Reversing Type 2 diabetes starts with ignoring the guidelines | Sarah Hallberg | TEDxPurdueU

Reversing Type 2 diabetes starts with ignoring the guidelines | Sarah Hallberg | TEDxPurdueU

Translator: Anders Björk
Reviewer: Ivan Stamenković
I have the best job in the world.
I’m a doctor.
No! Believe me that’s not why.
I’m an obesity doctor.
I have the honor of working
with the group of people
subject to the last widely
accepted prejudice: being fat.
These people have suffered a lot
by the time they see me:
shame, guilt, blame
and outright discrimination.
The attitude that many take,
including those in healthcare,
is that these people
are to blame for their situation.
If they could just control themselves,
they wouldn’t be overweight,
and they are not motivated to change.
Please let me tell you
this is not the case.
The blame, if we’ve got
to extend some here,
has been with our advice.
And it’s time we change that.
Obesity is a disease, it’s not something
created by lack of character.
It’s a hormonal disease,
and there are many hormones involved.
And one of the main ones
is a hormone called insulin.
Most obese individuals
are resistant to this hormone, insulin.
So, what does that mean exactly,
to be resistant to insulin?
Well, insulin resistance is essentially
a state of pre-pre-type 2 diabetes.
Insulin’s job is to drive glucose,
or blood sugar,
into the cells where it can be used.
In a nutshell, when someone
is insulin resistant,
they are having trouble
getting blood sugar where it needs to go,
into those cells.
And it just can’t hang out
in the blood after we eat
or we would all have a diabetic crisis
after every meal!
So, when someone is resistant to insulin,
the body’s response to this
is to just make more of it.
And insulin levels will rise and rise,
and for a while, years even,
this is going to keep up,
and blood sugar levels can remain normal.
However, usually it can’t keep up forever,
and even those elevated levels of insulin
are not enough to keep blood sugar
in the normal range.
So it starts to rise.
That’s diabetes.
It probably won’t surprise you to hear
that most of my patients
have insulin resistance or diabetes.
And if you are sitting there thinking,
“Phew, that’s not me,”
you actually might want to think again,
because almost 50% of adult Americans
now have diabetes or prediabetes.
That is almost 120 million of us.
But that’s hardly everyone
who has issues with insulin.
Because as I was saying,
people have elevated insulin levels
due to insulin resistance
for years, even decades,
before the diagnosis
of even prediabetes is made.
Plus it’s been shown that 16-25%
of normal-weight adults
are also insulin resistant.
So, in case you’re keeping track,
this is a heck of a lot of us.
So, the trouble
with insulin resistance is:
If it goes up, we are at great risk
for developing type 2 diabetes.
But also, insulin makes us hungry,
and the food we eat
much more likely to be stored as fat.
Insulin is our fat storage hormone.
So we can start to see
how it’s going to be a problem
for diseases like obesity
and metabolic issues like diabetes.
But what if we traced this problem
back to the beginning,
and we just didn’t have
so much glucose around
that insulin needed to deal with?
Let’s take a look at how that could be.
Everything you eat
is either a carbohydrate,
a protein or a fat,
and they all have very different effect
on glucose and therefore insulin levels,
as you can see on the graph.
So when we eat carbohydrates,
our insulin and glucose
are going to spike up fast.
And with proteins it looks a lot better.
But take a look at what happens
when we eat fat.
Essentially nothing, a flat line.
And, this is going to wind up
being very important.
So, now I want to translate
that graph for you
into a real-world situation.
I want you to go back
and think about the last time you ate
an American version of Chinese food.
We all know there’s rules
associated with this, right?
And the first rule is:
You’re going to overeat.
Because the stop signal doesn’t get sent
until you are literally
busting at the seams.
Rule number two is:
In an hour you’re starving.
Well, because the rice in that meal
caused glucose and insulin to skyrocket,
which triggered hunger,
fat storage and cravings.
So, if you are insulin
resistant to begin with,
and your insulin levels
are already higher,
you really are hungrier all the time.
And we have this setup:
Eat carbs, your glucose goes up,
your insulin goes up,
and you have hunger and fat storage.
So, how do we recommend
to these people to eat,
because it seems like that would be
really important, and it is.
Let’s focus just on type 2 diabetes,
because the general recommendations
are to tell patients with type 2 diabetes
to consume 40 to 65 grams
of carbohydrates per meal,
plus more at snacks.
Trust me on this, that’s a lot of carbs.
And remember what’s going to happen
to glucose and insulin,
blood sugar and insulin,
when we eat them?
Yes, we are essentially recommending
that they eat exactly
what’s causing their problem.
Sound crazy?
It really, really is.
Because, at its root, diabetes
is a state of carbohydrate toxicity.
We can’t get the blood sugar
into the cells,
and that causes a problem
in the short term.
But the long-term consequences
are even greater.
And insulin resistance is essentially
a state of carbohydrate intolerance.
So why, oh why, do we want to continue
to recommend to people to eat them?
The American Diabetes
Association guidelines
specifically state that there is
inconclusive evidence
to recommend
a specific carbohydrate limit.
But those guidelines go right on
to say what we all know:
Our carbohydrate intake is the single,
biggest factor in blood sugar levels,
and therefore need for medication.
These guidelines then go on to say:
Hey look, if you are taking
certain diabetic medications,
you actually have to eat carbs,
otherwise your blood sugar can go too low.
Okay, so let’s take a look
at the vicious cycle
that that advice just set up.
So it’s: Eat carbs so you have
to take medicine,
then you have to eat more carbs
so you avoid the side-effect
of those medications,
and around and around we go.
Even worse is that nowhere
in the ADA guidelines
is the goal of reversing type 2 diabetes.
This needs to be changed,
because type 2 diabetes can be reversed,
in many, if not most, situations,
especially if we start early.
Not only do we need
to let people know this,
but we have to start giving them
the practical advice so they can do this.
Consider carbs.
First, here’s a shocker for you:
We don’t need them.
Seriously! Our minimum daily requirement
for carbohydrates is zero.
We have essential amino acids,
those are proteins,
essential fatty acids,
but, nope, no essential carb.
A nutrient is essential
if we have to have it to function,
and we can’t make it from something else.
We make glucose,
plenty of it, all the time,
it’s called gluconeogenesis.
So, we don’t need them,
the overconsumption of them
is making us very sick,
yet we are continuing
to recommend to patients
to consume close to, if not more than,
half of their total energy intake
every day from them.
It doesn’t make sense.
Let’s talk about what does.
Cutting carbs, a lot.
Yes, in my clinic we teach patients
to eat with carbs
as the minority of their intake,
not the majority.
So, how does that work?
Well, when our patients
decrease their carbs
their glucose goes down,
and they don’t need as much insulin.
So those insulin levels drop, and fast.
And this is very important,
because a study
looking at our National Health
and Nutrition Examination Survey data,
better known as NHANES,
showed that the single,
biggest risk factor
for coronary artery disease
is insulin resistance.
It is responsible
for a whopping 42% of heart attacks.
Low-carb intervention works so fast
that we can literally pull people off
of hundreds of units of insulin
in days to weeks.
One of my favorite stories
is a very recent one.
A young gal, but who had an almost
20-year history of type 2 diabetes,
came in when a physician from another
clinic told her she was just sick,
and she’d probably get used to it.
Her diabetes was way out of control.
This despite the fact that she
was on multiple medications,
including almost 300 units of insulin,
that was being injected into her
continuously every day via a pump.
All of this, remember,
blood sugar still out of control.
So we put her on a low-carb diet,
and now let’s fast-forward four months.
She lost weight, yes,
but, better than that, sick no more.
Her blood sugar levels
were now normal all of the time.
This on, get this, no diabetes medication.
Gone was the 300 units of insulin,
no more insulin pump,
no more pricking her finger
multiple times each day,
gone, all of it, no more diabetes.
One of the greatest joys of my job
is to be able to tell a patient like this
that they no longer have diabetes,
and we ceremoniously take it off
their problem list together.
So, are they cured, is this a miracle?
We’ll leave that grandstanding
to Doctor Oz.
Cured would imply that it can’t come back.
And if they start eating
excessive carbs again, it will.
So no not cured, but they don’t have
diabetes any longer.
It’s resolved, and it can stay that way
as long as we keep away the cause.
So, what does this look like then?
How does somebody eat this way?
Well, first, let me tell you
what it’s not.
Low-carb is not zero carb,
and it is not high protein.
These are common criticism
that are so frustrating
because they are not true.
Next, if we take the carbs out,
what are we going to put in?
Because, remember,
there’s only three macronutrients:
if one goes down, one has to go up.
My patients eat fat, and a lot of it.
“What!?” you say. What’s going
to happen when you eat fat?
Well, let me tell you, you’re
going to be happy,
because fat tastes great,
and it is incredibly satisfying.
But, remember, fat
is the only macronutrient
that’s going to keep our glucose –
blood sugar – and insulin levels low,
and that is so important.
So, I want you to now hear
my simple rules for eating.
These rules, you have to remember,
are even going to be more important
if you are one of the tens
of millions of Americans
who have trouble with insulin levels.
Rule number one: If it says light, low fat
or fat-free, stays in grocery store.
because they took the fat out,
they put carbs and chemicals in.
Rule number two: Eat food.
The most important rule
in low-carb nutrition:
Real food does not come in a box,
and no-one should have to tell you
real food is natural.
You should know that when you look at it.
Don’t eat anything you don’t like.
And eat when you’re hungry;
don’t eat when you’re not,
no matter what the clock says.
And number five is a simple way
to remember what we want to avoid.
No GPS: no grains,
no potatoes and no sugar.
That last one is a biggie,
right, no grains?
Na, no grains.
But we have to have them.
Nope, they’re a carb.
But whole grains are so good for us.
Well, first of all, there are actually
very few foods out there
that are truly whole grain
even when they say they are.
Most foods that purport themselves
to be wholegrain
are highly processed
and the fiber benefit ruined.
Or they’re coming
with highly refined flour,
usually both of these things.
So if you are one of the truly
insulin-sensitive people,
you can eat real, whole grain.
But if you’re in the enormous slice
of our population with insulin issues,
it’s making things worse.
So what if you are one
of the real insulin-sensitive people?
Can you still eat this way?
Yes! I am a great example.
Over a year ago I decided
I would cut my carbs
as low as I recommend
to my diabetic patients.
Now, it’s not mandatory for my health
like it is for theirs;
I’m not insulin resistant,
so would this be a problem?
No! That’s just the thing.
Unless you have
an exceedingly rare syndrome,
then cutting carbs
is going to be good for you,
even if it’s not necessary.
I want to show you a couple of pictures
of my radical food.
So, this is a common breakfast
in my house.
So does it look like
I just broke my own rule?
I didn’t because this muffin
is made with coconut flour.
I bake all the time still.
I just use non-grain-based flours:
coconut, almond, hazelnut, flax.
They make delicious things.
And this is a typical dinner in my house
with a typical starch.
That would be the sautéed mushrooms.
No, my patients and I eat delightful food
all of the time and enjoy it.
But what about the research on this?
I mean is this just anecdotal
evidence now from my clinic?
There are dozens of
randomized controlled trials
looking at low-carb intervention
for things like diabetes,
cardiovascular risk factors, obesity.
They’re consistent. It works!
There are even a large number
of studies showing
that low-carb nutrition
decreases inflammatory markers,
which is making it really exciting
for diseases like cancer.
We just finished a study in our clinic.
And what we did is,
we took 50 type 2 diabetic patients
that were treated with
our low-carb-high-fat-based program,
and we compared them to 50 patients
who were treated with the ADA guidelines.
And after six months,
not only did we find
a significant metabolic advantage
for the low-carb group,
but, and let’s face it, this is important,
a huge cost savings.
Our analysis showed that our patients
could save over $2,000 a year
just on the diabetes meds
they were no longer taking.
Just think how fast that adds up.
We are in a diabetes epidemic now
that we are spending
$250 billion a year on in this country.
So, I want to show you a slide now
that demonstrates where
those savings are coming from.
So this is looking
just at the insulin difference
in the two groups after six months.
And what we can see is
that the low-carb group
was able to decrease their insulin
by almost 500 units a day.
Whereas in the ADA treated group,
they had to increase their insulin
by almost 350 units a day.
Two important things.
Number one: Insulin is expensive.
And number two: Not all the people
in this study were even on insulin,
which makes these results
even more impressive.
But what I would say is
that this graph really represents
two different approaches
to treating this disease.
The first, our group,
with the goal of reversing disease,
meaning they need less medicine.
And the second group, which very clearly
aligns with the ADA guidelines,
which state that diabetes
is a progressive disease,
requiring more medicine over time.
Progressive unless we take away the cause.
So, what’s the problem then?
Why is this not everywhere?
Why isn’t low carb the norm?
There’s two big reasons.
Number one: status quo.
It is hard to break.
There are many agendas involved.
We got this notion that low fat
was the way to go decades ago.
But a recent study just came out
showing that there was
zero randomized control evidence
to recommend to Americans
to remove the fat from our diet.
And that’s how the carbs got added in.
It was essentially a huge experiment
on millions of people,
and it failed miserably.
The second reason we don’t
see it everywhere is money.
Don’t be fooled, there’s a lot of money
to be made from keeping you sick.
And what we see is,
with these specialty guideline panels,
they are stacked
with conflict of interest.
So, the solution to the diabetes epidemic
in my clinic is exceedingly clear:
Stop using medicine to treat food.
And for a disease
whose root cause is carbohydrates,
take away the carbohydrates,
or at least cut them,
so we can remember
what we used to know.
We knew it a long time ago,
this was said thousands of years ago,
and we need, in this day and age,
to get back to that notion.
Thank you.

100 thoughts on “Reversing Type 2 diabetes starts with ignoring the guidelines | Sarah Hallberg | TEDxPurdueU”

  1. Where does the Okinawa diet fit in here.
    They are not overweight and do not have diabetes.
    Yet they eat sweet potatoes? And live o be 100.
    What’s up with this conflict or difference in diet?
    Confused in the universe.

  2. Everything she says is probably true but for whatever reason everytime I go keto I get terrible gastritis that lasts for months.

  3. Eighteen minutes and Eleven seconds and my life is going to be forever changed. Thank you Dr. Hallberg! Not only an amazing Dr. but an excellent speaker!!

  4. I recently visit a diabetic doctor and she suggested I take 4 insulin shots per day, and 500 milligrams of mediform and take this for 6 weeks and they can then control my sugar. I’m so confused how you go from health to being to this sick. Please advise me

  5. I see her attacking diabetes from the other end of the spectrum from McDougall, Campbell, Esselstyn but those guys avoid fats and oils. I'd wonder what her patients arteries look like ? TMAO is a huge link in that if it's not present your cholesterol doesn't stick to you arteries. I cant believe in the long run high fats won't come back to haunt you. Esselstyn etc have people completely off insulin with Type2 diabetes and drops Type1 from 160 units of 40 units daily.

  6. I’m about to be a Registered Dietitian… the diabetes guidelines are a joke to be honest. The ADA recognizes a version of a Keto diet for diabetes… wonder why.

    Also… you do need some carbs. She isn’t correct to say you need 0.

  7. good work if anyone interested in this topic may be want look Halki Diabetes Remedy – SIMPLE 60 SEC HABIT TO REVERSE TYPE 2 DIABETES! in my channel thanks.

  8. Great talk, thank you, I reversed my type two diabetes by cutting carbohydrates and yoga exercise, from 340 FBS to 95

  9. Eli Lilly and Nova Nordisk surprisingly haven’t banned this talk yet!!! Very bad for their business!! Big Pharma and the USDOA/sugar industry are close buddies!!

  10. Prednisone was utilized to treat my pneumonia, nevertheless, the medication also stimulated the increase of my blood glucose levels that resulted in diabetic issues. At that time, my A1C is 10.1, that is extremely high. Thankfully, I have read about this straightforward guideline “Gαjοjο Fivu” (Google it). I`ve been through a retesting Two months later and the end result signifies that (my A1C had decreased to 6.8 simply .3 above normal)..

  11. How do you know if you are insulin resistant though? I always have good blood sugar levels even after eating. But I can’t seem to lose weight. When I exercise I gain weight, when I diet, I gain weight. Im also still breastfeeding

  12. I love healthy food but it all just goes bad and I don’t know what to make and I’m always gone so I just eat fast food because I’m like totally starving ! Ugh!

  13. What about red meat/protein, she did not mention it. I had to cut my carbs as I am T2 , but In stuck with my steak a couple times a week. I wish she had outlined more complete menu. Steak anyone? or not.

  14. She hit the nail on the head, she basically said money and population control without outright saying it.

  15. I learned “Gαjοjο Fivu” (Google it) from my good friend and read it to shed weight and heal my diabetes. I`d been following a rigid fitness and also diet program. Right after one day on the diet plan my own blood glucose levels was decrease about 35 points, and by day Four it was lower about 60 points. That worked very well, having said that, and that I felt great. I`m so pleased which I was able to normalize my blood sugar..

  16. I must tell you about a person who helped me with Diabetes! He is the only person, who can grant you a step by step guide how to cure it. Just open site DIABETES. XCOURSE. XYZ (without spaces) and watch his amazing story!

  17. I am diabetic and eat plenty of carbs and I’m healthy. Of course, I also eat tons of whole plant foods. But I don’t reduce my intake of fruits and whole grains. You don’t need animal fats either. In fact they’re what’s causing most of the cancers and disease. I only consume plant fats. This doctor has things all screwed up. You put all type 2 diabetics on a whole food plant based diet and not only will their diabetes be controlled but other diseases will be prevented as well.

  18. Diabetes 2 cannot be reverted. It can be better CONTROLLED, you can lose weight, exercise, eat healthier and therefore you IMPROVE insulin sensitivity. Once doctor gives you diagnosis of DM2, it will stay there forever, even if you have good control of DM2, you can have complications in the long run, becouse it is inflamatory and catabolic disease. I've seen extremely obese people with relatively good Hba1c levels and also slightly overweight person having extremely high hyperglycemias, so it's largely GENETIC as well.
    If you have dm2 and you start eating lots of sugar and other junk, gain weight your blood sugars will rise to unhealthy range again. This does not happen with normal person with working pancreas and insulin sensitivity, so it's a disease that cannot be reverted, just better controlled which will cause less secondary diseases in the long run.

  19. My girlfriend was just diagnosed with type 2 diabetes. I suggested she get tested after I noticed several symptoms. She was told her levels were 13.5/436

    If anyone can educate me. She knows her family had a history, but she was a foster kid so she has no idea what to do or where to start and neither do I.

    Thanks in advance for any suggestions and information.

  20. Fresh fruit is my weakness. I know they're a source of sugars/carbs, so where do they fall in the no sugar/low carb recommendation?

  21. I don’t trust anyone who uses the word “literally” incorrectly, or people who wear bright blue pants 👖

  22. The problem is corporations concerning themselves with profits and ONLY profits. Big tobacco knew how bad cigarettes are long before the surgeon generals warnings. Big pharma knows how bad their medications are but they are making big money so they don't care. Big pharma does NOT want to cure anything, they only want to treat symptoms with expensive drugs, FOREVER, for as much money as they can bleed us for.

  23. A mixture of great information mixed with erroneous information. We have no long term studies to support the sustainable diet she prescribed.

  24. A whole-foods, plant-based diet is the only valid, proven way to reverse type 2 diabetes with no long term health risks.

  25. I`m in great mental stress as I started out looking through this “Gαjοjο Fivu” (Google it) mainly because my A1c was 11.5% and my blood glucose level has soared to 3 hundred. That`s what I have come across 2 months ago. I made sure that I followed everything from “Gαjοjο Fivu” (Google it). And it been working for me. I was really delighted about the fact which I was able to minimize my average PP sugar level to A hundred and forty..

  26. This “Gαjοjο Fivu” (Google it) is the most smart as well as easy to understand plan for overall health and curing diabetes. Aside from being simple to follow, this diet as well as life style transformation will not stress you about carb or calorie tracking! After moving to a more healthy and greener way of life, I didn`t simply slim down but also I`m also freed from diabetes and high blood pressure! It is correct that you truly could change diabetes…

  27. Rule#1 dont trust your government or authoritative agencies (WHO, CDC etc)
    Rule#2 Move to Europe or somewhere they dont modify as much food…
    Rule#3 Watch more of these videos and Dr Rhonda and Peter attia also. Since they are Dr's that are uncovering the B.S. through their own research instead of listening to these agencies
    🙂 🙂

  28. This information needs to be broadcast to the world!!! I have been keto and low carb for 9 months, I am 128 pounds and lift weights everyday. Never felt better

  29. Excellent video. She does what doctors are supposed to do. Get people off medicines. Heal them, not just suppressing their symptoms.

  30. “Let food be your medicine”- Hypocrites. If you can eat yourself into Type II you can eat yourself out of it.

  31. Exploring “Gαjοjο Fivu” (Google it) will help you to recover from diabetic issues and have a healthy lifestyle. For a time frame of 1 ½ months, my hubby has been an enthusiastic follower of the program. He has been dependent to insulin for five years in his six year long struggle against type two diabetes. Given that reading through this program and sticking to the program he`s eating better everyday & everyday…

  32. С такими "ушками" на бедрах и с такими руками лечить ожирение…. Гос-па-де.

  33. i knew that it really works! but it has one fault that fasting glucose could rise a bit because we need to take more proteins and fats, which takes more time to be processed in blood. it would be better to have light dinner with vegetables and a small amount of carbs to avoid this.

  34. Her advice is 100% against the recommendations of Dr. McDougall. Humans are genetically designed to eat starch. The longest lived human populations get the majority or their calories from starch.

  35. This video saved my life. My A1C went from 9.5 to 6.4 in 2 months. I'm down 23lbs I hope in 3 months when I go back to my doctor I'm off all my medications. They took me off my Glipidize already. Metformin is next. Keto is the cure people.

  36. The american diabetes association recommends that you continue to eat carbs because it is a mouthpiece created by & for big pharma. They certainly dont want you to stop needing their drugs.

  37. Thanks for your useful information. I also want to share with people easy ways to reverse type 2 diabetes naturally.

  38. My Father is in the hospital in Nova Scotia Canada, the diabetic diet here is mostly all carbs. They don’t understand why his sugars are so high. At home we eat mostly Paleo and he’s been fine! Dad was told by the diabetic nurse that he was skinny and she made the suggestion that I was starving him. He’s 5’9 and weighs 170 lbs.

  39. So you’re saying the human body doesn’t need plenty of fiber? Are you kidding me? What about gut health? What about digestion? The true healers of type 2 diabetes are MDs with deep nutritional training who prescribe a whole food, plant based diet….evidence based and scientifically proven. And why didn’t you address why insulin is unable to unlock the cells for glucose to enter in the first place? It’s internal cellular health. This speech is downright negligent.

  40. for a fact. control the food intake. avoid processed foods, something that's difficult for western, particularly American population, and the difference is easily visible. If can add some cardio workout (even it be a 30 minute brisk walk 4 times a week), the results will show. Just have to try it out. Nothing to lose, and its only healthy to be eating natural, fresh foods, and walk around the block.

  41. A1C 13.4 down to 6.2 in 3 months when I moved to a "lazy keto" menu plan. Let me be clear. At this time, there is no cure for T2s. You can control it through diet and exercise but you cannot reverse, cure or whatever other verb people come up with.
    I challenge anyone who is "cured" to eat bowl of rice and test an hour and a half or so later and show me how they are "cured".

  42. Diabetes meds are a big business… Stop people buying those meds and you will stop people getting rich. That's immoral…!

  43. That was excellent!! I live in Orlando. And every six month, the are building a new stand alone emergency room and new Hospital every two years. Yes, the medical field depends on sick people. Now, it’s up to us to take care of ourselves and stop being treated like ginny pigs or some item for sale.

  44. So essentially, she said ( without saying it) the ADA guidelines are purposefully errant in order to keep us sick and make us sicker. This is why we'll be dependent on medicines and continue to make big pharm rich.

  45. Take a blood test first and consult a doctor who has keto diet expertise, and then take the diet customized to your body condition

  46. Carbs are fine as long as they're whole grain and you exercise. I was prediabetic before going plant based and I eat whole carbs all day long and I lowered my A1C from 5.7 to 4.2, but I exercise also. Most Americans don't exercise. A half hour walk when you've been on your phone and PC all day is not enough. You need to be active pretty much all day. Even just doing small tasks around the house is good.

  47. Coconut flour is as processed as whole grains, probably moreso. Would be better just to eat the coconut itself.

  48. Most of what this lady is saying is wrong! the more protein should you consume the more insulin resistance you will develop. insulin resistance is a symptom of a prolonged HDL cholesterol problem. Overtime the HDL blocks the insulin receptors in cells so the body produces more insulin. Many patients do exactly as their physician recommends and the problem just becomes worse over time. In most cases a 6-week vegan diet will correct the insulin resistance.

  49. A very good Documentary to watch is called "Fed Up" to get a taste of how/why the "guidelines" are set and why T2D is on the rise. It is a few years old, but the info and intention explains why it is up to us individually to take an active/intelligent role in our own health and must ignore the guidelines.

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