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so the title is appropriately appropriate dietary guidelines for improving population health what does the balance of evidence suggests so were going to be talking about evidence here tonight and we have an epidemic of chronic disease thats indisputable diabetes obesity heart disease mortality has fallen in recent decades but we have to credit to a great extent the cessation and smoking and a massive barrage of medications preventative meds and also procedures so more important perhaps is heart disease morbidity and heart disease morbidity is being predicted to become even higher in the coming decades so thats the amount of heart disease atherosclerosis illness we have and it might come as an interesting fact to people that right now from the CDC figures the Centers for Disease Control theyre not my figures but I dug them out 64% of adults in America age 60 or aged 45 and above are now essentially diabetic pre-diabetic or diabetic but its kind of an arbitrary distinction so we no