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Justin Trudeau, the prime minister, engages in cupping, an ancient skin suction therapy that has seen renewed popularity in modern times among high-level athletes and lifestyle celebrities.

This was revealed Monday in photographs that accompanied Trudeau’s appearance on sportswriter Jonah Keri’s podcast, which show two circular reddish bruises on his left forearm.

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“We can confirm that he indeed uses that treatment,” said press secretary Andrée-Lyne Hallé. She did not answer the National Post’s questions as to why he does so, or for how long he has, who provides it, or whether it has been helpful.

From documented ancient origins in China and Egypt, cupping has lately been a fad promoted by trendsetters from Gwyneth Paltrow to Justin Bieber. Olympian swimmer Michael Phelps’ appearance at the Rio Games with his shoulders and back covered in the telltale bruises caused a resurgence in interest. Tennis star Serena Williams has also said she does it, but more for relaxation than for any targeted therapy.