What is the starting material in the following reaction? 
Definitions:
Amish
A group of traditionalist Christian church fellowships known for simple living, plain dress, and reluctance to adopt many conveniences of modern technology, originating from Swiss and German Anabaptist origins.
Ethnicity
An individual's or group's identity, often based on common ancestry, language, history, society, culture, or nation.
Culture Dynamic
The way in which the culture of a society changes and evolves over time through interactions within and outside its context.
Surgical Procedures
Medical operations involving the manual and instrumental techniques to investigate or treat a pathological condition such as disease or injury.
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