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<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Hello dear Health Educators.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">I receive these counseling tips from Molly Kellogg and in light of the upcoming Health at Every Size workshop with Dana Sturtevant on OPHA's calendar, I wanted
to share this tip with you. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Dana Sturtevant has also provided workshops on MI. Interesting to see how the spirit of these two fields are connected.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">For those of you interested in receiving counseling tips, Molly Kellogg provides a great service. Scroll all the way to the bottom to sign up.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">In joy,
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Adrienne Paige Mullock, MPH, CHES, RYT, CWWS<br>
Public Health Educator<br>
Oregon State WIC Program<br>
800 NE Oregon Street, Suite 865<br>
Portland, Oregon 97232-2162<br>
Telephone: (971) 673-0054<br>
Fax: (971) 673-0071<br>
<a href="mailto:adrienne.p.mullock@state.or.us">adrienne.p.mullock@state.or.us</a></span><span style="font-family:"Calibri","sans-serif";color:#1F497D"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"">From:</span></b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif""> Molly Kellogg, RD. LCSW [mailto:molly@mollykellogg.com]
<br>
<b>Sent:</b> Sunday, September 01, 2013 9:02 AM<br>
<b>To:</b> adrienne.p.mullock@state.or.us<br>
<b>Subject:</b> Counseling Tip- HAES and MI<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
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<b><i><span style="font-size:10.5pt;font-family:"Arial","sans-serif";color:#4C4C4C">Difficulty reading the format?
<a href="http://www.mollykellogg.com/archive13.html#135"><span style="color:#336699">Click here</span></a> for another format.<o:p></o:p></span></i></b></p>
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<p class="MsoNormal"><img border="0" width="581" height="127" id="_x0000_i1025" src="http://www.mollykellogg.com/newsletters/tips/header.jpg" alt="Molly Kellogg"><o:p></o:p></p>
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<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-family:Papyrus;color:#340A14"><br>
Counseling Tips for Nutrition Therapists</span></b><o:p></o:p></p>
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<span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#516039">September, 2013<br>
<a href="http://www.mollykellogg.com"><span style="color:#336699">www.mollykellogg.com</span></a><br>
<br>
<b>Circulation: 7503</b></span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="margin-bottom:7.5pt;text-align:center">
<span style="font-size:10.0pt;font-family:"Verdana","sans-serif";color:#0066CC">Follow me on Twitter @MKelloggRDLCSW</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#516039"><o:p></o:p></span></p>
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<span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black"> <o:p></o:p></span></p>
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<b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Welcome to all the new subscribers! Share the value by forwarding this to colleagues</span></b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black"><o:p></o:p></span></p>
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<b><span style="font-family:"Tahoma","sans-serif";color:black">Counseling Intensive </span></b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="margin-bottom:7.5pt;text-align:center">
<span lang="EN" style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Make your plans NOW <br>
to join us!<br>
12 credits for RDs and DTRs.</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:7.5pt"><span lang="EN" style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Highly interactive, small group workshop, based on motivational interviewing. A mix of presentation, practice with partners,
group discussion and short videos of counseling sessions. </span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black"><o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="margin-bottom:7.5pt;text-align:center">
<span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black"><a href="http://www.mollykellogg.com/CI.html"><span style="color:#336699">Register here<br>
</span></a><o:p></o:p></span></p>
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<span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black"> <b><u>2013:</u>
</b><o:p></o:p></span></p>
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<b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Nashville, TN:<br>
</span></b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">September 20-21<o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="margin-bottom:7.5pt;text-align:center">
<b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Houston, TX:<br>
</span></b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">October 18 (6 credits)<br>
<br>
<b>Washington, DC:</b><br>
November 15 - 16<o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="margin-bottom:7.5pt;text-align:center">
<b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">New York, NY:</span></b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black"><br>
December 7-8 <o:p></o:p></span></p>
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<p class="MsoNormal" style="margin-bottom:12.0pt"><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">“You've taken the counseling process and broken it down into perfect bite-size pieces allowing me to fully digest and assimilate the
content. On a scale of 1 - 10, my confidence to become a better nutrition therapist has increased from a 2 to a 10.<br>
Thank you!”<br>
<br>
Nancy Pancoast, RD<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:7.5pt"><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">“A must for any RD who wants to provide MNT in a more effective way. This is the information we all wish we had been taught in school.”<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:7.5pt"><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Rachel Brandeis, MS, RD<o:p></o:p></span></p>
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<h1 align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:Papyrus">Tip #<span style="color:black">134</span> Heath At Every Size and the
<br>
Spirit of Motivational Interviewing</span><o:p></o:p></h1>
<p class="MsoNormal" align="right" style="margin-bottom:15.0pt;text-align:right">
<i><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">We can love and accept ourselves
<br>
and still work like mad to change ourselves.</span></i><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black"><br>
Dave Ellis</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
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<i><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Beginning today, treat everyone you meet
<br>
as if they are going to be dead by midnight. <br>
Extend to them all the care, kindness, <br>
and understanding you can muster, <br>
and do it with no thought of any reward. <br>
Your life will never be the same again. <br>
</span></i><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Og Mandino</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:15.0pt"><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">The Health At Every Size (HAES ®) approach to health and weight has been around for several decades. It also has been called the non-diet
movement and size acceptance. More and more dietitians are adopting this paradigm.</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:15.0pt"><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">The basic principles of Health At Every Size®
</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><a href="http://www.sizediversityandhealth.org"><span style="color:black">www.sizediversityandhealth.org</span></a></span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">
</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:15.0pt"><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">1. Accepting and respecting the diversity of body shapes and sizes.</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:15.0pt"><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">2. Recognizing that health and well-being are multi-dimensional and that they include physical, social, spiritual, occupational, emotional
and intellectual aspects.</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:15.0pt"><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">3. Promoting all aspects of health and well-being for people of all sizes.</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:15.0pt"><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">4. Promoting eating in a manner which balances individual nutritional needs, hunger, satiety, appetite, and pleasure.</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:15.0pt"><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">5. Promoting individually appropriate, enjoyable, life-enhancing physical activity, rather than exercise that is focused on a goal
of weight loss.</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:15.0pt"><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Shifting away from a traditional prescriptive and weight-based approach to nutrition counseling and embracing a HAES model takes
<b>commitment, support from colleagues, and practice. </b> Just as in learning motivational interviewing, repeated feedback and practice are the hallmarks of effective adoption of the new paradigm.</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:15.0pt"><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">MI and the HAES paradigm are well suited to each other. Both the spirit and the specific skills employed in a motivational interview
further the <b>broad goal of health for the client</b>. MI provides us the specific strategies and a way of being with our clients that guide them toward a sustainable lifestyle that maximizes their health. In this Tip, we explore how the spirit of MI supports
HAES and vice versa. Future tips will address how the techniques and processes of MI support HAES counseling.</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:15.0pt"><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">The
<b>spirit of MI</b> is captured in four terms:</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:15.0pt;margin-left:37.5pt;text-indent:-.25in;mso-list:l0 level1 lfo1">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:#333333"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Partnership
</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:15.0pt;margin-left:37.5pt;text-indent:-.25in;mso-list:l0 level1 lfo1">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:#333333"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Acceptance
</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:15.0pt;margin-left:37.5pt;text-indent:-.25in;mso-list:l0 level1 lfo1">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:#333333"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Compassion
</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:15.0pt;margin-left:37.5pt;text-indent:-.25in;mso-list:l0 level1 lfo1">
<![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol;color:#333333"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Evocation</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:15.0pt"><b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Partnership</span></b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black"> implies working together, working
with and for the client. The old model of being the expert and telling clients what is best for them is one of the things we leave behind when we shift into work with HAES. We partner with our clients to find the ways that they will uniquely walk down the
path toward true health. We may have information and advice that may be useful to our clients. But our expertise is secondary to what the clients know about themselves and to the process they will go through on their journey.</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:15.0pt"><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">To understand
<b>acceptance</b>, it can be further broken down:</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<blockquote style="margin-top:5.0pt;margin-bottom:5.0pt">
<p class="MsoNormal" style="margin-bottom:15.0pt"><b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Worth</span></b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">: A key tenet of MI is a rock-solid
belief that clients have value and worth just for being alive. When paired with HAES, this is extended to include that the worth is not tied to weight.</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:15.0pt"><b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Empathy</span></b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">: This means accurately “getting”
our clients, truly see their world as they see it. This part may be a challenge if much of what we hear is rooted in the diet mentality. We can work to carefully hear how clients see the world while also evoking deeper yearnings that come from a broader concept
of health.</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:15.0pt"><b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Autonomy</span></b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">: This means accepting that all people
have a right and ability to direct their own lives, make their own choices. Our clients can and will choose the path that seems right to them. If we attempt to force our view and beliefs on them, we will ultimately fail. This includes forcing a non-diet process.</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:15.0pt"><b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Affirmation</span></b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">: This means intentionally choosing
to focus on what is right and what is working. Adopting a strengths perspective is both respectful of our clients and most effective. The HAES model is by its nature strengths-based. It assumes that much of what clients are already doing is health-promoting
and it encourages us to build on what is working already to guide the clients toward health and self-esteem.</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
</blockquote>
<p class="MsoNormal" style="margin-bottom:15.0pt"><b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Compassion</span></b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black"> is not sympathy. It is being and
acting fully for the benefit of the other person. This focus on the best interests of our clients has led many of us to the HAES paradigm. We see it as an approach that takes into account the whole person and all the best interests of that person rather than
a narrow focus on weight. </span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:15.0pt"><b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Evocation</span></b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black"> speaks to both the spirit with
which we engage with clients as well as the process. An evocative spirit implies that the majority of the answers are in the client, not in us. By our words and actions we say to our clients that they have what is needed to move toward greater health and that
together we will find it.</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin-bottom:15.0pt"><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"> <o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:15.0pt"><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#660000">For those who teach future nutrition professionals, check out the new<b> “Health At Every Size Curriculum.” </b></span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:15.0pt"><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#660000">It is free at
</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><a href="http://www.haescurriculum.com"><span style="font-family:"Verdana","sans-serif";color:#660000">www.haescurriculum.com</span></a></span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#660000"> </span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:15.0pt"><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#660000">The curriculum was developed as a collaboration between the Association for Size Diversity and Health, the Society for Nutrition
Education and Behavior and the National Association for the Advancement of Fat Acceptance.</span><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"><o:p></o:p></span></p>
<div class="MsoNormal" align="center" style="text-align:center"><span style="color:#516039">
<hr size="2" width="50%" align="center">
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<p class="MsoNormal" style="margin-bottom:15.0pt"><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:#333333"> <o:p></o:p></span></p>
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<p class="MsoNormal" style="margin-bottom:15.0pt"><b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Don't keep the Tips a secret!</span></b><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black"> Forward this
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<p class="MsoNormal" style="margin-bottom:15.0pt"><span style="font-size:9.0pt;font-family:"Tahoma","sans-serif";color:black">Warmly,<br>
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