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Tuesday, August 24, 2010

Two Letters Re: A Doctor's Thoughts on Antibiotics, Expiration Dates, and TEOTWAWKI

I must first thank you, Mr. Rawles, for your advice. I truly believe it will one day save my life. Also, the amount of knowledge I have gained from all of the contributors to SurvivalBlog is astounding!
My profession is in the animal industry, so I am familiar with antibiotics and other meds. At work, it is many times frustrating to pull out dosage instructions from a bottle of medicine, only to find that they're all written for humans. Especially the antibiotics! I order only from veterinary pharmacies, but these drugs are manufactured and labeled for human consumption. Now I laugh when I go to the local Rite-Aid. I recognize many of the bottles on their shelf.
In addition to fish antibiotics, I strongly suggest making use of livestock supply companies. I love my local Tractor Supply, but I could never afford to purchase meds from them- I would like to share a list of reputable companies that offer prices much lower than those at the local agricultural supply store.

- Jeffer's Livestock Supply is #1 on the list. They have great customer service, super low prices, and fast shipping. This is a great resource for antibiotics- Sulfas, Penicillin, Oxytetracycline, etc. They also carry medical supplies like suture packs, sterile gauze, Telfa wound pads, elastic bandages, needles, and syringes. If you're really worried about sterility, read the descriptions- they won't state that it's sterile unless it is... Also, I use these things on a daily basis, and have cross-referenced the companies. The syringes, for example, are produced, packaged, and sold for use on humans. There aren't many companies that make medical supplies for animal use only, so when you purchase them, they are typically large quantities of human products.

- KV Vet Supply carries the same products also at great prices.
Depending on what part of the country you're in, you may find shipping to be significantly faster or cheaper with one of these companies.
I will also include here a list of medical supplies that I have used extensively and feel that I wouldn't want to be without, especially in a world without local doctors and nurses.

- Chlorhexidine solution- bactericidal, fungicidal, virucidal. I hardly ever use iodine for wounds. I reach for this product almost every time. Chlorhexidine is even found in human mouthwash, so you may be using it already without knowing it!

- Tissuemend is an absorbable glue for closing skin lacerations. It works better than super glue on skin. It is pricey, but trust me, a little goes a long way.

- SSD - I saw on the blog today that someone else recommended it, and I couldn't agree more... It is hydrophilic, breathable, gentle, and very effective. * order it from the livestock supply- a one pound tub could last you for a very long time, and it's around $32.

- Vetrap - a person could go broke buying bandages, but not with Vetrap. You don't need scissors to tear it, it stays put, and works great to wrap sprains as well as to hold a nonstick pad in place on a wound.

- Cast padding - this is cheap, soft, and makes a good first layer in your bandage. It helps to stretch the more expensive adhesive bandaging materials. If you pull too tightly on it, it will simply pull apart, which helps to keep from wrapping too tightly. The cushion factor keeps other wraps (like Vetrap) from forming a wrinkle that could rub your skin raw.

- Probios Powder - I am so thankful that people are accessing antibiotics, but please don't forget the probiotics! Some antibiotics can really do a number on your gut! They kill all the good bacteria right along with the bad, so you need to build back your numbers during and after treatment. Who wants to take the midnight patrol with a bloated, crampy gut and diarrhea? The great thing about Probios is that the bacteria is "colonizing", unlike the probiotics in yogurt, which get passed through the digestive system. It is available in a powder as well as gel. Get the powder! The gel must be refrigerated.

- Diamond V Yeast Culture - It goes hand in hand with Probios. The yeast acts as a "prebiotic", and nourishes the beneficial bacteria in your gut, helping the colonies form faster. It is sold as "Epicor" to humans, but us farmy-types buy it in 50# bags at the feed store. Please take a few minutes to read up on this product- it really does live up to the hype for people as well as animals. I have taken it for almost two years, and have been shocked at the reduction in bronchitis and sore throats I've had.

- Ichthammol - I don't want to ever be without good old drawing salve. Skin abscesses are usually best left alone. Opening them allows bacteria to enter and compound your problems. Ichthammol, applied topically and covered with a Band-Aid will do wonders in a few short days. It also works great for insect bites, swelling, and splinters that won't come out.

- AluShield Spray - This is a powder-based spray that acts as a bandage. If you want to save your gauze and Vetrap for more serious injuries, AluSpray can cover a wound and seal out dirt while letting your wound breathe. A can is around $10 and will give over two hundred treatments. I love this stuff! Thank you again, - S.S.

A State of Oregon public health web site may help your readers regarding the types and amounts of antibiotics necessary for some common medical conditions. They are easily printable (pdf form) and provide a treatment algorithm/decision making tree that is quite helpful. - Regards, - J.P.

The War on Food: Eggsactly What Is Going On Here?

:Original raster version: :Image:Food and Drug...Image via Wikipedia
Reading this week’s headlines about the egg salmonella crisis may leave one with the impression that we need more government control and we need it now. The feeling one is left with after listening to mainstream pundits and FDA commissioner Margaret Hamburg is eerily familiar - almost as if the same crisis template that was applied to the financial crisis is now being used to further progress centralized control of the country’s food production capacity:
We don’t know exactly how the contamination got into the chicken population, into the egg population, and we’re not yet fully sure of the extent of the recall that will be necessary to protect consumers.

We are very anxious to see a piece of important legislation currently being considered by Congress be passed. There is an opportunity through this legislation to extend our authority, resources and other important tools to do trace back of products, to make sure the companies have the appropriate preventative measures in place and to enable us to review records in a routine way.

In response to news anchor’s question: Someone’s in the kitchen this morning and they’re about to prepare breakfast, what do you say to them?
It’s very important  to prepare your food properly. Then when you’re preparing food, wash your hands first, then wash your hands after handling eggs. And, cook the eggs thoroughly. That means that the egg yolks and the egg whites should be thoroughly cooked. No more mopping up egg yolks with toast.
source: ABC News (Video)
The statements of Ms. Hamburg do not require a close examination to understand how ridiculous this is and what the ultimate goal of the mainstream hysteria is for government regulators.
The commissioner admitted that the FDA does not know what caused the so-called contamination, nor how the FDA is going to handle the recall yet. But, as stated, they are very anxious to pass legislation that will give them more authority over the egg industry (and others - more on this below). As serious as this egg outbreak seems to be, it’s somewhat curious that Ms. Hamburg’s response to the question of what to do if you want to have eggs for breakfast is not “don’t eat eggs until we have more information!”, but rather, cooking tips.
Inquiring minds are asking exactly how many eggs were originally found to be contaminated, leading to this recall and media hysteria. Given the history of these events, we suspect it is not dissimilar to the Chilean grape scare of the 1980’s in which two grapes in Chile were found to be “tainted” with Cyanide, leading to a nationwide panic surrounding imported fruits.
It should be noted that the author had soft-boiled eggs, and mopped up his egg yolks with toast for the last two days. Symptoms to look for, as reported by the mainstream media, have yet to surface. Of course, this could be due to the fact that we prefer to eat eggs originating from free-range, vegetarian fed chickens that were bred on small farms.
As to the issue of increased regulation about which the commissioner, and undoubtedly larger food manufacturing plants, are anxiously interested, it is important to point out that the FDA does have authority to inspect the facilities, specifically the two main facilities where this salmonella crisis originated. But guess what? They never did:
The Food and Drug Administration, which has responsibility for the safety of whole eggs, had never inspected the two Iowa-based facilities at the heart of the massive recall that began 10 days ago. Nor had the U.S. Department of Agriculture or the Iowa Department of Agriculture and Land Stewardship. In the case of Wright County Egg, the company had a history of labor and environmental infractions, including one that stemmed from workers handling manure and dead chickens with bare hands.
“It is shocking that nobody was in these facilities, but it also illustrates that egg-laying facilities have fallen into the crack between the government agencies that are responsible for food safety,” said Caroline Smith DeWaal, director of food safety at the Center for Science in the Public Interest, an advocacy group.
This begs the question: How can the FDA demand more federal powers over the regulation of food production facilities when they have failed to enforce their existing powers?
For those following the economic crisis and the BP oil disaster, it should all make sense. Just as the SEC failed to enforce existing laws to stop market manipulation and prevent extreme leverage in the system, and as Minerals Management Service regulators failed to inspect the Deepwater Horizon oil rig, the FDA failed at their job.
Yet, in all three cases, the bureaucrats in power, rather than admitting their own failures and turning in their resignations, hit the mainstream media news channels and tell us the problems could have been prevented with more legislation.
Though it wasn’t mentioned by Margaret Hamburg, one could guess that the legislation she is promoting is Senate Bill S510, which is designed to put more control of our U.S. food production facilities into the hands of government regulators and large international corporations like Monsanto:
“If accepted [S 510] would preclude the public’s right to grow, own, trade, transport, share, feed and eat each and every food that nature makes.  It will become the most offensive authority against the cultivation, trade and consumption of food and agricultural products of one’s choice. It will be unconstitutional and contrary to natural law or, if you like, the will of God.”  ~Dr. Shiv Chopra, Canada Health whistleblower
It is similar to what India faced with imposition of the salt tax during British rule, only S 510 extends control over all food in the US, violating the fundamental human right to food.
Monsanto says it has no interest in the bill and would not benefit from it, but Monsanto’s Michael Taylor who gave us rBGH and unregulated genetically modified (GM) organisms, appears to have designed it and is waiting as an appointed Food Czar to the FDA (a position unapproved by Congress) to administer the agency it would create — without judicial review — if it passes.  S 510 would give Monsanto unlimited power over all US seed, food supplements, food and farming.
Tess Pennington of Ready Nutrition points out the dangers of the bill in Federal Food Police Coming Soon To A Farm Near You:
If passed, this would give government agencies the power to tell the American public what they should eat, how they should care for produce and care for livestock.  The facility owners will have no say in these matters.  The government has made the decisions for them (as they like to do).  They must adhere to guidelines or else there will be hell to pay.  According to the website Rogue Government, “ The government even plans to set up a Food Safety Administration to authorize this agency to integrate state and local agencies as fully as possible into national food safety efforts by forcing them to enforce federal food safety regulations.   This section completely ignores the Tenth Amendment of the Constitution.”
Ms. Hamburg of the FDA and S510’s sponsors (democrats and republicans, alike) have kept the real story of what this bill is designed for from the public. The mainstream media is complicit in promoting this as a good thing for the American public, and the template, as it did with the economic crisis and the BP spill, is working extremely well, as evidenced by a 2009 poll suggesting that 90% of the public and the food industry overwhelming support the bill.
While touted as a quick win for both parties, it will be a serious loss for the American people. Small farmers, like the ones that provide free-range, vegetarian-fed fresh eggs, organic vegetables, fresh juice and other raw foods will be hard hit. They will either be put out of business or forced to accept government regulations developed by major agri-business firms that are interested in not the health and safety of the public, but lining their own pockets.
Small family farms, once these bills pass (and we assume they will, just like previous crisis legislation), will be annihilated as the government will force them to use only ‘approved’ seeds, feed, equipment and fertilizers. They will be mandated to follow specific regulatory procedures for production and distribution, for which they will pay additional fees. Eventually, the farmers will go out of business, in many cases losing their land to foreclosure. And, we suspect, that large farming corporations will quickly step in to snatch up their farms at significant discounts.
Prepare yourself for the War on Food. One day, food raids will be as common as a drug raid:
Those looking to one day produce their own food, perhaps even trade that food, will be met with resistance from government regulators, while two of the largest egg producers in the country responsible for delivering hundreds of millions of eggs to the public, operate facilities that have never been inspected.
It may sound ridiculous now, but so does outlawing rainwater collection. It’s becoming  increasingly likely that simply giving your neighbor a basket of tomatoes you grew in your own garden will be an illegal act, punishable by fines and jail time for repeat offenders.

Author: Mac Slavo
Date: August 24th, 2010
Visit the Author's Website: http://www.SHTFplan.com/

10 Cuts You Can Make In Order to Bulk Up Your Emergency Fund

Image representing Virgin Mobile USA as depict...Image via CrunchBase
If you don't have an emergency fund, you need one. If you "just can't find any spare money to put into your emergency fund", here's ten cuts you can make that will allow you to build up your emergency fund in record time:
  1. Stop eating out. A $50 restaurant meal is a high price to pay when that same $50 could buy you food for a week.
  2. Cut cable. If you have every cable station know to man, consider cutting cable all together, a $10 NetFlix subscription or watching TV shows online can save many hundreds of dollars per year. If you really can't part with your cable TV, consider cutting back to the most basic plan available.
  3. Stop shopping. Unless you need a very specific item (ie: toilet paper, shampoo, or something else you absolutely can't do without) don't go shopping. You won't be tempted to spend your money and you can bank it instead.
  4. Cut your cell phone bill. Virgin Mobile has a $25 per month plan which includes unlimited text messages, unlimited web, and 300 minutes a month. p.s. An iPhone is NOT a necessity. Either is a $100+ per month calling plan.
  5. Cut your transportation costs in half. That might mean driving half as much as you do now, buying a monthly pass and taking public transportation, car pooling, riding your bike to work, or a mix of all of these.
  6. Cut out (or cut down) a vice. Whenever I look at the price of cigarettes, I am thankful I don't smoke. I also don't drink which saves not only the cost of alcohol, but the cost of DUIs, marriage counseling, rehab, etc.
  7. Don't do things that cause added expense (ie: take out a PayDay loan which has outrageous fees, use credit cards which charge interest, break the law which causes fines and court fees, etc).
  8. Don't buy stuff you don't need. A jet ski is nice, a big emergency fund is nicer. An H & K 45 Compact is nice (really nice), but a big emergency fund is nicer. You get the idea...
  9. Sell a car. This could save you thousands in a matter of month. A family only usually needs one good car. The second car can be a cheap beater until you get the emergency fund bulked up AND you have saved enough to pay cash for a better secondary car.
  10. Spend like a maniac on your kids. The kids won't suffer permanent psychological damage if you decide that they won't get ANYTHING from you (besides food, shampoo, etc) until the emergency fund is completed. They may, however, be motivated to help you bulk up the fund via garage sales, eBaying stuff, etc. if they realize that the Bank of Mom and Dad will reopen sooner that way.
Bottom line, you need an emergency fund because, even though I don't know you personally, I do know that you will be facing an emergency of some sort in the future. It's a very nice feeling to have the cash on hand to deal with these random emergencies.

Seven Letters Re: A Doctor's Thoughts on Antibiotics, Expiration Dates, and TEOTWAWKI

TamifluImage via Wikipedia
Hi Jim,
In response to the letters sent to you regarding my article, the FORTE version of the antibiotics described would be appropriate for full-grown men and all but the most petite women (less than, say, 100 pounds or so). Children would be best served with the 250mg fish antibiotic dose. Frequency of these medications is from 2-4 times a day, depending on the individual drug. The risk of under-dosage would be suboptimal progress in healing. Overdosage often manifests itself as diarrhea.. Treatment length is usually from 5-10 days.
A good internet drug index can be found at rxlist.com.

If you suspect that you have influenza (a viral illness), antibiotics will do you little good. Instead, you should get Tamiflu and take it 2 times a day for 5 days. It is most effective when taken very early in the onset of the illness.

I would recommend stockpiling as many antibiotics as you can afford. Over the course of time, I guarantee you will need it; if you don't need it, it will be an excellent barter item. Thanks again, - Dr. Bones
Hello Jim,
Here are a couple of resources for looking up drug information and recommended dosages:
At the NIH web site
At the FDA web site
Keep up the good work! - G.W. in Ohio

James Wesley;
Antibiotics, or any internally consumed medication for that matter, have a dosage range. To find the dosage range of a particular drug based on body weight, a drug information handbook will be needed. This will detail the appropriate milligrams of drug / Kilogram of body weight / per day (essentially the maximum dosage per day based on body weight) of the particular drug you need. All dosage amounts are in the metric system (mg) so you will need to convert it to the English pound system. Once you find the range, you can decide (based on the weight, age, medical status, virulence of infection and extent of infection) how much you would like to dispense.

A simple formula for converting the mg. of drug / Kg. of body weight / per day into mg. of drug / pounds of body weight / per day is:
(mg. of drug x weight in lbs. of person) / 2.2 lbs = maximum mg. of drug per day based on weight in lbs.

So, an example for the mathematically challenged using Amoxicillin:

The drug handbook lists Amoxicillin:
Child: 20-50 mg/kg/day in divided doses every 8 hours.
Adult: 250-500 mg every 8 hours.

If your child’s weight is 50 lbs. and he is in good general health (using the upper limit of the drug), multiple 50mg of Amoxicillin x 50 lbs. divided by 2.2 lbs = 1,136 mg/ lbs./ per day. So, 1,136 mg of Amoxicillin should not be exceeded per day.

Now, take the 1,136 mg and divide by 3 (because it is taken every 8 hours) = 379 mg every 8 hours (not to exceed ,1136 mg in a 24 hour period). The drug is only dispensed in capsule form as 250mg or 500mg capsules. So, based on the above child, I would prescribe a 250mg capsule every 8 hours for 7 days and monitor his response. If he starts to feel better, continue with the medication. If he gets worse, then up the dosage to 500mg every 8 hours and monitor or switch to a different antibiotic drug class.

The problem with under-dosage would be the bacterial infection is not eradicated from the body and the infection gets worse and possible resistant to the antibiotic. Over-dosage of an antibiotic when be difficult to do and the results even harder to estimate in my opinion. I would postulate that a prolonged over-dosage of an antibiotic (depending on the type of antibiotic) would alter the normal micro flora of an individual leading to gastrointestinal problems (diarrhea). I hope this helps, - Tennessee Dentist

Dear Jim,
I am board certified in family medicine. In general, I agree with the antibiotics recommended by Georgia Doc. Ten day courses of Levaquin and Bactrim are usually adequate for most infections. I have found Alldaychemist.com to be a reliable and reasonably priced source for most common antibiotics and other medications. It is based in India. Perhaps some of your pharmacist readers, can comment on if it is true the eighty percent of the world's generic medications are manufactured in India. Keep up the good work. Sincerely, - Dr. Jim

Dear Mr. Rawles,
Please let your readers know that there are three resources available to help determine the drug and dosage needed for specific illnesses. The first is The Merck Manual, which is a thick book with every known disease and syndrome. It's used by doctors and gives dosage recommendations for adults and children (including how to calculate dosage); it also provides alternative drugs should the patient be allergic to the first drug of choice.
The second resource is The Pill Book which is for sale at many pharmacies and most bookstores. It's a little less technical and is organized alphabetically rather than by disease, as The Merck Manual is.
Finally, everyone should be aware of what drugs they take for frequently occurring disorders such as tonsillitis, sinusitis, cystitis, etc. If your doctor regularly prescribes 500 mg Amoxicillin, you can be assured the drug and dosage are correct for you.
Thanks so much for your blog. - S.S. in Tennessee

Hello JWR,
First off, thank you for the site. My wife and I have just recently 'woke up' regarding preparedness (less than a month ago). It's really been a great bonding experience and also allows us to get back to basics. We are nowhere near 'ready', but we are working on it daily and have a plan of action. Hopefully we'll never really use any of this, but again, thank you for potentially saving our lives! We are very grateful, maybe I can give back a little with this e-mail.

I am writing regarding the recent pharmacy articles. Very well written and I agree with them completely. As a pharmacist and owner of an independent pharmacy myself, I can't stress enough that if SHTF, the pharmacies at CVS (I used to work there), Walgreens, Wal-Mart, and the like will be locked up. Count on it. I know if times became truly bad, I would take everything home with me and work from there while I had supplies left to prevent looting. I've stocked up on antibiotics, blood pressure meds, pain relievers, diuretics and other 'survival meds' (the cheap ones anyway) in bulk for the communities that I serve for awhile, but I doubt that most places have. I worry about my diabetic patients, along with those in the nursing home and homebound. I guess that the only thing that keeps me awake more than the Golden Horde is the image of those patients in the nursing homes that I serve, post SHTF, it really breaks my heart to think what could happen there.

I would just like to add a couple more products that I haven't really seemed mentioned anywhere that would be extremely beneficial, potentially lifesaving in my opinion.

Meclizine, brand names Bonine, some versions of Dramamine, (double check the active ingredient which are usually highlighted in yellow on the back of the box) can be used for multiple uses, but it's main function is preventing and treating nausea and dizziness. I imagine needing to gather firewood, hunting, or other outdoor activities while undergoing a dizzy spell. Not a good combination, although the job may need to be done You can get a generic bottle of 100 tablets with a long shelf life at my pharmacy (I'm assuming others as well) for around $5. The brand name is much much more expensive for the same amount. Be careful giving to children though, there is a Bonine for Kids that is a different ingredient that I use for my kids on car trips. Make sure that you're not confusing dizziness with dehydration.

Silver Sulfadiazine (brand names SSD and Silvadene). This is a prescription medication but if the opportunity presents itself, get hold of some. Treats burned skin to prevent secondary infections and it greatly increases healing time. Will work for cuts, burns, infected bug bites, etc. Similar product to Neosporin (triple antibiotic cream, without a prescription), except much more effective. My suggestion to get hold of some, next time you get a normal burn from the lawn mower muffler or curling iron, instead of treating it at home, go see your physician. Tell them a friend used SSD and you would like some. Shouldn't seem like a strange request. I've heard you may be able to get the same stuff from your Vet, but I'm not sure on that. This product is inexpensive, so ask for [a prescription for] a large quantity. Also, be careful if your have a sulfa allergy, since SSD has sulfadiazine in it, which is sulfa based.

Prednisone is another prescription that would be extremely beneficial post-SHTF. Can be used for strains and the like (although ibuprofen and naproxen are over the counter and much safer with far fewer side effects). However I envision it for near emergency situations with flu and breathing issues. Prednisone has a lot of side effects both short term and long term so be careful.

Sun Screen in bulk. You run the risk of dehydrating much much faster with a sunburn. At least wear a hat and loose lightweight long sleeve clothing. Dehydration will kill quickly and it is not a pleasant way to go.

Get a hardcopy of a medication book (I recommend The Pill Book by Harold Silverman, but there are others). Invaluable in my opinion. It will tell you side effects, common uses, common dosages, some interactions, etc.

I can't stress this one enough: Get healthy, now. Quit smoking/chewing, lose weight, get in shape. You may not even need that blood pressure, diabetic or cholesterol med if you loose the gut. It's hard work but it does work. You are going to have to become much more active post-SHTF, might as well get in shape before hand. Makes the whole civilization ending thing easier to handle. I'm working on my caffeine addiction now, I can't imagine these headaches after the Pepsi shelf is empty.

There are so many others to be addressed (diuretics, pain meds, anxiety meds, vitamins, etc.) but this would be a place to start along with Michael's advice. Just my two cents. - Dustin in Kansas

Mr. Editor:
Thanks to Dr. Bones for the tip on sourcing antibiotics from aquarium supply stores.
The main bacteria present these days in open trauma wounds is called methicillin (penicillin family) resistant Staph Aureus (MRSA). The Centers for Disease Control (CDC) in Atlanta) top recommended oral
antibiotic for MRSA is Bactrim DS, 3-4 tablets per day for 10 days. This is more than the classic Bactrim dose of two tablets a day that got used for female urinary tract infections and other less serious infections. Pharmacists sometimes challenge the higher dosage, but only because they are uneducated on this use for the drug. Other drugs that are often prescribed for for open trauma are Levaquin, and Augmentin. Levaquin cannot be given to kids. Augmentin syrup is the number one antibiotic for kids.
Here are the contents of the first-aid pack attached to our G.O.O.D. bags:
1- Trauma Pack; Tac-Pack Battle Pack, Option 2;
2- CELOX-A Hemostat syringe;
2- Betadine scrub, B-D Easy Scrub Brush
2- Sterile pairs of gloves
1- Sterile instrument set, tweezers, scissors, forceps, and needle driver, all in a sterile double peel pack
2 -1% Lidocaine 5ml syringes with capped needle
2 -No. 15 Sterile scalpel
1 - 5-0 Monofil suture
1 - 6-0 Chromic Gut suture
2- Steril gauze, Israeli 4" Field Dressing;
1- Coban, 2" Tan roll
1- Cheaper Than Dirt Universal Splint;
10 - Fever/Pain medicine, Tylenol travel packets-Extra Strength
Antibiotic tablets, Bactrim-DS: qty 30 (3/day x 10 days)
Antibiotic ointment, Bactroban cream, one tube
I am looking to add a transfusion kit, such as described in your novel, “Patriots”. Thanks, - Ragnar in Texas

Food Storage Basics: Powdered Milk-Learn how to Mix DRINKABLE Powdered Milk

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in this videoTake a leap of faith and learn how to MIX your powdered milk…you know so you don’t gag when you try and drink it! Learn all the tricks to make it drinkable to save you MONEY!
next up Make your own sweetened condensed milk right in your very own blender!

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