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The most solid aspects of wellness that fit firmly in the realm of medicine are the environmental health, nutrition, disease prevention, and public health matters that can be investigated and assist in measuring well-being.

Wellness grew as a popular concept starting in the late 19th century, just as the middle class began emerging in the industrialized world, and a time when a newly prosperous public had the time and the resources to pursue wellness and other forms of self-improvement. Many early consumer products, from corn flakes to mouth wash, derived from or exploited the emerging interest in wellness.

Wellness, in this sense, is subjective, the perception of being healthy, rather than any investigatable "reality" of being healthy. The behaviors in the pursuit of wellness sometimes include proven methodologies, but may also include practices with no scientifically proven capacity to increase health.