Medical experts still do not know what causes colorectal cancer.
Many cases of colorectal cancer have no symptoms at all, even in its advanced stages.
However, many risk factors have been established such as.
1. Age
2. Genetic
3. Food
Age
Age is the main risk factor.
Colorectal cancer risk increases after the age of 50.
The following are symptoms of cancer:
* Change in bowel habits
* Rectal bleeding
* Abdominal distension and discomfort
* Difficulty or pain during defaecation
* Anaemia or unexplained weight loss
Genetic
If any member of your family has been diagnosed with colorectal cancer before the age of 45 years, you are considered at higher risk.
However, that does not mean that most colorectal cancers are hereditary in nature because less than 10 per cent of colorectal cancers are due to inherited gene defects according to Dr Choo Su Pin, Senior Consultant at the Medical Oncology Department, National Cancer Centre Singapore.
Genetic factors include,
* A history of familial adenomatous polyposis
* Ulcerative colitis, a disease which tends to run in
families
* Two or three immediate relatives diagnosed with
colorectal cancer at any age
Food (Red meat)
There is convincing evidence that red meat contributes to colorectal cancer risk.
The World Cancer Research Fund recommends eating a maximum of 500g of cooked red meat per week.
You can actually do something to reduce your risk of colorectal cancer.
The easiest and most effective way to lower your risk of colorectal cancer is lifestyle changes:
1. Eat less fat and red meat.
2. Eat more vegetables, fruits and fibre.
Fibre helps to speed up the passage of food and to
dilute the carcinogens in your colon.
Take 5 or more servings of vegetables and fruits
daily.
3. Exercise regularly.
Just one hour of walking a week can reduce your
colon cancer risk by up to a third.
4. Quit smoking.
Tobacco has been shown to increase polyp
formation.
Polyps are like bumps on the surface of the colon
which can grow to be cancerous.
5. Cut down on alcohol, especially distilled spirits.
Having more than nine drinks a week of distilled
spirits on a regular basis for 10 years can
increase your risk of developing colon cancer
by more than 300 per cent.
6. Control your diabetes.
Diabetics are 40 per cent more likely to develop
colon cancer than non-diabetics.
7. Supplement.
Consider taking calcium supplement.
According to the World Cancer Research Fund,
calcium may have a protective effect against
colorectal cancer.
The evidence is derived from studies using
calcium supplements at a dose of 1200 mg/day.
Colon Cancer Screening Procedures
Bowel function is considered to be an embarrassing topic.
Even if you suspect something is wrong, you may be embarrassed to bring up the topic during a medical visit to your doctor.
Another reason why you might not want to undergo a colon cancer screening is the method used.
Colonoscopy
You have heard about colonoscopy that involves the insertion of a fibre-optic flexible tube up the rectum.
Colonoscopies procedures are not painful but can be uncomfortable.
Doctors will make sure you are comfortable during your colonoscopy.
Mild sedatives with amnesic effect are used to relief discomfort.
Colonoscopy is a standard procedure for colon cancer screening as it is able to detect pre-cancerous lesions (such as polyps) as well as cancerous ones.
The advantage is that any lesion can be biopsied and polyps can be removed during colonoscopies procedures.
Non-invasive screening
There is a non-invasive screening option.
An alternative screening method for colon cancer known as faecal occult blood test or FOBT Faecal occult blood test detects blood in your stool that cannot be seen by the naked eye.
A positive test result from FOBT still needs colonoscopy to rule out colon cancer.
Faecal occult blood test requires you to collect stool samples on three consecutive days.
These samples can be evaluated at home by detecting colour changes on a test card or can be sent to the lab for analysis.
You should not eat foods such as cauliflower or broccoli 2 to 3 days or 48 to 72 hours before the test as these foods can interfere with the results.
Final advice
From the age of 50, you should go for colon cancer screening with or without symptoms.
Do not dismiss any colon cancer symptoms such as simple changes in your bowel habits, especially if they have been present for more than 6 weeks.
Do not feel embarrass to discuss any symptom with your doctor.
You can consider a non-invasive screening method.
Posted by: Mo Salle
Read Related Articles:
• Cheeky 'Cover your butt!' billboards encourage colonoscopies while raising a few eyebrows
• Simple ways to lower your risk of colorectal cancer
Friday, May 31, 2013
Sunday, May 26, 2013
Constipation Or Fistula-In- Ano (FIA)
Constipation and fistula-in-ano (FIA) also called an anal fistula is not related.
FIA refers to an abnormal connection between the anal skin and the inner lining of the anus (opening from which stool is discharged) or rectum (the last part of your large intestine that stores stool and ends in the anus).
It is commonly caused by an infection of one or several anal glands resulting in recurrent infection and discharge.
Surgery is the most effective way to treat FIA.
Constipation on the other hand is not a disease but a common symptom experienced by everyone at some point in their lives.
The causes of constipation are,
• To little or too much dietary fibre.
• Inadequate fluid intake.
• Lack of physical activities.
• Medication.
• Irritable bowel syndrome.
• Neurological diseases such as stroke and diabetes.
Colonoscopy is recommended in view of your constipation and your age if your are 50 years old.
This procedure helps to detect more sinister causes of constipation such as colorectal cancer.
FIA can be detected during the evaluation of your constipation but not a result of constipation.
Treating constipation relies on accurately identifying the underlying causes and prescribing individualized treatment.
Constipation can be the result of weakness your anus and rectum coordinating muscles or lack of it, which are responsible for the normal passage of your stool.
Anorectal manometry is a useful test that measures the pressure along the anal canal and rectum, this test helps doctors to identify FIA in patients.
You can benefit from anorectal biofeedback therapy, it comprises a series of coordinated movements of breathing and abdominal and anal muscle contractions exercise.
Using a visual and auditory aid, both patient and therapist will know if the exercises are performed correctly.
The result from this therapy varies and improvement do not occur overnight.
It requires at least 6 months of daily disciplined routine and regular follow up sessions.
If there is no improvement in your constipation, it is strongly encourage that you check with your doctor again for further review.
He will examine you thoroughly and assess your symptoms in greater detail as well as review the exercises you did are correctly perform.
You should continue to moderate your intake of dietary fibre and drink plenty of fluids.
Lastly, your doctor should ensure that your FIA has not return and constipation is not the cause or related to FIA.
If your FIA has returned surgery should be considered but not to address your constipation.
Posted by: Mo Salle
Read Other Related Articles:
• Am I Suffering From Hemorrhoid Piles Or Anal Fissure?
• Bleeding Anus: Piles or Fissures
FIA refers to an abnormal connection between the anal skin and the inner lining of the anus (opening from which stool is discharged) or rectum (the last part of your large intestine that stores stool and ends in the anus).
It is commonly caused by an infection of one or several anal glands resulting in recurrent infection and discharge.
Surgery is the most effective way to treat FIA.
Constipation on the other hand is not a disease but a common symptom experienced by everyone at some point in their lives.
The causes of constipation are,
• To little or too much dietary fibre.
• Inadequate fluid intake.
• Lack of physical activities.
• Medication.
• Irritable bowel syndrome.
• Neurological diseases such as stroke and diabetes.
Colonoscopy is recommended in view of your constipation and your age if your are 50 years old.
This procedure helps to detect more sinister causes of constipation such as colorectal cancer.
FIA can be detected during the evaluation of your constipation but not a result of constipation.
Treating constipation relies on accurately identifying the underlying causes and prescribing individualized treatment.
Constipation can be the result of weakness your anus and rectum coordinating muscles or lack of it, which are responsible for the normal passage of your stool.
Anorectal manometry is a useful test that measures the pressure along the anal canal and rectum, this test helps doctors to identify FIA in patients.
You can benefit from anorectal biofeedback therapy, it comprises a series of coordinated movements of breathing and abdominal and anal muscle contractions exercise.
Using a visual and auditory aid, both patient and therapist will know if the exercises are performed correctly.
The result from this therapy varies and improvement do not occur overnight.
It requires at least 6 months of daily disciplined routine and regular follow up sessions.
If there is no improvement in your constipation, it is strongly encourage that you check with your doctor again for further review.
He will examine you thoroughly and assess your symptoms in greater detail as well as review the exercises you did are correctly perform.
You should continue to moderate your intake of dietary fibre and drink plenty of fluids.
Lastly, your doctor should ensure that your FIA has not return and constipation is not the cause or related to FIA.
If your FIA has returned surgery should be considered but not to address your constipation.
Posted by: Mo Salle
Read Other Related Articles:
• Am I Suffering From Hemorrhoid Piles Or Anal Fissure?
• Bleeding Anus: Piles or Fissures
Friday, May 24, 2013
Conflicting Result On Linking Baldness With The Risk Of Prostate Cancer And African-American Men
Hair Loss > Conflicting Result On Linking Baldness With The Risk Of Prostate Cancer And African-American Men
Researchers have long been trying to link baldness with the risk of prostate cancer.
Previous studies on Caucasian men shows mixed result while another showed no connection at all.
Recently, they did a new study on African-American men and came out with a more positive result.
This time, it shows a high risk of prostate cancer among African-American men who are having hair growth problem.
They come to a conclusion that this studies support the results of the earlier studies on Caucasian men that have similar results.
But, why balding is connected to prostate cancer is not known.
Researchers believe that changes in hormone levels may be the cause.
They could not identify the exact link but some experts suggested that it may be related to the hormone testosterone.
The breakdown of the male hormone testosterone Dihydrotestosterone (DHT) is linked to a higher risk of prostate cancer and escalate tumors growth and also the thinning of hair follicles.
Dr. Dudley Danoff, a urologist and president of Cedars-Sinai Tower Urology Medical Group in Los Angeles commented that he has not noticed this connection in his own practice but nonetheless, this study is well researched.
Another reason why the results were more pronounced among African-American men is genetic or race-related.
Dr.Danoff adds that since both frontal baldness and prostate cancer both run in the families, they appear to be genetic.
However, whether they are affected by the same gene is to be determined.
Again, researchers are pending on further studies to confirm the results.
Early onset of baldness can be a potential clinical indicator of increased risk for prostate cancer among African-American men according to Charnita Zeigler-Johnson, a research assistant professor at the Center for Clinical Epidemiology and Biostatistics at the University of Pennsylvania in Philadelphia.
African-American men under the age of 60 with frontal baldness are frequently diagnosed with prostate cancer and those over the age of 60 show no connection at all.
Since baldness is more rampant than prostate cancer, using this condition would mean screening all those men who are not at high risk for prostate cancer.
In order to screen his patients for prostate cancer, Dr. Danoff still prefer to rely on their positive family history, PSA test, digital rectal exam and transrectal ultrasound.
This recent study published in Cancer Epidemiology, Biomarkers & Prevention, done on African-American men discovered that they have a higher rate of prostate cancer and are twice likely to die of the disease than Caucasian men.
News linking African-American men with higher risk of developing the cancer could help them receive early treatment to save their lives.
Due to Zeigler-Johnson study on such a small group, the results of her studies are not indicative of all African-American men.
She concluded that more studies are needed on men of African descent, both in the United States and abroad.
Posted by: Mo Salle
Articles Resources:
• The Link Between Early Baldness And Prostate Cancer
• Early Baldness Linked To Prostate Cancer In Black Men
Find out more about Hair Loss Black Book:
Researchers have long been trying to link baldness with the risk of prostate cancer.Previous studies on Caucasian men shows mixed result while another showed no connection at all.
Recently, they did a new study on African-American men and came out with a more positive result.
This time, it shows a high risk of prostate cancer among African-American men who are having hair growth problem.
They come to a conclusion that this studies support the results of the earlier studies on Caucasian men that have similar results.
But, why balding is connected to prostate cancer is not known.
Researchers believe that changes in hormone levels may be the cause.
They could not identify the exact link but some experts suggested that it may be related to the hormone testosterone.
The breakdown of the male hormone testosterone Dihydrotestosterone (DHT) is linked to a higher risk of prostate cancer and escalate tumors growth and also the thinning of hair follicles.
Dr. Dudley Danoff, a urologist and president of Cedars-Sinai Tower Urology Medical Group in Los Angeles commented that he has not noticed this connection in his own practice but nonetheless, this study is well researched.
Another reason why the results were more pronounced among African-American men is genetic or race-related.
Dr.Danoff adds that since both frontal baldness and prostate cancer both run in the families, they appear to be genetic.
However, whether they are affected by the same gene is to be determined.
Again, researchers are pending on further studies to confirm the results.
Early onset of baldness can be a potential clinical indicator of increased risk for prostate cancer among African-American men according to Charnita Zeigler-Johnson, a research assistant professor at the Center for Clinical Epidemiology and Biostatistics at the University of Pennsylvania in Philadelphia.
African-American men under the age of 60 with frontal baldness are frequently diagnosed with prostate cancer and those over the age of 60 show no connection at all.
Since baldness is more rampant than prostate cancer, using this condition would mean screening all those men who are not at high risk for prostate cancer.
In order to screen his patients for prostate cancer, Dr. Danoff still prefer to rely on their positive family history, PSA test, digital rectal exam and transrectal ultrasound.
This recent study published in Cancer Epidemiology, Biomarkers & Prevention, done on African-American men discovered that they have a higher rate of prostate cancer and are twice likely to die of the disease than Caucasian men.
News linking African-American men with higher risk of developing the cancer could help them receive early treatment to save their lives.
Due to Zeigler-Johnson study on such a small group, the results of her studies are not indicative of all African-American men.
She concluded that more studies are needed on men of African descent, both in the United States and abroad.
Posted by: Mo Salle
Articles Resources:
• The Link Between Early Baldness And Prostate Cancer
• Early Baldness Linked To Prostate Cancer In Black Men
Find out more about Hair Loss Black Book:
 |
Stop Hair Loss and Re-Grow Your Hair Learn How To Reverse Hair Loss, Get Back Your Full Head Of Hair Using Simple Natural Techniques And Eliminate Hair Loss Permanently |
Friday, May 17, 2013
The Rise Of Multiple Myeloma
There is a rising trend of Multiple Myeloma, a form of bone cancer often mistaken for the common cold.
Early symptoms are,
* muscle aches
* fatique
* loss of appetite
Multiple Myeloma condition can only be confirmed through a blood test.
This disease affects mostly older than 60 persons.
The number is expected to increase as the world population ages.
Medical specialists are studying the rising trend of Multiple Myeloma so as to come out with proper diagnosis and improve the aspects of its treatment.
Studying the disease is important because survival rates are higher in myeloma.
Researching the disease can also leads to the discovery of new treatment for other type of cancer.
Posted by: Mo Salle
Read Related Articles:
• Multiple Myeloma Research Foundation
• America Cancer Society
• Multiple Myeloma Survivor’s Stories
Early symptoms are,
* muscle aches
* fatique
* loss of appetite
Multiple Myeloma condition can only be confirmed through a blood test.
This disease affects mostly older than 60 persons.
The number is expected to increase as the world population ages.
Medical specialists are studying the rising trend of Multiple Myeloma so as to come out with proper diagnosis and improve the aspects of its treatment.
Studying the disease is important because survival rates are higher in myeloma.
Researching the disease can also leads to the discovery of new treatment for other type of cancer.
Posted by: Mo Salle
Read Related Articles:
• Multiple Myeloma Research Foundation
• America Cancer Society
• Multiple Myeloma Survivor’s Stories
Friday, May 10, 2013
The Silent Killer: Chronic Renal Failure Or Chronic Kidney Disease
Chronic kidney disease (CKD) also known as chronic renal disease is a progressive loss of renal function.
Your kidneys work as a washing machine.
They remove waste products from your body and also produce vital hormones.
Each day 180 liters of blood is filtered by your kidneys.
Your blood gets cleaned about 50 times a day, yet many people still develops kidney problems.
When CKD develops, it normally ends up in end-stage kidney failure that requires immediate dialysis treatment or kidney transplantation.
Anyone can get CKD regardless of your age, whether you are young or old.
Elderly people, diabetic, those who have high blood pressure and a family history of CKD are more likely to develop kidney disease.
However, CKD is preventable and the first step to take is to have you checked by an expert.
Most people may not have any symptoms until their kidney disease is in the advanced stage.
Some of the symptoms to look out for are,
* tiredness
* lost of energy
* having trouble sleeping
* swollen ankles and feet
* puffiness around the eyes
* dry itchy skin
* need to urinate more often
* fatigue and weakness
* shortness of breath
* high-blood pressure
If you have these symptoms, see your doctor for medical checkup as to diagnose your condition.
A test called the eGFR (estimated glomerular filtration rate) will be used to measure kidney function.
Your eGFR is calculated from the level of a chemical called creatinine in the blood.
GFR is a measure of the amount of blood your kidneys filter every minute.
The result reflects the filtration ability of your kidneys.
A normal eGFR is about 100 ml/min in young adults referred to as the percentage of normal kidney function.
Young adults with normal kidneys can have an eGFR as low as 75 ml/min and this will falls by 1 ml/min per year as people get older.
Healthy people aged 75 can have an eGFR of 50 to 60 ml/min.
CKD patients with complications like anemia, diabetes, cardiovascular disease or hyperphosphatemia are likely to develop symptoms at higher GFR levels.
Go for regular periodic medical checkup as early detection and treatment can often keep chronic kidney disease from getting worse.
Take these small steps to improve your kidney health,
* eat healthy
* exercise regularly to maintain your healthy weight
* get your blood pressure and kidney function checked
frequently
* control your blood sugar level
* stay active
* cut down on salt and processed foods
* don’t smoke
Many people around the world suffer from chronic kidney disease (CKD) without knowing it due to a lack of information about the matter.
Posted by: Mo Salle
Fact Sheet 2010:
• National Chronic Kidney Disease Fact Sheet 2010
Your kidneys work as a washing machine.
They remove waste products from your body and also produce vital hormones.
Each day 180 liters of blood is filtered by your kidneys.
Your blood gets cleaned about 50 times a day, yet many people still develops kidney problems.
When CKD develops, it normally ends up in end-stage kidney failure that requires immediate dialysis treatment or kidney transplantation.
Anyone can get CKD regardless of your age, whether you are young or old.
Elderly people, diabetic, those who have high blood pressure and a family history of CKD are more likely to develop kidney disease.
However, CKD is preventable and the first step to take is to have you checked by an expert.
Most people may not have any symptoms until their kidney disease is in the advanced stage.
Some of the symptoms to look out for are,
* tiredness
* lost of energy
* having trouble sleeping
* swollen ankles and feet
* puffiness around the eyes
* dry itchy skin
* need to urinate more often
* fatigue and weakness
* shortness of breath
* high-blood pressure
If you have these symptoms, see your doctor for medical checkup as to diagnose your condition.
A test called the eGFR (estimated glomerular filtration rate) will be used to measure kidney function.
Your eGFR is calculated from the level of a chemical called creatinine in the blood.
GFR is a measure of the amount of blood your kidneys filter every minute.
The result reflects the filtration ability of your kidneys.
A normal eGFR is about 100 ml/min in young adults referred to as the percentage of normal kidney function.
Young adults with normal kidneys can have an eGFR as low as 75 ml/min and this will falls by 1 ml/min per year as people get older.
Healthy people aged 75 can have an eGFR of 50 to 60 ml/min.
CKD patients with complications like anemia, diabetes, cardiovascular disease or hyperphosphatemia are likely to develop symptoms at higher GFR levels.
Go for regular periodic medical checkup as early detection and treatment can often keep chronic kidney disease from getting worse.
Take these small steps to improve your kidney health,
* eat healthy
* exercise regularly to maintain your healthy weight
* get your blood pressure and kidney function checked
frequently
* control your blood sugar level
* stay active
* cut down on salt and processed foods
* don’t smoke
Many people around the world suffer from chronic kidney disease (CKD) without knowing it due to a lack of information about the matter.
Posted by: Mo Salle
Fact Sheet 2010:
• National Chronic Kidney Disease Fact Sheet 2010
Friday, May 3, 2013
How To Relieve Stress With Mental Toughness?
Knowing how to relieve stress at work is more about your mental toughness than picking the right stress management techniques.
Do people around your office make you feel frustrated?
Customers, clients, colleagues and even your boss can makes you feel stressed with their individual characters and behaviors.
Then you need to make yourself mentally tough.
Mental toughness is an essential stress relief skill required to be resilient to all the pressures and stresses in your working environment.
Feeling frustrated and upset with what someone has said or had done create tension and stress to your body.
Ronald Glaser, director of Ohio State University's Institute for Behavioral Medicine Research acknowledges that stress produce abnormal changes in the immune system.
Ronald Glaser and his wife Janice Kiecolt-Glaser, a clinical psychologist also from Ohio State University studied the mind-body connection.
They found that chronic stress and psychological stress impeded wounds from healing and impaired the effectiveness of vaccines and stresses also weaken the immune system of caregivers. usatoday
Physically you will easily feel tired and emotionally sensitive.
Your body becomes prone to back pain, headache, faster heart beat, upset stomach and sweating.
However, there is more positive effect created when you responded to these potentially stressful situations.
Carol Ryff, a psychology professor at the University of Wisconsin-Madison said that there is a science emerging that says a positive attitude is not just a state of mind.
It also has links to what is going on in your brain and in your body." usatoday
Without realizing it, when you react and respond to the people at work, you are creating tensions and stress to your body.
Stress does not happen to you, it happens because of you.
You unwittingly increased the stress to your own life.
What should you do about it?
* Change your focus.
* Train your mind to focus on solutions not the problems.
* Be open minded, do not have negative aspects of people that bother you.
* Move on, do not dwell on the problems.
* Focus on what you want not what you do not want.
* Solve the problems or mistakes instead of being upset because someone disagrees with you.
* Put your mind on the task at hand not on other people's opinions of you.
* Look at all the goodness you can achieve instead of hating yourself up over one or two mistakes.
* Be on your good nature and sense of humour when with a demanding client.
Studies have found that pain is a psychologically constructed experience. msnbc
How to relieve stress is not about finding the ideal stress management technique.
There will always be people who say and do things you do not like, those who disagree with your opinion and disapproved of your choices.
If you let these resistances undermine with what you do, you will never be free of stress and pressure.
Looking for ways on how to relieve stress will makes you ignore the solutions that is closest to home which is your own thoughts and actions.
Finding stress relief is not as simple as picking up a stress management book and try out all the suggested stress management techniques.
Instead, be mindful of what you focus on and watch your stress shift.
One positive lesson that comes out of this situation is realizing that life is too short to waste time getting drained from stress just because of what or how other people communicate with you.
Live today and at every moment because there is no guarantee of what tomorrow will bring.
Posted by: Mo Salle
Do people around your office make you feel frustrated?
Customers, clients, colleagues and even your boss can makes you feel stressed with their individual characters and behaviors.
Then you need to make yourself mentally tough.
Mental toughness is an essential stress relief skill required to be resilient to all the pressures and stresses in your working environment.
Feeling frustrated and upset with what someone has said or had done create tension and stress to your body.
Ronald Glaser, director of Ohio State University's Institute for Behavioral Medicine Research acknowledges that stress produce abnormal changes in the immune system.
Ronald Glaser and his wife Janice Kiecolt-Glaser, a clinical psychologist also from Ohio State University studied the mind-body connection.
They found that chronic stress and psychological stress impeded wounds from healing and impaired the effectiveness of vaccines and stresses also weaken the immune system of caregivers. usatoday
Physically you will easily feel tired and emotionally sensitive.
Your body becomes prone to back pain, headache, faster heart beat, upset stomach and sweating.
However, there is more positive effect created when you responded to these potentially stressful situations.
Carol Ryff, a psychology professor at the University of Wisconsin-Madison said that there is a science emerging that says a positive attitude is not just a state of mind.
It also has links to what is going on in your brain and in your body." usatoday
Without realizing it, when you react and respond to the people at work, you are creating tensions and stress to your body.
Stress does not happen to you, it happens because of you.
You unwittingly increased the stress to your own life.
What should you do about it?
* Change your focus.
* Train your mind to focus on solutions not the problems.
* Be open minded, do not have negative aspects of people that bother you.
* Move on, do not dwell on the problems.
* Focus on what you want not what you do not want.
* Solve the problems or mistakes instead of being upset because someone disagrees with you.
* Put your mind on the task at hand not on other people's opinions of you.
* Look at all the goodness you can achieve instead of hating yourself up over one or two mistakes.
* Be on your good nature and sense of humour when with a demanding client.
Studies have found that pain is a psychologically constructed experience. msnbc
How to relieve stress is not about finding the ideal stress management technique.
There will always be people who say and do things you do not like, those who disagree with your opinion and disapproved of your choices.
If you let these resistances undermine with what you do, you will never be free of stress and pressure.
Looking for ways on how to relieve stress will makes you ignore the solutions that is closest to home which is your own thoughts and actions.
Finding stress relief is not as simple as picking up a stress management book and try out all the suggested stress management techniques.
Instead, be mindful of what you focus on and watch your stress shift.
One positive lesson that comes out of this situation is realizing that life is too short to waste time getting drained from stress just because of what or how other people communicate with you.
Live today and at every moment because there is no guarantee of what tomorrow will bring.
Posted by: Mo Salle
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