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Integrative Medicine. Recent Developments in Medicine. Empirical Observations over Thousands of Years. Scientific Method & Case-Based Medicine. Comparison of East & West. East. West. Technology of Medicine. Art of Medicine. Holistic View. Molecular & Organ View. Circular Logic.

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Integrative medicine l.jpg

Integrative Medicine

Recent Developments in Medicine


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Empirical Observations over Thousands of Years

Scientific Method & Case-Based Medicine

Comparison of East & West

East

West

  • Technology of Medicine

  • Art of Medicine

  • Holistic View

  • Molecular & Organ View

  • Circular Logic

  • Energetic

  • Linear Logic

  • Mechanistic


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Science versus Art

  • Over the last 10 years, there has been no change in mean life expectancy in human beings, dog or cats

  • There is an increase in incidence of inflammatory diseases and cancer over our ability to detect the conditions


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What’s Been Happening?

  • CAVM Guideline were re-written in a less than supportive manner

  • Medicine has begun to look at itself with greater scrutiny


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New findings

  • The basic dietary recommendations for human beings have been found lacking

  • Atkin’s low-carbohydrate diet is vindicated


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Obese Nation

  • Recent study showed that being obese is more likely to cause a heart attack than smoking cigarettes

  • We are fat!!!


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New Findings

  • Study (sham-controlled) showed that surgery on human knees created more damage than corrected, unless there was clear ligament damage


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New Findings

  • Major multi-center study showed that estrogen replacement put more women at risk for heart disease than it helped at menopause


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Based upon the AP point selected

Based upon the method of stimulation

Dry needles

Electrical AP

Aquapuncture

Hemoacupuncture

Based upon the length of stimulation

Low-rate, twisting stimulation of GV26 leads to endorphin response, while high-frequency needling of GV26 leads to epinephrine response

Basic Tenets of AP


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Effects of Acupuncture

  • Using manganese-enhanced fMRI (functional magnetic resonance imaging), visual effects can be seen in human and animal neural tissues

Baseline

Mannitol

Mn Infusion

EA GB34


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Effects of Acupuncture

  • Activation of cortex is site specific

  • Leads initially to specific effects

GB34

ST36


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Effects of Acupuncture

  • Activation has temporal effects

  • Longer stimulation activates more cortical structures

  • Leads to broader effects

5 minutes

20 minutes


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Effects of Acupuncture

  • In separate study, analgesic AP points were compared to non-analgesic points

    • Analgesic AP altered brain regions involved in pain modulation

      • PAG, MnR, hypothalamus, thalamus

    • Non-Analgesic AP did not activate same areas


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Method of Stimulation

  • Stimulation of BL-20 (the SP association point) in horses led to analgesia using dry needles or electrical AP.

  • Only EA increased release of endrophins into the blood.



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One Medicine

  • Proven medicine or unproven medicine

  • Scientific or unscientific

  • Good or bad


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What is Non-Traditional Medicine?

  • Any form of medicine not taught in veterinary school

  • Medicine out of the mainstream


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Why Alternative Medicine?

  • People are asking for it for themselves and for their pets

  • Offers approaches which might work when traditional medicine fails


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Use of Alternatives in Human Medicine

  • Most patients are usually women who are between 35-49 years of age, affluent and well educated

  • Results in around $278 billion in annual sales


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Use of Alternatives in Human Medicine

  • 629 million visits to alternative medicine practitioners in 1997

  • Exceeds the number of visits to primary care physicians


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What is Integrative Medicine?

  • Term coined in Human Medicine for utilizing both traditional and non-traditional modes of therapy

  • Similar to Holistic Veterinary Medicine


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Uses a bigger medicine bag

Includes all of traditional medicine and all of alternative medicine

Adds everything that will benefit the patient

Integrative Medicine


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Integrative Medicine

  • Treatment of MIND, BODY & SPIRIT

  • Offers medical choices where choices exist


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Integrative Medicine

  • Base your medical decisions on:

    • what is best for the patient

    • the client’s wishes

    • your abilities

    • your confidence and experience in treating other cases

  • Still starts with a strong basic understanding of traditional medicine


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Integrative Medicine

  • Enter a partnership with client to help maintain animal’s optimal health

  • Pay attention to:

    • Exercise

    • Diet

    • Supplement

    • Vaccinations


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Exercise

  • Need 20 minutes of constant aerobic exercise 2 times a week and 1 hour (at slower pace) once a week

    • Walking

    • Swimming

  • Alternate days of hard and soft work-outs


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Let food be your medicine and medicine be your food

Hippocrates

Many of today’s chronic diseases can be traced to diet

No commercial dog or cat food is as nutritious as fresh, home-prepared food

Dogs & cats have no carbohydrate requirement

Diet


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Basic Canine Diet #1

  • 8 oz Catfish

  • 8 oz Tofu

  • 2 tbs Virgin Olive Oil

  • 2 Whole Carrots

  • ½ cup Spinach

  • ¼ cup Green Pepper

  • ½ cup Broccoli

  • ¼ tsp Dry Ginger

  • 1 Raw Garlic Cloves

  • ¼ tsp Dry Mustard

  • 2½ tab Flintstones plus Calcium

Contains 1355 Calories with a 27/13/60 percent protein/carbohydrate/fat content


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Basic Canine Diet #2

  • 4 Strips Bacon

  • 4 Large Eggs

  • 8 oz Tofu

  • 1 tbs Virgin Olive Oil

  • 1 Whole Carrots

  • ½ cup Spinach

  • ¼ cup Green Pepper

  • ½ cup Broccoli

  • ¼ tsp Dry Ginger

  • 1 Raw Garlic Cloves

  • ¼ tsp Dry Mustard

  • 1 tab Flintstones plus Calcium

Contains 1370 Calories with a 23/12/65 percent protein/carbohydrate/fat content


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Basic Canine Diet #3

  • 1 oz Beef Tallow

  • 4 Large Eggs

  • 8 oz Tofu

  • 1 tbs Virgin Olive Oil

  • 1 Whole Carrots

  • ½ cup Spinach

  • ¼ cup Green Pepper

  • ½ cup Broccoli

  • ¼ tsp Dry Ginger

  • 1 Raw Garlic Cloves

  • ¼ tsp Dry Mustard

  • ½ tab Flintstones plus Calcium

Contains 1479 Calories with a 20/11/69 percent protein/carbohydrate/fat content


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2 oz Pork Chop

4 oz Tofu

8 oz Brown Rice

2 tsp Virgin Olive Oil

¼ cup Honey

2 Whole Carrots

1 cup Spinach

4 Tbs Green Pepper

4 Broccoli Spears

¼ tsp Dry Ginger

1 Raw Garlic Cloves

¼ tsp Dry Mustard

1 tsp Bone Meal

Canine Diet for Athletes


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Basic Cat Food

  • 3 oz Salmon

  • 2 oz Chicken Heart

  • 4 oz Beef Kidney

  • 2 oz Turkey Breast

  • 2 oz Chicken Liver

  • 1 oz Sardines

  • 1 tbs Virgin Olive Oil

  • ¼ cup Broccoli

  • ¼ cup Spinach

  • ½ tab Vitamin B complex (B-50)

  • 1 tab Vitamin C (500 mg)

  • 1½ tab One-a-Day plus Calcium

  • 400 IU Vitamin E

  • 250 mg Taurine

Contains 737 Calories with a 45/4/51 percent protein/carbohydrate/fat content


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Vaccinations should be based upon scientific verification of efficacy, not upon the manufacturers recommendation (unless based upon such science)

Give only vaccinations that are truly necessary

Give them based upon titers

Support research

Vaccinations


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NIH Classification of Alternative Therapies efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • Mind-Body Interventions

  • Bioelectromagnetics

  • Alternative Systems of Medical Practice

  • Manual Healing Methods

  • Alternative Pharmaceutics and Biologics

  • Herbal Medicine


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NIH Classification of Alternative Therapies efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • Mind-Body Interventions

  • Bioelectromagnetics

  • Alternative Systems of Medical Practice

  • Manual Healing Methods

  • Alternative Pharmaceutics and Biologics

  • Herbal Medicine


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Mind-Body Interventions efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • Meditation

  • Biofeedback

  • Hypnosis

  • Mental Healing (Distant Intentionality)


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Distant Intentionality efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • Prayer reduces ICU stay and complications from other diseases

  • Our intention may affect the outcome of our treatment


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NIH Classification of Alternative Therapies efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • Mind-Body Interventions

  • Bioelectromagnetics

  • Alternative Systems of Medical Practice

  • Manual Healing Methods

  • Alternative Pharmaceutics and Biologics

  • Herbal Medicine


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Bioelectromagnetics efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • Effects of nonthermal, nonionizing radiation on the body

  • Bone repair, nerve regeneration, wound healing and immune stimulation


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Static Magnet Therapy efficacy, not upon the manufacturers recommendation (unless based upon such science)

N

  • As old as the earth

  • Egyptian scrolls (circa 2800 BC) contained references to loadstones

    • Cleopatra used them on her forehead to prevent aging

  • Hindus used magnets 1000s of years BC

S

You Are Here


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Static Magnet Therapy efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • Magnetism is defined as the alignment of a permeable material so that the molecules face in a uniform direction (i.e., north facing one direction and south facing the opposite).

Bar Magnet (unipolar)


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North Pole efficacy, not upon the manufacturers recommendation (unless based upon such science)

alkaline ( pH)

suppresses mitosis

(–) energy pole

 bacteria & viruses

stops bleeding

shrinks tumors

 bone healing

 inflammation

South Pole

acid ( pH)

stimulates mitosis

(+) energy pole

 bacteria & viruses

vasodilation

 tumor growth

 bone healing

 inflammation

Static Magnet Therapy


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NIH Classification of Alternative Therapies efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • Mind-Body Interventions

  • Bioelectromagnetics

  • Alternative Systems of Medical Practice

  • Manual Healing Methods

  • Alternative Pharmaceutics and Biologics

  • Herbal Medicine


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Alternative Systems of Medical Practice efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • Traditional Chinese Medicine

  • Ayurvedic Medicine

  • Homeopathy

  • Naturopathy


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Homeopathy efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • 200 years old

  • Sam Hahnemann

  • “Like treats Like”

  • Dilute, potentized remedies

  • One remedy has recently been FDA approved to treat certain forms of Asthma


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NIH Classification of Alternative Therapies efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • Mind-Body Interventions

  • Bioelectromagnetics

  • Alternative Systems of Medical Practice

  • Manual Healing Methods

  • Alternative Pharmaceutics and Biologics

  • Herbal Medicine


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Manual Healing Methods efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • Chiropractics

  • Massage

  • T Touch

  • Healing Touch


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Healing Touch efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • Hippocrates called magnetism “the force that flows from many people’s hands”

  • Galen stated, “a sick body can gain strength from the unbroken contact with a healthy body”


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NIH Classification of Alternative Therapies efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • Mind-Body Interventions

  • Bioelectromagnetics

  • Alternative Systems of Medical Practice

  • Manual Healing Methods

  • Alternative Pharmaceutics and Biologics

  • Herbal Medicine


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Alternative Pharmaceutics and Biologics efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • Medicines and Vaccines which are not yet Mainstream

    • Bee venom therapy

    • Plant extracts (mistletoe, Venus fly trap, etc.

    • Orthomolecular medicine


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Orthomolecular Medicine efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • The preservation of health and prevention of disease through the provision of the optimum molecular constituents of the body


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Basic Principles of OM efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • Nutrition First

  • Biochemical Individuality

  • Drugs can be Toxic

  • Inescapability of Pollution

  • Hope reigns Supreme


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OM Therapy efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • Prescribed in quantities sufficient to prevent, treat or control certain diseases.

  • Includes

    • Antioxidants

    • Membrane Stabilizers

    • Cofactors


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Antioxidants efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • Vitamin E

  • Vitamin C

  • Selenium

  • Beta Carotene (Vitamin A)

  • Superoxide dismutase

  • Glutathione peroxidase

  • Acetylcysteine

  • L-methionine


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Membrane Stabilizers efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • Omega-3 fatty acids

  • Gamma-linolenic acid

  • Coenzyme Q-10

  • L-carnitine

  • L-taurine


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Cofactors efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • B Vitamins

    • niacin

    • folic acid

    • thiamin

    • cyanocobalamin

  • Trace Minerals

    • zinc

    • iron

    • copper

    • cobalt


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Vitamin E efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • antioxidant against lipid peroxides

  • also a membrane stabilizer

  • boosts immune defenses

  • can affect primary hemostasis

  • therapeutic dose is around 20-50 IU/kg


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Vitamin C efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • regenerates vitamin E

  • stimulates synthetic enzymes (for repair)

  • antioxidant against nitrosamines and many free radicals

  • can cause flatulence and diarrhea

  • 4-8 mg/kg or to gastric tolerance level


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Vitamin E 10 IU/lb daily efficacy, not upon the manufacturers recommendation (unless based upon such science)

Vitamin C 5-10 mg/lb twice a day

Selenium 2 µg/lb daily

Beta carotene 250 IU/lb daily

Vitamin E 100-400 IU daily

Vitamin C 100-250 mg twice a day

Selenium 50 µg daily

Vitamin A 1000-5000 IU daily

Basic Antioxidants

Dogs

Cats


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NIH Classification of Alternative Therapies efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • Mind-Body Interventions

  • Bioelectromagnetics

  • Alternative Systems of Medical Practice

  • Manual Healing Methods

  • Alternative Pharmaceutics and Biologics

  • Herbal Medicine


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Western Herbal Medicine efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • 3000 BC (Bronze Age)

    • Sumerians used laurel, caraway and thyme

  • 2700 BC

    • Oldest herbal book- -China

  • 300 BC

    • Hippocrates taught that health could be maintained using a few simples herbs, with rest and with proper diet


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Western Herbal Medicine efficacy, not upon the manufacturers recommendation (unless based upon such science)Regulatory Status

  • Drugs

    • must meet strict requirements

      • ingredients must be identified

      • safety must be demonstrated

      • effectiveness must be shown

    • regulated by the FDA


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Western Herbal Medicine efficacy, not upon the manufacturers recommendation (unless based upon such science)Regulatory Status

  • Herbs

    • harder to meet drug requirements

      • ingredients may not all be known

      • safety may not be established

      • efficacy may not be shown

    • sold as dietary supplements under the Dietary Supplement Health and Education Act of 1994- - ONLY AFFECTS HUMANS

    • must be proven unsafe by the FDA


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FDA regulates all animal supplements efficacy, not upon the manufacturers recommendation (unless based upon such science)

Any that is not a food additive (in quantities established by NRC & AAFCO) are considered drugs

Prescribing supplements is considered “extra-label” drug usage

FDA primarily prosecutes cases of adulteration (having wrong ingredients or improper claims)

FDA Regulation of Animal Supplement


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Ginger efficacy, not upon the manufacturers recommendation (unless based upon such science)Zingiber officinale

  • Common Uses

    • nausea & vomiting

    • stomach problems

    • anti-inflammatory

    • appetite stimulant

  • Dosage

    • morning sickness

      • 250 mg 4 times a day

    • rheumatoid arthritis

      • 0.1-1 gm dry or 5 gm fresh


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Ginkgo biloba efficacy, not upon the manufacturers recommendation (unless based upon such science)

  • Common Uses

    • improve memory and concentration

  • Cognitive benefits

    • can stabilize or improve cognitive function and social behavior in Alzheimer’s disease

    • improves cerebral blood flow

  • Dosage

    • 2-4 mg/kg (dog & cat)

    • 350 mg/kg was non-toxic to rats


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    Hawthorn efficacy, not upon the manufacturers recommendation (unless based upon such science)Crataegus oxyacantha

    • Common Uses

      • heart tonic

        • lower blood pressure

        • reduce incidence of chest pain

        • treat tachycardia or arrhythmias

        • control atherosclerosis

    • Effectiveness

      • increases coronary circulation 20-140% after 1 mg of dry extract


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    Hawthorn efficacy, not upon the manufacturers recommendation (unless based upon such science)

    • Actions

      • inhibits vasoconstriction and dilates blood vessels

      • proanthocyanidins (bioflavonoid) inhibits angiotensin-converting enzyme

      • antiarrhythimic

      • inotropic effect

    • Dosage

      • 1-2 mg/kg 2-3 times a day


    Integrative medicine69 l.jpg
    Integrative Medicine efficacy, not upon the manufacturers recommendation (unless based upon such science)

    • Base your medical decisions on:

      • what is best for the patient

      • the client’s wishes

      • your abilities

      • your confidence and experience in treating other cases

    • Still starts with a strong basic understanding of traditional medicine


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    TCM Prayer efficacy, not upon the manufacturers recommendation (unless based upon such science)

    • Just for today, I will let go of my anger.

    • Just for today, I will let joy in my heart.

    • I will not worry or be sad.

    • Just for today, I will embrace life.

    • I will live without fear, in harmony with myself and the Universe.


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