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My Private Journey with the Autoimmune Protocol

My autoimmune illness signs began with puberty—fatigue, persistent constipation, migraines, regular and unrelenting weight achieve that didn’t scale with my excessive exercise degree or caloric consumption, a litany of pores and skin issues, dry and thinning hair, brittle and skinny fingernails, persistent joint ache, gentle despair and nervousness.  All through my teenagers and twenties, I simply appeared to rack up the diagnoses, principally labels for my signs (like Irritable Bowel Syndrome and Gastroesophageal Reflux Illness to clarify my gastrointestinal signs), but additionally new circumstances associated to irritation that always appeared to return out of nowhere (like adult-onset bronchial asthma so extreme that it offered just 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 maintaining it off it doesn’t matter what I attempted—twenty years on the weight loss plan yo-yo left me utterly defeated, with binge-eating dysfunction, morbid weight problems, metabolic syndrome, and a just about non-existent sense of self-worth.  By age 30, I had over a dozen recognized well being circumstances, together with two out of the 4 autoimmune illnesses I now know I’ve, and a drugs cupboard stuffed with prescription and OTC medication.

I typically say that my most important motivation for every part I do now could be to assist individuals discover the solutions they want with out having to hit the well being lows that I did earlier than discovering the Paleo weight loss plan and the Autoimmune Protocol.  However, I do additionally wish 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 nearly the entire 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 typically dealing with misogyny as a girl looking 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 many years of looking for assist from medical professionals and being figuratively patted on the top and advised that I used to be only a careworn pupil who wanted Prozac and to rely my energy and train.  With out the qualities developed from these experiences, I wouldn’t be capable 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 weight loss plan and way of life play in each their illness exercise and in illness administration.

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If you happen to’d requested my in my teenagers or twenties, I might have advised you that my well being downside [problem, singular] was being obese.  These dozen recognized persistent well being circumstances didn’t appear separate to me from being overweight.  And weight problems, to me, felt like sporting 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 among 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 often, dying my hair loopy brilliant colours (blue, purple, platinum, hearth engine pink…), sporting energy fits, and customarily placing on a present of assertiveness that I by no means actually felt, masking up my impostor syndrome with a assured exterior. So, I naively thought that, if I might simply lose the burden and remedy that downside, every part 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 steadiness motherhood and making use of to tenure-track college positions, the expectation being that I might 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 usually takes years.  I had needed to be a medical researcher from the time I used to be 7-years previous, and right here I used to be, unable to take that last step.  The autoimmune illnesses that fueled my cussed need to succeed had been now stopping me from attaining a two-decades-old life purpose.  And, but denial is highly effective power: I nonetheless blamed my weight; I stated that I used to be impressed by my mother staying house after I was younger; I credited a program by the Nationwide Institutes for Well being (referred to as reentry grants for ladies) for giving me the choice to take just a few years off; and I referred to as it “a break”.

My Paleo First Steps

After dropping 100 kilos on a low-carb weight loss plan (spurred by realizing that I had developed sort 2 diabetes when my oldest daughter was one 12 months previous, and facilitated by the truth that I wasn’t working), I used to be annoyed to find that my life wasn’t magical unicorns and rainbows. In reality, 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 greater doses of treatment to handle, my despair was greater, my nervousness assaults had been extra frequent, and my pores and skin was a large number!  I had eczema, pimples, 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, however it nonetheless felt like I used to be sporting 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 previous on the time), sporting lengthy sleeves and pants to cover my pores and skin, the climate within the mid-90s (mid-30s Celsius), scorching, 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 lively, 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 weight loss plan in phrases aside 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 marvel if my assortment of pores and skin circumstances had been brought on by 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 weight loss plan; Professor Cordain linked to a couple scientific research on the backside of that article.  I assumed three issues:

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

The science was my hook. I took the subsequent few months to learn as a lot as I might about the Paleo weight loss plan.  I learn The Paleo Answer by Robb Wolf and The Paleo Reply by Loren Cordain.  I dove into PubMed and skim the research that Professor Cordain cited.  And, it began to make sense.  I began to know lectins and antinutrients.  Regardless of conducting medical analysis on the immune system and the intestine barrier, all of my analysis background was both centered on primary science or drug growth (as most medical analysis is).  I wanted to show myself dietary sciences.   Luckily, I had expertise switching scientific fields, so instructing myself a brand new department of science was one thing I had the talents to do.  Finally I had realized sufficient to comprehend that I had nothing to lose, however I might see Robb Wolf’s “strive 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 weight loss plan, I used to be capable of discontinue all six prescription drugs I used to be on on the time (drugs for bronchial asthma, allergic reactions, GERD and IBS).  I haven’t had a migraine since (aside from the few instances I’ve by accident consumed dairy).  My IBS and GERD utterly disappeared.  My nervousness assaults stopped.  My power improved. My aches and pains diminished tremendously. My bronchial asthma not required every day drugs to regulate.  My bizarre allergic reactions (like breaking out right into a rash each time I touched cardboard) went away.  My eczema and pimples cleared. I began losing a few pounds once more regardless of having been plateaued for months.  And, I grew to become a zealot.  I used to be all in.  Like, let’s begin a weblog as an outlet for my enthusiasm degree devoted to the Paleo trigger.

I by no means supposed my web site to change 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 in class.  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 supplied 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 an excellent passion.  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 publish, I used to be supplied e-book offers from two totally different publishers every week and a half aside from 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 every part.  I nonetheless had lichen planus lesions and scalp psoriasis.  I used to be satisfied of the function of weight loss plan 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 helpful 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 weight loss plan in these days was a listing of meals to keep away from).  In Chapter 9 of The Paleo Reply, Professor Cordain recommends that autoimmune illness victims moreover get rid of 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 people).  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 strive it, in order a New 12 months’s decision for 2012, I eradicated the entire above.

The scientific explanations for these further eliminations weren’t strong sufficient to fulfill me (I proceed to this present day to dislike the everyday weight loss plan e-book formulation, the place the belief is that the reader doesn’t care about science so the entire 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 in regards to 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 means of the night time for the primary time (at 5 years previous!) after we eradicated gluten from her weight loss plan, and the way a lot better I felt acquired me within the function of sleep in immune operate.  That acquired me concerned about different way of life elements.  The entire immunology that I had realized in grad college immediately grew to become very related.  And, already, my web site was transitioning from a mommy weblog to the excellent well being schooling website that it’s right this moment.

I felt like I used to be determining what the Autoimmune Protocol even was whereas I discovered find out how to 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 onerous to even apply the time period protocol. I researched the entire particulars, increasing the protocol and writing about every aspect as I realized, including the pillars of nutrient-density, sleep, stress administration and exercise, and making calls on these gray-area meals for which there was no steerage, solidifying the eliminations.  I used to be integrating my different data into the protocol, altering its focus from the unfavorable what to keep away from, to the constructive what to eat, emphasizing way of life along with weight loss plan.  I used to be growing recipes, making an attempt to determine find out how to eat AIP on a decent finances, and making an attempt to know what was particular to my physique versus usually 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 will not be what it’s right this moment with out my analysis and my writing.  Actually, I used to be simply making an attempt to determine the lacking items of my very own well being, however I intuitively understood that I’m not alone on this wrestle, nor am I the one supernerd hungry for the scientific proof on this planet.  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 substances for which no prior dedication had been made.  And I began to know the dietary necessities of the immune system, I built-in a nutrient-density focus to the AIP.  As I took a extra holistic method for my very own well being, I began to write down about how way of life elements impression immune operate.  I didn’t notice on the time that my analysis was remodeling the Autoimmune Protocol from an obscure fad based mostly on a primary checklist of eliminations to a sound and complete dietary technique to assist individuals with autoimmune illness.  I didn’t notice that my core perception within the significance of representing scientific proof in an unbiased and nuanced manner introduced scientific validity to the AIP.  And I actually didn’t notice 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 truly creating a brand new profession for myself, one thing way more essential.

Sarah Paleo Approach CookbookWhen deciding between my e-book deal affords, I used to be selecting between writing a Paleo desserts cookbook (one particular e-book deal supply) or a e-book of my selecting (the opposite supply).  It was truly a very easy choice!  The world wanted a e-book in regards to the Autoimmune Protocol.  And, I had the fantastic alternative to write down a e-book the way in which I needed to, not shying away from science, however as a substitute leaning into it.  I didn’t must gloss over scientific proof, nor to condescend to banal analogies to belabor my factors; however as a substitute, I might take the time to clarify detailed scientific ideas in a manner that was approachable and accessible to a common viewers.  I might respect my viewers, break freed from the weight loss plan e-book mildew, 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 Method making it onto e-book cabinets. Initially, The Paleo Method and  The Paleo Method Cookbook had been going to be one e-book, however my writer realized after I turned within the first half, that my authentic plan was too bold and the e-book 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 e-book, and I liked it (why I proceed to write down books!), like engaged on a assessment 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 type, The Paleo Method grew to become the definitive guidebook on the Autoimmune Protocol — creating the excellent protocol that exists right this moment.  I subsequently wrote two AIP cookbooks, The Paleo Method 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 will likely be launching quickly.

But it surely 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 writer and well being educator is an unintended one, my lack of awareness, till just lately, that probably the most strong on-line academic medium that I can use to speak with individuals is all of them, in all places, abruptly.

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 seen as an, and even the, AIP chief and creator.  I acknowledge that the AIP wouldn’t be what it’s right this moment with out my in depth work, the overly simplistic origins would doubtless 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 beautiful marriage ceremony cake utilizing a set of substances that doubtless got here from totally 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 substances to make use of to create one thing lovely. 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. For this reason I resonate with the time period creator, quite than founder or inventor or originator or architect or engineer or developer, as a result of it could embody each my invaluable work to make the AIP what it’s right this moment but additionally 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, the vast majority of individuals discover the AIP by means of my work, and the now vibrant neighborhood of AIP bloggers who all rallied behind The Paleo Method as their singular definitive AIP information.  With the success of The Paleo Method (it’s a New York Instances bestseller), I grew to become the deciding voice on whether or not or not some ingredient could be thought-about a part of the Autoimmune Protocol or not. I truly at all times loved this duty — for me, it simply means spending just a few 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 substances, to guard everybody following the AIP from misguided data and probably problematic meals, sustaining the readability and integrity of my AIP messaging.  And, this glorious group of AIP bloggers enhanced the AIP neighborhood with their recipes, ideas, methods, and private tales.

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Additionally, I’m a scientist.  And as such, I imagine that data belongs to everybody. The Autoimmune Protocol is predicated on scientific data, one thing everybody ought to have entry to.  It felt immodest and power-hungry to view the AIP as my singular duty, as my possession.  I’m additionally horrible at self-promotion, maybe pushed by some lingering impostor syndrome (I can’t categorical 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 quite I really feel like, as the one that created what it’s right this moment and finest understands the entire science that goes into it, I’m finest outfitted to guard the Autoimmune Protocol.  Not possession per se, however stewardship. That doesn’t imply maintaining the AIP static.  In reality, 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 wish to shield the AIP from commercialization, pyramid schemes of dietary supplements that one way or the other imply you don’t must do the onerous 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 capability to actually make a unique in individuals’s lives.  And, one of the simplest ways for me to return the favor is to work to keep up 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 knowledgeable and authority on the Autoimmune Protocol.  It’s not a place I sought,  however 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 capability to speak with the a whole lot of hundreds of individuals utilizing the Autoimmune Protocol to mitigate their illnesses.  That was the foremost 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 a very powerful aspects of the protocol to get probably the most out of it, and develop a way to speak straight with you concerning all issues AIP.

In a standard world, I might have written The Autoimmune Protocol e-book lengthy earlier than ever getting a e-book deal.  The e-book would have gone by means of iterations, and after I did lastly write an in-print e-book, it will have been based mostly on a refined model of my e-book.  As a result of my viewers grew so rapidly out of the gate, I ended up writing The Paleo Method first.  After which, I used to be scared that if I launched an e-book on the Autoimmune Protocol, that it will cannibalize gross sales of The Paleo Method, a terrifying prospect on condition that I’ve lengthy relied on e-book 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 comprehend that my sources layer on high of one another, that every of those methods of studying in regards to the Autoimmune Protocol assist one another. One of the simplest ways that I can improve recognition of the Autoimmune Protocol, to carry out my stewardship duties, is to supply as huge a set of AIP sources, all at totally different ranges of element, as doable.  And on the intense facet, 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 Frequent Themes of My Journey

aipLet’s face the bitter reality:  my experiences of dealing with prejudice and bullying, of not being taken significantly by my medical doctors, of scuffling with signs for many years earlier than I knew the title 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 widespread theme of life with autoimmune illness.  And it simply shouldn’t be that manner!  However what’s additionally superb 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 proficient AIP bloggers on the market creating AIP sources, recipes, cookbooks, all to assist drive this motion ahead.  And, every considered 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 be taught extra in regards to the Autoimmune Protocol, dive deeper, and take the next step in your path to well being.  So, if you wish to be taught extra in regards to the AIP or share sources with a pal or member of the family, right here’s my prompt order to undergo my sources:

  1. Learn my abstract webpage on the Autoimmune Protocol right here. (There’s plenty of hyperlinks to particular articles too.)
  2. Get my free AIP Fast-Begin Information right here.
  3. Seize a duplicate of The Autoimmune Protocol e-book (it’s solely $20 and your buy helps assist this web site).
  4. Learn The Paleo Method. (You can even prepare dinner out of The Paleo Method Cookbook and The Therapeutic Kitchen.)
  5. Join the subsequent session of The AIP Lecture Collection.
  6. If you happen to’re a healthcare skilled or wellness supplier, take a look at the AIP Licensed Coach practitioner coaching program.

And please word 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!

Get the Definitive AIP Useful resource


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