My Private Journey with the Autoimmune Protocol


My autoimmune illness signs began with puberty—fatigue, continual constipation, migraines, regular and unrelenting weight achieve that didn’t scale with my excessive exercise stage or caloric consumption, a litany of pores and skin issues, dry and thinning hair, brittle and skinny fingernails, continual joint ache, delicate despair and anxiousness.  All through my teenagers and twenties, I simply appeared to rack up the diagnoses, largely labels for my signs (like Irritable Bowel Syndrome and Gastroesophageal Reflux Illness to elucidate my gastrointestinal signs), but in addition new circumstances associated to irritation that always appeared to return out of nowhere (like adult-onset bronchial asthma so extreme that it offered much like a pulmonary embolism, leading to me being housebound for months whereas taking very excessive doses of prednisone).  I didn’t appear able to losing a few pounds and protecting it off it doesn’t matter what I attempted—20 years on the food regimen yo-yo left me utterly defeated, with binge-eating dysfunction, morbid weight problems, metabolic syndrome, and a nearly non-existent sense of self-worth.  By age 30, I had over a dozen identified well being circumstances, together with two out of the 4 autoimmune illnesses I now know I’ve, and a drugs cupboard filled with prescription and OTC medicine.

I usually say that my fundamental motivation for all the pieces I do now could be to assist folks discover the solutions they want with out having to hit the well being lows that I did earlier than discovering the Paleo food regimen and the Autoimmune Protocol.  However, I do additionally need to acknowledge that, in some ways, rising up with autoimmune illness solid who I’m.  Whereas my intelligence and expertise are innate, I imagine that my ambition and work ethic had been borne out of striving for tutorial excellence whereas feeling exhausted and in ache virtually all the time (being too drained to get into teenage mischief helped too).

My stubbornness and resolve arose from being mercilessly bullied as “the fats child” on the playground, too usually going through misogyny as a girl searching for a high-profile profession in male-dominated scientific fields, and the expertise of rising up from the poverty of my childhood. My ardour for serving to others was ignited by a long time of searching for assist from medical professionals and being figuratively patted on the pinnacle and instructed that I used to be only a burdened pupil who wanted Prozac and to depend my energy and train.  With out the qualities developed from these experiences, I wouldn’t have the ability to do what I’m doing now: main a revolution within the different well being neighborhood by educating autoimmune illness victims on the function that food regimen and way of life play in each their illness exercise and in illness administration.

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In case you’d requested my in my teenagers or twenties, I’d have instructed you that my well being drawback [problem, singular] was being chubby.  These dozen identified continual well being circumstances didn’t appear separate to me from being overweight.  And weight problems, to me, felt like carrying an indication always that learn “Have a look at me!  I’m unhealthy!  I’m a failure!”. Regardless of my educational achievements (together with graduating with distinction with an Honors Bachelors of Science, incomes my PhD in medical biophysics by the age of 26, quite a few scholarships and awards for analysis excellence,  securing post-doctoral analysis positions in a few of the highest profile laboratories within the nation, getting my very own grant funding as a post-doctoral analysis fellow, and publishing highly-cited papers in top-tier journals), being morbidly overweight was an undercurrent that eroded all sense of accomplishment that I ought to have felt.  I made up for it by cursing usually, dying my hair loopy shiny colours (blue, purple, platinum, fireplace engine purple…), carrying energy fits, and customarily placing on a present of assertiveness that I by no means actually felt, protecting up my impostor syndrome with a assured exterior. So, I naively thought that, if I might simply lose the burden and resolve that drawback, all the pieces in my life would fall into place.

Sarah BeforeThen in 2007, I had my first daughter.  Nonetheless overweight after I conceived, my being pregnant was difficult by gestational diabetes and pre-eclampsia.  My new child had colic and barely slept greater than 45 minutes at a time.  She wouldn’t latch onto a bottle, so I used to be up all night time nursing her.  And, I couldn’t do it.  I used to be too sick to stability motherhood and making use of to tenure-track college positions, the expectation being that I’d proceed to work 80-hour weeks till I had established my very own analysis program and an ideal self-renewing cycle of grant funding, a course of that sometimes takes years.  I had wished to be a medical researcher from the time I used to be 7-years outdated, and right here I used to be, unable to take that closing step.  The autoimmune illnesses that fueled my cussed want to succeed had been now stopping me from attaining a two-decades-old life purpose.  And, but denial is highly effective pressure: I nonetheless blamed my weight; I stated that I used to be impressed by my mother staying residence after I was younger; I credited a program by the Nationwide Institutes for Well being (known as reentry grants for girls) for giving me the choice to take a number of years off; and I known as it “a break”.

My Paleo First Steps

After dropping 100 kilos on a low-carb food regimen (spurred by realizing that I had developed sort 2 diabetes when my oldest daughter was one yr outdated, and facilitated by the truth that I wasn’t working), I used to be pissed off to find that my life wasn’t magical unicorns and rainbows. In truth, whereas losing a few pounds reversed my metabolic syndrome and normalized by blood sugar ranges, all of my different illness signs worsened—my migraines had been extra frequent, my joint ache was extra unrelenting, my bronchial asthma and gastrointestinal signs required increased doses of medicine to handle, my despair was greater, my anxiousness assaults had been extra frequent, and my pores and skin was a large number!  I had eczema, zits, and my two autoimmune pores and skin circumstances—lichen planus and psoriasis—had been in full flare.  I had misplaced a lot of the weight I wanted to lose, nevertheless it nonetheless felt like I used to be carrying that failure signal plastered throughout my brow.

In the summertime of 2011, I used to be sitting in my second daughter’s bed room watching her play (she was 1  1/2 years outdated on the time), carrying lengthy sleeves and pants to cover my pores and skin, the climate within the mid-90s (mid-30s Celsius), sizzling, depressing and in ache… after I had my epiphany.

The phrases skinny and the phrases wholesome don’t imply the identical factor.

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I used to be energetic, and solely 30 kilos from my purpose weight, however I wasn’t wholesome.  I used to be lacking one thing.

That’s after I began to consider food regimen in phrases apart from what I wanted to eat (or not eat) to shed extra pounds. Gazing at my infected pores and skin, I remembered a tidbit I had picked up someplace about eczema being linked to egg allergy; and, I started to surprise if my assortment of pores and skin circumstances had been attributable to the meals I used to be consuming.  I turned to Dr. Google and located an article on the unique model of speaking about lichen planus and the Paleo food regimen; Professor Cordain linked to some scientific research on the backside of that article.  I believed three issues:

  1. “oh, that is that weirdo food regimen that Chad is doing” (my pal from undergrad who really launched me to my now husband);
  2. “there’s no [expletive] method I’m doing this [expletive] loopy food regimen and reducing out all these meals”; and,
  3. “ooh, scientific research to learn!”

The science was my hook. I took the following few months to learn as a lot as I might about the Paleo food regimen.  I learn The Paleo Answer by Robb Wolf and The Paleo Reply by Loren Cordain.  I dove into PubMed and browse the research that Professor Cordain cited.  And, it began to make sense.  I began to grasp lectins and antinutrients.  Regardless of conducting medical analysis on the immune system and the intestine barrier, all of my analysis background was both targeted on fundamental science or drug improvement (as most medical analysis is).  I wanted to show myself dietary sciences.   Fortuitously, I had expertise switching scientific fields, so instructing myself a brand new department of science was one thing I had the talents to do.  Ultimately I had discovered sufficient to understand that I had nothing to lose, however I’d see Robb Wolf’s “attempt it for 30 days and see the way you look, really feel and carry out” and lift him one other 60 days.  On August thirty first, 2011, I dove head-first into Paleo, with an preliminary dedication of three months.

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From Paleo to The Paleo Mother

After two weeks of a typical Paleo food regimen, I used to be capable of discontinue all six prescription drugs I used to be on on the time (drugs for bronchial asthma, allergy symptoms, GERD and IBS).  I haven’t had a migraine since (apart from the few instances I’ve by chance consumed dairy).  My IBS and GERD utterly disappeared.  My anxiousness assaults stopped.  My vitality improved. My aches and pains diminished tremendously. My bronchial asthma not required each day drugs to manage.  My bizarre allergy symptoms (like breaking out right into a rash each time I touched cardboard) went away.  My eczema and zits cleared. I began losing a few pounds once more regardless of having been plateaued for months.  And, I turned a zealot.  I used to be all in.  Like, let’s begin a weblog as an outlet for my enthusiasm stage devoted to the Paleo trigger.

I by no means meant my web site to turn into a profession.  So far as I used to be involved, my plan was nonetheless to return to medical analysis as soon as my youngest daughter was at school.  I used to be merely nerding out over the science behind Paleo and loved the train of writing about it in my very own phrases—doing so offered me a hyperlink to the profession I so deeply missed. I made a decision to transition my husband and youngsters to Paleo (learn extra about their tales in About Dr. Sarah’s Household) and I loved sharing that have with the nameless web.  I used to be having enjoyable experimenting within the kitchen and was proud to share my creations. was a fantastic pastime.  After which, it took off.  Folks love the way in which I clarify complicated scientific ideas.  They love my recipes.  My story resonates.  My viewers grew, quickly and utterly organically. And, ten brief months after I wrote my first weblog submit, I used to be supplied ebook offers from two completely different publishers per week and a half other than each other.

The Autoimmune Protocol e-book

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My AIP First Steps

As magical as these first few months of Paleo had been, it wasn’t sufficient to really repair all the pieces.  I nonetheless had lichen planus lesions and scalp psoriasis.  I used to be satisfied of the function of food regimen in my well being, however I wanted to dig deeper.  That’s after I found that lichen planus and psoriasis are autoimmune illnesses.  Autoimmune.  That phrase.  The place had I seen it earlier than?  Ah sure, web page 201 of The Paleo Answer, a three-quarter-page inset titled “Autoimmune Caveat”.  Robb really useful moreover eliminating eggs, nuts, seeds, tomatoes, potatoes, eggplants and peppers for a month or two for anybody with autoimmune or inflammatory points (along with grains, legumes, dairy and manufactured meals—a typical definition of the Paleo food regimen in these days was an inventory of meals to keep away from).  In Chapter 9 of The Paleo Reply, Professor Cordain recommends that autoimmune illness victims moreover eradicate nightshades, alcohol, NSAIDS, oral contraceptives, and antacids (once more along with strict avoidance of grains, pseudograins, legumes, and dairy—no 80/20 rule for us autoimmune of us).  I discovered two web sites on the time that mixed these two overlapping-but-not-identical lists of meals and that dubbed them “The Autoimmune Protocol”.  I made a decision I wanted to attempt it, in order a New Yr’s decision for 2012, I eradicated all the above.

The scientific explanations for these extra eliminations weren’t strong sufficient to fulfill me (I proceed to today to dislike the everyday food regimen ebook method, the place the idea is that the reader doesn’t care about science so all the scientific proof is glossed over, oversimplified, and lowered to ridiculous analogies), so I dove into the scientific literature on immune operate and the intersection with prolamins, agglutinins, phytates, glycoalkaloids and lysozyme.  Dr. Terry Wahls’ TedxIowaCity discuss had simply gone viral and I used to be studying concerning the roles of nutritional vitamins, minerals, amino acids, fatty acids, phytonutrients, and fiber.  I used to be offered on nutrient density, so I labored on upping my vegetable consumption and consuming organ meat.  My oldest daughter began sleeping by the night time for the primary time (at 5 years outdated!) after we eradicated gluten from her food regimen, and the way significantly better I felt acquired me within the function of sleep in immune operate.  That acquired me eager about different way of life elements.  The entire immunology that I had discovered in grad faculty immediately turned very related.  And, already, my web site was transitioning from a mommy weblog to the excellent well being schooling website that it’s as we speak.

I felt like I used to be determining what the Autoimmune Protocol even was whereas I discovered how you can implement it—not as a result of there was a necessity for extra communication (though there was), however as a result of the protocol itself was so rudimentary on the time that it was exhausting to even apply the time period protocol. I researched all the particulars, increasing the protocol and writing about every aspect as I discovered, including the pillars of nutrient-density, sleep, stress administration and exercise, and making calls on these gray-area meals for which there was no steering, solidifying the eliminations.  I used to be integrating my different information into the protocol, altering its focus from the adverse what to keep away from, to the constructive what to eat, emphasizing way of life along with food regimen.  I used to be growing recipes, attempting to determine how you can eat AIP on a decent finances, and attempting to grasp what was particular to my physique versus typically relevant and supported by scientific consensus. I bonded with a small group of different bloggers who had been additionally implementing the AIP for their very own well being causes, and who had been following together with my analysis and in addition refining and writing as they went, and serving to to unfold the phrase to their very own audiences (Mickey Trescott and Angie Alt of Autoimmune Wellness, Eileen Laird of Phoenix Helix, Christina Feindel of A Clear Plate, and Whitney of Nutrisclerosis). We had been the small seed of what’s now a vibrant AIP neighborhood, and we supported one another in each our well being {and professional} journeys.

Popularizing the AIP

Whereas technically the Autoimmune Protocol predated by entry into the Paleo and AIP communities, I acknowledge that it could not be what it’s as we speak with out my analysis and my writing.  Really, I used to be simply attempting to determine the lacking items of my very own well being, however I intuitively understood that I’m not alone on this battle, nor am I the one supernerd hungry for the scientific proof on the earth.  As I researched the explanations for every AIP elimination, I began with the ability to rank their significance, and make judgment calls on the numerous meals and components for which no prior willpower had been made.  And I began to grasp the dietary necessities of the immune system, I built-in a nutrient-density focus to the AIP.  As I took a extra holistic strategy for my very own well being, I began to write down about how way of life elements impression immune operate.  I didn’t understand on the time that my analysis was reworking the Autoimmune Protocol from an obscure fad based mostly on a fundamental checklist of eliminations to a sound and complete dietary technique to assist folks with autoimmune illness.  I didn’t understand that my core perception within the significance of representing scientific proof in an unbiased and nuanced method introduced scientific validity to the AIP.  And I definitely didn’t understand that, whereas I used to be counting down the times till my youngest began kindergarten so I might return to the analysis lab, that I used to be really creating a brand new profession for myself, one thing way more vital.

Sarah Paleo Approach CookbookWhen deciding between my ebook deal gives, I used to be selecting between writing a Paleo desserts cookbook (one particular ebook deal provide) or a ebook of my selecting (the opposite provide).  It was really a very easy choice!  The world wanted a ebook concerning the Autoimmune Protocol.  And, I had the wonderful alternative to write down a ebook the way in which I wished to, not shying away from science, however as an alternative leaning into it.  I didn’t have to gloss over scientific proof, nor to condescend to banal analogies to belabor my factors; however as an alternative, I might take the time to elucidate detailed scientific ideas in a method that was approachable and accessible to a normal viewers.  I might respect my viewers, break freed from the food regimen ebook mould, and create one thing distinctive each in format, and I hoped, in usefulness!

It took about 14 months from signing the contract to The Paleo Strategy making it onto ebook cabinets. Initially, The Paleo Strategy and  The Paleo Strategy Cookbook had been going to be one ebook, however my writer realized after I turned within the first half, that my unique plan was too bold and the ebook wanted to be divided into two.  As a result of I labored on each in tandem, they had been each printed in 2014. It was such a tremendous studying expertise to write down a ebook, and I liked it (why I proceed to write down books!), like engaged on a evaluate article (or seven) however dropping all of the pretentious scientific jargon.  I had not solely discovered one thing that I used to be uniquely certified and expert at, however I additionally discovered one thing fulfilling past what I had ever skilled working on the lab bench.

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Due to referencing over 1200 scientific articles and to my writing model, The Paleo Strategy turned the definitive guidebook on the Autoimmune Protocol — creating the excellent protocol that exists as we speak.  I subsequently wrote two AIP cookbooks, The Paleo Strategy Cookbook and The Therapeutic Kitchen (the latter a collaboration with Alaena Haber of; collaborated with Mickey Trescott and Angie Alt of to create the AIP Licensed Coach practitioner coaching program; and created the AIP Lecture Collection for autoimmune illness victims and their caregivers.  My different pursuits led me to write down Paleo Ideas (now the definitive Paleo guidebook), The Intestine Well being Guidebook and The Intestine Well being Cookbook, and located, which shall be launching quickly.

Nevertheless it took me years to launch an e-book information on the Autoimmune Protocol, one thing that, wanting again, looks as if it ought to have been an apparent useful resource for me to have created from the very starting.  The explanation for the delay is wrapped up in my reluctance to take possession of the AIP (holdovers of getting worn that failure signal for therefore lengthy), and, as a result of my profession as an creator and well being educator is an unintentional one, my lack of knowledge, till just lately, that probably the most strong on-line academic medium that I can use to speak with folks is all of them, in every single place, all of sudden.

Taking Possession of the AIP

That is the toughest a part of my AIP journey for me to write down about, and one thing that I’ve by no means mentioned publicly earlier than.  I used to be reluctant to be considered as an, and even the, AIP chief and creator.  I acknowledge that the AIP wouldn’t be what it’s as we speak with out my in depth work, the overly simplistic origins would possible have fizzled into obscurity. I took one thing that existed solely in a really rudimentary type, and thru my analysis and writing, I expanded it, refined it, fine-tuned it, gave it scientific credibility, and popularized it.  However on the similar time, like a grasp baker creating a stunning marriage ceremony cake utilizing a set of components that possible got here from completely different sources, I had a beginning place, inspiration and mentors, colleagues and likeminded people, all along with my analysis abilities and my very own ardour—my very own components to make use of to create one thing stunning. And, identical to that grasp baker wants a neighborhood to raise them, so too did I’ve that neighborhood, a tremendous group of AIP bloggers to amplify my work in order that it might tackle a lifetime of its personal. That is why I resonate with the time period creator, moderately than founder or inventor or originator or architect or engineer or developer, as a result of it might embody each my invaluable work to make the AIP what it’s as we speak but in addition acknowledges the contributions of so many others…. just like the grasp baker couldn’t create her masterpiece with out the chocolatier or the florist or the farmer.

Now, nearly all of folks discover the AIP by my work, and the now vibrant neighborhood of AIP bloggers who all rallied behind The Paleo Strategy as their singular definitive AIP information.  With the success of The Paleo Strategy (it’s a New York Occasions bestseller), I turned the deciding voice on whether or not or not some ingredient can be thought-about a part of the Autoimmune Protocol or not. I really at all times loved this accountability — for me, it simply means spending a number of hours looking round PubMed for compelling causes to incorporate or exclude the meals in query based mostly on its impression (or lack thereof) on the immune system, hormones, the intestine barrier or the intestine microbiome.  That’s enjoyable for me.   Many AIP bloggers then took it upon themselves to police the AIP, calling out any recipe or packaged meals labeled as such that included verboten components, to guard everybody following the AIP from misguided data and probably problematic meals, sustaining the readability and integrity of my AIP messaging.  And, this excellent group of AIP bloggers enhanced the AIP neighborhood with their recipes, ideas, methods, and private tales.

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The Intestine Well being Cookbook is incredible! Thanks for researching and creating The Intestine Well being Cookbook! Such great recipes! I’m so excited to attempt all of them!


Additionally, I’m a scientist.  And as such, I imagine that information belongs to everybody. The Autoimmune Protocol is predicated on scientific information, one thing everybody ought to have entry to.  It felt immodest and power-hungry to view the AIP as my singular accountability, as my possession.  I’m additionally horrible at self-promotion, maybe pushed by some lingering impostor syndrome (I can’t specific how difficult it’s to write down about myself and my vulnerabilities like this!).  I’m way more in my component after I’m studying scientific papers, writing or instructing. It’s taken years for my perspective to shift, and to not one the place I really feel just like the AIP belongs to me, however moderately I really feel like, as the one that created what it’s as we speak and finest understands all the science that goes into it, I’m finest outfitted to guard the Autoimmune Protocol.  Not possession per se, however stewardship. That doesn’t imply protecting the AIP static.  In truth, I strongly imagine the AIP must adapt and replace as new scientific research that inform varied features of the AIP are carried out and as we begin so see the outcomes of AIP medical trials (see Updates to the Autoimmune Protocol).  However, I need to shield the AIP from commercialization, pyramid schemes of dietary supplements that in some way imply you don’t have to do the exhausting work, from bastardization, unjustified modification to the purpose the place the therapeutic potential is misplaced, and from dilution, the place the central message behind the AIP is drowned out by a cacophony of unfocused, ineffective suggestions.

I’m indebted to the Autoimmune Protocol for my present good well being, for the affect I’ve been capable of have on the medical neighborhood and the choice well being neighborhood, and for my potential to really make a distinct in folks’s lives.  And, the easiest way for me to return the favor is to work to take care of the integrity of the AIP, to maintain it freely obtainable, to assist the AIP’s present transition into the mainstream, and to embrace my function because the world’s main skilled and authority on the Autoimmune Protocol.  It’s not a place I sought,  nevertheless it’s one I really feel obligated and honored to have.

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A part of my transition to feeling consolation in my function because the AIP creator and steward was recognizing the necessity to improve my potential to speak with the tons of of hundreds of individuals utilizing the Autoimmune Protocol to mitigate their illnesses.  That was the main driver behind creating The Autoimmune Protocol e-book.  In a single digital useful resource, I used to be capable of replace the Autoimmune Protocol, present a quick-start for anybody new to the protocol, assist everybody effectively into their AIP journeys hone in on crucial aspects of the protocol to get probably the most out of it, and develop a technique to speak immediately with you concerning all issues AIP.

In a traditional world, I’d have written The Autoimmune Protocol e-book lengthy earlier than ever getting a ebook deal.  The e-book would have gone by iterations, and after I did lastly write an in-print ebook, it could have been based mostly on a refined model of my e-book.  As a result of my viewers grew so shortly out of the gate, I ended up writing The Paleo Strategy first.  After which, I used to be scared that if I launched an e-book on the Autoimmune Protocol, that it could cannibalize gross sales of The Paleo Strategy, a terrifying prospect on condition that I’ve lengthy relied on ebook gross sales to assist my web site and workforce. That’s why it took me 5 years to place collectively The Autoimmune Protocol e-book. I feel I wanted the expertise of making the AIP Licensed Coach practitioner coaching program and instructing The AIP Lecture Collection to understand that my sources layer on high of one another, that every of those methods of studying concerning the Autoimmune Protocol assist one another. The easiest way that I can enhance recognition of the Autoimmune Protocol, to carry out my stewardship duties, is to supply as huge a set of AIP sources, all at completely different ranges of element, as attainable.  And on the intense aspect, The Autoimmune Protocol e-book is a very darned superior useful resource, much better than I might have created 5 years in the past!

The Widespread Themes of My Journey

aipLet’s face the bitter reality:  my experiences of going through prejudice and bullying, of not being taken critically by my docs, of fighting signs for many years earlier than I knew the identify of my autoimmune illnesses, of being so defeated by my signs that I believed I deserved how I felt. . . these experiences aren’t distinctive to me. Variations of these experiences are the frequent theme of life with autoimmune illness.  And it simply shouldn’t be that method!  However what’s additionally wonderful is that my expertise of feeling so impressed and indebted to the AIP that I dedicated my life to educating others about it isn’t distinctive both!  There are such a lot of gifted AIP bloggers on the market creating AIP sources, recipes, cookbooks, all to assist drive this motion ahead.  And, every certainly one of them has an inspirational story of therapeutic.  Listed here are simply a few of my favourite tales from AIP bloggers:

I hope that my story and people of the above AIP bloggers encourage you to study extra concerning the Autoimmune Protocol, dive deeper, and take the next step in your path to well being.  So, if you wish to study extra concerning the AIP or share sources with a pal or member of the family, right here’s my instructed order to undergo my sources:

  1. Learn my abstract webpage on the Autoimmune Protocol right here. (There’s numerous hyperlinks to particular articles too.)
  2. Get my free AIP Fast-Begin Information right here.
  3. Seize a replica of The Autoimmune Protocol e-book (it’s solely $20 and your buy helps assist this web site).
  4. Learn The Paleo Strategy. (You may also cook dinner out of The Paleo Strategy Cookbook and The Therapeutic Kitchen.)
  5. Join the following session of The AIP Lecture Collection.
  6. In case you’re a healthcare skilled or wellness supplier, try the AIP Licensed Coach practitioner coaching program.

And please observe that any buy from helps to assist me, my workforce (with out whom I couldn’t do even a fraction of what I do), and the prices of working this website.  Thanks!

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