Rheumatoid Arthritis Pathophysiology (signs and symptoms)

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  • Опубліковано 29 лис 2024
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КОМЕНТАРІ • 448

  • @armandohasudungan
    @armandohasudungan  6 днів тому +2

    🧠 TEST YOUR KNOWLEDGE FROM THIS LECTURE! ✅
    youmakr.ai/test-playground/questionnaire/673d42dc859b9c170836ee94

  • @LWalks64
    @LWalks64 3 роки тому +51

    Brilliant. I have had RA for 24 years and also a medical professional. People with RA know all too well the agony and frustration of living with this multifaceted disease that some may minimize into almost a trivial process. I appreciate your video as it eludes to anything but that. Thank you for your thorough explanation and demonstration.

    • @ushasehgal2816
      @ushasehgal2816 2 роки тому +2

      Very nice video but what is the treatment of this Arthritus

    • @ENFPerspectives
      @ENFPerspectives Рік тому +2

      People can see how it moves the bones, criples amd deteriorates them. How could they not think its anything but extremely painful?

    • @praveenarao2582
      @praveenarao2582 Рік тому

      Thank you 👍

    • @dropdeaddown69
      @dropdeaddown69 Рік тому

      How are you at present? How you managed your RA? What kind of treatment you went through? Can you plz lemme know I would be grateful for that .

    • @MadradiRudy
      @MadradiRudy 6 місяців тому

      Cupping therapy in your hand can help

  • @CheriCheriLady95
    @CheriCheriLady95 8 років тому +360

    You explain everything 100 times better than my professors in med school! this video helped me a lot! Thank you!!!!

    • @MrZalada
      @MrZalada 8 років тому

      AHAHAHAH Pethana!!

    • @CheriCheriLady95
      @CheriCheriLady95 8 років тому

      ***** με ποιο πραγμα ακριβως?

    • @CheriCheriLady95
      @CheriCheriLady95 7 років тому

      ***** ποια συνωνυμια? :P

    • @MrZalada
      @MrZalada 7 років тому

      Εχω μια συμφοιτητρια Elena KK κι ημουν σιγουρος οτι ηταν αυτη.

    • @CheriCheriLady95
      @CheriCheriLady95 7 років тому

      ***** ααα οκ

  • @lengde16
    @lengde16 7 років тому +165

    You're a very important man for a Med student, from anywhere in the world, with a very unique gift of drawing and conversing. Please take care of yourself :)
    And just as always, awesome work!

    • @rittenbrake1613
      @rittenbrake1613 5 років тому +2

      😂😂😂😂😂” please take care of yourself “

    • @savankate7239
      @savankate7239 4 роки тому

      Do anyone still doubt natural herbs? I've seen the great importance of natural herbs and the wonderful work they have done in people's lives. I wonder why people still spend their money on surgery, injections and drugs each time they are sick. Natural herbs can cure all kinds of illness including herpes, diabetics, asthma, Cancer, hepatitis, etc. I've seen it with my own eyes. I was cured of Arthritis and my Sister and her Husband were cured of herpes by dr Osemuahu who uses natural herbs to cure different kind of illness. Even Dr. Osemuahu proved to the whole world that natural herbs can cure all diseases and he cured countless of people using natural herbs. I know is hard to believe but am a living testimony. There is no harm in trying herbs. Contact Dr Osemuahu(whatsap no): +2349053317809 or email: dr.o.osemuahu@gmail.com
      Come and thank me later ✌️✌️

    • @Melike-hi7qt
      @Melike-hi7qt 2 роки тому

      how u doing now mate

  • @ammerrstf838
    @ammerrstf838 7 років тому +38

    I've nearly finished the pathology book and read articles but still felt like I hadn't grasped the entire pathophysiology behind some diseases, including RA. Thanks for this Amazing overview

  • @majaber1
    @majaber1 Рік тому +3

    "
    You explain everything 100 times better than my professors in med school! this video helped me a lot! Thank you!!!! " I couldnt have said it better than below comment...thank you Armando, your the absolute best at making medicine understandable.

  • @tataxyz123
    @tataxyz123 3 місяці тому +3

    From a patient stand point doctors should listen to their patients have compassion and BELIEVE them.

  • @halimcremer
    @halimcremer 4 роки тому +6

    thank you for this video, i just spent 5 hours reading review papers and text books trying to understand it and you did it so beautifully in 15 minutes. Thank you - you are amazing.

    • @aripnvm
      @aripnvm 4 роки тому +2

      Same here l was searching about the pathogenesis in different books and in internet but yes i finally understand it after watching this video. Sry for my bad english

    • @tastedpurple1492
      @tastedpurple1492 4 роки тому +1

      same! I dont have a biology background until undergraduate but this video is soooo well made and easy to understand

  • @RenegadeRanga
    @RenegadeRanga 8 років тому +30

    Awesome video which I will have to re watch numerous times.

  • @nadimsheikh
    @nadimsheikh 4 роки тому

    I have never come across a better teacher all my life

  • @saraturner1208
    @saraturner1208 2 місяці тому +3

    Thanks for the information. I was diagnosed with RA 6 months ago and I have been trying to learn as much as I can. Unfortunately I’m not very educated so a lot of this went over my head, however, the diagrams did help!

  • @randayousif8887
    @randayousif8887 8 років тому +10

    OMG 😮
    I have an exam about RA tomorrow and your explanation helps me alot
    thank very much sir!

    • @wendyrodriguez5375
      @wendyrodriguez5375 25 днів тому

      ❤ But good explanation But But what helps the pain ❓❓❓❓❓

  • @belovedchaos1
    @belovedchaos1 7 років тому +4

    This makes a lot of sense... both from testing and symptoms to reasons for swelling. Much appreciated!

  • @_ahab2012
    @_ahab2012 5 років тому +25

    -Macrophages start by releasing cytokines, TNF-alpha , IL-1 , IL-6 that lead to inflammation.
    - cytokines stimulate fibroblasts (synoviocytes) , which results in activation, and proliferation.
    - Synoviocytes will stimulate RankL expression, which will lead to the stimulation of osteoclasts with the aid of cytokines. Which will lead to bone erosion .
    - Proliferation of fibroblasts also result in creating proteases, which leads to cartilage breakdown (degradation), cartliges also secrete proteases.
    - When the fibroblasta are activated, they can travel from joint to joint, and this is how you get symmetrical arthritis. (Like in right and left hands).
    - T-cells, (immunity cells) which are thoroughly present in the synovium are resposible for promoting inflammation by secreting IL-17 (cytokine) which promotes macrophage activity so it....etc.
    - They also help in expression of RankL that .....etc.
    - Plasma cells are responsible for inflammation too. Through cytokines and antibodies.
    - Neutrophils in the synovial fluid also contribute to inflammation because they release proteases and active oxygen species which will affect in bone and cartilage erosion.
    - Immune complexes (antibodies) which are a feature of rheumatoid arthritis , they bind to one another and promote inflammation
    - Angiogenesis is affected by increasing the vascular pemeability by cytokines which will result in migration of all these cells into the joint.
    - Rheumatoid arthritis also affects other organs due to increased inflammatory cytokines , skin: nodule formation, liver: anemia, cardiovascular diseases: stroke, myocardial infarction.
    - Rheumatoid arthritis occurrence has unknown reasons but there are theories that suggest that genetics, smoking, and specific bacteria ( porphyromonas gingivalis) that are present pre RA are responsible for the appearance of the disease, these can lead to modifications in body’s antigens, which will make them seem foreign to the immune cells leading to an immune response, or by injury that leads to inflammation, and then lead to antigen modification. this is the first step of the pathogenesis of Rheumatoid arthritis..

  • @BunnyNevermore
    @BunnyNevermore 8 років тому +7

    u helped me when I took anatomy & again then with physiology & once again, here ur helping me to understand exactly what is happening with my hands/joints as I have recently been diagnosed w/RA. thank you so very much!

    • @Happy-healthy-holistic
      @Happy-healthy-holistic 3 роки тому +1

      Allopathy can’t cure you. And overtime you will be made to depend on immune suppressants, then comes the complications of the medicine, then surgery and you will be ultimately exhausted of hospital visits! Start on traditional or alternative medicine, follow a healthy food and lifestyle. I was earlier diagnosed as having rheumatoid arthritis, SLE. Now, I got my RA test become negative with homoeopathy. Rheumatologist and an Orthopedician were completely surprised as according to allopathy, once RA factor becomes positive, it will remain so forever. I too was surprised and enquired the lab to recheck if there was some mistake, they gave the sample to another lab and I got the same negative result. I have been on homoeopathy for many years. Take care. I’m still on crutches but improving over time. Much better than 5 years back. And that pain which was there every second even at rest has turned out to be almost nil at rest... but still have it while moving and is tolerable. My movements were greatly restricted to the extent that someone should help to even turn around in bed but now I can do it myself and from past 1 month, though a little difficult I am able to get up myself and go to toilet with the crutches. I had severe digestion problems too that I always vomited some of what I ate every time but now... there is almost no vomiting but still have belches. Hoping to return to complete normalcy soon. I am not on any other medication. Wish you get well soon.

  • @rickfearn3663
    @rickfearn3663 2 роки тому

    Exceptional clarity. Images and words provide a clarity not possible with other pedagogies.

  • @lEmiliee
    @lEmiliee 7 років тому

    First year medical school here ; You just saved my life. A M A Z I N G video and thank you soooo much :)

  • @franciscacuffy7136
    @franciscacuffy7136 4 роки тому +1

    You are an Awesome teacher, never understood my doctor, but I learned a lot listening. I have the swan neck. My doc told me I had a permanent hitch hiker thumb. I understood now what she was talking about. Thank up for helping me understand this disease. May God bless you always

  • @mrsamandabernier
    @mrsamandabernier 3 роки тому +1

    I think this might be my favourite video on UA-cam, wow. Thanks.

  • @ViolinMD
    @ViolinMD 3 роки тому +1

    Great video Armando!!

  • @umaanand4864
    @umaanand4864 5 років тому +1

    Very nice lecture on the path physiology of R A. Very easy to understand. Thanks.I have R A for 20 years. Your lecture explains lot of my questions .Thanks.

    • @naziahaidar762
      @naziahaidar762 3 роки тому

      How is life with RA??
      How do you perform ur daily activities??

  • @aayatprasad8111
    @aayatprasad8111 6 років тому +1

    Be blessed sir!! We medicos owe you for providing such beautiful explanation n pics to memorize!! 😇

  • @shannonhendrix9520
    @shannonhendrix9520 3 роки тому +1

    This disease is so hard to understand and explain. Thank you for the very detailed breakdown!

  • @jakedejesa2173
    @jakedejesa2173 4 роки тому

    I was tasked to discuss the pathophysiology of RA and I couldn't understand a thing. This helped me to thoroughly understand it. Thanks, mate!

  • @lvdigitalart883
    @lvdigitalart883 Рік тому

    You have no idea how much this just helped me!! Thank you for this absolutely beautiful presentation.

  • @MrPrincebass99
    @MrPrincebass99 4 роки тому

    Clear and simple explanation of a complex disease. Well done!

  • @saidgd8744
    @saidgd8744 7 років тому +2

    Wow, just wow, thanks dude, you're awesome, you helped me so much for my med school work, greetings from Mexico

  • @LatFlare
    @LatFlare 5 років тому +1

    Well-explained with beautiful, easy-to-understand illustrations. Thank you!

  • @asmaagoda3925
    @asmaagoda3925 2 роки тому

    Excellent,simple illustration . Thank you

  • @1015SaturdayNight
    @1015SaturdayNight 7 років тому

    I only have some basic nursing knowledge and this is so easy for me to understand - you're an excellent teacher. I have this disease myself. Thanks for this video!

  • @hianahs
    @hianahs Рік тому

    your lectures are life saving. thank you for your time!!

  • @DWNelson90
    @DWNelson90 7 років тому +8

    For the record as a sufferer of RA, your joints will be in pain regardless of inflammation. My doctor seems to think there is no pain without inflammation.

    • @nikolateslaize
      @nikolateslaize 5 років тому +2

      Exactly! And it is so hard to convince them. -But all your blood test seems normal arghhh :)

    • @curious.soul.
      @curious.soul. 4 роки тому

      Living in the hell of pain and yet to be diagnosed but your comment scared this chicken even more. Thanks for the video.

    • @DWNelson90
      @DWNelson90 4 роки тому

      @@curious.soul. my experience had doctors scratching their head for a year before they diagnosed me as sero-negative RA. They havent given me time to explain, they just run tests and have me leave with 4 prescriptions to medications that dont seem to work for me. Eventually I stopped seeing doctors lol.

    • @DWNelson90
      @DWNelson90 4 роки тому

      @@curious.soul. best thing to do is keep moving. Move those joints because they're suppose to move. If its suppose to move and doesnt WD40 if it moves and its not suppose to Duct tape.

    • @curious.soul.
      @curious.soul. 4 роки тому

      @@DWNelson90 As of now I'd be happy if I can make through the day independently. But point taken about the moving part once it gets a bit better. Thank you for your words. Hope you feel better soon.

  • @IHaveMagicPowers
    @IHaveMagicPowers 3 роки тому

    This made so much more sense to me in the context of bringing together immune and inflammatory responses. Thank you!!

  • @MasinaTai86
    @MasinaTai86 7 років тому +3

    Bravo!! Coming from a non medical student! Idk what T alphas, etc are but I'll rewatch this video until I've looked up all the terminology. I enjoyed your video although ofc I didn't understand everything, I could tell it was excellent explanation at least and got the gist (did have to look up a few definitions ofc).

  • @enikofulop794
    @enikofulop794 Рік тому +1

    I saw this video so many times. No it's much more clear..
    Thank you. ❤🎉😊

  • @doctorkartk
    @doctorkartk 4 роки тому +1

    I missed ur lectures in 2006 ..that's when i joined med school..

  • @promybari-hassan2982
    @promybari-hassan2982 7 років тому

    This video was seriously the best!! Everything was explained simply!

  • @basshardabboussi3496
    @basshardabboussi3496 8 років тому +66

    Awesome! He should put a picture of the final drawing to print :)

    • @saramhussain
      @saramhussain 7 років тому +1

      Basshar Dabboussi he does for 15 dollars lol check his site

    • @jerson4384
      @jerson4384 6 років тому

      Basshar Dabboussi amazing teaching skills!

  • @proffezur
    @proffezur 8 років тому +25

    excellent, as usual

  • @pix_7l
    @pix_7l 5 років тому +1

    . . ഹൃദയത്തിൽ സ്പർശിക്കുന്ന ഈ ഇടയിൽ ഇറങ്ങിയ ചുരുക്കം ചില ഗാനങ്ങളിൽ ഒന്ന്, എന്തായാലും ഒരുപാടിഷ്ട്ടമായി.

  • @jingshen2165
    @jingshen2165 6 років тому

    Very impressive and easy to understand the whole picture of Rheumatoid arthritis. Thanks!

  • @TransformChantel
    @TransformChantel 7 років тому

    This is beautiful! I understand RA so much more better now. Thank you soooooooooo much!

  • @abdullahalimaykac4098
    @abdullahalimaykac4098 5 років тому +1

    You are so valuable man bro I m watching this video in Turkey and normally my English is not so good you speak fast but I can understand nearly everythink actually you explain perfect please dont stop that send video

  • @hapilee5844
    @hapilee5844 Рік тому +1

    I have RD and I thank you for a concise video that helped me understand my dis~ease😢

  • @SaiwanMaerufSaiwanbio
    @SaiwanMaerufSaiwanbio 7 років тому +5

    Thanks for great video! , I hope you will prepare same video on Seronegative rheumatoid arthritis, and difference between seronegative and seropositive RA in immunological response .

  • @sofianetamine3060
    @sofianetamine3060 8 років тому +5

    fabulous explanation

  • @احمدعبدالله-و7ح9ص
    @احمدعبدالله-و7ح9ص 6 років тому +1

    what a wonderful explanation. thanks again from Yemen Aden.

  • @sarahrtseidel
    @sarahrtseidel 2 роки тому

    Amazing video and linking of the markers -> tissue -> symptoms!

  • @ArthritisLife
    @ArthritisLife Рік тому

    So so helpful, thank you for this detailed and visually appealing explanation!

  • @nowsheramedicalcollege9277
    @nowsheramedicalcollege9277 Рік тому

    Brilliant teacher wish you best of luck sir

  • @donkeybenjamin
    @donkeybenjamin 8 років тому +1

    Excellent!!! It is really a very clear presentation. THANKS VERY MUCH.

  • @lisahowland144
    @lisahowland144 4 роки тому

    wow what a superb vid! Easy to understand with great drawings. Much appreciated

  • @bditnfi9506
    @bditnfi9506 2 роки тому

    you are the best (from Alegria)

  • @Azufer13792
    @Azufer13792 8 років тому +1

    Thanks, the video is awesome (and even clearer than many medical textbooks)!

  • @stickom
    @stickom 3 місяці тому

    Spot on!!! Immunology simple, nice! (I would omit 5:46 fibroblast migration and extraarticular involvement basically everything pass 13:30)

  • @hamzamuhammadgm4749
    @hamzamuhammadgm4749 4 роки тому

    Great sir .. I really like your explanation and way of teaching

  • @vidyabijo6925
    @vidyabijo6925 7 років тому +1

    best video!!!!!! concise precise, covering everything except treatment and lab inv... pls make a second video to cover those parts tooo

  • @marwamokhtar8469
    @marwamokhtar8469 5 років тому

    Thanks alot for this brilliant and concise presentation , It takes much effort and time .

  • @armughanaymen3916
    @armughanaymen3916 5 років тому +1

    you should scan your notes and upload them so that we can print them that would be so helpful

  • @muhaimenulislam389
    @muhaimenulislam389 5 років тому

    Please make a video on Juvenile Idiopathic Arthritis. It will be very helpful.

  • @jujulepew
    @jujulepew 5 років тому

    wow thanks so much for this brilliant explanation of how RA is triggered and develops.

  • @yashvyas9979
    @yashvyas9979 7 років тому +2

    what a video... awesome sir great explanation..!!!! thank you..!!!!👌👌

  • @desertfox8583
    @desertfox8583 4 роки тому

    Great video. Really helps me with my studies.

  • @xxamulyaxx
    @xxamulyaxx 7 років тому +3

    awesome..... it really helps me a lot...
    but please don't use yellow marker / pen in your videos ... thanks

  • @Abreutie
    @Abreutie 6 років тому

    Thank you very much ! I'm listening to you from France, I have understood all of the video, it was really clear thanks !

  • @monakhalid6120
    @monakhalid6120 4 роки тому

    Ur explaination is best est of all. After a lot of struggle I found it. 😍

  • @divyaduggal5950
    @divyaduggal5950 7 років тому +1

    Beautifully explained!!!

  • @komalpahwa4476
    @komalpahwa4476 3 роки тому

    Uric care tablets reduces Kapha doshas impacting high URIC ACID levels of the body and acts as a potent diuretic. It helps reduce the pain while passing urine and clear the obstruction of urine. It is also used to treat cough, oedema, asthma and various kidney problems. It contains ingredients like gokhru, imali kshar, yavakshar, kalmi shora, nausadar, swarna gairik etc. This formulation possesses hypotensive, antimicrobial, aphrodisiac and diuretic properties.

  • @shkokurda2098
    @shkokurda2098 6 років тому

    dude. weldone.you are realy realy amazing in presentation.despite the simplified coherent,conclusive information,your voice tones is too natural and not push on yourself thus makes listener relax and enjoy. thank you very much.

  • @KristopherWilliams_tahmson
    @KristopherWilliams_tahmson 3 роки тому +6

    Excellent video! I have RA and am also coincidentally taking pathophysiology next semester. What a great opportunity to learn about my disorder while also preparing for the depth of pathophys
    May I ask what textbook you’re using for this information?

  • @kintsugi-c6u
    @kintsugi-c6u 25 днів тому

    Thank you. I just had an MRI that pretty much indicates RA, so I'm trying to learn about it.

  • @pastor.petertnagarajurehob700
    @pastor.petertnagarajurehob700 7 років тому

    Exelant explanation very Good information for RA patients

  • @vinaypharmacist5838
    @vinaypharmacist5838 6 років тому

    i don`t have any word to say about your way of delivery, content ,,,,,,
    but i would like to say awesome....
    thanks a lot........ plz update more videos for helping us

  • @linkeongkimfunctionalfoodn2576
    @linkeongkimfunctionalfoodn2576 4 роки тому

    Fantastic work and easily understood! Thanks a lot.

  • @lisaoldwithsomanywhys5487
    @lisaoldwithsomanywhys5487 7 років тому +1

    What about weight gain, swelling & exssesive heat & sweating? Will it ever go away? Is there a cure? I’m 50 yr old woman

  • @soniaosei-anim9597
    @soniaosei-anim9597 4 роки тому

    The yellow marker is hard to read. Can you kindly use a more visible marker? You’re doing a great job though. Thank you

  • @jordanbdailey
    @jordanbdailey Рік тому

    your drawing skills are so good!

  • @7D7N7A7
    @7D7N7A7 7 років тому

    Thanks for making use of all of these great abilities in order to help people
    I think about the great efforts make to accomplish this organized smart work
    Please continue this great work

  • @peacedawn5719
    @peacedawn5719 3 роки тому

    Thank you very much.
    From 🇩🇿

  • @fei_studio_
    @fei_studio_ 2 роки тому

    What a great informative video, thanks for sharing!

  • @radhikasingh8535
    @radhikasingh8535 7 років тому

    Simple and goodexplanation. What about the treatment?
    Pls help as I have started suffering from it.

  • @hanchybananchy
    @hanchybananchy 4 роки тому

    Really great explanation and summary! Thanks :)

  • @nisuda
    @nisuda 5 років тому

    you have made an extraordinary job describing RA. Now, what hope is there for those who suffer with this terrible disea?

  • @redache467
    @redache467 6 років тому +1

    Thank you, essentially.

  • @jiehuang9221
    @jiehuang9221 7 років тому +6

    Very helpful thank you! Do you have a pdf version of your whiteboard drawing?

  • @judithjara7584
    @judithjara7584 7 років тому

    Excellent explanation as always!

  • @kentucy9999
    @kentucy9999 6 років тому +2

    Question...........I've had 3 "flares" of rheumatoid arthritis in the past 15 years. Each "flare" came about five years apart and lasted approx. five months. The 3 flares were worse each time with a wider array of symptoms and the symptoms themselves being more pronounced. There was about five years of "remission" between each "flare." The last of the 3 "flares" was BAD. HORRENDOUS. AWFUL.............In addition to the pain and swelling I also encountered the "malaise" where you just feel awful. The malaise is almost like having the flu 24/7 but a little different. Along with all the terrible RA symptoms you feel terrible too............you feel like someone vomited in the back of your car on a July day. That's all I can liken it too..................I have 2 questions: {1} When my rheumatoid arthritis is in "remission" can I still have symptoms in the background...........still effecting me although it is not a full blown "flare?" {2} Can I have the "malaise" piece of my RA and not have the swelling and joint pain piece? {I've felt lousy for awhile now...........kinda like I did when I had that last flare as far as the "malaise" but I'm not experiencing the other symptoms.} Thank you.

  • @mowaisshahid
    @mowaisshahid 4 роки тому +1

    Dear doctor, is bone repair in rheumatoid arthritis possible? my aunt's femur bone is broken and is not healing since 2014. Is it possible that her bone will ever heal?
    Dear doctors, please reply.

  • @nigelutton3178
    @nigelutton3178 6 років тому

    absolutely wonderful as always - nice preparation for my exam this afternoon. Always a joy to watch these videos. So clear and informative.

  • @aathmikagovindh733
    @aathmikagovindh733 6 років тому

    Thanks a lot this will help me in my upcoming individual presentation

  • @miteshkapadiya8511
    @miteshkapadiya8511 Рік тому +1

    Thanks a lot!

  • @saifsharayah951
    @saifsharayah951 8 років тому +1

    Armando Thank you so much !!

  • @wonderjodocus
    @wonderjodocus 7 років тому

    This video has helped me a lot. Thanks

  • @gohiljayrajsinh-ju6pk
    @gohiljayrajsinh-ju6pk 6 років тому

    Thanks for this video will helping to study . Thankyou so much

  • @vibhamallikarjun
    @vibhamallikarjun 7 років тому

    You are just amazing!! Thank you so much for making it so easy!😊

  • @jessmfox
    @jessmfox 6 років тому

    Your videos are incredibly useful. Thank you so much :)

  • @AhmadSmairat
    @AhmadSmairat 8 років тому +1

    you are doing a great job. as usual, Thx a lot

  • @ruby7387
    @ruby7387 2 роки тому +1

    Can you explain the seronegative RA and why we don't have the antibodies?

  • @dextercardel5895
    @dextercardel5895 8 років тому +1

    very well said sir! thank you for the nutritive information.

  • @sergiopina3485
    @sergiopina3485 6 років тому

    This is the best video ever! I love u