change.
This plan is based on real science, known physiological principles, the very same ones
on which your body functions, every day.

This is the same program I used, personally, to lose about 60 pounds…and KEEP IT OFF
(much harder to do than to merely lose it). So, when I tell you I KNOW IT WORKS, I know
exactly what I’m talking about, based on first-hand, personal experience.

IF you follow my advice, as instructed, IT CANNOT FAIL to produce results. So if you’re
ready for real change, for a change, click the link, GET IT HERE. And do it now, before
you fall back into the same old rut and fail, yet again.

Belated birthday wishes, Mr. Kimura! I hope to join your club one day.
Til next time, my friend, be well.

Yours for rapid fire fat loss and your optimal health & longevity,

Dr. Bill

P.S. Remember, the best way to stay alive is not to volunteer
to die early, from one of the top killer diseases. And the best
way to avoid that is to lose the excess FAT. I can help. Just
click the link. GET IT HERE.
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The Next Latest Crazy Diet Fad

April 25th, 2012

The other day, I was passing through my family room while the TV was on.
I saw a really bizarre scene being covered by the news. Have you ever
heard of this “new” weird diet fad for brides who want to lose 10, 15,
or 20 pounds, presumably so they’ll fit in their wedding gowns?

I confess it was news to me. But then, I’ve been out of the marriage
market for a looooong time, now. Still, it seemed mighty odd to me.
Wait’ll you get a load of what this diet is all about. I’ll bet you’ll agree
with me.

It’s called the K-E Diet. K-E is shorthand for Ketogenic Enteric Nutrition
It apparently surfaced for TV news after an article in the New York
Times
(but of course!) on the subject. Turns out there’s even a web site
for the diet, if you’d like to check it out at K-EDiet.com/.

The site is run by Dr. Oliver R. DiPietro, who states he is board
certified in Internal Medicine, Anesthesiology and Family Practice.
He brought this concept from Europe, where it has reportedly been used
over 100,000 times, in over 33,000 patients. (That alone should make you
suspicious.) The good doctor charges $1,500 for a ten day diet! Not bad.

Makes my RAPID FIRE FAT LOSS PROGRAM seem like a real steal,
if you ask me.

Now get this. The whole gimmick consists of inserting a nasogastric
tube
(what we called an NG tube, in the trade) through your nose and
into your stomach! And this stays in place, day and night, for ten days.

A liquid nutrient that is composed of water, mixed with high protein
and high fat, but without carbohydrates or fiber, is slowly pumped
through this tube, directly into the stomach, at about 800 calories
a day.

That’s right. You walk around with this little white tube stuck up your
nose, taped in place and attached to a pump you carry around in
a bag slung over your shoulder.

Do you believe this? People are actually willing to pay for this!

“Does it work?” you ask. Are you kidding me? If you eat only 800 calories
a day for ten days, you WILL lose weight. No doubt about it.

If this sounds strangely familiar, it’s not your imagination. This is
essentially a super low carb diet, ala Atkins, which has all the good
and bad points of such a diet. It burns fat, spares muscle and puts
you in a state of ketosis, which kills your appetite.

On the other hand, because of the ketosis, it also gives you very
rank breath, and very often, constipation (from the lack of fiber).

This is exactly the same as the liquid protein diet that achieved such
short lived notoriety in the 70′s, when it caused the death of a number
of people from electrolyte abnormalities. Well, the same, except for the
addition of the NG tube, which is a distinct novelty.

This diet has been called “stupid” and “outrageous” by Art Caplan, a
bioethicist at the University of Pennsylvania. I’m forced to agree with him.
I think this is just dumb as whale $hit.

The NG tube is not entirely innocuous. It can cause trauma on insertion,
damage to your nasal septum, potential perforation, scarring of your
nose, GI bleeding and even pneumonia from aspiration (like when you’re
trying to sleep with this contraption up your nose). An NG tube is very useful
when dealing with very sick patients, but it needs medical or nursing
supervision.

I’m still trying to wrap my head around the idea that otherwise normal
people, especially women, who in my experience are generally smarter
and more sensible than this, would actually PAY to do this.

Now, I will tell you that anyone who consumes only 800 calories a day
WILL lose weight. You can’t avoid it. But TOO rapid a weight loss can result
in gallstones, or electrolyte abnormalities. The lost weight also tends to return
very rapidly, because you haven’t done anything to modify your behavior,
which is how you got fat, to start with.

Look, you can still lose fat lightning quick, with all the advantages I
outlined above, but WITHOUT the disadvantages, by using my program.

And you have the added bonus of not looking like a moron, or an escapee
from a mental ward, with a tube stuck up your nose, 24/7.

All you need is the sincere desire to make a permanent change in your
behavior. If you have the desire, I have the best, safest and healthiest
method available,
the very one I used to lose and KEEP OFF about 60 lbs.

It’s based on the known physiological principles on which your body works.
So it CANNOT FAIL, provided you DO what I instruct. It’s FAST. EASY.
SIMPLE. EFFECTIVE. WITHOUT HUNGER.

But I can’t do it for you. YOU have to make the first move. So do it.
Click the link. GET IT HERE. And do it NOW. It won’t get any easier
tomorrow.

You WILL lose weight. You WILL keep it off. And you won’t need the next
latest crazy diet fad, or a damn tube up your nose for even one day, much
less ten. Til next time, my friend, be well. And have a great weekend.

Yours for rapid fire fat loss and your optimal health,

Dr. Bill

P.S. Remember, every single top cause of death is associated
with obesity, as a primary cause, or an aggravating factor. If
you want to save your life, lose the blubber, NOW! Click the link.
GET IT HERE!

 
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