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Wellness can include using scientifically-based tests and practices to maintain health, as in checking cholesterol, blood pressure, glucose, and other body indicators. Or it can include unproven practices, such as avoiding certain foods or taking certain vitamins or alternative medicines.

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 has developed into a buzzword used by the Network Marketing and Multi-Level Marketing "communities" to sell unproven health supplements and quack cures.