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Mark Hyman, MD

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The Super Fiber That Controls Your Appetite and Blood Sugar

Posted: 05/29/10 09:30 AM ET

Imagine eating 12 pounds of food a day -- and still staying thin and healthy. That may sound crazy, but it's exactly what our hunter-gatherer ancestors ate for millennia! And they didn't have any obesity or chronic diseases like heart disease, diabetes, cancer, or dementia.

Of course, I wouldn't advise anyone today to eat 12 pounds of food, because the food in our society lacks one major secret ingredient that our ancestors ate in nearly all their food -- fiber!

Fiber has so many health benefits that I want to focus on it in this week's blog. I'll explain some of its benefits and give you nine tips you can begin using today to get more fiber in your diet. I'll also tell you about my favorite "super-fiber" that can help you increase your total fiber intake overnight.

But before I tell you about what fiber can do for you, let's a look a little more at the history of fiber.

Why Bushmen are Healthier than the Average Westerner

Dr. Dennis Burkitt, a famous English physician, studied the differences between indigenous African bushmen and their "civilized" western counterparts. The bushmen seemed to be free of the scourges of modern life -- including heart disease, cancer, diabetes, and obesity.

Dr. Burkitt found that the average bushman had a stool weight of two pounds and the "civilized" men had a stool weight of only four ounces - that's 87.5 percent smaller! The difference was in the amount of fiber they ate.

Today, the average American eats about 8 grams of fiber a day. But the average hunter and gatherer ate 100 grams from all manner of roots, berries, leaves and plant foods. And the fiber is what helped those ancestors of ours stay healthy. Just take a look at all the good things that fiber can do for your body.

You need fiber to keep you healthy from top to bottom, as well as to provide food for the healthy bacteria that work within you to promote health.

In fact, fiber can actually prevent obesity(i) and all the chronic disease of aging. This is because fiber slows the rate at which food enters your bloodstream and increases the speed at which food exits your body through the digestive tract. (ii) That keeps your blood sugar and cholesterol in ideal balance -- and quickly eliminates toxins from your gut and reduces your appetite,

There's good science to back this up. Research shows that fiber can lower blood sugar as much as some diabetes medications,(iii) lower cholesterol(iv), and promote weight loss.(v)

It's clear, fiber is a great ally in the battle of the bulge.

But it's also a hero in more serious battles.

For example, one recent study showed how butyrate made by gut bacteria from certain types of fiber acts as a switching molecule that turns on an anticancer gene -- and turns OFF colon cancer. In fact, fiber has been shown to reduce the risk of colon cancer by as much as a third and breast cancer by almost 40 percent.

It also lowers cholesterol and reduces the risk of heart disease by as much as 40 percent.(vi) And if you have diabetes, adding fiber to your diet may even help you use less insulin. Plus, it's a great natural cure for constipation and irregularity.(vii)

Now that you know how beneficial it is, let's look at how you can begin taking advantage of fiber's health benefits.

Getting Enough Daily Fiber

You should shoot to get 30 to 50 grams of fiber into your diet every day.(viii) The type of fiber you choose is important, too.

Most people think that bran is the best type of fiber to eat. But bran (wheat fiber) is mostly insoluble and doesn't get digested. Think of it as more of a scouring pad for your intestines. That's good for getting you regular, but it just can't help your health the way that soluble fiber can.

You'll find soluble fiber in fruits, vegetables, beans, nuts, seeds and most whole grains. The bacteria in your gut metabolizes the soluble fiber in these foods, and that's when the benefits start.

Soluble fiber can help lower cholesterol, blood sugar, and insulin, prevent cancer, balance hormone levels, remove excess estrogen and reduce the risk of breast cancer, make vitamins and minerals, provide food for the colon cells, and more. So it's easy to see just how crucial soluble fiber is to good heath!

In just a minute, I'm going to tell you how to increase your fiber intake. But first, I want to tell you about some recent discoveries regarding an ancient fiber source that can help you lose weight, lower your cholesterol, reduce your appetite and lower your blood sugar more effectively than ANY other fiber. It's called glucomannan, but I call it super fiber!

Glucomannan: The Benefits of Super Fiber

Glucomannan (GM) is a soluble, fermentable, and highly viscous dietary fiber that comes from the root of the elephant yam, also known as konjac (Amorphophallus konjac or Amorphophallus rivieri), native to Asia. The konjac tuber has been used for centuries as an herbal remedy and to make traditional foods such as konjac jelly, tofu, and noodles. More recently, purified konjac flour, or GM, has been used as a food stabilizer, gelling agent, and supplement.

What makes this fiber so super is the fact that it can absorb up to 50 times its weight in water -- making it one of the most viscous dietary fibers known.

That means that GM can help you shed pounds. In many studies, doses of two to four grams of GM per day were well-tolerated.(ix),(x) This amount also resulted in significant weight loss in overweight and obese individuals.(xi)

GM works by promoting a sense of fullness.(xii),(xiii) Plus, it pushes more calories out through your colon, rather than letting them be absorbed.(xiv) It also lowers the energy density of the food you eat. In other words, it bulks up food in your gut -- creating a lower calorie content per weight of food you eat.(xv)

And since fiber has almost no calories but a lot of weight, adding it to your diet lowers the energy-to-weight ratio of the food that you eat. Studies show that the weight of food controls your appetite, so the fiber increases the food's weight WITHOUT increasing calories -- a critical factor in weight control.

This powerful fiber may also control your appetite in other key ways.

For example, it sends signals to your brain that there is a lot of food in your gut and tells it to slow down on stuffing food in there.

GM also leaves your stomach and small bowel slowly because it is so viscous. By slowing the rate of food absorption from the gut to the bloodstream, GM reduces the amount of insulin produced after a meal, which also controls your appetite.

It may also increase the level of hormones in the gut (such as cholecystokinin), which is another way to control your appetite.(xvi)

And finally, you lose more calories through stool because GM soaks up all those extra calories!

GM can also help your health in other ways. In addition to weight reduction, GM has been studied for its effects on constipation, serum cholesterol,(xvii) blood glucose,(xviii) blood pressure,(xix) and insulin resistance syndrome.(xx)

With all those benefits, there's no doubt you should eat more fiber. No, you probably won't be eating 12 pounds of food like your ancestors did! But you can increase your fiber intake, just by being smart about what you eat. Here are some simple suggestions for increasing fiber in your diet.

9 Tips for Increasing the Fiber in Your Diet

1. Get the flax. Get a coffee grinder just for flax seeds, grind 1/2 cup at a time, and keep it in a tightly sealed glass jar in the fridge or freezer. Eat 2 tablespoons of ground flax seeds a day. Sprinkle it on salads, grains, or vegetable dishes or mix it in a little unsweetened applesauce.

2. Load up on legumes. Beans beat out everything else for fiber content!

3. Bulk up on vegetables. With low levels of calories and high levels of antioxidants and protective phytochemicals, these excellent fiber sources should be heaped on your plate daily.

4. Go with the grain. Whole grains like brown rice or quinoa are rich in fiber, too.

5. Eat more fruit. Include a few servings of low-sugar fruits to your diet daily (berries are the highest in fiber and other protective phytochemicals).

6. Go nuts. Include a few handfuls of almonds, walnuts, pecans, or hazelnuts to your diet every day.

7. Start slowly. Switching abruptly to a high-fiber diet can cause gas and bloating. Increase your fiber intake slowly till you get up to 50 grams a day.

8. Consider a good fiber supplement. If you're have trouble getting your fill of fiber, choose a supplement that contains both soluble and insoluble fiber and no sweeteners or additives.

9. Choose GM. By now, you know that my favorite kind is glucomannan (GM), or konjac. Many companies sell it in capsule form. Although I don't normally recommend specific brands, I like the one produced by Natural Factors called WellBetX. You can take 2 to 4 capsules with a glass of water, 30 to 60 minutes before eating. Don't take any medications within 1 hour before or 2 hours after taking it because the fiber may absorb the medication.

As you can see, fiber has big benefits for your health -- from encouraging weight loss to preventing chronic diseases. I hope you'll start adding more of this important compound into your diet today!

Now I'd like to hear from you ...

Have you noticed any ill-health effects from having a low fiber intake?

How much fiber do you think you currently eat every day?

What high-fiber foods do you enjoy?

What steps are you taking to get more fiber in your diet?

Please let me know your thoughts by adding a comment below.

To your good health,

Mark Hyman, M.D.

References

(i) Howarth NC, Saltzman E, Roberts SB. Dietary fiber and weight regulation. Nutr Rev. 2001;59:129-139.

(ii) Burton-Freeman B. Dietary fiber and energy regulation. J Nutr. 2000; 130(2S Suppl):272S-275S

(iii) Vuksan V, Sievenpiper SL, Xu Z, et al. Konjac-Mannan and American Ginseng: Emerging alternative therapies for type 2 diabetes mellitus. J Am Coll Nutr. 2001;20(5Suppl):370S-380S.

(iv) Gallaher DD, Gallaher CM, Mahrt GJ, et al. A glucomannan and chitosan fiber supplement decreases plasma cholesterol and increases cholesterol excretion in overweight normocholesterolemic humans. J Am Coll Nutr. 2002;21(5): 428-433.

(v) Baer DJ, Rumpler WV, Miles CW, Fahey GCJ. Dietary fiber decreases the metabolizable energy content and nutrient digestibility of mixed diets fed to humans. J Nutr. 1997;127: 579-586.

(vi) Vuksan V, Jenkins DJ, Spadafora P, et al. Konjac-mannan (glucomannan) improves glycemia and other associated risk factors for coronary heart disease in type 2 diabetes. A randomized controlled metabolic trial. Diabetes Care. 1999;22(6):913-919.

(vii) Astrup A, Vrist E, Quaade F. (1990). Dietary fibre added to a very low calorie diet reduces hunger and alleviates constipation. Int J Obes. 1990;14:105-112.

(viii) Walsh DE, Yaghoubian V, Behforooz A. Effect of glucomannan on obese patients: A clinical study. Int J Obes. 1984;8:289-293.

(ix) Livieri C, Novazi F, Lorini R. The use of highly purified glucomannan-based fibers in childhood obesity. Pediatr Med Chir. 1992;14(2):195-198.

(x)Vita PM, Restelli A, Caspani P, Klinger R. Chronic use of glucomannan in the dietary treatment of severe obesity. Minerva Med. 1992;83(3):135-139.

(xi) Cairella M, Marchini G. Evaluation of the action of glucomannan on metabolic parameters and on the sensation of satiation in overweight and obese patients. ClinTer. 1995;146(4):269-274.

(xii) Burley VJ, Paul AW, Blundell JE. Influence of a high-fibre food (myco-protein) on appetite: Effects on satiation (within meals) and satiety (following meals). Eur J Clin Nutr. 1993;47:409-418.

(xiii) Hill AJ, Blundell JE. Macronutrients and satiety: The effects of a high protein or high carbohydrate meal on subjective motivation to eat and food preferences. Nutr Behav. 1986;3:133-144.

(xiv) Pasman WJ, Saris WH, Wauters MA, Westerterp-Plantenga MS. Effect of one week of fibre supplementation on hunger and satiety ratings and energy intake. Appetite, 1997;29:77-87.


(xv) Liu S, Willett WC, Manson JE, Hu FP, Rosner B, Colditz G. Relation between changes in intakes of dietary fiber and grain products and changes in weight and development of obesity among middle-aged women. Am J Clin Nutr. 2003;78(5):920-927.

(xvi) Bourden I, Yokoyama W, Davis P, et al. Postprandial lipid, glucose, insulin, and cholecystokinin responses in men fed barley pasta enriched with beta-glucan. Am J Clin Nutr. 1999;69:55-63.

(xvii) Arvill A, Bodin L. (1995). Effect of short-term ingestion of konjac glucomannan on serum cholesterol in healthy men. Am J Clin Nutr. 1995;61:585-589.


(xviii) Chen H-L, Sheu WH, Tai T-S, Liaw Y-P, Chen Y-C. Konjac supplement alleviated hypercholesterolemia and hyperglycemia in type 2 diabetic subjects--a randomized double-blind trial. J Am Coll Nutr. 2003;22(1):36-42.

(xix) Reffo GC, Ghirardi PE, Forattini C. Glucomannan in hypertensive outpatients: Pilot clinical trial. Curr Ther Res. 1988; 44(1):22-27.

(xx) Vuksan V, Sievenpiper JL, Owen R, et al. Beneficial effects of viscous dietary fiber from konjac-mannan in subjects with the insulin resistance syndrome: Results of a controlled metabolic trial. Diabetes Care. 2000;23(1):9-14.

Mark Hyman, M.D. practicing physician and founder of The UltraWellness Center is a pioneer in functional medicine. Dr. Hyman is now sharing the 7 ways to tap into your body's natural ability to heal itself. You can follow him on Twitter, connect with him on LinkedIn, watch his videos on Youtube and become a fan on Facebook.

 
 
 

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Imagine eating 12 pounds of food a day -- and still staying thin and healthy. That may sound crazy, but it's exactly what our hunter-gatherer ancestors ate for millennia! And they didn't have any obes...
Imagine eating 12 pounds of food a day -- and still staying thin and healthy. That may sound crazy, but it's exactly what our hunter-gatherer ancestors ate for millennia! And they didn't have any obes...
 
 
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06:33 PM on 07/22/2010
Regarding your advice to take flax, my opinion is that flax seeds are viewed as laxatives and are not digested well, while ground flax seeds and their oil oxygenate easily both inside and outside the body (by heat and free radicals), become less effective, and might even damage our health. Additionally, the consumption of flax seeds for more than three consecutive months is not recommended. Flax seeds contain cyanides that are rather toxic. Flax contains allergens and people are sensitive to them. See more info on the instability of flax http://ecochicagoland.com/archives/1370
02:24 PM on 07/07/2010
Please read this review and comment.

http://www.dietspotlight.com/glucomannan-review/
07:06 PM on 07/05/2010
I have trouble fitting fiber in my diet, although I do make the attempt, knowing that fiber from food is always better than from a supplement. I picked up the WellBetX supplement from Amazon about 5 weeks ago with the hope of controlling my blood sugar and appetite (I am hypoglycemic). I started with two capsules a day and now take 6, two aprox. 15-30 min. before each meal. It has a nice taste, because of the mulberry, and does not make me bloated or give me stomach issues. This is in part because I was careful to build up the amount of capsules per day so that I did not suffer digestive distress.With the capsules and adding a protein-rich breakfast my blood sugar stays stable through until lunch and dinner. And with less noshing, plus at least 3 half-hour sessions on the treadclimber, I am steadily losing around 2 lbs. per week.
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david5000
Detective & Pilot
08:58 PM on 06/08/2010
It turned out that these pill can not be taken by someone on anti rejection drugs due to a transplant. a serious WARNING not to take the WellBetX PGX pill when on any type of anti rejection pills according to my team of transplant doctors, they will reduce the effectiveness of the anti-rejection pills and could cause a rejection of the transplanted organ.

Luckily I only took one pill a day at lunch for a couple of days until I got my answer from my transplant team.

I hope DR Hyman read these posts because I don't think he is aware of this warning.
12:54 AM on 06/07/2010
Using the Kalahari Bushmen or San as evidence of the health benefits of dietary fiber is more than a little spurious. The San are nomadic hunter gatherers, getting far more exercise than the average "westerner", walking as much as 20 miles in a day during a hunt. They also have a life expectancy between 45-50 years which makes the assertion that they are "healthier" a rather perplexing statement.

Death due to cancer and heart disease is quite rare for westerners too when you only look at the population under 50. Obesity and diabetes rates also increase in populations over 40 yrs old, further confounding any correlation between the Sans' diet and their questionably better health.

Fiber is beneficial but it is not some miraculous panacea. This sort of fallacious reasoning is unnecessary and irresponsible. It is not science and articles such as this merely open the door for quackery. And if you wish to emulate a "naturalistic" lifestyle that may improve your health you're better off looking towards the Amami Islands in Japan where the people have the longest life expectancy of anywhere in the world.
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david5000
Detective & Pilot
11:41 PM on 06/06/2010
I got the jars two days ago, I tried so far one pill at lunch since I did not get to talk to my transplant doctor, even though my sugar is well controlled with metformin , at lunch the numbers get a little higher, but with only one pill at lunch , after two hours, my sugar number is excellent.

Can't wait to take them 3 times a day to see if I can drop metformin.
05:29 PM on 06/04/2010
Needs a healthy diet for everyone. Food sources contain many chemicals have made several drug resistant disease.
http://PakOsu.wordpress.com/
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jeanneyogini
05:11 PM on 06/04/2010
Hemp powder is a good source of fiber, high in protein and has all 10 essential amino acids. I mix it with strawberries, coconut milk and cardamon for a delicious breakfast smoothie.
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manumoka
05:26 PM on 06/04/2010
Yes, it's great.
11:24 AM on 06/04/2010
I found PGX last year and take it religiously prior to every meal. It helped me lose 30 lbs that I couldn't get to budge dispite working out frequently, a healthful diet and 1/2 my body weight in water. I had lost 130 lbs 15 years ago, when I regained 35, I was panicing. I hadn't changed any of my actions, yet was gaining weight--aging, hormones...who knows. turns out it was portion sizes and lack of fiber! PGX helped me eat less because you get a feeling of fullness when you take it prior to meals and I have never been more regular in my life! There isn't a day that I won't continue to use it, the price is moderate and affordable for just about any budget AND my entire family now uses it every day, not for weight loss but for the fiber benefits. I swear by it and tell everyone I know about it.

Julia Havey
http://www.ViceBustingDiet.com
01:23 PM on 06/03/2010
http://www.wellsphere.com/general-medicine-article/how-to-eat-12-pounds-of-food-daily-and-still-lose-weight/363215

This article appeared verbatim 2 years ago. Getting adequate fiber in our diets is important and certainly not a headline for anyone who hasn't been living under a rock for the last 30 years. I find it laughable that Hyman lauds the hunter-gatherer diet and then proposes we get our fiber from legumes and grains- foods that were mostly unavailable and uneaten by hunter-gatherers. Additionally no evidence is provided of his wild claim that bushmen ate 12 pounds of food per day. Not one of the references at the bottom of the article addresses this claim and a pubmed search comes up empty.
The punchline of shilling an expensive 'super fiber' supplement was the icing on the cake. A good rule is to immediately be suspicious of anyone who calls a food or supplement 'super' or 'miraculous'. There are no superfoods or supersupplements.
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chandra-shekar
11:41 PM on 06/03/2010
I did my own research.

Yes, Hyman hypes a lot and this article has appeared before a few times.

Independent research shows that Konjac (Glucomannan) has real and valid health benefits.

GM need not be expensive. I found that Swanson sells them for $2.97 per bottle!
11:44 AM on 06/04/2010
Glucomannan is ONE of the fibers in the patent pending blend of fibers that were used in creating PGX. There is no fiber that responds in the body the way the PGX does. PGX is a novel complex created from three different fibers sources. 5 grams of PGX is equivelnt to 20 grams of other fibers. 3 PGX Daily capsules is equivelent to 12 glass of other fibers! or 2 bowls of real oatmeal.

You can buy Glucomannan for $2.97 at Swanson, but you are likely going to need to take the entire bottle at once to come close to getting the fiber punch of PGX. It's fact. Not opinion.

http://www.PGX.com read up on it, you may be very pleasantly surprised what you will learn about it. I agree that 12 pounds of food sounds like a lot, that makes me a bit skeptical of the article as well. But I have used PGX for over a year now and LOVE it. I bake brownies using the SlimStyles shakes w/ PGX in it, I put them in my children's lunch bag every day--a sweet/treat that is loaded with fiber! Even my kids are more regular because of PGX. Safe for the entire family and given that 1/2 of today's children are likely to get diabetes, anything I can do to help improve their diet and blood sugar levels is a plus!
11:32 AM on 06/03/2010
Dr. Hyman,
Please clarify which "WellBetX" formula. This is a brand name of 5-6 different products produced by Natural Factors. Here is a link to all of them http://us.naturalfactors.com/search.asp
Which one? I am guessing PGX® with Mulberry or is it PGX Ultra Matrix Softgels Plus Mulberry ?
PLEASE CLARIFY.
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jgarma
12:33 PM on 06/03/2010
I'll take a crack at answering your question.

The WellBetX versions all work. Choose the one that resonates with you.

WellBetX is the glucomannan supplement that Dr. Hyman prefers, and a good source for it can be found here:

http://bit.ly/aSNPNy

A somewhat less effective route, though cheaper, is to simply buy some psyllium husk powder and shake a tablespoon into a glass of 50% juice (apple is good) and 50% water, and then drink it down before it congeals.
12:51 PM on 06/03/2010
Thanks but, the link you provide is the WellBetX Glucose Balance product. It contains
no Glucomannan (Konjac). Again, "WellBetX" is the brand name of a number of disparate products most of which have nothing to do with GM. The two I listed are the only ones with GM.
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chandra-shekar
11:42 PM on 06/03/2010
GM is pretty generic. I checked prices and found the cheapest ones from Swanson.
05:06 AM on 06/03/2010
Thank you so much. I thought for a moment that you were just going to keep talking about it, then sell me a link to a book which should tell me what it is! Thanks. fanned!
09:44 PM on 06/02/2010
i bet someday they will find this to be way off.
09:12 PM on 06/02/2010
Yes, the idea of high fiber can help reduce your weight. But, I think one key term in this article is "hunter-gatherers". We sit at desks, in front of TVs, and at computers the majority of our days. If we had to plant, maintain, and harvest our crops without the help of machinery from Caterpillar and John Deere, we would work up a daily sweat and burn carbs and calories. If times were hard due to a cold winter and we couldn't go to our local grocery store for supplies, and we had to dig for roots and berries in the forest, we would be thin and have lower cholesterol levels. Our ancestors WORKED physically hard for their food. Their metabolisms were probably running high just because of all the physical labor they performed. My point? High fiber isn't the only cure. It's getting out and exercising.
04:23 PM on 06/02/2010
While there is certainly wisdom in advocating high fiber foods in the diet --- both soluble and insoluble --- and there's certainly research suggesting it can reduce some forms of cancer and blood glucose control, I find this physician's facts suspect and the general tone of his column to be that of a snake oil salesman. I have spent considerable time working in Africa, in the bush, and in remote areas of South East Asia and Central America, and I have never witnessed ANYONE eating 12 lbs of food, nor, in all my reading and all my conversations with anthropologists / archeologists, I have never heard of indigenous peoples eating 12 lbs of food. Second, by endorsing a supplement, he is both undermining the basic thrust of his philosophy --- eat natural, unprocessed foods --- and, despite his disclaimer, raise suspicions about whether he has any affiliation, or benefits in anyway, in the company. Personally, given the role medical doctors play in the lives of their patients and the consideration their views play in the public, physicians should not recommend a specific, proprietary product. Frankly, as a physician, I believe the greatest measure an individual can take to reduce their vulnerability to disease and to forestall the aging process is to reduce stress --- stress hormones wreak havoc on all organ systems, on all tissues. Period.
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Kremfresch
05:28 PM on 06/02/2010
He said our ANCESTORS ate 12 pounds a day.
Javalation
Laughing in a Daydream
10:35 PM on 06/02/2010
How does he know? Wouldn't you think that modern hunter gatherer indigenous peoples would have similar food consumption habits to our hunter gatherer ancestors?
05:18 AM on 06/03/2010
Frankly, as a physician, I believe the greatest measure an individual can take to reduce their vulnerability to disease and to forestall the aging process is to reduce stress...Frankly I think you are full-a-s-hit! Do you know how hard it is to reduce stress? Only if it was that easy....Have you ever witnessed anyone hanging by pins from a crane? Or landing on the moon? Or even putting a gun to the head and pulling the trigger? Or eating razor blades? Just because you have never witnessed it gives you cause for doubt? I just finished watching a program on TV where there are people eating more than 12 lbs per day. Most of them end up over 500lbs and increasing.
>>>Although I don't normally recommend specific brands, """I like""" the one produced by Natural Factors called WellBetX.
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jgarma
12:36 PM on 06/03/2010
Yep, Natural Factors is good and here's the link to WellBetX:

http://bit.ly/aSNPNy