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Gonzalez says he considers the album a visual record, intrinsically connected to the island in Spain it was first recorded: "It was shot in this stunning, exotic location, and it stitches all these different characters and scenes together, but in the end is really about romance, beauty & sexuality

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It included more up-to-date male doctor mortality figures from the British Doctors Study plus female mortality data taken as part of the Million Women Study both of which adjusted for other factors that can affect mortality, like socioeconomic status and physical activity