Disease is Big Business: The Awful Truth


 “The truth is out there…”Yes, it’s a sad fact that despite massive expenditures on medical treatments and drugs, Americans are sicker than ever before in our history. One might wonder why the so-called “miracle drugs” manufactured and promoted by pharmaceutical companies—not to mention the highly touted medical “breakthroughs”—have neither prevented nor cured disease in this country.FACT: Americans spend more on health care, yet are sicker than most other people in the world. Americans suffer from higher incidences of cancer, heart disease, diabetes, rheumatoid arthritis, lung disease and a host of other diseases even though all those diseases are both preventable and curable.The answer is this: Disease is big business.Americans are spending over $2 trillion dollars on health care, and that figure is expected to reach the $3 trillion mark by the end of the decade. Over $1 trillion dollars of the spending is on pharmaceutical drugs.With these kinds of revenues, there is no incentive on the part of the pharmaceutical industries to promote better health. They are the most profitable industry in the world, enjoying average profit margins of 30,000% to 50,000% on pharmaceutical drugs over the cost of raw materials. Sometimes, their markups can be as high as 569,000%! The average business person in his right mind wouldn’t dare walk away from such profits, and would do almost anything to ensure that the trillion-dollar cash cow remains intact.

As a result, the pharmaceutical industry has assembled a pharma-cartel consisting of an army of lobbyists that influence not only the entire medical industry but also the U.S. Congress; and by extension, the lives of the entire American population. Pharmaceutical companies spend enormous amounts of money to get doctors to prescribe their drugs to patients; to get the American public to believe, via the barrage of drug commercials, that they’ve got a health problem; and to get Congress to pass legislation that ensures their continued profitability.Case in Point: A recent investigative report aired on the popular CBS program, Sixty Minutes, revealed that “Congressmen are outnumbered 2 to 1 by lobbyists for the pharmaceutical industry that spends roughly $100 million a year in campaign contributions and lobbying expenses to protect its profits. ”Because of this, the pharmaceutical lobby almost never loses a political battle that affects its bottom line. In fact, there have been over 1,500 bills placed in front of the House of Representatives over the last 8 years dealing with pharmaceutical issues—and the drug companies, almost without exception, have gotten what they wanted.The pharmaceutical industry has more to gain when people are sick than when they are well. Therefore, they manufacture drugs that only relieve symptoms but do not cure disease. There’s a vested interest in keeping people sick because the big bucks are in drugs for ongoing diseases. And yet, the pharmaceutical companies’ clever propaganda to make themselves look like the savior of all mankind—a savior that finds “cures” for diseases and saves people’s lives —has successfully deceived us into regarding them with a sense of awe, reverence and respect for all that they do for human health.The irony of it all is that more people have died from preventable diseases than all the wars of the world combined as a direct result of the pharmaceutical business. These deaths were not just from the use of drugs (as in the case of the 106,000 deaths per year from the negative effects of drugs) but from the industry’s suppression of information about non-drug health alternatives that could have kept people from dying.Pharmaceutical companies routinely use their power and unlimited financial resources to keep doctors from prescribing natural therapies—and their powerful lobbyist seven getCongress to disallow established health claims for natural remedies. If you do some research on your own, you’ll find this to be true. They have built an elaborate maze of manipulation, control, infiltration and economic incentives to systematically deceive millions of people into thinking that drugs are the only solution to disease.The deception has become so pervasive that we have been brainwashed into thinking that whenever we are sick or are not feeling well, all we have to do is take a pill to feel better. According to a June 2008 article written by Dr. Joseph Mercola  in his popular natural health newsletter, “As much as the drug companies want you to believe that it’s normal to take medicine every day, it’s not. It is the rare exception that you should ever need to take a drug.”It is of no comfort that the Food & Drug Administration (FDA), the government agency created to protect public health, makes it a priority to promote drugs and the financial interests of pharmaceutical companies. This is so because many of the FDA’s senior management and members of its advisory committees accept more than $50,000 apiece in corporate grants, contracts and consulting fees from pharmaceutical companies. It wasn’t until the Vioxx scandal took place that the true nature of the FDA was revealed, along with its leniency toward the industry it’s supposed to be regulating. In 2004, Merck marketed Vioxx for the treatment of arthritis and other conditions causing chronic or acute pain. Later, it was discovered that Merck had deliberately suppressed the heart attack risks of Vioxx. The international medical community has criticized the FDAfor not only being “asleep at the wheel” while this was happening, but also of acting in collusion with Merck to cover up the truth. The irresponsible behavior of the FDA caused Dr. Richard Horton, editor of The Lancet (one of the most respected medical journals in the world) to state, “This discovery points to astonishing failures in Merck’s internal systems of post-marketing surveillance, as well as to lethal weaknesses in the U.S. Food and Drug Administration’s regulatory oversight.” Vioxx has since been taken off the market.Fictitious Diseases AboundThose in the holistic health field have known for a long time that fictitious diseases are “invented” all the time by the pharmaceutical industry for no reason other than to sell prescription drugs. If you’ve ever wondered why all of a sudden, there’s an entire array of new diseases that were unheard of 10 years ago or more, this is the reason. Diseases like intermittent explosive disorder (bad temper), bereavement-associated depression(grief), hypoactive sexual disorder (low sex drive), pornography addiction, compulsive buying or gambling, excessive Internet use, pornography addiction, ADD (attention deficit disorder) and ADHD (attention deficit hyperactivity disorder) are examples of such so-called diseases.ADD and ADHD, for instance, are simply conditions usually brought about by the overconsumption of refined sugar, junk food and soft drinks by children. The media declares ADHD an ‘epidemic’ of sorts because there are reportedly 6 million children in America (13% of the country’s schoolchildren) who are diagnosed with ADHD. The drug, Ritalin, became so popular because they made ADHD a bonafide disease that required a prescription. And psychiatrists were only too happy because they got kickbacks from drug companies every time they prescribed Ritalin for kids who really were just a bit overactive (probably because of their overconsumption of sugar).Furthermore, in recent years, there has been a upsurge in the use of powerful psychotropic, mind-altering drugs to children as young as 2 and 3 years old (at least in foster homes) because it is much cheaper and easier to keep them quiet than providing time-consuming care. The number of prescriptions for “chemical straightjacket” drugs like Prozac, Paxil, Zyprexa, and Depakote has increased by more than 100% between 1995 and 2000.Clearly, the pharmaceutical industry wants to categorize the majority of the population as having some kind of disorder. And if there isn’t a legitimate disorder, why, one can always be invented! Social anxiety disorder (shyness or lack of social skills) and fear of public speaking are just two so-called disorders that attempt to encompass the entire population. Everyone suffers from one degree of shyness or another, depending on the social situation, and fear of public speaking is a natural fear that most people have. These are not diseases at all, but rather normal human tendencies or behavioral differences. But when they’re categorized as disorders, doctors are given the freedom to “push” a variety of drugs on you—such as duloxetine for bereavement, escitalopram for excessive Internet use, divalproex sodium for intermittent explosive disorder, topiramate for compulsive gambling, fluvoxamine for compulsive buying, naltrexone for pornography addiction, and quetiapine for fear of public speaking.The Physicians Desk Reference (PDR) is considered the medical bible of drugs, wherein all prescription drugs are compiled (and which is updated annually) for use by doctors in prescribing drugs. If you look up a prescription drug in the PDR, you’ll find its “mechanism of action,” which Is the mechanism by which the drug produces an effect on a living organism or in a biochemical system. Frequently, the mechanism of action for a great number of drugs is listed as “unknown.” Sometimes the mechanism of action is stated in phrases such as “it appears to be” or “it is thought to” or “it is believed that” which are not scientific words, but rather words that suggest educated guesses rather than information based on concrete scientific evidence.For example, almost all psychotropics (i.e., drugs used in the treatment of mental illnesses) have an unknown mechanism of action, and yet they’re wantonly prescribed because they’ve “been demonstrated to” quiet down lab monkeys and prisoners. Statins are another class of drugs that have an unknown mechanism of action, and yet doctors prescribe them like candy even though they cause a wide array of adverse effects ranging from statin-induced myopathy (progressive weakness of the muscles) to cytotoxic effects to testicular pain. Additionally, once you begin a statin regimen, you usually have to take the statin for life or you run the risk of getting a heart attack, which is what happened to former Vice President Al Gore after he stopped taking statins.I am in agreement with Dr. Joseph Mercola that most prescription drugs are unnecessary, and that they could actually be “killing you legally” not to mention robbing you blind. Instead of relying on drugs and paying close to a trillion dollars to the pharmaceutical cartel for drugs that do not cure(and often cause harm, or even death), we must rely more on natural approaches for achieving optimal health.Nutrition is Big Business, TooI’ve been both an aficionado and avid researcher of natural and holistic approaches to health since 1978, and have also written articles about the major contributor for holistic health publications. As such, I’ve witnessed an endless parade of “natural” remedies and therapies go by in the last 30 years—some having merit and others providing little or no health benefit at all.I’ve also seen countless products with marginal health benefits masquerading as ‘breakthrough’ discoveries when in actuality, they’re nothing more than marketing puffery and shrewd advertising designed to capitalize on health trends. Oftentimes, I’ve observed hundreds, or even thousands of business enterprises spring up out of nowhere to cash in on such trends and fads.Case in Point: The popularity of Dead Doctors Don’t Lie, an audio presentation by veterinarian and naturopath Dr. JoelWallach explaining his core ideas about health and nutrition, sparked the frenzy over colloidal minerals in the1990s. In the audiotape, which was reportedly distributed to over 50 million people, Dr. Wallach asserted that— 1) mineral deficiencies are responsible for most chronic diseases; and 2) only minerals in“  colloidal” form contain all the essential minerals that can be adequately absorbed by the human body.Asa result of that audiotape, a proliferation of expensive colloidal mineral supplements flooded the market and stocked the shelves of health food stores everywhere —even though no peer-reviewed scientific work has shown colloidal minerals to have any more absorbability than normal minerals, and the health claims were anecdotal and scientifically unproven.The above example shows how the antiquated ‘traditional authority’ approach to science and medicine used in the 15th and 16th century is alive and well in the modern world. The ‘traditional authority’ approach, as discussed in the previous chapter, consists of the idea that if a prominent person declares something to be true, then it must be so. In today’s society, however, it doesn’t even require a prominent person to establish something as the truth. Sometimes, all it takes is a charismatic speaker who has the ability to make a credible argument, or a brilliant marketer that can capture the imagination of the buying public and build an enormous marketing empire from a small morsel of information that isn’t even an established fact.For as long as the natural health and wellness movement has been in existence, health fads and trends that were founded on misinformation or erroneous factoids have come and gone. Following are just a few of them:

  • The popularity of margarine and hydrogenated oils as a “healthier” substitute for butter and animal fats started in the late 1950s and early 1960s when it was thought that there was a correlation between heart disease and animal fat consumption. This was disproven in 2000 when it was discovered that trans-fatty acids, which are present in chemically hydrogenated oils and margarine, have harmful effects that are even worse than the consumption of animal fat. Trans-fats have been linked to increased rates of coronary heart disease and cancer, as well as other chronic diseases.

  • Millions of Americans have been taking high doses of beta-carotene because it was initially thought to prevent cancer and heart disease. This has since been disproven by several multiple-year studies, including one involving 18,000 subjects that showed no significant reduction in heart disease— andactually29% more incidences of lung cancer —than those who received a placebo. It turns out that the initial observational studies of large populations showing that people who eat a lot of beta-carotene-rich fruits and vegetables tended to have a low risk of cancer, heart disease, and heart

Attacks did not necessarily mean that beta-carotene supplementation would be just as effective.

  • Over the last several decades, supplement manufacturers (and even health practitioners) have urged people to take large amounts of antioxidants such as Vitamin C, Vitamin E, superoxide dismutase (SOD), because such nutritional supplements supposedly scavenge free radicals which cause cell damage. However, it has since been demonstrated in the laboratory that dosing a culture of cells with these antioxidants does not decrease free radical production by any significant amount. It has also been shown that when a person swallows antioxidants, the digestive juices nullify any free radical scavenging action long before the antioxidants come in contact with the cells they are meant to protect.

  • Gelatin capsules have long been touted as being the best thing one can do to strengthen fingernails. While gelatin does contain collagen, which is a protein found in nails and other body tissues, it has been disproven that gelatin supplementation has any fingernail-building benefits at all.

  • Honey enthusiasts have long been proclaiming the health benefits of honey, and as a result, business has been booming in the honey aisles of supermarkets and health food stores. Honey’s appeal is derived from the fact that unlike common tablesugar (sucrose), it is a pure natural “nectar” gathered by bees, and therefore must contain wholesome nutrients instead of merely empty calories. While it’s true that honey is collected by bees, very few people know that bees actually collect the nectar from flowers and regurgitate it, which is a euphemism for vomit. Therefore, it is actually a substance that goes directly from the bees ’guts to yours. Honey has been shown to have no nutritional advantage over common table sugar because the minuscule amounts of B vitamins, iron and phosphorus in honey are nutritionally insignificant. Honey is almost identical to sugar in chemical structure, but because it is denser, honey contains 32% more calories per tablespoon. This does not mean that processed, refined table sugar is healthy either. There are healthier, natural sugar substitutes such as agave nectar and stevia.

  • In 1986, canola oil was touted as being a healthy oil because it is lower in saturated fat (6% ) than any other oil. In contrast, peanut oil contains18%, and palm oil, 79%. Because canola oil also contains cholesterol-balancing monounsaturated fat comparable to olive oil, the Canola Council of Canada attempted to link many of the benefits of olive-oil rich Mediterranean-type diets to diets high in canola oil—even if canola oil has never been used in Mediterranean cuisine. The propaganda worked, and sales of canola oil have been on the upswing ever since. However, not too many people know that frying with canola oil releases toxic, carcinogenic fumes. In recent epidemiological studies, it was shown that high lung cancer rates in Chinese women were linked to wok cooking with canola (also called rapeseed) oil. Consumption of canola oil has been shown to cause fibrotic lesions of the heart, CNS degenerative disorders, prostate cancer, anemia, lung cancer, constipation, irritation of the mucous membranes and many toxic effects, according to many nutritionists and biochemists.Why have I found it necessary to present the above abbreviated list of health fads and disproven myths about food products and nutritional supplements? It’s to point out 3 important factors you must remember in the quest for health and the prevention/cure of disease:_Nutrition is big business, too. According to Nutrition Business Journal (NBJ), the estimated size of the U.S. global nutrition industry is $228.3 billion. Although it’s not the trillion-dollar business that the pharmaceutical industry enjoys, at almost a quarter of a trillion dollars, it is a major industry consisting of companies that tend to market creatively in order to earn as large a share of the ever expanding nutrition market as possible. While many companies in the nutrition marketplace are upstanding enterprises that conduct their businesses ethically, their lifeblood still depends on how creatively they market their products to differentiate them from their competitors.Considering the abundance of unsubstantiated health claims and hoaxes that exist in the nutrition marketplace, as a consumer, it would serve your best interests to be wary of how profit-driven companies will use the power of erroneous but enticing pseudo-logic and double-speak (supported by emotional appeals to your fear of disease) to sell you their products. Some creative marketers will even resort to instilling the belief in you that “scientists” know more about health than you do. They will reinforce your need for their products through exposure to advertisements and propaganda that most people cannot resist.Companies that have a common interest in promoting and protecting the financial interests of specific industries often form organizations or associations that do cooperative advertising and promotions for their respective industries. These are all meant to shape the public’s perception of the products they sell. The American Egg Board, for instance, came up with the “incredible edible egg™” campaign and positioned eggs as nature’s miracle food to counteract the mounting criticism that eggs are the major culprit in the nation’s high cholesterol problem. Likewise, the Canola Council of Canada not only renamed the rape seed oil to the mellifluous-sounding “canola” oil but also positioned it as a healthy oil compared to other vegetable oils.Any food product or nutritional supplement can be made to appear like a miracle cure or an essential health enhancing or disease-preventing product that no one can live without—as long as it is marketed properly. An advertiser can make a product seem to have curative properties—while still staying within the advertising restrictions established by the Food and Drug Administration(FDA)—by using terminology similar to that used by pharmaceutical companies when their drug’s mechanism of action is unknown. Phrases such as “it appears to be” or“ it is thought to” or“ It is believed that” are used liberally, as well as phrases like “this has been shown to” and “this helps to” or “this assists in.”One important guideline to follow is that whenever you come across information about a food product or nutritional supplement, which is disseminated by a company or organization that sells that food product or nutritional supplement, or stands to gain financially from the dissemination of the information, consider the information skewed to their favor and therefore, unreliable. Instead, seek out products recognized by third-party experts who are able to filter through the marketing hype fabricated by health product manufacturers and distributors._Don’t jump to irrational conclusions. More often than not, people make emotional decisions in matters concerning their health rather than using rational thinking. Marketers and advertisers are aware of this, and that is why they will often appeal to your emotion in an effort to sell their products. A company might use the following emotional appeal, for instance: “Magnesium deficiency is the cause of most serious diseases”—and go on to say that their magnesium supplements will take care of that deficiency. This might then cause you to draw the conclusion that they wanted you to draw in the first place, and that is to believethat taking their magnesium supplement will prevent you from getting those serious diseases. Being unaware of such marketing ploys, particularly the clever appeal to your fear of disease, could cause you to make irrational decisions without first investigating the validity of their claims._Consider the big picture. One thing that the above examples indicate is the fact that the field of natural health and nutrition, just like the field of medicine, has developed its own compartmentalized theories about what causes disease – and how to prevent and heal it. Therefore, focus is oftentimes placed on only a small snapshot of the larger picture—a localized subset of the larger workings of the human body.The point is, there now exist a multitude of so called “natural” approaches to disease prevention and treatment. Unfortunately, most of them offer a myopic, incomplete view of the whole human organism—not unlike the blind men making individual assessments about the elephant, and none of them quite hitting the mark!If you happen to be a health-conscious individual, take a look at the nutritional supplements you take. How many are you taking on a regular basis? How much are they costing you? Which of them are really good for your health —and which aren’t? Which of them will prevent you from getting cancer or any other disease—or cure you if you already have the disease? These are the kinds of questions I’ve asked myself throughout the 30 years that I’ve been researching natural approaches to health.The biggest mistake I’ve seen people make is that they fail to see the larger picture—that is, how the whole human organism works, as well as the interactions of the different elements in the human body. One should always be aware that a considerable number of so-called health products often ignore the entire biochemistry of the human body.Wonder Cure or Snake Oil?Separating the wheat from the chaff when it comes to natural health products, differentiating health fads from bona fide health items—and trying to distinguish between commercial propaganda versus trustworthy information presented with no profit-driven agenda—is a daunting task for anyone, even someone who is fairly informed and knowledgeable about the latest natural health approaches. This is true particularly because a wide assortment of so called nutritional breakthroughs (or super foods) fall in and out of grace, and dozens more arrive at the scene almost every day. Oftentimes, one rarely knows which of them really work and which ones are the products of clever marketing.It was while I was keeping abreast of the continuously expanding (and overwhelming) array of products and services in the natural health field that I came across a piece of information about oxygen therapy that was positively astounding. Since I had known about oxygen therapy for decades, and had even written about it on a few occasions, I was tempted to ignore the information and think(arrogantly) that I knew all about it already. I’m glad that, instead, I chose to give it the renewed attention it deserved.I remember when I first heard about this little-known aspect of oxygen therapy (which involves hydrogen peroxide), my heart pounded with excitement, realizing that this maybe the closest thing to a panacea that the world has ever known. As I expanded my research, I was dumbfounded by the mountains of evidence showing that hydrogen peroxide therapy has been used in various parts of the world by over 15,000 European doctors, naturopaths and homeopaths. Its use goes as far back as 170 years ago, and has healed millions of patients of almost every disease known to man, including “the big 3,” AIDS, cancer and heart disease. I began wondering why I hadn’t encountered this information before, and more importantly, why the whole world didn’t already know about this. I soon realized why.This simple, effective and inexpensive therapy for eradicating disease threatens the trillion-dollar pharmaceutical cartel. As discussed in the previous chapter, when anything threatens the bottom line profits of the pharmaceutical industry (including pending legislation), it will be suppressed, lobbied against or given a negative spin so as to ridicule it, outlaw it and render it worthless. Additionally, individuals who perpetrate the perceived threat are often imprisoned, their businesses (or practices, in the case of health practitioners) shut down, or forbidden from dispensing health advice again.In my view, however, the hydrogen peroxide therapy I reveal in this book is far too valuable to human health to keep under wraps. I’m able to write about it only because I have a disclaimer in the beginning of the book that says the information contained herein is for educational purposes only and not meant to diagnose illness or meant to replace a doctor’s advice.Even as I write this, steps are already being taken behind the scenes to take food-grade hydrogen peroxide out of the market because it presents a threat to the revenues of the pharmaceutical industry. The pharmaceutical companies are looking for legitimate ways to discredit food-grade hydrogen peroxide and call it hazardous, even though hydrogen peroxide has been given the GRAS designation (Generally Recognized as Safe) by the FDA.My stand on this matter is that it would be downright criminal not to disseminate information about the therapeutic benefits of food-grade hydrogen oxygen—especially since its dissemination could not only potentially save people’s lives, but also improve the quality of their lives.The reasons why the therapeutic use of food-grade hydrogen peroxide is the most exciting therapy to come around in the health and healing horizon are seven-fold: 1 Therapeutic use of food-grade hydrogen peroxide is a systemic therapy (i.e., affecting the body as a whole, rather than one specific organ or part). Thus, it creates an environment in the body that enables the body to cure itself of virtually all diseases caused by viruses, harmfulbacteria, toxins, disease microorganisms and pathogens, including but not limited to cancer, AIDS, Alzheimer’s and Parkinson’s Disease, diabetes, rheumatoid arthritis, multiple sclerosis, heart disease, ulcers, asthma and many other types of diseases, including the flu.2 Unlike other so-called “cures” that tend to get inordinately focused on small details of biochemistry, oxygen therapy via food-grade hydrogen peroxide is predicated on providing the most abundant and essential element of the human body. The body may need an array of different elements and nutrients such as CoQ10, magnesium, Omega-3 fatty acids and the like, but only oxygen is in such critical demand that an insufficient supply makes the body develop diseases, and its absence causes the body to die within minutes. Oxygen is what makes life possible, and therefore, it’s an infusion of “life force.”3 Literature that proclaim the so-called healing benefits of other health and nutrition products are usually compiled by people who stand to gain financially from the sale of those products (which usually have very high profit margins). Therefore, the accuracy and reliability of such information is suspect. In contrast, the information contained in this book (along with most literature you might find regarding the therapeutic benefits of food-grade hydrogen peroxide) is not motivated by profiteering. Food-grade hydrogen peroxide is a chemical that has a very low profit margin, and is widely available, therefore making it unlikely to be overpriced by profiteers. Food-grade hydrogen peroxide costs only 1½ cents a day for the recommended dosage, and takes less than one minute to administer. Others claim to have developed machines that produce oxygen-saturated water, which supposedly provides a rich source of extra oxygen in a highly absorbable form— but you’ll end up paying a small fortune (up to $3,980) and at best, get the same benefits you’d get for pennies by using food-grade hydrogen peroxide.4 Unlike other cures that may only be applicable to a certain segment of the population, oxygen therapy via food-grade hydrogen peroxide has universal application in humans (with the exception of people who have organ transplants). It can even be used with pets.5 Conventional therapies usually harm good cells in the body in the process of “curing” disease. Pharmaceutical drugs and medical treatments such as chemotherapy are examples of such therapies which not only harm good cells but also shut down the body’s immune system at a time when the body needs it most. The use of food-grade hydrogen peroxide, on the other hand, creates an environment in the body that kills viruses, harmful bacteria, toxins, pathogens and disease microorganisms while contributing to the vitality of healthy cells. Because of the increased oxygen supply brought about by hydrogen peroxide, the immune system is also boosted, thereby enabling the body to ward off disease and heal itself.6 Many so-called “cures” are often just another player in a long line of health fads. After having witnessed many such fads being hailed as the be-all end-all cure, only to be disproven by the next latest study (also motivated by financial gain), I’ve decided to put credence only on those therapies that have stood the test of time. Successful therapeutic use of hydrogen peroxide goes back over 170 years ago, and continues till the present time, even though its use is largely suppressed here in the U.S.7 Using healing therapies based on scientific evidence that encompass only a small aspect of the human body’s biochemistry is like cooking in the dark. You’re likely to get undesirable side effects (e.g., when you take mega-doses of Vitamin C, you could unduly tax your liver; or when you consume colloidal silver for a prolonged period of time, you could develop blue skin pigmentation). Oxygen therapy, on the other hand, takes into consideration the human body’s chemical constituents and their interaction with each other within the biochemical parameters of the body. As long as hydrogen peroxide is diluted in distilled water in the recommended concentration, and taken on an empty stomach its disease-fighting constituents are maximized and adverse effects become virtually non-existent.Think-Outside-the-Box

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