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Serving to Well being Plans Enhance Analytics Method to Complete-Individual Care

By
Robert Day
-

October 22, 2024
0

Siftwell Analytics is a prescriptive analytics firm that gives evaluation of health-related social wants knowledge to well being plans. Trey Sutten, co-founder and CEO, lately spoke with Healthcare Innovation about developments on this area and a few of the methods well being plans are utilizing this knowledge to enhance affected person outcomes.

Sutten has served as chief monetary officer and CEO of a managed care group and as CFO of the North Carolina Division of Well being and Human Companies, which is accountable for the state’s Medicaid program. Siftwell raised $5.8 million within the firm’s first enterprise capital funding spherical.

Healthcare Innovation: May you give an instance of the ways in which your organization works with well being plans?

Sutten: We work in 4 areas. The primary is rising threat, so rising situations or rising prices, worsening situations, issues like that.

The following one is high quality measures. How can we assist plans perceive their members and drive issues like remedy adherence, wellness visits, and most cancers screenings?

The third space is member retention. Who’s going to go away your plan, why are they going to go away your plan, and what are you able to do about it?

The final space is threat adjustment — ensuring that plans perceive the acuity of their members, they usually’re being paid for that. The best way that the expertise works, and it is fairly constant throughout all these use circumstances, is we get their knowledge set, we marry it with ours, and we have got hundreds of information factors about people throughout the nation. We sew it along with our knowledge units, after which we use machine studying to make predictions, after which we interrogate these predictions for associated explainable components or associated causal components.

HCI: Are you able to give an instance of how that works?

Sutten: We had a shopper who stated ‘we would actually like to enhance our members’ adherence on most cancers screening measures.’ So we run the predictions, and we informed the plan, you have obtained roughly 12,000 girls which are unlikely to go for a breast most cancers screening. Of that 12,000, it breaks down right into a bunch of various cohorts with related traits which are driving that non-compliance — both obstacles or blockers of some kind. Of the 12,000 we’ll say, there are 65 cohorts. Right here’s one cohort with an 80% probability of non-compliance. The explanations they’re unlikely to go for the most cancers screening is that they reside greater than 20 miles from a screening facility. They do not have transportation. They want childcare once they go. Additionally, they’re from a socioeconomic bracket that will probably be vital so that you can speak to them about the truth that this can be a lined service.

So the shopper begins to make calls, they usually accumulate the data from these calls. We take the structured knowledge and construct psychographic fashions for everyone else that they have not but referred to as. Possibly 8% will say they do not wish to go for non secular causes. One other 11% will say, ‘Nicely, I’ve heard that this may be harmful and that it would really improve my probability of creating most cancers, so I do not wish to go.’ We take that data and say, ‘All proper, once you begin to attain out to the remaining 12,000 those who you have not but contacted, consider using faith-based organizations to drive consciousness for this group. Take into consideration radio adverts in these areas and billboards in these areas to construct consciousness round the advantages of them. For the rest, the usual name marketing campaign is the best technique to go.’ Now they’re carrying all that context that we initially gave them they usually’re utilizing completely different channels, completely different modalities, to higher have interaction these members, to drive compliance.

HCI: Do you could have some ideas on the gathering of race, ethnicity, and sexual orientation knowledge? New York State had simply introduced they will suggest that insurers be required to gather that knowledge. First, how massive a raise is it gathering and reporting that type of knowledge and what are a few of the points that the well being plans face in coping with that knowledge?

Sutten: I feel that there are a whole lot of current processes in place, a whole lot of factors of knowledge assortment that may be leveraged. I feel that from a plan’s perspective, it is utterly doable, and I feel it is the accountable factor to do over time. On the subject of information assortment, whether or not it is race or sexuality or gender identification, you get into some tough points. Some individuals might not wish to self-identify if there are questions round sexual id. While you recover from into a few of the questions on race, I feel there may be points with self-identification. In case you come from the Black group, there have been cases which are nicely documented the place the system has betrayed people. You consider North Carolina for instance and the eugenics challenge.

HCI: So there’s an absence of belief in reporting this?

Sutten: Completely. In order a person, what could be my motivation to self-identify, versus choose to not say so? By way of well being fairness on the plan facet, as quickly as you already know you have obtained an issue, you bought to repair the issue. I feel that with that data comes the accountability to do one thing about it.

HCI: Earlier than they collect that data, are the well being plans type of flying blind so far as realizing how deep the disparities are amongst completely different teams?

Sutten: I feel a whole lot of plans are flying blind with regard to a whole lot of completely different knowledge. I feel this is only one instance. I used to be speaking to a plan lately that stated they’ve solely obtained 60% completion components on a few of the data that we’re speaking about. I do not know an issue you can remedy when you do not absolutely perceive it, so I feel this can be a actually vital factor to be marching ahead on. However I don’t suppose that that is some kind of golden structure that is going to repair a few of these issues. I feel all of us want to come back collectively and commit that this is a matter in our nation, and all of us have to do our numerous components that we have got management of to maneuver the ball down the sector and advancing well being fairness.

HCI: Are there the reason why the well being plans may need issue, even as soon as they’ve this knowledge, determining what to do with it internally vs. turning to an organization like yours to assist them?

Sutten: What we do relative to what people have internally may be very completely different, and I am talking from firsthand expertise. The technologists that we have got on our workforce simply aren’t that obtainable, and notably they are not obtainable within the healthcare area. Technologists like my co-founder are going to work for Google, Microsoft, and OpenAI. They’re extremely troublesome to recruit. While you take a look at the small regional plans, it is arduous to seek out them and it is arduous to to afford them.

A part of Siftwell’s technique is how can we convey the very best technologists, mix it with the very best minds in managed care, and produce that type of cohesive set of abilities and experiences to bear for managed care plans. What plans are typically doing is correlation and retrospective evaluation that is solely completely different than potential machine studying and actual synthetic intelligence. Everyone’s speaking about AI proper now, proper? However there are these of us that really do it and people of us that speak about it,. What I do know from speaking to my friends within the subject is that there is not a whole lot of actual knowledge science happening within managed care plans proper now.

HCI: Because the Medicaid managed care plans begin to receives a commission another way for addressing whole-person care points, are we going to see extra plans placing larger emphasis on this, simply because they’re getting paid that manner?

Sutten: Sure, once you actually see the market transfer rapidly and broadly, it is when there are the best monetary incentives in place. I used to be on the board of the Affiliation of Neighborhood Affiliated Plans. These are nonprofits. There’s a distinction between motivations in your ACAP or nonprofit plans versus your industrial plans. However in all cases, even once you’re at a nonprofit plan, it’s “no cash, no mission,” and so a whole lot of these items do come within the type of unfunded mandates. On this occasion, I feel the regulators are displaying how severe they’re by weighting sure measures and together with funding for a few of this as nicely. And we’re seeing that in California, actually in New York, and it is a massive emphasis in North Carolina as nicely.

Home made Apple Pie Spice

By
Robert Day
-

October 22, 2024
0

This time of 12 months everybody goes nuts over pumpkin pie spice. Whereas it’s scrumptious in every part from pumpkin pie to home made lattes, apple pie spice is one other fall favourite. With its intense taste profile, it’s the right addition to your spice cupboard.

What’s Apple Pie Spice?

This yummy mix of fragrant spices is usually used within the cooler months to taste apple pie and different apple dishes. It’s similar to pumpkin pie spice, however my model omits the bottom cloves and as a substitute provides cardamom. Some folks don’t like the flavour of cardamom, so it may be omitted if most popular.

You may add just a few teaspoons of apple pie spice to candy desserts, however it’s equally at house with savory dishes. This bacon apple rooster recipe is an efficient instance.

Apple Spice Substances

With simply 5 elements, this spice recipe is straightforward and straightforward to place collectively. And recent spices are so a lot better than a premade mix that’s been sitting on retailer cabinets for who is aware of how lengthy. Not solely does it add a flavorful kick to dishes, however it has loads of well being advantages.

This mix incorporates warming herbs which are good for cold days. The spices even have antimicrobial advantages to keep at bay pesky viruses and micro organism which are extra prevalent this time of 12 months.

Cinnamon helps steadiness blood sugar, reduces irritation, and helps regulate blood stress. Ginger helps with digestion, stimulates circulation, and is useful for sickness, particularly coughs. One other helpful spice on this mix is cardamom. It’s not solely excessive in antioxidants, however it could assist decrease hypertension, combat irritation, and help digestion.

How To Use Your Apple Pie Spice Combine

There are such a lot of scrumptious methods to make use of this that it’s onerous to slender them down!

Attempt some apple pie spice in some home made apple sauce. I added some earlier than canning and my youngsters couldn’t get sufficient! If you happen to cook dinner the applesauce with spices within the crockpot on low for just a few hours, you’ll get scrumptious apple butter.

Add some to sliced apples and bake in an almond flour pie crust. Apple pie spice additionally works effectively in apple, pear, or peach cobbler. Or attempt it in some berry crisp.

Make French toast with home made sourdough bread (or a home made gluten/grain-free bread). Add a sprinkle of apple pie spice to the toast and a drizzle of maple syrup.

Use it as a topping for a salted caramel latte. Add slightly home made whipped cream first for an much more decadent model.

Add some to home made vanilla ice cream earlier than churning for a fall-themed taste. Then use it to high a slab of apple pie!

Use apple pie spice for extra savory dishes, like baked candy potatoes, apple pork chops, and sausage-stuffed apples.

Attempt including it to home made apple cider. Bonus, it makes your home scent nice whereas it’s simmering!

Combine some into waffle or pumpkin pancake batter earlier than cooking. Prime with sliced, cooked apples and maple syrup.

Apple Pie Spice Recipe

Good for including to apple pies, applesauce, apple crisps, and fall treats!

Mix all spices in a small bowl.

Stir effectively till totally blended.

Retailer your home made spice mix in a small jar or different hermetic container.

Diet Details

Apple Pie Spice Recipe

Quantity Per Serving (1 tsp)

Energy 7
Energy from Fats 1

% Every day Worth*

Fats 0.1g0%

Saturated Fats 0.1g1%

Polyunsaturated Fats 0.005g

Monounsaturated Fats 0.01g

Sodium 0.3mg0%

Potassium 13mg0%

Carbohydrates 2g1%

Fiber 1g4%

Sugar 0.1g0%

Protein 0.1g0%

Vitamin A 6IU0%

Vitamin C 0.1mg0%

Calcium 21mg2%

Iron 0.2mg1%

* % Every day Values are based mostly on a 2000 calorie food regimen.

Preserve in a cool, dry, darkish place.

What are your favourite methods to make use of apple pie spice? Go away a remark and tell us!

More healthy Halloween Bars | The Leaf

By
Robert Day
-

October 22, 2024
0

If you happen to’re attempting to shed extra pounds, Halloween will be actually scary: There’s sweet in all places! And even for those who’re loading up on fiber to remain full and staying in your meal plan, willpower will solely get you to date—for those who’ve obtained a candy tooth, these fun-sized temptations are certain to result in sweet cravings and lead your astray from a more healthy Halloween.

Don’t deny your self fully. Nutrisystem dietitians say that one of the best ways to curb a craving is to deal with it head on—if you’d like sweet, it is best to have some in a wise, portion-controlled approach to assist quell your craving.

As an alternative of raiding the workplace sweet dish, attempt considered one of these seven simple, candy bars for a more healthy Halloween:

To kick off your more healthy Halloween, we’ve obtained a traditional. Most crisp rice treats are held along with sugary marshmallows and calorie-dense butter. What for those who may have fewer energy, much less sugar, and extra taste? It’s not magic: It’s peanut butter! These better-for-you treats are simply as gooey as the unique, however add the flavour of peanut butter to the sweetness of honey to carry regular.

Not a peanut butter fan? These treats convey again the butter taste with out the additional energy, and add within the flavors of cake batter—with out the dangers of consuming it uncooked. Almond butter, coconut oil and brown rice syrup make them as sticky-sweet as any deal with you’ve ever had, and at 68 energy every, they’re guilt-free.

Darkish chocolate has antioxidant and coronary heart well being advantages that you just’ve most likely heard about (https://my.clevelandclinic.org/well being/articles/16774-heart-healthy-benefits-of-chocolate), however in a season of caramel-stuffed, peanut-packed goodies, the darkish stuff can seem to be … weight loss program chocolate. Kick it up a notch and add taste and a elaborate really feel with simply two elements: Orange zest and sea salt. It solely takes a couple of minutes to make, and it’ll take your deal with from bland and bitter to shocking, contemporary, and fancy.

You is likely to be asking, “Quinoa?” A greater query: Why not? You’re already used to grains like puffed rice including crunch to your sweet. Quinoa takes the identical thought and provides protein: The South American staple is greater in protein than nearly every other grain, that means these bars gained’t simply fulfill your candy tooth, they’ll provide help to get full and keep that approach because of the gut-filling energy of your muscular tissues’ favourite nutrient.

If you happen to spend the autumn craving pumpkin lattes and end up tempted by pumpkin spice popcorn, sweet, cookies and desserts, this one’s for you. By including pumpkin spice and puree to a conventional crisped rice deal with recipe, these bars wind up being decrease in energy than regular treats, have added fiber and vegetable diet from the pumpkin, and, in fact, have that style of fall you crave.

Mint and chocolate are a traditional taste mixture, and with these six-ingredient bars, you get all the flavour with out the guilt. Every bar is loaded with chocolate chips between layers or cocoa-flavored crisp rice held collectively by scrumptious, melted marshmallows. However there’s no trick with this deal with: Every bar is simply 61 energy, 30 fewer than you’d have from a conventional, chocolate-free rice krispie deal with.

Take pleasure in a more healthy Halloween with this scrumptious “crunch” bar that mixes the wealthy flavors of chocolate and peanut butter to make a protein-packed candy deal with. If you happen to’re a peanut butter lover, this bar is a good various to your favourite merchandising machine deal with. Whip up a batch of those Chocolate Peanut Butter Crunch Bars and revel in a more healthy choose that can fill your Halloween sweet candy tooth.

Home made Ranch Dressing Recipe – Love and Lemons

By
Robert Day
-

October 22, 2024
0

This do-it-yourself ranch dressing recipe is SO significantly better than store-bought! Creamy, wealthy, and tangy, it is scrumptious as a dip, on salads, and extra.

Our kiddo loves this do-it-yourself ranch dressing…and actually, I do too! It has a scrumptious creamy texture and tangy, savory taste. Maintain it on the thicker aspect to make use of as a dip with veggies, or skinny it out to drizzle over salads and pizzas (if ranch on pizza occurs to be your factor).

This ranch dressing recipe calls for easy components, which make it style SO significantly better than any store-bought ranch dressing I’ve tried. It has a wealthy bitter cream base (Greek yogurt works too!), and seasonings like dried dill and garlic powder add daring taste. Recent lemon juice offers it an ideal shiny end.

In a side-by-side style take a look at with this dressing and Hidden Valley ranch, I’d choose this recipe because the winner each time. Strive it the following time you’re craving ranch dressing. I feel you’ll agree!

Ranch Dressing Elements

Right here’s what you’ll must make this ranch dressing recipe:

Bitter cream, buttermilk, and mayonnaise – They create the dressing’s creamy base.

Dried dill, garlic powder, and onion powder – These seasonings give the dressing its distinctive savory “ranch” taste.

Distilled white vinegar and lemon juice – For tangy taste! The white vinegar provides an assertive tang. The lemon juice provides a lighter brightness.

Recent dill and chives – Elective, however scrumptious! They add freshness to the dressing and deepen its savory taste.

And salt and pepper – To make all of the flavors pop!

Discover the entire recipe with measurements under.

Substitutions

Don’t have these precise components available? Listed here are a couple of substitutions that work properly on this recipe:

Bitter cream – Complete milk Greek yogurt is an effective substitute.

Buttermilk – Common milk can be nice! For a dairy-free possibility, see my vegan ranch dressing.

Recent chives and dill – Be at liberty to skip them should you don’t have them available. If you happen to’d nonetheless like so as to add one thing recent, a little bit parsley is a pleasant different.

Learn how to Make Ranch Dressing

This recipe is fast and simple to make!

First, make the dressing base. In a medium bowl, whisk collectively the mayonnaise, bitter cream, buttermilk, lemon juice, vinegar, and dried herbs and seasonings.

Regulate the consistency to your liking. For a thicker dip, add extra mayo. For a thinner dressing, stir in additional milk.

Then, season to style. Add extra salt and/or pepper, if desired. If you happen to’re utilizing the recent herbs, fold them in.

Chill till prepared to make use of.

Discover the entire recipe with measurements under.

Learn how to Use Ranch Dressing

If you happen to’re making this recipe, my guess is that you have already got a favourite manner to make use of ranch salad dressing. Let me know what it’s within the feedback!

However should you’re in search of extra concepts, you may’t go flawed with these:

Storage

This dressing retains properly in an hermetic container or jar within the fridge for as much as 5 days.

We love protecting it available to take pleasure in with veggies as a snack!

Extra Home made Salad Dressing Recipes

If you happen to love this recipe, strive considered one of these do-it-yourself dressings subsequent:

Home made Ranch Dressing

Prep Time: 10 minutes

Complete Time: 10 minutes

Serves 6 to eight

This do-it-yourself ranch dressing is SO significantly better than store-bought! It is creamy, wealthy, and tangy, made with easy components like mayo and recent herbs. Take pleasure in it as a salad dressing or dip, or strive one other of the serving strategies within the weblog submit above.

Prepare dinner ModeForestall your display from going darkish

In a medium bowl, whisk collectively the bitter cream, ¼ cup mayonnaise, 2 tablespoons milk, dried dill, lemon juice, vinegar, garlic powder, onion powder, ¼ teaspoon salt, and several other grinds of pepper. For a thicker dressing, add extra mayonnaise. For a thinner dressing, add extra milk.

Season to style, including extra salt if desired. Fold within the chives and dill, if utilizing.

Use as a salad dressing or dip, or strive one of many serving strategies within the weblog submit above. Retailer dressing in an hermetic container within the fridge for as much as 5 days.

Is Your Cash on Altman or Musk? – The Well being Care Weblog

By
Robert Day
-

October 22, 2024
0

By MIKE MAGEE

Has America was an “Island of Musk?” He appears to be in all places and nowhere on the similar time. As Trump’s new finest buddy, he’s opened up the gates of Twitter-hell, morphed into a gentle stream of crypto-cash, and demonstrated his dance strikes alongside Trump at featured venues.

He’s additionally launched “a robotic for each citizen” as a part of a canopy for sagging expectations for the Tesla Cybertruck, and issued a brand new spherical of hole guarantees on his Robotaxi scheme. Briefly, Musk’s ADHD apart, he appears a bit extra unhinged than common.

In distinction, his arch foe, 38-year outdated OpenAI CEO, Sam Altman, is (should you’re to consider him) virtually professorial. In his personal phrases, “Know-how introduced us from the Stone Age to the Agricultural Age after which to the Industrial Age. From right here, the trail to the Intelligence Age is paved with compute, vitality, and human will.”

A part of the conflict revolves round a single phrase, accelerationalism. Destined to turn into the 2025 “phrase of the 12 months,” this label is more and more assigned to thought leaders in AI who’ve satisfied themselves that AI will quickly rule the world, our politics, and the battle discipline, and subsequently “quicker is best” is now the mantra on the subject of world-dominating generative AI.

This was not all the time the case. Again in 2015, when Elon Musk and a younger Sam Altman teamed as much as launch a non-profit referred to as OpenAI “to profit humanity,” they each realized that the leased places of work weren’t sufficiently big for 2 alpha males. However in launching their decade lengthy battle for dominance, they agreed that sluggish, clear, and deliberative was higher than quick and reckless. Altman wrote on the time, “In a really perfect world, regulation would decelerate the unhealthy guys and velocity up the nice guys.”

Again then, Musk famously warned, “Mark my phrases, AI is much extra harmful than nukes. I’m actually fairly near the innovative in AI, and it scares the hell out of me.” The place Musk was ”in your face,” Altman was “extraordinarily good and accommodating” which masked a startlingly aggressive underbelly in response to those that knew him nicely. As his former companion within the 2011 start-up “Y combinator”, Paul Graham stated, “You might parachute him into an island filled with cannibals and are available again in 5 years and he’d be the king.” Sam was 23 on the time.

In February, 2018, Musk jumped ship, apparently disagreeing on technique with Altman. After which Altman’s board, in an all-out coup, fired him on November 17, 2023. Twelve days later, they had been compelled to rehire him when main stakeholder, Microsoft, threatened to drag their appreciable assist. Altman, for his half, displayed a conciliatory tone on Musk’s personal X-platform, tweeting on his return “Personally, it’s extremely vital to study from this expertise and apply these learnings as we transfer ahead as an organization. I welcome the board’s impartial assessment of all latest occasions.”

On June 7, 2023, 38-year outdated Sam instructed his Congressional questioners that cash wasn’t his motivator. Relatively “I’m doing this as a result of I find it irresistible.” Sen Richard Blumenthal swooned, “It’s so refreshing. He was prepared, ready, and keen.” Altman, enjoying to the cameras, stated, “We expect that regulatory intervention by governments will likely be important to mitigate the dangers of more and more highly effective fashions.”

Simply 9 months later, his Senate supporters had been little question confused to open the Wall Road Journal and uncover the headline, “Sam Altman Seeks Trillions of {Dollars} to Reshape Enterprise of Chips and AI. Open AI chief pursues buyers together with the U.A.E for a venture requiring as much as $7 trillion.”

Because the November Presidential election quick approached, Musk and Altman selected totally different venues. Musk attended Trump’s Pennsylvania rally, labeling himself “darkish MAGA” and drawing a headline from the Rolling Stone journal, “Web Viciously Memes Elon Musk’s Jumpy Trump Rally Look.”

Within the meantime, Bloomberg reported a quieter go to by Altman to the White Home to pursue federal funding to pursue an “Unprecedented Information Middle Buildout.” In an abrupt about face, Altman now intends to go huge. How huge? Actually, actually huge – as much as 7 knowledge facilities every consuming 5 gigawatts of energy (the quantity a nuclear reactor generates to energy 3 million properties). Sam now sees future prosperity as a race to the highest.

In his newest thought piece, he asks how did we arrive on the doorstep of the subsequent leap in prosperity? “In three phrases: deep studying labored. In 15 phrases: deep studying labored, received predictably higher with scale, and we devoted rising assets to it.”

Musk and Altman do see eye to eye on close to Biblical-level “historical past making.” As Altman wrote concerning the new AI intelligence arms race, “Right here is one slim approach to take a look at human historical past: after hundreds of years of compounding scientific discovery and technological progress, we now have found out methods to soften sand, add some impurities, organize it with astonishing precision at terribly tiny scale into laptop chips, run vitality by means of it, and find yourself with methods able to creating more and more succesful synthetic intelligence…This will likely grow to be essentially the most consequential reality about all of historical past up to now.”

After all, this previous week’s inconvenient Florida’s Hurricane Milton made historical past of its’ personal. Over 1 1/2 days, it “intensified at an unprecedented price” morphing from a Tropical Despair to a Class 5 super-Hurricane initiated by 126 twister warnings. That introduced veteran meteorologist, John Morales, to tears.

Local weather scientists had been fast to remind that between 2019 and 2024, Google’s CO2 emissions, because of AI, elevated by 50%. Not surprisingly, tech entrepreneurs who had been within the lead on combating local weather change when the supply level was Appalachian miners and Rust Belt producers, have now gone unusually silent on the problem. How they are going to sq. that with projected AI knowledge heart consumption of 17% of all U.S. vitality by 2030 stays to be seen.

Musk is now off on his personal, having launched “xAI”, and reducing corners in a recreation of catch-up. In June he opened up an enormous 100 megawatts powered knowledge heart in Memphis, Tennessee coaching AI fashions on the backs of 100,000 Nvidia H100 processors. To energy the plant, he put in 18 pure fuel generators with out EPA clearance or native permits. The generators will emit 130 tons of poisonous nitrogen oxides. That’s an issue for the folks of Memphis already inhaling F grade air in response to the American Lung Affiliation.

Paradoxically, Forbes says a serious purpose of Musk’s xAI is to enhance well being care by means of “process automation, improved scientific workflow, and optimization of scientific productiveness.” Evolutionary psychologist, Robert Wright, (creator of The Ethical Animal) means that Altman might have intentionally parachuted onto “an Elon-inhabited island” in 2015 with a brilliant cautious, checks and balances message to seize Musk funding for Open AI. However lower than a decade later, he’s consuming Elon’s lunch and is king of the island of vitality consuming, decidedly non-green, “accelerationalist” cannibals.

Mike Magee MD is a Medical Historian and common contributor to THCB. He’s the creator of CODE BLUE: Inside America’s Medical Industrial Advanced. (Grove/2020)

How Solar Publicity Improves Your Immune Operate

By
Robert Day
-

October 22, 2024
0

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Why You’ll Love This Easy Crockpot Ham Recipe

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What’s Apple Pie Spice?

Apple Spice Substances

How To Use Your Apple Pie Spice Combine

Apple Pie Spice Recipe

Ranch Dressing Elements

Substitutions

Learn how to Make Ranch Dressing

Learn how to Use Ranch Dressing

Storage

Extra Home made Salad Dressing Recipes

Home made Ranch Dressing

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