Afleveringen
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Lyme Disease rates have doubled in the last 30 years in the USA and rates are rising across the world in affected areas. In this episode I look at Lyme, other tick-borne illnesses and the mystery symptoms they can give rise to, as well as strategies to treat and prevent them.
Lyme disease factsheet:
https://www.ecdc.europa.eu/en/borreliosis/facts/factsheet
The Bullseye rash: https://www.cdc.gov/lyme/signs_symptoms/rashes.html
The life cycle of a spirochaete: https://www.nature.com/articles/nrmicro2714
B.Burgdorferi - the major cause of Lyme disease: https://www.ncbi.nlm.nih.gov/books/NBK532894/
B.mayonii - another strain causing Lyme disease: https://www.cdc.gov/lyme/mayonii/index.html
Dr Horowitz Lyme questionnaire: https://caudwelllyme.com/do-you-have-lyme-disease-the-horowitz-questionnaire
Differentiating arthritis from Lyme Diseases: https://www.webmd.com/rheumatoid-arthritis/ra-or-lyme
Dr Horowitz interview:
https://lymeconnection.org/support_and_resources/meet_the_lyme_disease_experts.html/title/dr-richard-horowitz-latest-treatments-in-lyme-disease
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Cholesterol has become an obsession for so many people over the last 50 years. In this episode I look at the story of cholesterol and why it is important and when to worry about it.
Links:
The history of cholesterol: https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-19/history-in-medicine-the-story-of-cholesterol-lipids-and-cardiology
Food and cholesterol: https://www.health.harvard.edu/heart-health/11-foods-that-lower-cholesterol
Monacolin K (in both red yeast rice and statins): https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/monacolins
Numbers need to treat (NNT):
https://www.cebm.ox.ac.uk/resources/ebm-tools/number-needed-to-treat-nnt
Diet and statins: https://www.theguardian.com/society/2016/aug/29/mediterranean-diet-better-than-statins-for-tackling-heart-disease-study
ApoB and Lp(a): https://www.pennmedicine.org/for-health-care-professionals/for-physicians/physician-education-and-resources/physician-interviews/2023/october/lipid-management-part-3-apo-b-and-lipoprotein-a
Homocysteine and heart disease: https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-021-01977-8
Flawed study or is it because not all LDL is bad? https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/behind-the-headlines/cholesterol-and-statins
TG:HDL ratio (Triglycerides to HDL): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2664115/#:~:text=3%20The%20ratio%20of%20triglycerides,lower%20than%20this%20value4.
NICE recommendation for statins:
https://www.bhf.org.uk/what-we-do/news-from-the-bhf/news-archive/2023/january/nice-recommends-statins-should-be-a-choice-for-more-people-to-prevent-heart-attacks-and-strokes
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Zijn er afleveringen die ontbreken?
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TW: Sensitive topic: one in six people worldwide are now affected by infertility and rates have soared over the last 30 years.
In this episode I look at the reasons behind it and what we can do about it on an individual and societal level.
Childlessness: https://www.theguardian.com/lifeandstyle/2017/oct/02/the-desire-to-have-a-child-never-goes-away-how-the-involuntarily-childless-are-forming-a-new-movement
Rising infertility in men and women: https://www.scientificamerican.com/article/reproductive-problems-in-both-men-and-women-are-rising-at-an-alarming-rate/
1:6 with infertility: https://www.theguardian.com/world/2023/apr/03/one-in-six-people-worldwide-affected-by-infertility-who-reports
Birth rates in South Korea and reasons behind them: https://www.youtube.com/watch?v=tvpkEEmnZNU
Exercise and fertility: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10310950/
Female fertility and nutrition: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8634384/
Sperm counts and time of day: https://pubmed.ncbi.nlm.nih.gov/32195611/
Semen and antioxidants: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5203687
Fertility support: https://www.nhs.uk/conditions/ivf/support/
Infertility counselling: https://www.bica.net/
Buy THE HEALTH FIX now: https://www.amazon.co.uk/dp/1914239326?ref_=cm_sw_r_cp_ud_dp_S32SMEDYMC4SBPSJ4CGV
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Minor illness seems trivial, but is it always simple to deal with and when do we need to think more carefully about what can seem like minor illness on the surface?
Lay referral: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1316199/pdf/brjgenprac004944500617.pdf
The debate about doctors and Physician Associates: https://www.bmj.com/content/383/bmj.p2449
Sore throat causes: https://twitter.com/DrSteveTaylor/status/1761753922920694133/photo/1
Rincke’s oedema: https://voicefoundation.org/health-science/voice-disorders/voice-disorders/reinkes-edema/
PEWS (scoring system for acute illness in children): http://generalpracticemedicine.org/PEWSSheetApril2017Final2.pdf
Recurrent UTI: https://www.mayoclinic.org/diseases-conditions/cystitis/expert-answers/bladder-infection/faq-20057833
The role of pharmacies: https://www.england.nhs.uk/primary-care/pharmacy/community-pharmacy-contractual-framework/referring-minor-illness-patients-to-a-community-pharmacist/
Managing uncertainty in medicine: https://onlinelibrary.wiley.com/doi/full/10.5694/mja2.51925
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In this episode I look at ADHD which is increasing in prevalence due to increased diagnoses. There are many features to this condition which need unpacking. I look at the causes, what we can do to help manage ADHD and why it occurs in the first place.
The increase in diagnosis: https://www.ucl.ac.uk/news/2023/jul/significant-rise-adhd-diagnoses-uk
ADHD and dopamine - seeking rewards:
https://www.medicalnewstoday.com/articles/325499
Time blindness: https://add.org/adhd-time-blindness/
The risk and benefits of ADHD medication: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6697582/
Risk factors for ADHD: https://www.healthline.com/health/adhd/causes
Time blindness: https://www.thecut.com/2020/04/coronavirus-self-isolation-time-blindness.html
Hyperfocus: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7851038/
Rating scales for children: https://www.healthline.com/health/adhd/rating-scale#symptoms-checklist
For adults (website with advice and help): https://adhduk.co.uk/adult-adhd-screening-survey/
Once of many ADHD podcasts: https://podcasts.apple.com/gb/podcast/adhd-chatter/id1677158558
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It’s something that befalls most of us as we age, but what is it?
It is a marker of vulnerability as we age and in many ways a soft tool to
predict our risk of future illness and rate of decline.
In this episode I look at how it is assessed and what we can do to prevent it.
Links:
Rockwood score: https://www.england.nhs.uk/south/wp-content/uploads/sites/6/2022/02/rockwood-frailty-scale_.pdf
Standing desks: https://www.healthline.com/nutrition/7-benefits-of-a-standing-desk
Prognosis in frailty: https://www.bgs.org.uk/resources/end-of-life-care-in-frailty-identification-and-prognostication
Ageing well: https://www.hopkinsmedicine.org/health/wellness-and-prevention/stay-strong-four-ways-to-beat-the-frailty-risk
An AI device tech example:
https://www.miicare.co.uk/
Gait analysis: https://www.frontiersin.org/articles/10.3389/frobt.2021.749274/full
Creatine: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7996960/
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In this episode I look at what makes for good health in children.
It’s clearly multifactorial and the latest reports show that the health of children has declined in recent years in the UK. I look at why this may be the case and what the root causes might be.
Links:
Children ‘betrayed’ in UK: https://www.bbc.co.uk/news/health-68203749
WHO website on child health: https://www.who.int/health-topics/child-health#tab=tab_1
UNICEF: https://www.unicef.org/
UNICEF child satisfaction tables: https://www.weforum.org/agenda/2020/09/child-well-being-health-happiness-unicef-report/
Child development: https://medlineplus.gov/ency/article/002002.htm
Attachment theory: https://www.verywellmind.com/what-is-attachment-theory-2795337
What every child needs: https://www.childrenscolorado.org/conditions-and-advice/parenting/parenting-articles/what-children-need/
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In this episode I look at the history of sexual health, our attitudes towards it and how we things have changed over the last 100 years.
TW: use of sexual language and references to adult themes.
HPV: https://www.nhs.uk/conditions/human-papilloma-virus-hpv
Shame and STIs: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8297218/
Philadelphia trailer: https://www.youtube.com/watch?v=CKDz2LVHz0Y
Venereal Disease bill 1916: https://pubmed.ncbi.nlm.nih.gov/11589807/
Dr Kellogg: https://www.history.com/news/dr-john-kellogg-cereal-wellness-wacky-sanitarium-treatments
Erectile dysfunction and heart disease: https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/in-depth/erectile-dysfunction/art-20045141
Pfizer propagated the term erectile dysfunction to replace ‘impotence’:
https://www.bloomberg.com/news/features/2017-12-11/the-little-blue-pill-an-oral-history-of-viagra?leadSource=uverify wall
LARCs and teenage pregnancy: https://www.england.nhs.uk/atlas_case_study/increasing-the-uptake-of-long-acting-reversible-contraception-larc-in-general-practice/
Young men, erectile issues and pornography: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8569536/
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This week is my 100th episode. I reflect on some of the topics I have covered over the last 20 months or so and beyond
the basics I talk about what I think is the most important aspect of our health in the modern world (and it's not food or relationships)!
Links below for a deeper dive... let's go.
School resources - how the NHS works: https://www.england.nhs.uk/publication/schools-resources-toolkit/#:~:text=This%20is%20a%20toolkit%20of,NHS%20Services%2C%20health%20and%20wellbeing.
My Symptom Web via NHS England: https://twitter.com/NHS/status/1167147825815314433
MTHFR gene mutation: https://www.healthline.com/health/mthfr-gene#symptoms
MTHFR - more info: https://www.medicalnewstoday.com/articles/318526
Free coaching framework: https://www.basic-coaching.com/
Mental health app Leafyard who I am proud to partner with: https://www.leafyard.com/healthfix
How food can regain nutrients: https://www.bbc.com/future/bespoke/follow-the-food/why-modern-food-lost-its-nutrients/
Journalling for beginners: https://www.bbc.co.uk/bitesize/articles/z3hshcw
Effect of trauma on the brain: https://www.urmc.rochester.edu/news/publications/neuroscience/researchers-reveal-how-trauma-changes-the-brain
Systems Medicine - Leroy Hood: https://laskerfoundation.org/leroy-hood-there-is-going-to-be-a-fantastic-revolution-in-medicine/
Earth’s environmental problems in 2024: https://earth.org/the-biggest-environmental-problems-of-our-lifetime/
My book THE HEALTH FIX - on offer now!: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja-ebook/dp/B0B2VTFFVS/ref=zg_bs_g_362843031_d_sccl_1/259-3769703-6680765?psc=1
New Book: Why can’t I see my GP?: https://www.amazon.co.uk/s?k=why+can%27t+i+see+my+gp&i=digital-text&crid=3EHTLXLDL76C7&sprefix=why+can%27t+i+see+my+gp%2Cdigital-text%2C71&ref=nb_sb_noss_1
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In this episode I look at the work of doctors being done by other professionals and try to balance the issues that surround it.
Links:
My rapid response from the BMJ in 2006: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1325146/
Labels and role confusion: https://www.theguardian.com/society/2023/dec/13/public-confused-over-physician-associates-working-in-nhs-research-finds
Pay issues and regulation: https://www.dailymail.co.uk/health/article-12710201/Some-physician-associates-paid-90-000-year-twice-junior-doctors-salary-not-regulated.html
A sad case of a death: https://www.bbc.co.uk/news/uk-england-manchester-66211103
Endoscopy explained: https://www.nhs.uk/conditions/endoscopy
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Meditation and mindfulness are both useful interrelated tools to improve one’s mental health.
Meditation should ideally be a regular practice and in this episode I discuss some of the benefits as well as take you through a short guided mediation on self-compassion.
Links:
Mindfulness and CBT: https://www.nature.com/articles/s41598-022-24256-9
Mindfulness and changes in the brain - neuroplasticity: https://www.youtube.com/watch?v=7CBfCW67xT8
Meditation and mindfulness nuances: https://positivepsychology.com/differences-between-mindfulness-meditation/
Mindfulness and meditation during COVID-19: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287297/
Measurement of brain responses to meditation: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8638869/
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In this episode I look at the concept of ‘ideas’ rather than resolutions that might shape your 2024 on an individual and societal level, including a couple of things I managed myself in 2023.
There are also some easy hacks to incorporate into your day which can work for everyone.
My IDEAL framework for behaviour change: https://shows.acast.com/savinglivesinslowmotion/episodes/behaviour-change-2-the-ideal-framework
Circular economy: https://unctad.org/topic/trade-and-environment/circular-economy
Ban on single use plastics: https://www.bbc.co.uk/news/business-66946643
AI and personalised medicine: https://www.theguardian.com/commentisfree/2023/jun/26/ai-personalise-medicine-patient-lab-health-diagnosis-cambridge
Leafyard - AI driven mental health app with 20% off here: https://www.leafyard.com/healthfix
My talk in London on Wednesday January 10th 2024: https://www.eventbrite.co.uk/e/dr-ayan-panja-the-health-fix-tickets-753931006937
Red January: https://join.redjanuary.com/
THE HEALTH FIX - all formats, paperback out NOW. Transform your health now: https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296
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In this episode I look at the true essence of health.
We live a world that is increasingly confusing in terms of health messaging and priorities given the amount of inequality in the world.
I take a look at some basics of what is important to us in our lives which people may not consider important for health but not only nourish us as humans
but are important to both our short and long term health.
Links:
Self-esteem and the brain: https://www.ucl.ac.uk/news/2017/oct/self-esteem-mapped-human-brain
Hugs (they really are good for us): https://www.healthline.com/health/hugging-benefits
Quality of Life scoring: https://positivepsychology.com/quality-of-life-questionnaires-assessments
Weightless by Marconi Union (the most relaxing tune in the world?): https://www.google.com/search?client=safari&rls=en&q=weightless+by+marconi+union&ie=UTF-8&oe=UTF-8
Social connectedness (what we know): https://www.cdc.gov/emotional-wellbeing/social-connectedness/affect-health.htm
Eating together (like my taxi driver): https://blog.swedish.org/swedish-blog/7-benefits-of-eating-together-as-a-family
Salutogenesis: https://www.local.gov.uk/case-studies/salutogenesis-introduction
Come and say Hi to me in London: https://www.eventbrite.co.uk/e/dr-ayan-panja-the-health-fix-tickets-753931006937
Pre-order THE HEALTH FIX paperback version now (thank you for your support): https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326/ref=monarch_sidesheet
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In this episode I look at the role of our genes in health and illness.
Patterns of inherited diseases: https://www.verywellhealth.com/how-genetic-disorders-are-inherited-2860737
Epigenetics explained: https://www.theguardian.com/science/occams-corner/2014/apr/25/epigenetics-beginners-guide-to-everything
Epigenetics and inheritance: https://learn.genetics.utah.edu/content/epigenetics/inheritance
Ethics of medical genetic testing: https://pubmed.ncbi.nlm.nih.gov/24300652/
CRISPR technology: https://frontlinegenomics.com/unlocking-the-future-where-is-gene-editing-going-next/
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TW: This episode mentions PTSD.
We all know what trauma means but how and why does it affect our physical health as well as our mental health?
In this episode I look at the reasons behind trauma being a trigger for illness and what we can do to prevent its effects over the years in terms of maintenance.
Links:
Trauma informed care: https://www.gov.uk/government/publications/working-definition-of-trauma-informed-practice/working-definition-of-trauma-informed-practice
Dr Gabor Maté: https://drgabormate.com/
“Negative thinking”: Gabor Maté’s thoughts on this: https://www.reflecttherapies.com/post/the-power-of-negative-thinking
Suppressed anger and illness: https://www.frontiersin.org/articles/10.3389/fpsyt.2021.637029/full
Empaths: If empathy is about stepping into someone’s shoes, compassion is instead “a feeling of concern for another person’s suffering which is accompanied by the motivation to help”: https://www.bbc.com/future/article/20200930-can-empathy-be-bad-for-you
Dr Nicole Le Pera: https://theholisticpsychologist.com/how-to-do-the-work/
The Hoffman Process: https://www.hoffmaninstitute.co.uk/about-the-process/
The seven A’s of healing: https://taliand.com/2012/05/04/the-seven-as-of-healing/
EMDR for PTSD: https://www.ptsduk.org/treatment-help/eye-movement-desensitisation-reprocessing-emdr/
For healthcare professionals: Gabor Maté live in London: https://www.tickettailor.com/events/practiceunbound/940200
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These are both words that are bandied around quite a lot in common parlance but what do they actually mean? And what is the difference between them?
In this episode I look at the similarities, differences and why they come about.
Links:
Trump - a textbook narcissist: https://www.uu.nl/en/node/541/donald-trump-textbook-narcissist
DSM-5 classification of Narcissistic Personality Disorder: https://emedicine.medscape.com/article/1519417-overview?form=fpf
Dr James Fallon: https://www.ted.com/talks/jim_fallon_exploring_the_mind_of_a_killer?language=en
Dr Supriya McKenna - expert support resources on living and dealing with narcissists: https://www.doctorsupriya.com/
The Bad Surgeon: https://www.rollingstone.com/tv-movies/tv-movie-reviews/bad-surgeon-netflix-paolo-macchiarini-true-crime-benita-alexander-nbc-news-1234904394/
The psychopath test: https://psychcentral.com/quizzes/psychopathy-quiz
My London talk in Soho: Wednesday January 10th: https://www.eventbrite.co.uk/e/dr-ayan-panja-the-health-fix-tickets-753931006937
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Medicalisation is the how human experience becomes something that needs medical attention.
There are pros and cons of this including the ‘need’ for medicine vs something that is being sold to us something that is unnecessary.
I look at some examples in this episode and why it is something that needs consideration.
Links:
Ivan Illich: https://www.theguardian.com/news/2002/dec/09/guardianobituaries.highereducation
Sadness vs depression?: https://www.sciencedirect.com/science/article/abs/pii/S0277953617302551#:~:text=Medicalization%20describes%20a%20process%20by,normal%20behavior%20into%20medical%20conditions.
A discussion on medicalisation: https://news.harvard.edu/gazette/story/2009/04/scholars-discuss-medicalization-of-formerly-normal-characteristics
The story behind PHQ-9 and assessing depression: https://www.medicalrepublic.com.au/strange-history-of-a-depression-screening-tool/86457
Lay referral: https://bjgp.org/content/49/445/617
THE HEALTH FIX (paperback version out Jan 24)!: https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296
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Integrity - most of us know what it is and value it but does it always help us or can it hinder us? In this episode I look at why is it so important to so many people, what defines it and some extreme examples.
Links:
Generic examples of integrity: https://helpfulprofessor.com/integrity-examples/
The VW scandal: https://www.bbc.co.uk/news/business-34324772
Roddick vs Verdasco (tennis): https://www.youtube.com/watch?v=bma1NZuo_o4
Integrity in the workplace: https://www.betterup.com/blog/integrity-in-the-workplace
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In this episode I conduct a whistle-stop tour of musculoskeletal health and strategies to prevent joint, muscle and ligament problems and improve our ability to keep them healthy. Some of these conditions are genetic but many are not.
Links:
Biomechanics: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3266544/
Exercise and osteoarthritis: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6165969/#:~:text=Muscle%20strengthening%20and%20programs%20that,activity%20(e.g.%2C%20walking).
Nightshades: https://www.arthritis.org/health-wellness/healthy-living/nutrition/anti-inflammatory/how-nightshades-affect-arthritis
Oxalates and pain: https://www.dailymail.co.uk/health/article-2174474/The-GP-gave-fruit-veg-cure-aches-pains.html
Connective tissue disorders (can be genetic): https://www.healthline.com/health/connective-tissue-disease#genetic-conditions
Gout and glycation: sugar is a big culprit for joint stiffness and uric acid deposition beyond seafood, red meat, spinach and tomatoes: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234537/#
Weights and resistance training to prevent muscle mass loss as we age:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4849483/#
Turmeric and health: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5664031/
Turmeric and lead: https://stanmed.stanford.edu/turmeric-lead-risk-detect/
Fish oils and pain: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7494084/
Pain and trauma: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8578317/
THE HEALTH FIX: https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296/ref=sr_1_1?crid=2RRCBAMHYXPWK&keywords=health+fix&qid=1699533165&s=books&sprefix=health+fix%2Cstripbooks%2C76&sr=1-1
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In this episode I look at the role of faith, prayer and mindset in health.
Links:
Medical study on whether prayer works: https://www.nytimes.com/2006/03/31/health/longawaited-medical-study-questions-the-power-of-prayer.html
Tanya Luhrmann’s work: https://press.princeton.edu/books/hardcover/9780691164465/how-god-becomes-real
Positive outlooks: https://psppjournals.org/index.php/jchp/article/view/212
Think yourself young?: https://www.bbc.com/future/article/20180410-how-your-mindset-determines-your-health
The story of Buddha: https://tricycle.org/magazine/who-was-the-buddha/
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