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The Spokesman-Review Newspaper
Spokane, Washington  Est. May 19, 1883

Paul Mullen checks his calorie scorecard during a diabetes prevention class at the YMCA. Mullen, 66, has lost 18 pounds and brought his blood sugar down because of lifestyle changes he learned in the program. He pays $115 for the yearlong program, on top of his Y membership fee.

Michael Conroy / The Spokesman-Review

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