From the monthly archives: "January 2008"
Everyone knows that there are big bucks to be made in the pusher game. From slinging crack to Prozac, profits proliferate when the product promises a miracle cure, or a great way to get high. The risks in the game are a’plenty, but when laws can be loopholed, then all kinds of funny stuff can happen. Take, for instance, the latest in the cholesterol lowering drug racket. Recent reports show that pharmaceutical giants Merck & Co Inc and Schering-Plough Corp may have been up to some funny business regarding published results of their combined drug Vytorin, as well as their marketing and advertising practices. Hold onto your hats because this one’s a doozy.
According to reports, U.S. regulators are contemplating action against Merck and Schering-Plough, the makers of Vytorin, for not releasing the results of a two year study titled Enhance, which sought to study the effectiveness of Vytorin versus the cholesterol lowering drug simvastatin. Let me explain: Vytorin is a combination of the statin drug simvastatin and a drug that blocks cholesterol from entering through the gut called ezetimibe. The idea is that the statin blocks the production of cholesterol from the liver, what we call endogenous cholesterol, while the cholesterol blocker prevents the uptake of cholesterol found in food, or exogenous cholesterol.

You know–you’ve seen the commercials: “A series of split-screen images of a person and a food item to make the point that cholesterol comes from two sources and can be absorbed from food or manufactured by the body, and that heredity plays a role in the latter. This point is a departure from the commonly held belief that high cholesterol only comes from the food that you eat. In each commercial, the person is dressed, and the food plated, to emphasize the resemblance between the person and the food.” (from Wikipedia)

Here’s the problem: the results of the Enhance test showed that Vytorin, the combo drug, worked no better than simvastatin (brand name Zocor) alone. Get it? The exogenous cholesterol blocker didn’t do squat.

So what! What’s the big deal?

The big deal is that the pharmaceutical companies neglected to publish the results–for 18 months! Whoa. Now why would they do that? Well, let’s see. Uh…big ducketts? Wait, it gets better: Schering-Plough president, Carrie Smith Cox, it turns out, dumps 900,000 shares of company stock, worth $28 million, seven months before the results are published! Woohoo! Even better is that as of two weeks ago, the stocks started sinking like a led zeppelin. You see, once the news got out that Vytorin is no better than generic simvastatin, a much cheaper drug, doctors will stop prescribing it. They haven’t yet, as one report has prescriptions up at 800,000; but I assure you, now that the results are public, prescriptions will have to drop, because everybody knows now, right? You sure do.

How and why does something like this happen? First, you have to understand the pharmaceutical patent game. To get a patent on a drug, a company much go through rigorous testing that can take up to twelve years. Once the government approves the drug, the company gets the patent for twenty years. That means, only they can manufacture and sell that drug during the life of the patent, which means lots of money. Once the patent expires, any drug company can make a copycat drug–same ingredients, same dose–and sell it as a generic brand. That drives prices way down.

In this case, the patent on Zocor–remember the brand name of the statin simvastatin–ran out in 2006. That was Merck’s baby. Schering-Plough had the drug ezetimbe–brand name Zetia–the one that supposedly blocked incoming cholesterol; clearly, it doesn’t do much. Perhaps, somebody upstairs at the two companies knew this, as they decided to combine the Zetia with Zocor to make Vytorin. Great, now they can get a new patent. At least they know the Zocor works. Hopefully, the results of the Enhance test will look good, and then it’s money in the bank.

But it didn’t look good. Bummer. So they started messing with how they would present the results. Cooking books. Then they couldn’t get it to look quite right, so they delayed publication. Buy some time, buy some time. Finally, shares got dumped, and the house of cards crumbled. Now the House of Representatives’ Committee on Energy and Commerce is investigating. Interestingly, the Committee “actually began investigating Vytorin in December 2007, after the drug makers’ announced a second ENHANCE delay and tried to change the study’s endpoint.”

So there you have it. That’s how business is done in the world of pharmaceuticals. I can’t say I’m all that appalled–c’mon, all kinds of crazy stuff happens in business. But what gets me is the corruption within the scientific community. Isn’t science supposed to be the last corruptible institution. Oy vey; Galileo must be spinning in his grave.

 They say we’re in a health care crisis. Everywhere we turn we hear that our system is failing. I would disagree. In fact, I would say that based on the current health paradigm in which we now live, our system works beautifully, and there is nothing to fix.

Huh?!?! Has Campos finally lost his mind?

Hardly. Let me say this loud and clear: WE ARE NOT IN A HEALTH CARE CRISIS. We are in a conceptual crisis–a crisis of paradigms, if you will. Our current approach to health is to take it for granted until something goes wrong, then to run to the doctor or hospital to get cured.

Please tell me what’s wrong with our current system in context of this conceptualization of health care. It’s too expensive? Hey, it costs money to save lives. You think drug research, organ removal training, or high-resolution imaging diagnostics come cheap. Why should the medical industry spend years and years studying, researching and developing, and billions of dollars in funding just to give it away free? Think about that real hard.

Let me add even more perspective–why would you spend years studying in college, and many more years learning a business or craft, no matter what the discipline, to not earn a reasonable and proper paycheck today? Dry cleaning is too expensive! Restaurants are too expensive? Hair stylists are too expensive? Fix these industries! They’re too damn expensive! (Where’s Michael Moore when you really need him?)

Case in point: A new study shows that when women have to pay a portion of a medical bill in the form of a co-payment (sometimes as low as $10), the number who go in for regular mammograms decreases substantially. What the…? This is mind-blowing to me. Women who’d rather not get screened for a life-threatening and essentially preventative (if caught early enough) cancer (breast) to save ten bucks is just incomprehensible. But I think it’s more prevalent a practice than we know right now–among all genders, races, ages, and socioeconomic classes. I see it in my own practice all the time. Does this mean the system needs to be fixed? Well the Federal government seems to be buckling to the pressure–Medicare is now considering waving co-payments for routine mammograms. Hmmm.

The reality is that if we want something more out of health care, we need to put more into our own health. Period. It’s the concept of taking responsibility for our own health; not relying on the government or our employer to foot the bill for our neglect. This is a new way, and one which I heavily believe in and promote. Take better care of yourself and your health care costs will go down. I’ve had one major medical and one major dental situation in the last two years. I paid a pretty penny for sure (about $5,000 total) to get them taken care of. And guess what? It was worth it. You think I just had the money lying around begging for a place to spend it?–oh, wouldn’t that be nice. Sorry, no fat chance–it hurt coming up with the dough. But it was still worth it.

My point is this: Take care of yourself. It will minimize your need for medical care. When something does come up–and it will–your catastrophic medical coverage will come in handy, but it won’t cost you an arm and a leg during more healthy times. Not doing the things necessary to maintain good health in the meantime is just dollar dumb. You might save a penny today, but you’ll be a big contributor to the false notion that our current non-health system needs fixing.

Sleeping on the couch tonight? Not speaking to Mr. Right? Don’t worry: that fight you and your spouse got into last night is actually good for your health. That is, if you don’t hold it in, but instead let your feelings be known. So says a new study tracked 192 couples over a 17 year period.

Researchers at the University of Michigan looked at how suppressed anger and feelings of resentment in a marriage affect overall mortality rates. They found that couples that suppress their anger–that is, neither spouse stood up for themselves during a spat–had twice the mortality rate than couples with at least one partner who let loose. Previous studies have shown that suppressing anger increases stress-related illnesses like heart disease and high blood pressure. Ernest Harburg, lead author of the current study said, “The key matter is, when the conflict happens, how do you resolve it? If you bury your anger, and you brood on it and you resent the other person or the attacker, and you don’t try to resolve the problem, then you’re in trouble.”

Amen Brother! That’s why my wife and I deliberately beat the crap out of each other (verbally, Romans, verbally) every month. Good for the health I tell ya. I’ve always said: Hold on to that anger and you’re just asking for a heart attack, or cancer, or something like that. Pent-up anger and resentment forces one to brood, causing chemical cascades like the over-production of cortisol and other chemicals, which can stress the organs and blood vessels. Over time this can lead to heart or vascular disease, and ultimately, premature death.

There’s this notion in our current society that anger is “bad”. But in truth anger is experienced by every person on the planet at some time or another. When one tries to put forth the illusion that one never gets mad–you know, the classic anger suppressor–then that person is inviting disaster. This doesn’t mean that you have to lose your cool at the drop of a hat–diplomacy and civility still have their place in our world–however, if you gotta get it out, then express yourself; you’ll certainly feel better, and you might just live longer as a result.

Breaking News: People who are physically fit live longer than those who are not. Does this seem obvious? Maybe not. How many times have I heard, “Jim Fixx (the Godfather of running for fitness) died of a heart attack, so fitness can’t really matter all that much.” Well, now we have evidence to prove otherwise.

A new study lasting for over 20 years and following 15,000 U.S. military veterans showed that men who exercised regularly and were “highly fit” died at half the rate of men categorized as having “low fitness”. And men who were considered “very highly fit” had a 70% lower risk of death than those who had lower fitness scores. Furthermore, going from low fitness to high fitness is not that hard, either. According to Peter Kokkinos, director of the Exercise Testing and Research Lab at the Veterans Affairs Medical Center in Washington, and lead author of the study, “All you need is between two and three hours of brisk walking a week. You can spread that out between four and six days a week.” He goes on to explain that by simply walking briskly for 30 minutes, 5-6 days a week would be enough to push an older or middle-aged man from the “low fit” to the “very highly fit” category in a matter of months.

One of the more interesting finding of the study was that this health benefit was independent of race or income, an idea that I push heavily on this post as well as in my upcoming book, The Six Keys To Optimal Health. In fact, this is the first major study that looked at both black and white men equally. Participants in the study were between 50-70 years old and were encouraged to exercise until they were tired. They were monitored for an average of 7.5 years. The study was controlled for factors of income and access to health care.

OK, I know this doesn’t seem surprising to some of you. Exercise is good for your health–we all know that. But now we know for sure that it not only improves the quality of life–through less pain, increased energy, heightened stamina, better sleep patterns, more stable moods, better sex drive and increased endurance–but also prolongs the amount of time one gets to enjoy that improved life. In other words, by simply exercising, you can not only feel great more often, but you can play harder and longer. Now isn’t that what life should be about?

Academy-award nominated actor Heath Ledger was found dead in his Manhattan apartment this afternoon, the apparent victim of a drug overdose. Although the exact cause of death is as of yet unknown, prescription sleeping pills were found strewn around his bed, recent reports disclose. Ledger apparently had some trouble sleeping recently and told the New York Times in November that he was taking Ambien. He also was reported to be suffering from pneumonia.

This a very sad and tragic story and my heart goes out to Heath Ledger’s family. Although there is no way, yet, to know what happened exactly, I wouldn’t be surprised if the combination of pneumonia (hacking, phlegmy congestion) and sleeping pills did him in. Ambien, in particular, can close off the airway and cause breathing difficulties. Add to that a sedative effect, and it may be a recipe for disaster. Ambien can also cause anaphylaxis–an acute and severe allergic reaction that can lead to death within minutes.

Let me say it loud and clear: Ambien is bad stuff! Don’t take it. I’ve reported the dangers of this drug extensively on the Dr. Nick Show (Episode 3–Lifestyle Drugs). It has side effects (read them here–this stuff is no joke). According to the Mayo clinic, you don’t want to take Ambien if you are suffering from respiratory conditions. Duh! YOU HAVE GOT TO READ THE LABELS! Period. Just because a drug is doctor prescribed doesn’t mean diddly. It’s everyone’s responsibility to know exactly what they are taking and what the dangers are at all times.

Google Ambien and pick an information site. Pick one–any one. The side effects are there. Don’t think it can’t happen to you. Heath Ledger was only 28 years old. He was young and vibrant and healthy. It could happen to anyone. Please, read the instructions, and if you’re not sure–don’t take it!

Rest in Peace Good Soul.

Heath Ledger 1979-2008.

This month on the Dr. Nick Show (Episode 6) I discuss the boom in the wellness industry. Wellness as a concept–and as a way of life–is a good thing right? Yes, of course, but you’ve got to watch out for for the snake oil salesmen or the pretenders. Listen to this month’s episode for a better idea of where they’re trying to get you–and it may not be wellness at all; just a good ol’ jump on the bandwagon.

Here is a quick list of celebrities who are attaching themselves to the wellness industry:

A well-known television psych dabbling in the weight-loss game.

A mega-millionaire motivational guru who pushes all wellness, all the time.

A convicted conman whose made millions with the best selling health book of all time.

A former prime-time diva whose now pushing anti-aging and HRT.

Hey, maybe this stuff is your thing. Cool! Just beware. The term wellness increases the price tag significantly, so buyer beware.

Here are a few celebrity-endorsed products I’m waiting for:

  • 50 Cent’s 9 Bullets Liquid Diet.
  • Lindsey Lohan’s Hollywood Diet….snorrrt!
  • Roger Clemens’ Three Shots in the Ass (but thought it was B12) Workout.
  • Eddie Murphy’s new book on sexual wellness: Screw Anything that Moves.

Now that I’d like to see.

Television talk show host Montel Williams praised chiropractic on his show aired December 18, 2007. Montel, who suffers from multiple sclerosis (MS), said of chiropractic, “It’s the most amazing thing that has ever happened to me!”

Multiple sclerosis or MS is a painful, chronic, inflammatory disease that causes demyelination of the nerve cells of the central nervous system (CNS). Demyelination is the thinning or complete loss of the fatty layer–the myelin sheath–of the nerve cells, which is responsible for the conduction of electrical impulses down those cells. The name multiple sclerosis refers to the scars (scleroses–better known as plaques or lesions) in the white matter of the brain and spinal cord. MS has many symptoms, one of which is chronic pain. Montel Williams is no stranger to chronic pain.

According to the well-known talk show MC, he is in pain “24 hours a day, seven days a week, 365 days a year”; yet within just two weeks of chiropractic care he can “stand up straight without pain for the first time in over 5 years”. However, it did not take two weeks for Montel to get relief. He says that he experienced almost instantaneous relief from his first chiropractic adjustment. Booyah!

Says Montel, “There is not a person who knows me that will not confirm this…I am walking differently; my pain is less; I have already regained strength in my left leg; my left leg has dropped back down–I found out that my pelvis was tilted–[my legs] are now the same length.”

This is another huge plug for chiropractic. As my illustrious profession gets its fair share of knocks, it’s wonderful to see superstar athletes like Johnny Damon, Tom Brady (read about him and Joe Montana, here) and Lance Armstrong (read the interview with his chiropractor) and well-known celebrities, like Madonna (scroll down for the picture of her getting adjusted in the film, Truth or Dare), Dr. Phil and now Montel Williams endorse chiropractic by telling their incredible success stories.

Bravo, bravo. More people need to experience the miraculous healing power of chiropractic care. And only when highly-regarded public figures stand up to tell their success stories will the masses follow. Thank you Montel for sharing your chiropractic story with the world.

Yet another shameful mark against the manufacturers of chemical antidepressants, and another knock against the fallacy that is the chemical imbalance theory of depression. New reports disclose that almost one third of antidepressant drug studies are never published in the medical literature, and that virtually all of those that are hidden happen to show the drug being tested did not work.

The scandal doesn’t stop there. In some of the studies that were published “unfavorable results have been recast to make the medicine appear more effective than it really is”, says the study’s lead researcher Erick Turner of the Oregon Health & Science University (see the full study, here).

Nice job. Way to do what it takes to dupe the world into buying a faulty theory and a whole bunch of worthless drugs. There’s a term for this type of dirty science: It’s called “selective publication”. Selective publication is printing only the result that fit the theory or the desired outcome of the research team. It’s without an inkling of a doubt the most unethical practice that can happen in science; it’s right up there with “cooking the books”–the practice of changing data so that the desired outcome appears to occur. Sham science. Garbage. Despicable. And the makers of our favorite zombie drugs–Prozac, Zoloft and Paxil–are guilty of both. According to Turner, “It tells you where they placed their bets before they saw the data.”

He goes on to say, “Not only were positive results more likely to be published, but studies that were not positive, in our opinion, were often published in a way that conveyed a positive outcome.” As an example, of five studies relating to Pfizer’s Zoloft, three showing the drug to be ineffective were never published. And according to the report, “A fourth study, ruled questionable by the FDA, was written and published to make it appear that the drug worked.” Purely scandalous!

I spend a lot of ink on the fallacy of the biochemical theory of depression in my upcoming book, The Six Keys To Optimal Health. Even without this new information I pretty much dismantle the rationale and the practice of widespread antidepressant use in our society. I truly feel this is the number one public health danger of our generation. A lot of people have a lot of emotion attached to this issue. Sorry folks, the science is just not there, no matter what the popular information machine and the so-called authorities have been telling us–and this new report proves it, plain and simple. Expect much more truth about popular (and dangerous) antidepressant drugs to be uncovered in the near future. Sure looks like this deception is swaying on a house of cards.

Heed the warning, readers: Sexually transmitted diseases (STDs) are on the rise, and some pretty nasty ones are out there to get you. You already know from an earlier post that syphilis is back with a vengeance, but you can add to that rectal gonorrhea and new HIV infections for the unwise. Rounding out the mix is the antibiotic resistant strain of Staphylococcus aureus, which researchers think is being transmitted among gay men during sex.

A new study appearing in the Annals of Internal Medicine reports that methicillin-resistant Staph aureus (MRSA) is showing up outside of hospitals in San Francisco, Boston, New York and Los Angeles. It states that gay men are 13 times more likely to get infected than heterosexual men. Researchers believe that the infection is being spread through sexual activity, and that illicit drug use and increased risky sexual behavior is fueling the transmission. Because Staph aureus can, and in some people does, colonize around the anus, those having sex which might break the skin are at a greater risk of infection.

I don’t have to tell you how dangerous MRSA is. It’s resistant to penicillins, a common class of antibiotics, and is therefore difficult to treat, often requiring intravenous antibiotic drug therapy…which ain’t cheap. If the infection gets bad enough it can lead to death–approximately 19,000 people were killed by MRSA (mostly in hospitals) in 2005.

So what’s the advice? C’mon people: Use protection without exception! Safe sex is still in. It better be, because the alternative just isn’t worth it. And not to sound like a Moral Majorist here, but…keep the number of sexual partners to a reasonably modest amount, sheesh. Hey, I’m not knocking a good orgy; heavens no. But the days of wine and roses are over–they ended in the 70s. Free love costs beaucoup bucks now. So be smart. No glove, no love. Simple as that.

Check this tripper: Scientist say that the central nervous system (CNS) can rewire itself to bypass damaged nerves that cause paralysis. Tiny nerves in the brain and spinal cord can actually crisscross creating new nerve pathways between brain cells and nerve cells that control movement. Injuries once thought to be irreversible now seem to show hope of recovery.

The study conducted at the University of California, Los Angeles looked at mice whose long axon nerve fibers were blocked causing paralysis of their hind legs. However, researchers left the core of the mice’s spinal cords, which contained short nerve fibers, intact. Within eight weeks the mice regained movement in their hind legs, astonishing researchers. The scientists then blocked the short nerve fibers, once again, causing hind leg paralysis. This showed that the short nerve fibers, which had reconnected, were responsible for the regain in hind leg movement.

Wow! Imagine that. Nerve cells repairing themselves and creating new connections in a self-healing, self-regulating repair process. I find this new discovery absolutely fascinating, although I’m not exactly surprised by it. I would expect this type of self-repair to be inherent in living organisms, especially one as complex as Homo sapien. And I’m certain we are just seeing the tip of the iceberg. I still contend that the greatest gains in human health and healing will be realized in the realm of mind-body dynamics in the future–and perhaps not as far in the future as one might think.

The implications go way beyond reversing paralysis, in my mind. I think that all healing probably follows this type of mechanism in one way or another. There is so much about the human body and it’s physiology that we do not know, especially on the molecular (and smaller) level. I’m excited to see where science will lead us tomorrow. The human mind and body are truly magnificent, and we have yet to realize their full potential. Truth is, we probably haven’t even seen the half of it.

Well, 2008 has started with a bang! Just not the one I’d been hoping for. As I was shaking off the blow of a serious tooth infection, and a subsequent root canal, I got nailed with the stomach flu–gastroenteritis to be exact–and I’m only just starting to feel my old raucous self today.

Gastroenteritis is often called the stomach flu, although it’s nothing like the regular flu–no fever, no body aches or pains, none of that stuff. What is was, however, was a lot of stomach ache–cramping, crippling spasms that had me boweled over in pain for about 48 hours. Many things can cause gastroenteritis–bacteria, viruses, toxins, medications, some other things. I think mine was probably viral, but it could have also been from taking Motrin; I was taking 2,400 mg a day for the toothache I was enjoying.

Either way, I stopped taking the meds on Friday, immediately following my first hit of flu. I also stopped drinking coffee and pretty much eating all together. If, in spite of my haze, I am remembering all the details correctly, I think I couldn’t even stomach water; I was helpless. But did it ever make me find religion. Please Oh Mighty Isis. Make it stop, please. Nicky be good boy. Nicky be good boy…

Once again I have to say, being sick is a part of life. You can get depressed about it (it’s easy, really), or you can just see it as a time to take care of yourself–rest, relax, catch up on paperwork, and even on those missed episodes of Real Housewives of Orange County (right PB?). There’s no such thing as 100% health, 100% of the time; and living in that illusion is the quickest way to frustration and/or depression. We all get sick. Bless it, use it to your advantage, and rest up. There’s plenty of life to be lived tomorrow.

If you’re currently taking the antibiotic Cipro, here’s something you might want to know: it can cause tendons to rupture. So says a consumer group called Public Citizen that wants the Food and Drug Administration (FDA) to add a “black box” warning to the antibiotic.

Cipro is in a class of antibiotics called fluoroquinolones, and as of 1997, the FDA has received 336 reports of tendon rupture in patients treated with these compounds. Public Citizen claims that the numbers might actually be higher since not all side effects are reported to the FDA. Cipro is often prescribed for gastrointestinal, respiratory and urinary tract infections. It also was brought to the surface of American consciousness during the anthrax scare of the early part of the decade. Cipro can also cause liver damage, kidney damage and rhabdomyolysis (muscle wasting and pain), so it’s not something to be taken lightly.

Well…tendon ruptures suck–they’re horrible; some of the hardest things to recover from. I’ve referred patients with this condition orthopedists, and when the tendons are frayed like string cheese, they are very difficult to reattach. The weaker the tendon, the more likely it will be torn during a routine activity, like running for the bus, or stepping off of a chair–something simple. I guess if you’re exposed to anthrax, then you’ll need a bunch; but if there is an alternative–and you’d be wise to ask your doctor–I’d consider it.

I’d like to share a story to ring in the new year. This story will have several lessons in it, and will also illustrate a few key principles. We’ll call it a modern-day health parable.

Last Saturday, just as I was bragging about my recent blood work and stellar chem panel, I started to notice a wee bit of tooth ache. Yes, wee bit; that would be the last time I’d remember life as I once knew it.

By Sunday, my tooth really started to ache, and by New Year’s Eve–forget about it–I was dying. This little conundrum I found myself in illustrates a few very important principles. First, the minute you get too elated about anything, expect something to come along and balance it out. Bragging about my health was sure to lead to a pedestal collapse. As it turns out, I cracked my tooth. Ouch! And it got infected. Double ouch!

The second principle, and one which I discuss in depth in my upcoming book, The Six Keys To Optimal Health, is that there is no such thing as perfect health. We actually cycle between health and illness all the time. That’s normal and, in fact, it is healthy. This does not make it futile to focus on health–no indeed–but to become attached to the concept of constant health is both futile and foolish. I’ll let you read about it further in my book (it’s coming, I swear!)

So, as I said, by New Year’s Eve the pain was pretty excruciating. No dentist to be found, so I had to rely on over-the-counter Motrin. All I can say is thank God for modern medicine.

But wait Campos, you’re always dissing medicine.

No, I’m not. In fact my message is, and always has been, that medicine is very valuable in times of crisis; and I was in the most pulsating, hammer and chisel to the head crisis I’ve ever been in. So I say once again–THANK GOD FOR MODERN MEDICINE!

Saw a dentist on Wednesday night and found out then about the cracked tooth and infection. I also found out that I’d need a root canal, and maybe even an extraction. Wah! Whatever, Doc. Pull it; do something, anything…please! He set me up for the root canal on Friday and gave me some better drugs. Have I said this yet: Thank God for modern pharmaceuticals, too. Man, they were the only things that got me through this mess. You guys know, some of you saw me, because I went to work anyway. I was a pathetic sight, that’s for sure.

Anyway, I had the root canal and the pain didn’t just go away. No problem, I expected that, because I know that the healing process takes time, so I certainly didn’t expect an overnight miracle. The bottom line is this: Pain medication is sometimes necessary; it can help you get over a very difficult hump. But when one looks to medicine as the answer, they are playing with fire. Use the meds while you work on fixing the problem, then wean off of them.

I’m weaning now. I’ve cut the dosage in half, and by mid-week, I anticipate I’ll be drug free. Cool. And the moral of the story is this: When you want to puff-up your plumage and show-off to the world, make sure you don’t bite down too hard on anything you eat, otherwise, you might just spend the next two weeks feasting on humble pie.

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