jueves, 27 de octubre de 2011

Dive In! The Water's Nice (and Healthy)

Diabetes Newsletter
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In This Issue:

Twitter facebook Sign-Up Thursday October 27, 2011

Dive In! The Water's Nice (and Healthy)

Ahhh, there's a chill in the air. That means it's time for a swim—indoors, of course. Join a gym or YMCA with a pool, especially if you're just starting an exercise plan, because swimming is an ultra-low-impact way to get in shape.

If you're overweight, or if you have joint or balance problems, foot pain from nerve damage, or other physical limitations—all of which are common among people who have diabetes—the swimming pool is a great place to get active. Because your weight is "reduced" by 90 percent in the water, swimming lets you swim longer and allows for greater flexibility. It's excellent aerobic exercise with an added benefit over walking: It exercises both the upper and lower body. Now, dive into some swimming know-how.

Splash in class. A water aerobics class may be the best way to get a full-body workout in the pool—and you don't even need to know how to swim. If there's upbeat music playing and you're with a nice group of people, you may even feel a little bit like you're at a party. Want to get competitive? Your pool might have a recreational water volleyball team, so call and inquire.

Get a leg up with a kickboard. Your buoyancy in the water is already protecting your joints from impact, but if you need even more lift, a kickboard will help. It's also handy if you're not confident of your swimming ability and want extra help in staying afloat. People who just want to exercise their legs can hold onto a kickboard and propel themselves through the water with leg power.

Work up to a 30-minute swim. Swim one pool length , and then rest for 30 seconds. Or for more of a challenge, alternate swimming for 5 minutes and resting for 1 minute. At each swim session, add gradually to your distance, resting as needed, until you reach 30 minutes of total swim time. To improve your aerobic fitness, swim three times a week.

Protect wounds while in the water. Swimming when you have an open wound isn't a good idea because it increases your risk of infection. Rather than skipping your aqua-workout, ask your doctor whether a waterproof bandage or another skin barrier is appropriate for your situation. Be sure to clear the bandage with the pool's lifeguard or manager before you jump in.

Be extra-alert for low blood-sugar symptoms. It may harder when you're in a pool to tell if you're sweating or feeling weak so be vigilant, and get out of the pool as soon as you suspect a problem.

Keep food handy. If your blood sugar drops while you're in the water, you may not have time to get out and get your snack. So keep a high-carb snack in a ziplock bag poolside while you swim. If the pool has rules against keeping food near the water, talk to the lifeguard, pool manager, or your water aerobics instructor and explain your needs.

Take waterproofing precautions with a pump. Some insulin pumps are advertised as being "waterproof" (sometimes with the use of inserts to plug the vent holes), but read the instructions carefully about the limits of this protection. The waterproofing may only apply to near-the-surface use and may not apply if you're diving underwater. If you find that the tape on your infusion set keeps coming loose in the water, buy a lightweight wetsuit T-shirt to wear over the infusion set. It will prevent water from peeling up the edges of the tape.

Shower immediately after swimming. Otherwise, the chlorine from the pool water will dry out your skin and might cause it to crack, which will make you more vulnerable to infection.

Protect your feet. People with diabetes are prone to slower healing, and serious infections of their feet. Wearing water shoes or aqua socks when you're swimming, even in an indoor pool will help prevent injuries. Concrete floors of some pools are abrasive.


Diabetes Recipes

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Diabetes Recipes

RecipePumpkin Custards
These custards are the best part of a pumpkin pie, and they are significantly lower in calories and much easier to make. The filling has a generous amount of cinnamon, which makes it taste good and helps with blood-sugar control. If you don't have vanilla soy milk on hand, use low-fat (1%) milk and increase the vanilla to one teaspoon.

Makes 6 custards

Ingredients:
2 large eggs
2 large egg whites
2/3 cup sugar
3/4 cup canned unseasoned pumpkin puree
1 1/2 teaspoons cinnamon
1/2 teaspoon ground nutmeg
1/4 teaspoon salt
1/2 teaspoon vanilla extract
1 1/2 cups vanilla soy milk
3 tablespoons whipped cream or low-calorie whipped topping

Preparation:
1 Preheat the oven to 325°F. Line a roasting pan with a folded kitchen towel (this prevents the custard cups from sliding around). Put a kettle of water on to boil for the water bath.
2 Whisk the eggs, egg whites, and sugar in a large bowl until smooth. Add the pumpkin puree, cinnamon, nutmeg, salt, and vanilla. Whisk until blended. Gently whisk in the soy milk.
3 Divide the mixture among six 6-ounce (3/4-cup) custard cups. Skim foam from the surface of the custards. Set the custard cups over the towel in the roasting pan. Pour enough boiling water into the roasting pan to come halfway up sides of the custard cups. Place the roasting pan in the oven and bake, uncovered, until custards are set, 50 to 55 minutes. Transfer the custard cups to a rack and let cool. Cover the custards and refrigerate until chilled, at least 1 hour. Top each custard with a dollop of whipped cream.

Per custard: 166 cal, 4 g fat (1 g sat), 28 g carbs, 5 g protein, 1 g fiber, 75 mg chol, 165 mg sodium


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Tip of the Week

20 Ways to Eat More Cinnamon

Recent headlines have touted cinnamon as a sort of new superfood, especially for those with diabetes. With good reason: Cinnamon can lower blood sugar and cholesterol and increase glucose metabolism—the process that turns sugar to energy—by a whopping 20 times. All you need is one-half teaspoon of ground cinnamon a day to start reaping the benefits. Here are 20 tasty ways to add this healing spice to your diet.
1. Tea
2. Coffee
3. Fruit juices
4. Fresh fruit slices (such as apples, peaches, pears)
5. Yogurt
6. Oatmeal
7. Cereal
8. Toast
9. Popcorn
10. Salad dressings
11. Sautéed vegetables (such as chard, spinach, broccoli)
12. Sweet potatoes
13. Squash
14. Stews
15. Chili
16. Roasted chicken
17. Roast beef
18. Spaghetti sauce
19. Pork chops
20. Hot cider on chilly evenings


Until next issue, here's to good health!
Neil Wertheimer
Editor in Chief, Reverse Diabetes



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This weekly newsletter is from Reverse Diabetes, a multimedia resource from Reader's Digest to help people with diabetes take control of their health. Look for Reverse Diabetes magazines at newsstands everywhere; Reverse Diabetes books wherever books are sold; and daily tips and conversation at www.Facebook.com/ReverseDiabetes.

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martes, 18 de octubre de 2011

Your Pharmacy: A Diabetes-Management Resource

Diabetes Newsletter
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Twitter facebook Sign-Up Tuesday October 18, 2011

Your Pharmacy: A Diabetes-Management Resource

We usually go to the pharmacy with one thing in mind: Filling our prescriptions. However, the pharmacy can be so much, much more. From the pharmacists and technicians behind the counter to special products in the aisles, your neighborhood drug store can be one of your greatest diabetes-management resources—if you know where to look and what to ask. So, before your next pharmacy visit, here are seven things you should know.

Sticking to one pharmacy has benefits. Having all your medication records in one place lessens the risk of taking duplicate medications (which may be under different brand names) or experiencing dangerous drug interactions. You'll also feel more comfortable asking questions or bringing up concerns if you have an on-going relationship with the same pharmacists or technicians.

Pharmacists will meet with you one-on-one. Ask to meet your pharmacist to review your medications and get answers to questions you may have. Many pharmacies have created private cubicles or conference areas for such consultations. If it's a busy pharmacy, calling ahead for an appointment may be a good idea. Bring all your medications and any supplements you may take. And ask for a printout of your prescription medications for your records.

You can save money during test and immunization days. Many pharmacies give flu shots and other vaccinations. Some even have health days or diabetes days and offer screenings such as blood pressure, cholesterol, and A1C blood-sugar tests—at surprisingly affordable prices. Such days also may include face-to-face time with the pharmacist. And if they don't offer such days, suggest it to your pharmacist.

Over-the-counter medicines may be loaded with sugar. If your blood sugar is already a little high when you're sick, the sugar in cold and cough medicines won't help. Look for sugar-free versions of cough syrups, lozenges, chewable aspirins, and decongestants. These items may be in a special diabetes section of the store. If you don't see them, ask the pharmacist.

Medication costs can often be reduced. Pharmacists are sympathetic to rising medication costs. After all, they don't work on a commission—they simply want to provide you with the best care possible, which means being able to afford the drugs. Your pharmacist may know of ways to help you pay less for your medications, such as ordering 60-day supplies rather than 30-day supplies, or by ordering older or generic versions of your medications, with doctor's approval.

The lotion aisle is more important than you think. High blood sugar can contribute to dry skin, which in turn can lead to cracks and infection. A little-known diabetes-fighting source at the pharmacy is the lotion aisle. Some moisturizers are even labeled for people with diabetes. Just don't feel limited to these because they often cost more. Any moisturizer that's thick enough to stay put and that doesn't irritate your skin will do.

Capsaicin cream can ease foot pain and tingling. Capsaicin, a compound found in hot peppers, relieves pain over time by running interference between nerve cells and your brain. Give them a few weeks to work. And keep the creams away from your eyes, mouth, and nose—they can burn. It's even a good idea to use disposable gloves when applying them.  

Diabetes Recipes

RecipeWarm Artichoke and Bean Dip
Beans are the magic ingredient in this lower-fat, higher-fiber version of a classic cheesy artichoke dip. Full of fiber, it's a perfect snack for people with diabetes because it slows digestion, preventing spikes in blood sugar. Try it with low-fat, whole-grain crackers, such as Wasa, Kavli, or Ryvita.

Serves 8

Ingredients:
1 can (19 or 15 ounces) cannellini beans, drained and rinsed
1 can (14 ounces) artichoke hearts, drained and rinsed
3 cloves garlic, minced
1 tablespoon reduced-fat mayonnaise
Pinch of ground cayenne pepper
Freshly ground black pepper to taste
2/3 cup plus 2 tablespoons grated Parmesan cheese
1/4 cup chopped fresh parsley
1 teaspoon freshly grated lemon zest

Preparation:
1    Preheat the oven to 400∞F. Coat a 2- to 3-cup baking dish with nonstick spray.
2    Place the beans, artichoke hearts, garlic, mayonnaise, red pepper, and black pepper in a food processor. Process until smooth, stopping to scrape down the sides of the bowl once or twice. Transfer to a medium bowl. Stir in 2/3 cup of the Parmesan, parsley, and lemon zest. Scrape into the baking dish and smooth with a spatula. Sprinkle with the remaining 2 tablespoons Parmesan.
3    Bake the dip, uncovered, until heated through, 20 to 25 minutes. Serve warm.

Per serving (1/4 cup): 116 cal, 3 g fat (2 g sat), 16 g carbs, 7 g protein, 5 g fiber, 7 mg chol, 517 mg sodium

Tip of the Week

Control Nighttime Snacking—with a Snack!

Somewhere between Community and 30 Rock, smack-dab in the middle of prime time, the desire to snack often creeps up on us. During commercial breaks, we may nibble away at whatever food is handy—and all too often, it's not that healthy. There's a good reason to pay attention to this prime time noshing: Most overweight people with diabetes eat more calories at night than at any other time of the day. It doesn't help that your metabolism winds down as your body prepares for sleep, meaning that the calories you take in are more likely to be stored as fat. And eating into the wee hours may contribute to high blood sugar when you wake in the morning.

However, this doesn't mean you shouldn't allow yourself a snack. In fact, the only danger of snacks is that they can become more like added meals when you go overboard. If you're careful, though, there's no reason that an after-dinner snack can't be both light and satisfying. You'll do fine if you limit snacks to no more than 150 calories. Good choices that fit that bill include:
• 8 ounces fat-free, sugar-free yogurt
• 1 ounce fat-free string cheese
• Cherry tomatoes, sliced raw red bell peppers, carrots, or cucumbers
• 4 cups of air-popped popcorn
• 1 apple, orange, or banana

 
Until next issue, here's to good health!
Neil Wertheimer
Editor in Chief, Reverse Diabetes



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This weekly newsletter is from Reverse Diabetes, a multimedia resource from Reader's Digest to help people with diabetes take control of their health. Look for Reverse Diabetes magazines at newsstands everywhere; Reverse Diabetes books wherever books are sold; and daily tips and conversation at www.Facebook.com/ReverseDiabetes.

View our Privacy Policy.

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Reader's Digest Association
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Copyright © 2011 Reader's Digest Association, Inc. All rights reserved.

martes, 11 de octubre de 2011

Why Family Matters More than Ever

Diabetes Newsletter
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Why Family Matters More than Ever


As the old saying goes: You can't choose your family. But you can choose how to involve your family with your diabetes management. You see, when your family plays a role in helping you control diabetes, everyone in the household benefits.

Some folks will try to hide their diabetes, avoiding discussing it with their spouse and other family members. But the fact of the matter is that diabetes affects so many aspects of your life that you need the cooperation and understanding of everyone under your roof. The more your family knows about diabetes, the more they'll appreciate what you're going through as you manage your health and the more they'll be able to help.

Another reason to rally the family behind you: Anger and stress prompt your body to release hormones that drive up blood-sugar levels. That means the more calm your household, the better chance you have to manage your diabetes. To combine family life and diabetes control, try these five tips:

1 Downsize—don't eliminate—junk food in your cupboard. Take the middle ground: Buy tempting foods in smaller sizes, such as pints of ice cream instead of half gallons and small bags of potato chips. This allows other family members to snack and provides some automatic portion control.

2 Ask loved ones to identify signs of low blood sugar. Everyone in your household should know the signs—rapid heartbeat, sweating, double vision, mental confusion—and how to take emergency measures. The first thing they should know: People who are hypoglycemic usually claim to feel fine when they're not. Be sure your family knows where you store your emergency foods and how much to give you. If you have a prescription for glucagons, train your family to inject it.

3 Create a playbook of healthful recipes. Ask each person in your household to scour cookbooks, magazines and web sites for healthful recipes that look appealing. Try them out and put the "keepers" in your recipe file. Teach family members how to make at least some of these meals so the daily cooking duties don't just fall on one person. As family members become more involved in cooking, the more fun and healthy eating will be.

4 Have everyone come to the table for meals. Experts say that families reap enormous benefits when they eat meals together. Family communication is better, people eat more nutritiously, and the behavior of children is better, too. The peaceful result: Your household has less stress. And according to researchers, the more your family eats together, the better the experience will likely be and more everyone will benefit.

5 Discover new physical activities together. When you make physical activity part of your family's culture, everyone will benefit. If you have kids in your household, remember, they'll follow your lead. Studies show that family environment is one of the strongest predictors of childhood obesity. Becoming more active can be as easy as making it a ritual to take after-dinner walks or taking other, active family-friendly outings such as roller-skating lessons or going to pick-your-own produce farms. Another good family activity is signing everyone up for a charity walk. You can train and then participate together while doing something for a good cause.

Diabetes Recipes

RecipeTuna and Carrot Sandwich on Rye
Adding more omega-3-rich seafood to your diet can be as simple as packing a tuna sandwich for lunch. This one is boosted by a lemony grated carrot salad, adding crunch and appeal while adding a serving of vegetables to your sandwich. Rye bread, in contract to other breads, can actually help lower your blood sugar.

Serves 2

Ingredients:

2/3 cup shredded carrot (1 medium)
2 teaspoons lemon juice
2 teaspoons extra-virgin olive oil
1 tablespoon chopped scallion
1 tablespoon chopped fresh dill or parsley
1/8 teaspoon salt, or to taste
1 can (3 ounces) water-packed chunk light tuna, drained and flaked
1/4 cup finely chopped celery
2 tablespoons reduced-fat mayonnaise, divided
4 slices whole-grain rye or pumpernickel bread
4 lettuce leaves, rinsed and dried

Preparation:
1     Combine the carrot, lemon juice, oil, scallion, dill (or parsley), and salt in a small bowl. Toss with a fork to mix.
2     Mix the tuna, celery, and 1 tablespoon of the mayonnaise in a small bowl. Spread the remaining 1 tablespoon mayonnaise over the bread slices. Spread half of the tuna mixture over two of the bread slices. Top with the carrot salad and lettuce. Set remaining bread slices over filling. Cut each sandwich in half.

Per serving: 303 cal, 9 g fat (2 g sat), 38 g carbs, 17 g protein, 5 g fiber, 13 mg chol, 758 mg sodium

Tip of the Week

On the Job: 5 Tips for Eating Well at Work

For lots of us, grabbing lunch at work is an afterthought. We either pick something up on the run or, worse, hit the vending machine. To help control your blood sugar and make the midday meal healthier, follow these five tips:

1 Get hot. Use a hotpot or microwave to reheat food, such as a can of low-sodium soup or last night's stew. 

2 Splash fruit. Bring several sliced limes or lemons to work in a plastic bag and store then in a fridge. Add them to water for a zingy taste, and you'll avoid the temptation of sodas.

3 Stash healthy snacks. Keep handy a supply of nonperishable snacks such as high-fiber cereal, low-fat crackers, cans of fruit, or trail mix. 

4 Focus on food. When eating lunch, don't browse the Internet. Concentrate on enjoying your food. Surprisingly, this can also help you de-stress.

5 Brush and floss. After your midday meal, brush and floss. Cleaning your teeth will make you less tempted to eat again later in the day.


Until next issue, here's to good health!
Neil Wertheimer
Editor in Chief, Reverse Diabetes



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This weekly newsletter is from Reverse Diabetes, a multimedia resource from Reader's Digest to help people with diabetes take control of their health. Look for Reverse Diabetes magazines at newsstands everywhere; Reverse Diabetes books wherever books are sold; and daily tips and conversation at www.Facebook.com/ReverseDiabetes.

View our Privacy Policy.

Unsubscribe | Subscribe | Privacy Policy

Have questions, comments, or suggestions? Email the editors today. Just click here!

Reader's Digest Association
750 Third Avenue, 4th Floor, New York, NY 10017
Copyright © 2011 Reader's Digest Association, Inc. All rights reserved.

jueves, 6 de octubre de 2011

How to Customize Your Calories

Diabetes Newsletter
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Twitter facebook Sign-Up Thursday October 06, 2011

How to Customize Your Calories

One of the wonderful things about this world is that we're all different. Different sizes, shapes, personalities, and backgrounds. That also means when dealing with diabetes and managing our diets, each individual benefits from a customized approach.

The factors that influence how many calories you need each day include weight, metabolism, and activity level. You can get a good idea of how many calories you need to maintain your current weight by using the "Rule of 10." Follow these three steps:

1. Do the math. Multiply your weight by 10. For example, if you weigh 175 pounds, you get 1,750. This is approximately how many calories you body needs to function at rest.

2. Rate your activity level. You need to know how many calories you're burning through physical activity. Rate yourself on the following scale:
• If you're totally sedentary, give yourself a 3.
• If you're moderately active, give yourself a 5.
• If you're very active, give yourself a 7.

3. Add it up. Now take the activity number you chose and multiply it by 100, then add the result to the calories number from the first step. For example, if the first number was 1,750 calories and you're sedentary, add 300, which is three times 100. That equals a total of 2,050 calories per day. While this is a rough estimate, it will give you a good ballpark. Figures for men and women may differ because men tend to have more muscle which burns calories even at rest.

Your next question is likely: How many calories should eat to lose weight? Consider this fact: A pound of fat contains about 3,500 calories so you need to cut 3,500 calories to lose a pound of fat. Obviously, this is not an amount you can expect to lose overnight—or even in a week. But the slow and steady calorie deficit that you achieve with diet and exercise can gradually trim away those pounds.

Weight control is essentially an energy-management issue that involves a simple law: If you want to lose weight, you have to eat fewer calories, burn more calories through exercise, or both. As far as shaving off calories from your daily intake, don't make radical cuts. Try eating 100 or 200 fewer calories a day and see how easy that is to accomplish. Then, consistency is key: If you maintain that lower level of intake or burn a higher level of calories (or both) over, say, two weeks and you'll begin to see a reduction of weight without even thinking about it.

Diabetes Recipes

RecipeSeared Fish Steaks with Tomato-Olive Sauce
Firm fish like swordfish and halibut benefit from this easy two-step technique of first searing the steaks on one side and then finishing cooking in the oven, which keeps the fish succulent without using more fat. The spicy tomato sauce sets off the fish steaks beautifully.

Serves 4

Ingredients:
1 tablespoon lime juice
4 teaspoons olive oil, divided
1/8 teaspoon salt, or to taste
Freshly ground pepper to taste
4 1-inch thick swordfish (4 ounces each) or halibut steaks (6 ounces each)
1/2 cup chopped onion
1 clove garlic, minced
1/2 teaspoon ground cumin
Pinch of crushed red pepper
1 can (10 ounces) diced tomatoes with green chiles
1/3 cup water
1 tablespoon chopped pitted green olives
2 teaspoon drained capers, rinsed
Lime wedges

Preparation:
1    Preheat the oven to 425°F. Coat a baking sheet with nonstick spray.
2    Mix lime juice, 1 teaspoon oil, salt, and pepper in a shallow glass dish. Add the fish steaks and turn to coat. Cover and marinate in the refrigerator for 10 to 20 minutes.
3    Meanwhile, heat 2 teaspoons oil in medium saucepan over medium heat. Add the onion and cook, stirring often, until softened, 3 to 4 minutes. Add the garlic, cumin, and red pepper. Cook, stirring, for 30 seconds. Add the tomatoes and water. Bring to a simmer. Cook over medium heat, stirring occasionally, until thickened, about 10 minutes.
4    While sauce is simmering, cook the fish. Heat the remaining 1 teaspoon oil in a large nonstick skillet over medium-high heat. Add the fish and cook until nicely seared on one side, 2 to 3 minutes. Transfer the fish to the baking sheet, seared side up. Bake until the fish is opaque in the center, 8 to 10 minutes.
5    Stir the olives and capers into the tomato sauce. Season with pepper. Top each fish steak with sauce and serve with lime wedges.

Per serving (one fish steak and 1/4 cup sauce): 198 cal, 10 g fat (2 g sat), 6 g carbs, 22 g protein, 1 g fiber, 41 mg chol, 551 mg sodium

Tip of the Week

3 Ways to Cook Smarter

Strolling up and down the aisles in the grocery store, you've done your due diligence by scanning labels and avoiding some high-calorie, high-fat, high-sodium processed foods. You're taking home a whole cartful of healthy produce and lean protein. Now, here's something that might be a little surprising: You can ruin those nutritious selections by how you cook them. So, instead of sautéing and serving dishes gooped in sauce, try these three cooking options:

Poached or braised
Sautéed foods have extra fat. Restaurants are often heavy handed with the butter and oil because it makes the food taste better. We're tempted to do that, too. Instead, cook dishes in broth or wine.

Steamed
What would otherwise be a healthy dish can be loaded with fat. An extra spoonful of oil can add as many as 11 grams of fat.

Blackened
Also called "Cajun," this style of cooking means the meat has been coated in seasonings and seared in a red-hot cast-iron skillet. It's a great way to get lots of flavor without sauces, oils, or other added calories.

 
Until next issue, here's to good health!
Neil Wertheimer
Editor in Chief, Reverse Diabetes



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Small eating changes that really work!

       -- Healthy Heart Miracle Diet





This weekly newsletter is from Reverse Diabetes, a multimedia resource from Reader's Digest to help people with diabetes take control of their health. Look for Reverse Diabetes magazines at newsstands everywhere; Reverse Diabetes books wherever books are sold; and daily tips and conversation at www.Facebook.com/ReverseDiabetes.

View our Privacy Policy.

Unsubscribe | Subscribe | Privacy Policy

Have questions, comments, or suggestions? Email the editors today. Just click here!

Reader's Digest Association
750 Third Avenue, 4th Floor, New York, NY 10017
Copyright © 2011 Reader's Digest Association, Inc. All rights reserved.

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