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The Spanish attempted to force Indians to assimilate into Spanish culture and give up their traditional way of life. Indians were forced to change their religious beliefs, diet, and daily routines, though many Indians resisted. Missionaries required Indians to study Christianity, Spanish language, and Spanish customs in order to assimilate into Spanish life. California Indians were forbidden from speaking in their native languages, practicing traditional religious ceremonies, and eating traditional foods. Sugar and milk was introduced to the diet of Indians working the missions, leading to tooth decay, life threatening infections, diabetes and other health issues. Within two years of living in the missions, many Indians lost all of their teeth.