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Poor quality of food: Good food must contain high fiber and low fat. Pichuberries are from Peru and grow within the mountains. [Evaluation in the action of glucomannan on metabolic parameters and about the sensation of satiation in overweight and obese patients]. Some ingredients may cause undesirable effects if found in excess of their recommended dosage, like Yerba Mate. One report I found, presented the outcomes of three different countries.

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