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Ruminations on Cancer

Inner Circle Member Forum >> Food and Diet >> Ruminations on Cancer

Bob Niland

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Posted: 2/11/2016 8:32:26 AM
Edited: 9/6/2018 5:28:09 PM (26)
 
Ruminations on Cancer

Ruminations on Cancer

Edition: 2018-09-06

Table of Contents

Introduction
Metabolic Theories
Plan A: Avoidance
  Low Glucose Diet : Low Trigger Diet : Key Micronutrients : Multiple Sun Issues : Environmental Triggers
Treatment Options
  Remediate Diet : Do Homework : Engage Collaborative Provider : Don’t Dismiss SoC : FMT Contingency Plan : Ketogenic Diet : R-KD, Exogenous Ketones : Hyperbarics and Other Options
If the Afflicted isn’t You
Addendum: Mitigating Non-Native EMF

Introduction

The Undoctored and Wheat Belly programs do not presently include a cancer treatment Protocol. A focus of the program is to inherently minimize cancer risk. Here’s an example:
Insulin is a carcinogen

If you don’t get cancer, you don’t need to treat it. This article is just my impression of our modern cancer context, and what might be done if someone has encountered one of the more extreme consequences of modern living.

Nixon declared War on Cancer in 1971. Presidents since then have made various symbolic gestures, with another pricey proposal mooted as I was initially assembling this article in early 2016. A very few cancers do have effective treatments, but most do not. What we primarily have to show for the investment over the last 47 years is some pretty nifty gene analysis technology that’s of huge value for other reasons.

The overall cancer rates and mortality (net of “all sites”) is reportedly unchanged since 1950. Finding data and charts for that is not trivial, because prominently reporting it apparently supports no one’s agenda (or funding model). You can easily find charts showing a slight decrease trend since 1990, but this appears to be mostly due to a decline in smoking.

Why so little net progress? Well, as with many chronic non-infectious ailments, the cure may be illusive because they are almost certainly digging in the wrong place. The main impediment in cancer research is probably the dominant somatic (or gene) theory of cancer, memorialized in the book Emperor of All Maladies (Mukherjee, 2001) which purported to be “A Biography of Cancer”, but neglected to mention Otto Warburg, even if to dismiss him. See Tripping Over the Truth: The Return of the Metabolic Theory of Cancer Illuminates a New and Hopeful Path to a Cure (Christofferson, 2014, 2nd edition 2017).

A few cancers have a predictable genetic etiology, but most express genetic chaos, which chaos is not amenable to the long promised genetic or gene-targeting therapies.

The number of cancer risk factors is growing rapidly. All sorts of correlations, which may or may not identify causes, have been found. The California Proposition 65 list is perhaps the most well-known, although it notoriously fails to include sugar. The list itself is probably carcinogenic by now.u263a_white_smiling_face

So the risk of getting cancer appears to remain high, and once diagnosed, the outcomes in most cases, under the Standard of Care (SoC; the consensus treatments) remain discouraging: expensive, unpleasant, and offering average life extension often measured in mere days or weeks.

There are isolated human cultures today that have no or very little cancer.
What makes them different?

It is thought that Western culture had a dramatically lower risk of cancer until fairly recently.
What changed?

The answer in both case is:
a lot
How many of those differences/changes matter?
It could be most of them.Return to TOC ]

Metabolic Theories

So if the somatic theory is incorrect, what theories might we consider that offer some testable possibilities for prevention, treatment or cure? The number of alternative theories over the last few decades has ranged from credible to crackpot.

Perhaps the most prominent of the credible alternate theories is the metabolic, originally proposed by Warburg in the 1920s, and more recently revised by Seyfried, who wrote a book about it “Cancer as a Metabolic Disease“ (2012). It’s an expensive textbook, but here’s an open summary from 2014:
Cancer as a metabolic disease: implications for novel therapeutics
Basically, anything that causes mitochondrial impairment can lead to cancer in a metabolism predisposed to enable it. Seyfried himself recommends Christofferson’s book for general audiences.

There are variations of that theory that are also based on mitochondrial dysfunction, for example Seneff. Prevention and treatment approaches may be similar on that view. There’s also a Tissue Organization Field Theory, an Atavistic Model and Jack Kruse seems to have his own “mitonuclear asynchronous disease” theory, which I haven’t dug into.

The Warburg effect, by the way, suggests a reason why cancer researchers may be unwilling to look more seriously at the metabolic theories. The role of glucose amounts to an indictment of consensus full-time glycemic diets. Any researcher proposing to prevent or treat cancer by means of reduced glucose is declaring that the USDA and DGA committees have been telling people to eat tumor chow for decades. That further leads to heart disease dogma being upside down as well. Anyone seeking NIH funding is probably seriously disinclined to open those cans of worms.Return to TOC ]

Plan A: Avoidance

There may presently be no “cure” for the majority of cancers. Most of them may turn out to be a largely expected biologic response to various provocations in too-common metabolic scenarios. Our bodies may be deflecting these hazards most of the time. If a site gets out of control, taking extraordinary consensus steps to kill it may leave us weakened for the next routine episode.

The main thing to do about cancer is to reduce your profile as a target:

  1. Adopt a very low net carb, high specific fat, moderate protein diet.
  2. Eliminate or reduce known triggers in diet.
  3. Attend to protective micronutrients in diet.
  4. Obey the sun.
  5. Reduce exposure to known environmental triggers.

Return to TOC ]

1. Low Glucose Diet

A key feature of the metabolic theory of cancer is the “Warburg Effect” (described in the Seyfried paper linked earlier). Most tumors thrive on glucose. Mainstream oncologists use this to image tumors with tagged glucose (PET scan). Why consensus oncologists don’t exploit it for treatment may be an impolite question.

There are a number of videos available on ketogenic diet, and a possible role for it in cancer, circa early 2016. If you only take in one (about a half hour), it might be this one by Adrienne C. Scheck, PhD on ketogenic diet as an adjunct to Standard of Care.

Tumors can get by on glutamine. They do poorly or die on ketone bodies. A diet that is 50 grams net carb per day is at what is generally considered to be the glycemic/ketotic borderline. Following Undoctored or Wheat Belly, you are apt to be in ketosis at least part of the time. On the metabolic theory, this is unfriendly to tumors (but probably not inherently therapeutic).

Tumors apparently can also do well on linoleic (LA) and arachidonic (ARA) acids, both Omega 6 PUFAs. Of these, the ω6LA is pervasive in modern so-called “vegetable” oils derived from grains and other seeds. ω6LA is also inflammatory. ω6LA is persistent in the body (can be stored for years), and released during weight loss “Polyunsaturated fatty acids are released more rapidly than saturated fatty acids during long-term energy deficits.”. Message: lose the weight before you get cancer (“But the 4 people that had worst progression of disease were also the heaviest with BMIs of 28-31.”)

This does not lead to a conclusion of don’t do KD. Keeping the weight on is apt to be even riskier. What it really means is that anyone concerned about cancer avoidance needs to lose the weight now, and not wait for a diagnosis. Return to TOC ]

2. Low Trigger Diet

Some elements common in modern diet are known to have a cancer connection, such as trans fats, AGEs and nitrites (including nitrosamine). The Undoctored and Wheat Belly dietary guidelines warn about those (as do many cancer authorities).

Avoiding mitochondrial antagonists would appear to be an exploitable strategy on the metabolic cancer model. This means minimizing, avoiding, and if unavoidable, countering antibiotics, and food-like substances that act like antibiotics. Mitochondria are thought to be co-opted bacteria, so anything that suppresses or kills bacteria could be a problem.

Undoctored and Wheat Belly further warn about common foods that enable inflammation. This includes the gluten-bearing grains, principally wheat, and modern Omega 6 PUFA industrial seed oils, mainly LA.

Wheat, in addition to being a direct gut antagonist, also opens the tight junctions of the gut wall, which allows its own adverse proteins and random other toxins into the bloodstream that should not be there. Mitochondrial mischief is a likely consequence, if not direct intestinal cancers. More? Wheat germ oil is 55% ω6LA. Return to TOC ]

3. Key Micronutrients

Immune system support is key in avoiding cancer. Undoctored and Wheat Belly strongly encourage daily consumption of varied prebiotic fibers, supporting a robust microbiome, a major player in immunity. Immune therapy, by the way, is an area of active research in cancer. This recent article lays out some of the benefits, hazards and sobering unknowns of direct intervention with the immune system.

Intake of 3 grams or more per day of Omega 3 DHA and EPA is advised, as well as ample potassium, both of which have been shown to be cancer protective.

Ad libitum consumption of fresh non-starchy vegetables is also encouraged, which provide cancer-protective phytonutrients in addition to prebiotic fiber.Return to TOC ]

4. Multiple Sun Issues

Conventional wisdom on cancer risk says: don’t get too much sun. What if that’s not just mistaken, but upside down?

Humans are adapted to both sunlight and the clock that the solar day represents.

Vitamin D
Undoctored and Wheat Belly advocate a serum Vitamin D titer of 60 to 70 ng/ml. Vitamin D is known to be cancer-protective. The optimal/ancestral way to get D is exposure to sunlight. Most of us, alas cannot do that due to age, latitude, lifestyle, or some combination thereof, so we supplement. But get what sun you can.

The “Vitamin D Dilemma” is a long-standing issue. Based on my personal experience from switching to the Wheat Belly diet in 2011, I suspect that skin cancer risk is less a function of sun exposure than diet. Before WB, I used to sunburn easily and severely. I no longer do.

ipRGCs, uV, blue light
I have a separate article on the Blue Light at Night hazard which provides detail on this matter. Cancer is a risk for night time blue light exposure.

Concordantly, do get blue light, and even ultraviolet light exposure in the morning, just like your ancestors did. Don’t wear sunglasses during the day unless you must (safety or unusually high exposure).

Obey the clock
Keep a wake/sleep schedule synchronized to the local solar day if possible. Don’t stay up late, and fade the light to amber if you must stay up. Think twice about migrating to Mars with Elon.
CaloriesProper: Circadian rhythms and prostate cancer
BCR: Circadian clocks and breast cancer

Shift work is a known carcinogen. If you must put up with it, mitigate the light effects to the extent possible. Avoid all (not most, all) exposure to blue and bright white light during what is supposed to be your “night”. Sleep in a totally dark room. Get blue light exposure on arising.Return to TOC ]

4. Other Environmental Triggers

In a person on a strongly protective diet, it may turn out that many “known carcinogens” are substantially less potent, and perhaps no real threat at all. But all remain worth opportunistically minimizing on a precautionary basis, and a few might require more active steps.

Compared to extant primitive cultures, cancer in “developed” society is at extraordinary levels. There may be significant triggers at large, whose effects are lost in the noise.

Perhaps at the top of the list of suspects is non-native electromagnetic radiation (EMF). We’re awash in it, and some of it may represent hazards we can do something about, short of full body grounded tinfoil moon suits.

See the addendum below for further discussion.Return to TOC ]

Treatment Options

Hints of the leading edge of metabolic therapies might be found in this 2018-07 podcast with Peter Attia and Dom D’Agostino: 2:43:05, 115MB download

The most recent comprehensive book on the situation might still be:
The Metabolic Approach to Cancer: Integrating Deep Nutrition, the Ketogenic Diet, and Nontoxic Bio-Individualized Therapies (Winters & Kelly, 2017) It’s endorsed by Seyfried and Christofferson.

If we are confronted with a diagnosis, how does the metabolic theory inform our therapy choices? (And it is our choice - let the oncologist advise, but not dictate.)

I have not been in this situation, but if I had to deal with it, this is what I would do…Return to TOC ]

Get The Latest Advice

This article is not that advice but might provide some leads.

Remediate Diet Immediately, Tweak

This tip may be effective only for cancers that show up in PET scans. This non-PET caveat apparently applies to most prostate cancers and glutamine-dependent cancers. For those that don’t show up, alternatives need to be considered. Also, if a cancer develops in someone who has consistently been on a low-carb or keto diet for many years, further adjustments in diet are apt to be of very limited value, with perhaps caloric restriction being the only option there, along with carefully selected meds and novel supplements.

If I wasn’t following a very-low-net-carb, grain-free, low-inflammatory, high-specific-fat, gut-attentive that is low in other suspect food-like additives, I’d consider it the first step. The Undoctored recommendations cover this.

Look for additional supplements that are known to be supportive of mitochondria. Some that come to mind are CoQ10 and NAC (which latter was mentioned in a paper linked earlier).

If already on the Undoctored lifestyle, I’d go even lower net carb (less than 20 grams per day). This is a ketogenic diet (KD), and it both deprives the tumors of the glucose they thrive on, and raises blood levels of ketone bodies, which other cells can run on, but tumors cannot (at least at the outset). Based on reports to date, I consider this a holding or a delay action, and not a full treatment. More tweaks below.

Drive intake of the PUFA Omega 6 linoleic acid as low as possible. ω6LA is the major component of common novel vegetable oils (refined grain and seed oils). “tumors selectively take up high amounts of polyunsaturated fatty acids”. Driving ω6LA down means learning where it hides.

In addition to reducing available glucose, take steps to prevent the remaining glucose from entering cells where it is not needed. Metformin might be useful here. In any case, this means minimizing insulin, and that suggests eliminating dairy, and not using substitute sweeteners known to provoke an insulin response (even if brief and mild).Return to TOC ]

Do More Homework

This article is not that homework. A fundamental premise of this article is an intent to be one’s own active case manager, willing to at least consider some dissident approaches.

Before I could have a productive conversation with a provider, I’d need to be conversant with the options provided under the Standard of Care for your diagnosis, and have researched what CAM (Complementary and Alternative Medicine) have to offer. A key determination for both is data on outcomes.

Part of the homework is insurance coverage. Are any CAM modalities covered? Fortunately, much of approach explored below is very inexpensive to do independently.Return to TOC ]

Find a Collaborative Provider

“Are you willing to work with a self-directed patient?” might be the first question to ask.

I would let the provider know that I’d been doing research, and will have questions, but I’d let them make their presentation. Pay particular attention to whether a prognosis is offered, as it often isn’t: “Surprisingly, huge numbers of cancer patients lack basic information, such as how long they can expect to live, whether their condition is curable or why they’re being prescribed chemotherapy or radiation, said Dr. Rab Razzak, director of outpatient palliative medicine at Johns Hopkins Medicine in Baltimore.”

Then I’d find out if they are open to making adjustment to the SoC, or even working with me to obtain novel or emerging CAM treatments.

If they aren’t, and I couldn’t find a provider who will, I’d consider to what extent I was willing to be non-compliant with any treatment I consider to be net adverse.

Many people faced with rad or chemo choose no treatment. It’s tragic that they think submission to the SoC or surrender to the cancer are the only options.

How about that clinic in Turkey? I’ll get back to you on that after they drop the “Vitamin B17”. How about Rapamycin, Mebendazol or Doxycycline? Yes, there is lots of homework to do.Return to TOC ]

Don’t Dismiss the SoC

If you’re going to place your bet on the SoC, you’re going to get what the SoC delivers, so make sure you know what that is.

The Standard of Care has effective treatments for certain cancers. It would be crazy to ignore this option, but careful attention needs to be paid to:
• elevated risk of future/different cancers, and
• other side effects, in particular
• is loss of appetite/weight loss typical?
If the answer to that last question is “yes”, a further question must be asked: is the treatment benefit due to the treatment itself, or the incidental caloric restriction, if not actual ketosis?

I would also research any treatment adjustments for ketogenic diet. KD (ketogenic diet) appears to potentiate both radiation therapy and chemotherapy, and might allow lower dosing.

Personally, if the SoC involved chemo or rad, I’d be inclined to try a non-invasive approach first.Return to TOC ]

FMT Contingency Plan

Conventional cancer therapy is often a disaster for the gut microbiome. Consensus medicine probably pays no attention to this, or considers the gut an acceptable casualty in light of saving the greater organism. It doesn’t have to be that way.

I would see if I could arrange for an autologous FMT prior to commencing any medication. This presumes that there is no suspicion that the cancer arose from a dysbiosis, of course. The FMT sample is later used to repopulate the gut with the same spectrum of micro-organisms that were there before treatment started. Probiotics, even prescription probiotics, don’t really provide that.

If the medical profession wasn’t supportive of FMT, I’d seriously consider a home solution, using frozen samples and enteric-coated capsules.Return to TOC ]

R-KD, IF, Exogenous Ketones, IV-C, 2-DG, 3-BP

This step would require synchronizing with the latest research. Dominic D’Agostino’s site is a great resource for that.

Seyfried’s book suggests that a restricted-calorie ketogenic diet (R-KD or KD-R) might be an effective part of cancer therapy. The restricted aspect of it is to reduce levels of glutamine, which tumors can use instead of glucose.

Researcher Dominic D’Agostino further suggests intermittent fasting (IF) and metformin, which would be tumor stressors and BG reducers, and more recently in the podcast linked earlier: IV-C, 2-deoxyglucose (2-DG) and 3-Bromopyruvate (3-BP).

Exogenous ketones (ExKs) are one or more actual ketone bodies consumed as if food, rather than synthesized by the body from precursor foods like MCTs. This both raises blood ketone levels, and provides energy, which might provide more flexibility in intake of other foods. Anyone with factors that put them at higher risk for cancer probably needs to avoid casual use of ExKs. Reserve them for urgent situations.

There are several credible ExK products on the commercial market already, mostly ketone salts, and a lot of useless “raspberry ketones”. The ideal products might be research materials unavailable to the general public. Getting access would probably require getting enrolled in a trial (with some risk of being in the placebo arm).Return to TOC ]

Hyperbarics and Other Options

Therapies on the metabolic theory are developing rapidly. One being investigated is hyperbaric oxygen (HbO2). Here’s an eye-opening paper on a rodent trial:
PLOS|ONE: Non-Toxic Metabolic Management of Metastatic Cancer in VM Mice: Novel Combination of Ketogenic Diet, Ketone Supplementation, and Hyperbaric Oxygen Therapy. D’Agostino suggests that being in ketosis essential for HbO2 safety.

Other modalities are worth investigating, being sure to maintain a skeptical perspective and critical thinking. Various proposed therapies that turned up that last time I searched included IV Vitamin C, high-dose Vitamin D (not clear if it’s any higher than the 60-70ng/dL titer routinely suggested by Undoctored), low-dose naltrexone (LDN), mitochondria-targeting antibiotics, various supplements aimed at inhibiting angiogenesis, and the usual assortment of botanicals and nutritional potions, most of which are apt to be wishful thinking (for example: royal jelly is one — it was recently discovered that what makes queen bee honey different from regular honey is what it doesn’t contain, oops).

For prostate cancer, there was recent news on high-intensity focused ultrasound (HIFU) treatment. That’s encouraging, because in consensus treatment, outcomes often differ little between interventions and doing nothing.

Other recent developments are modified polio virus for glioblastoma multiforme (GBM) and Bacillus polyfermenticus and proteasome for multiple myeloma. Return to TOC ]

If the Afflicted is not You

They have to take command of their own situation. All you can really do is make it known that you might have some potentially life-saving advice, and are willing to share it, if the insight is sought.

Chances are this person has not been following the Undoctored/Wheat Belly lifestyle, and there’s also some chance you’ve brought that up in the past and had no luck engaging them on the topic.

Now they have an even more complicated metabolic situation, and no matter how diplomatic you are, if they consider these alternatives, they’re may see it as an “I told you so” moment.Return to TOC ]


Addendum: Mitigating Non-Native EMFs

Personal guess: if someone is on a standard (high cancer risk) diet, strict RF avoidance discipline is far from the most important step in preventing an RF-induced tumor. On a low cancer risk diet, strict RF discipline is likewise a minor tweak. If, for example, cell phones were highly reliable at causing GBM, we’d probably know by now.

Although the RF hazard topic gets study, there are factors impeding real discovery:

  • Invested Interests™ (device makers and service providers) aren’t all that keen on really knowing. They tend to run/fund trials where negation or ambiguity are the preferred conclusions, which conveniently means that they could later have a “we didn’t know” defense.
  • Cell phones in particular are a moving target, both literally and metaphorically. The technology (carrier frequencies, power and modulation) change significantly with each “G” (generation), and per-call exposure varies dramatically due to geography and architecture, not to mention vehicles moving relative to towers.
  • Trial design: investigators are often primarily looking for effects from ionizing radiation, and not more subtle mitochondrial disruptions. The Wiki article on Mobile phone radiation and health lists various suspect effects.

Here are some tips on mobile electronics and WiFi. This is in addition to the admonishments above on circadian disruption. Mark Sisson looked at this in June 2016, and came to similar, if slightly more permissive conclusions.

  • Keep RF emitters as far from your body as practical. For example, put the WiFi router at some central location where people don’t spend a lot of time next to it.
  • Don’t keep your cell phone in extended close body contact, and vary the location. I normally set mine nearby or even leave it in another room at home. This is an inverse-square-law situation. Each doubling of distance cuts the RF power by another 4×.
  • Go hands-free. Speaker-phone is fine. Or use a headset, preferably wired, preferably with an RF choke (toroid) at the plug end, or even acoustic (transducer at the plug end, hollow tubes to ears). Perspective: the RF risks here are to some extent conjectural. What is not conjectural is the physical risk of cell phone use while driving. Hands-free gear there is clearly lifesaving (although soundly beaten by not taking or placing calls at all while driving).
  • Don’t hold the phone to your head. I use a Motorola H720 BlueTooth headset, switched off except during calls. A BT transmitter only has to reach a typical 10 meters. A cell phone transmitter might have to reach 10 kilometers (at least 5.7 km at my house, and maybe further). As infrequently as I use a phone, I consider the BT RF risk low. Mercola has further cell tips here (that article may otherwise overstate the risk).
  • Think twice about full-time RF wearables, like smart watches, Google Glass, BlueTooth hearing aids/protectors and such. Or volunteer to be the lab rat. It’s your call.

Return to TOC ]

___________
Bob Niland [disclosures] [topics]

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Posted: 2/11/2016 8:33:36 AM
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yeah, that's what Mercola was talking about during this interview.


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I don't know where all of this will lead.  
You're really on your own.

47 of 53 cancer studies couldn't be reproduced.
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Posted: 7/8/2017 8:47:46 PM
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Posted: 7/18/2017 9:40:03 AM
 
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Posted: 7/18/2017 9:53:36 AM
 
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Posted: 7/21/2017 8:05:02 AM
 
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Posted: 7/21/2017 9:33:49 AM
 
My guess he’ll be told, "Diet doesn’t matter, eat whatever you want".

If I got glioblastoma...I’d be KetoBoy


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Posted: 7/22/2017 7:23:49 AM
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Posted: 8/3/2017 12:57:49 AM
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Tags: Cancer,Ketogentic diet

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Posted: 9/15/2017 9:57:29 AM
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Posted: 9/19/2017 10:51:21 AM
 
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Posted: 11/9/2017 1:03:43 AM
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Posted: 1/4/2018 8:36:46 PM
 
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Posted: 1/4/2018 9:19:10 PM
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Posted: 7/17/2018 8:03:58 PM
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Posted: 11/9/2018 9:41:09 PM
 
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Posted: 11/28/2018 5:19:00 PM
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Posted: 11/28/2018 8:24:03 PM
 
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Posted: 11/29/2018 9:32:48 AM
 
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