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Budzinski JW, Foster BC, Vandenhoek S, Arnason JT. An in vitro evaluation of human cytochrome P450 3A4 inhibition by selected commercial herbal extracts and tinctures. Herpes simplex virus HSV. Evidence on the effect of echinacea for the treatment of HSV is unclear. Some research shows that taking a specific echinacea extract Echinaforce, A Vogel Bioforce AG 800 mg twice daily for 6 months does not seem to prevent or reduce the frequency or duration of recurrent genital herpes. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

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Kemp, D. E. and Franco, K. N. Possible leukopenia associated with long-term use of echinacea. J Am Board Fam. Peripheral test: This measures bone density at your wrist, finger, and heel. With research advances and a better understanding of lupus, the prognosis for people with lupus today is far brighter than it was even 20 years ago. It is possible to have lupus and remain active and involved with life, family, and work. As current research efforts unfold, there is continued hope for new treatments, improvements in quality of life, and, ultimately, a way to prevent or cure the disease. The research efforts of today may yield the answers of tomorrow, as scientists continue to unravel the mysteries of lupus.

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Food and Drug Administration. WebMD does not endorse any specific product, service or treatment. According to the prescribing information, prednisone is used for multiple sclerosis during acute exacerbations relapses of the disease. Multiple Sclerosis is a chronic, inflammatory, demyelinating autoimmune disease of the central nervous system. Prednisone works for MS by helping to decrease the inflammation in the central nervous system. Prednisone is not the only steroid that may be used to treat the exacerbations of MS. According to the National Multiple Sclerosis Society, dexamethasone, betamethasone, and prednisolone are also used. Methylprednisolone, another corticosteroid, has also been used to treat MS exacerbations. There is no set course of therapy determined for corticosteroid use in MS. Some people are given intravenous corticosteroids over a period of a few days, while other people take oral by mouth corticosteroids. Prednisone works by changing the way the immune system works to decrease inflammation, redness, and pain. Some of the other conditions prednisone can be used for include: arthritis, severe allergic reactions, and lupus. Some of the common side effects of corticosteroids include trouble sleeping, mood changes, nausea, nervousness, sweating, and increased appetite. Taking prednisone with food may help with the nausea. Taking prednisone in the morning may help to alleviate the insomnia. However it is important to take prednisone exactly how the doctor or health care provider prescribes it to you. Prednisone does affect how the immune system works. Prednisone may make a person more susceptible to getting an infection. Contact your health care provider if you experience any sign of infection, including fever, cough, sneezing, or sore throat.

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Learning more about lupus may also help. Studies have shown that patients who are well-informed and participate actively in their own care experience less pain, make fewer visits to the doctor, build self-confidence, and remain more active. Prednisone, in a class of drugs called steroids, prevents the release of substances in the body that cause inflammation, and is used to treat many different conditions such as allergic disorders, skin conditions, ulcerative colitis, arthritis, lupus, psoriasis, or breathing disorders. Prednisone may also be used for other purposes not mentioned here. The classifications below are a general guideline only. It is difficult to determine the relevance of a particular drug interaction to any individual given the large number of variables.



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Corticosteroids are strong anti-inflammatory medicines. Prednisone is a steroid medication that prevents the release of chemicals in the body that cause this inflammation. ADT is a therapeutic technique primarily designed for patients in whom long-term pharmacologic corticoid therapy is anticipated. Prednisone is available as a liquid, a concentrated liquid, and tablets of varying strengths. Some of the side effects of prednisone may include: headache, mood changes, thin skin, acne, diabetes, loss of bone mass, glaucoma, and fluid retention. Prednisone may alter glucose regulation which can lead to high blood sugar. The risk for developing high enough blood sugar levels to warrant treatment is dependent on the dose of the corticosteroid. The higher the dose, the more likely a person is to develop high blood sugars that need to be treated. Treatment of high blood sugar or diabetes brought on by prednisone is the same as treatment for an individual with non-corticosteroid induced diabetes. Corticosteroid induced diabetes improves when the dose of the steroid is decreased. The diabetes may also go away after several months once the steroid is stopped. Prednisone is in a drug class called corticosteroids. Prednisone is used alone or combined with other medicines to treat symptoms from having low corticosteroid levels in the body. Corticosteroids are natural hormones produced by the body that are necessary for the body to function normally. Prednisone is also used in people who have normal corticosteroid levels, but who have certain medical conditions, such as arthritis, severe allergic reactions, multiple sclerosis, lupus, asthma, and other medical conditions involving the lungs, skin, eyes, kidneys, blood, thyroid, stomach, and intestines. Parnham MJ. Benefit-risk assessment of the squeezed sap of the purple coneflower Echinacea purpurea for long-term oral immunostimulation. Let your doctor know if you're pregnant, or may become pregnant, before taking prednisone. Make sure any doctor or dentist who treats you knows that you are using this medicine. This medicine may affect the results of certain skin tests. Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip themissed dose and resume your usual dosing schedule. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. The device is portable, so it can be brought to health fairs and pharmacies. This makes the test available to more people who may not be able to get the central DXA test. Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.



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Persons who are on drugs which suppress the immune system are more susceptible to infections than healthy individuals. Chicken pox and measles, for example, can have a more serious or even fatal course in non-immune children or adults on corticosteroids. In such children or adults who have not had these diseases, particular care should be taken to avoid exposure. How the dose, route and duration of corticosteroid administration affects the risk of developing a disseminated infection is not known. Systemic fungal infections and known hypersensitivity to components. The lowest possible dose of corticosteroid should be used to control the condition under treatment, and when reduction in dosage is possible, the reduction should be gradual. The most commonly reported adverse effects associated with corticosteroid use include fluid retention, alteration in glucose tolerance, high blood pressure, behavior and mood changes, increased appetite and weight gain. Steroids should be used with caution in nonspecific ulcerative colitis, if there is a probability of impending perforation, abscess or other pyogenic infection; diverticulitis; fresh intestinal anastomoses; active or latent peptic ulcer; renal insufficiency; hypertension; osteoporosis; and myasthenia gravis. To help answer these questions, scientists are developing new and better ways to study the disease. They are doing laboratory studies that compare various aspects of the immune systems of people with lupus with those of other people both with and without lupus. They also use mice with disorders resembling lupus to better understand the abnormalities of the immune system that occur in lupus and to identify possible new therapies. In childhood lupus, researchers are evaluating the safety and effectiveness of drugs called statins that lower LDL or bad cholesterol levels as a method of preventing fat buildup in the blood vessels. Your healthcare professionals may already be aware of this interaction and may be monitoring you for it. Do not start, stop, or change the dosage of any medicine before checking with them first. omnicef



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Echinacea might change how the body breaks down some medications. Taking echinacea along with some medications might increase the effects and side effects of some medications. Before taking echinacea, talk to your healthcare provider if you are taking any medications that are changed by the body. Emmanuel JH, Montgomery RD. Gastric ulcer and the anti-arthritic drugs. Calgary, Alberta, Canada 4 mL ten times on the first day of a cold, then four times daily for 6 days, or 5 mL eight times on the first day of cold symptoms, then three times daily for 6 days has been used. A tea different species of echinacea Echinacea Plus, Traditional Medicinals, Sebastopol, CA five or six times on the first day of cold symptoms, then reducing by 1 cup per day over the following 5 days has been used. Serious side effects can also occur. If corticosteroids are indicated in patients with latent tuberculosis or tuberculin reactivity, close observation is necessary as reactivation of the disease may occur. During prolonged corticosteroid therapy, these patients should receive chemoprophylaxis. Using corticosteroid medications for a long time can make it more difficult for your body to respond to physical stress. Gurley BJ, Gardner SF, Hubbard MA, et al. In vivo assessment of botanical supplementation on human cytochrome P450 phenotypes: Citrus aurantium, Echinacea purpurea, milk thistle, and saw palmetto. It may take months or even years for doctors to piece together the symptoms to diagnose this complex disease accurately. Making a correct diagnosis of lupus requires knowledge and awareness on the part of the doctor and good communication on the part of the patient. Giving the doctor a complete, accurate medical history for example, what health problems you have had and for how long is critical to the process of diagnosis. This information, along with a and the results of laboratory tests, helps the doctor consider other diseases that may mimic lupus, or determine if the patient truly has the disease. Reaching a diagnosis may take time as new symptoms appear. It is usually cheaper. Our Medrol Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication. This can lead to troubling symptoms, like fatigue, weakness, an upset stomach, weight loss, and mouth sores. Facino RM, Carini M, Aldini G, et al. Echinacoside and caffeoyl conjugates protect collagen from free radical-induced degradation: a potential use of echinacea extracts in the prevention of skin photodamage. buy fludrocortisone generic online fludrocortisone



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Influenza flu. Early research shows that taking a specific echinacea product Monoselect Echinacea, PharmExtracta, Pontenure, Italy daily for 15 days might improve the response to the flu vaccine in people with breathing problems such as bronchitis or asthma. Check with your doctor right away if blurred vision, difficulty in reading, eye pain, or any other change in vision occurs during or after treatment. Your doctor may want you to have your eyes checked by an ophthalmologist eye doctor. REFERENCES 1 Fekety R. Infections associated with corticosteroids and immunosuppressive therapy. In: Gorbach SL, Bartlett JG, Blacklow NR, eds. Infectious Diseases. Maskatia, Z. K. and Baker, K. Hypereosinophilia associated with echinacea use. South. Prolonged use of corticosteroids may produce posterior subcapsular cataracts, glaucoma with possible damage to the optic nerves, and may enhance the establishment of secondary ocular infections due to fungi or viruses. Some of the side effects that can occur with prednisone may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. Kidneys: Inflammation of the kidneys nephritis can impair their ability to get rid of waste products and other toxins from the body effectively. There is usually no pain associated with kidney involvement, although some patients may notice swelling in their ankles. Most often, the only indication of is an abnormal urine or blood test. Because the kidneys are so important to overall health, lupus affecting the kidneys generally requires intensive drug treatment to prevent permanent damage. Phenytoin-dexamethasone: a possible drug-drug interaction. Remember that your doctor has prescribed this because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication not have serious side effects. Brummer, Salzgitter-Ringelheim, Germany 3-5 times daily reduces itchiness, tension, and pain in most people with cold sores herpes labialis. It may rarely harm an unborn baby. Discuss the risks and benefits with your doctor. Infants born to mothers who have been using this medication for an extended period of time may have problems. Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of prednisone in children. However, pediatric patients are more likely to have slower growth and bone problems if prednisone is used for a long time. Recommended doses should not be exceeded, and the patient should be carefully monitored during therapy.



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If a corticosteroid overdose is severe enough, it can be dangerous and cause heart rhythm problems. This information is generalized and not intended as specific medical advice. Store at room temperature away from light and moisture. not store in the bathroom. Keep all away from children and pets. ESR test can provide valuable information. Another common test measures the blood level of a group of substances called complement. People with lupus often have increased ESRs and low complement levels, especially during flares of the disease. X rays and other imaging tests can help doctors see the organs affected by SLE. It's also a good idea to wash your hands often and take other common-sense precautions. Your doctor may tell you to stick to a low-salt diet that is high in potassium or calcium. Ask your doctor or pharmacist about using this product safely. If side effects still bother you and you wonder if you should keep taking the medicine, call your doctor. He or she may be able to lower your dose or change your medicine. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the substances you are taking, check with your doctor, nurse, or pharmacist. Anxiety. Early research suggests that taking 40 mg of a specific echinacea extract ExtractumPharma ZRT, Budapest, Hungary per day for 7 days reduces anxiety. But taking less than 40 mg per day does not seem to be effective. Many drugs can affect the way prednisone works, and prednisone may also interfere with other medication. Your doctor may also recommend that you take a calcium or potassium supplement. Typically, the higher the dose and the longer they are taken, the greater the risk and severity of side effects. Researchers are working to develop ways to limit or offset the use of corticosteroids. For example, corticosteroids may be used in combination with other, less potent drugs, or the doctor may try to slowly decrease the dose once the disease is under control. People with lupus who are using corticosteroids should talk to their doctors about taking supplemental calcium and or other drugs to reduce the risk of weakened, fragile bones. Basics, Side Effects, Interactions, and Dosage tabs. The information within the Reviews and FAQ tabs is proprietary to Everyday Health. eccad.info propecia



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Swallow this medication whole. not crush, chew, or break the tablet. Doing so can release all of the drug at once, increasing the risk of side effects. The booklet describes the disease and its symptoms and contains information about diagnosis and treatment as well as current research efforts supported by the National Institute of and Musculoskeletal and Diseases NIAMS and other components of the Department of Health and Human Services' National Institutes of Health NIH. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. One out of five lupus patients experiences symptoms such as headaches, dizziness, memory disturbances, stroke, or changes in behavior that result from changes in the brain or other parts of the central nervous system. Such lupus patients have what is called "neuropsychiatric" lupus. NIAMS-funded scientists are applying new tools such as brain imaging techniques to discover cellular activity and specific genes that may cause neuropsychiatric lupus. By uncovering the mechanisms responsible for central nervous system damage in lupus patients, researchers hope to move closer to improved diagnosis and treatment for patients with neuropsychiatric lupus. Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance. Do not use a household spoon because you may not get the correct dose. Apoptosis is similar to the process that causes leaves to turn color in autumn and fall from trees; it allows the body to eliminate cells that have fulfilled their function and typically need to be replaced. If there is a problem in the apoptosis process, harmful cells may stay around and do damage to the body's own tissues. For example, in a mutant mouse strain that develops a lupus-like illness, one of the genes that controls apoptosis is defective. When it is replaced by a normal gene, the mice no longer develop signs of the disease. Scientists are studying what role genes involved in apoptosis may play in human disease development. Gallo M, Sarkar M, Au W, et al. Pregnancy outcome following gestational exposure to echinacea: A prospective controlled study. There are many reasons why people have trouble taking their medicine. Melchart D, Clemm C, Weber B, et al. Polysaccharides isolated from Echinacea purpurea herba cell cultures to counteract undesired effects of chemotherapy--a pilot study. singulair can i buy mastercard



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Little did I know that it can cause mania and psychosis I have a history of depression. By the 2nd day I couldn't sleep I kept talking, cleaning, and writing poetry and had a manic episode, due to steroid psychosis and I don't have a history of bipolar disorder. No one in my family knew what was wrong with me. I am WARNING any of you with a psychiatric history to avoid this medication and oral steroids at all costs. Due to taking Prednisone, I lost a full-year college scholarship I'm studying laboratory science. If you are taking this on a different schedule than a daily one such as every other day ask your doctor ahead of time about what you should do if you miss a dose. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. Important: The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, blogs, or WebMD Answers are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Because some treatments may cause harmful side effects. Lee AN, Werth VP. Activation of autoimmunity following use of immunostimulatory herbal supplements. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of prednisone in the elderly. However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution and an adjustment in the dose for elderly patients receiving prednisone.



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Take this by as directed by your doctor, usually once daily. The Alliance for Lupus Research, Inc. ALR is a nonprofit organization devoted exclusively to the support of promising research for the prevention, treatment, and cure of lupus. Through accelerated, focused, goal-oriented research programs, the ALR aims to promote basic and clinical sciences to achieve major advances leading to a better understanding of the causes of lupus. Gilroy CM, Steiner JF, Byers T, et al. Echinacea and truth in labeling. Both prednisone and prednisolone are oral medicines. Scientists suspect that neonatal lupus is caused by autoantibodies in the mother's called anti-Ro SSA and anti-La SSB. Autoantibodies "auto" means self are blood proteins that act against the body's own parts. discount evista



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If you take the concentrated liquid form of prednisone, you can mix the solution with juice or another drink or with a soft food like applesauce. X-ray or an airplane flight. Yale SH, Glurich I. Analysis of the inhibitory potential of Ginkgo biloba, Echinacea purpurea, and Serenoa repens on the metabolic activity of cytochrome P450 3A4, 2D6, and 2C9. This program provides financial assistance to eligible individuals to cover coinsurance, copayments, healthcare premiums and deductibles for certain treatments. Also, for those who are eligible for health insurance, but cannot afford the insurance premium, the foundation may be able to help by paying some or all of the medical portion of insurance premiums. The patient is being treated for a specific disease for which funding is available and has insurance that covers the treatment for this disease. Call for most recent medications as the list is subject to change. Urinary tract infections UTIs. You usually take prednisone with food one to four times daily or once every other day. Medrol and dexamethasone , . Corticosteroids are related to cortisol, which is a natural anti-inflammatory hormone. They work by rapidly suppressing inflammation. Corticosteroids can be given by mouth, in creams applied to the skin, or by injection. Because they are potent drugs, the doctor will seek the lowest dose with the greatest benefit. Short-term side effects of corticosteroids include swelling, increased appetite, and weight gain. These side effects generally stop when the drug is stopped. It is dangerous to stop taking corticosteroids suddenly, so it is very important that the doctor and patient work together in changing the corticosteroid dose. Sometimes doctors give very large amounts of corticosteroid by vein over a brief period of time days "bolus" or "pulse" therapy. With this treatment, the typical side effects are less likely and slow withdrawal is unnecessary. Use and dose must be determined by your doctor. If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses. Average and large doses of hydrocortisone or cortisone can cause elevation of blood pressure, salt and water retention, and increased excretion of potassium. These effects are less likely to occur with the synthetic derivatives except when used in large doses. Dietary salt restriction and potassium supplementation may be necessary. All corticosteroids increase calcium excretion. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your or local waste disposal company. kemadrin price



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Avoid contact with people who have recently received live vaccines such as flu vaccine inhaled through the nose. Ondrizek RR, Chan PJ, Patton WC, King A. Inhibition of human sperm motility by specific herbs used in alternative medicine. Bloody or black, tarry stools. Chavez ML, Chavez PI. Echinacea. It may take months or even years for doctors to piece together the symptoms to accurately diagnose this complex disease. Be sure to let you doctor know if you have an eye infection or have recurring eye infections. You can browse Drugs A-Z for a specific prescription or over-the-counter drug or look up drugs based on your specific condition. This information is for educational purposes only, and not meant to provide medical advice, treatment, or diagnosis. Remember to always consult your physician or health care provider before starting, stopping, or altering a treatment or health care regimen. Barrett BP, Brown RL, Locken K, et al. Treatment of the common cold with unrefined echinacea. A randomized, double-blind, placebo-controlled trial. Moderate. These medicines may cause some risk when taken together.



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Some women may experience a mild to moderate flare during or after their pregnancy; others do not. Pregnant women with lupus, especially those taking corticosteroids, also are more likely to develop high blood pressure, diabetes, hyperglycemia high blood sugar and kidney complications, so regular care and good nutrition during pregnancy are essential. It is also advisable to have access to a neonatal newborn intensive care unit at the time of delivery in case the baby requires special medical attention. The risk for side effects increases with the length of treatment. As with other treatments for lupus, there is a risk of relapse after the immunosuppressives have been stopped. cefdinir

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Administration of live or live, attenuated vaccines is contraindicated in patients receiving immunosuppressive doses of corticosteroids. Killed or inactivated vaccines may be administered to patients receiving immunosuppressive doses of corticosteroids; however, the response to such vaccines may be diminished. Indicated immunization procedures may be undertaken in patients receiving nonimmunosuppressive doses of corticosteroids. Scientists are developing new and better ways to study the disease. Echinacea seems to activate chemicals in the body that decrease inflammation, which might reduce cold and flu symptoms. Laboratory research suggests that echinacea can stimulate the body's immune system, but there is no evidence that this occurs in people. Echinacea also seems to contain some chemicals that can attack yeast and other kinds of fungi directly.

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Convulsions have been reported with concurrent use of methylprednisolone and cyclosporin. Since concurrent use of these agents results in a mutual inhibition of metabolism, it is possible that adverse events associated with the individual use of either drug may be more apt to occur. In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. Mengs U, Clare CB, Poiley JA. Toxicity of Echinacea purpurea. Acute, subacute and genotoxicity studies.

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Basic principles and indications for corticosteroid therapy should apply. The benefits of ADT should not encourage the indiscriminate use of steroids. The National Institute of Arthritis and Musculoskeletal and Skin Diseases NIAMS a part of the Department of Health and Human Services' National Institutes of Health NIH leads the Federal medical research effort in arthritis and musculoskeletal and skin diseases. The NIAMS supports research and research training throughout the United States, as well as on the NIH campus in Bethesda, MD, and disseminates health and research information. The National Institute of Arthritis and Musculoskeletal and Skin Diseases Information Clearinghouse is a public service sponsored by the NIAMS that provides health information and information sources.

Both bupropion and steroids may make you more susceptible to having a seizure. How can we correct the way the immune system functions once something goes wrong? In the event of an acute flare-up of the disease process, it may be necessary to return to a full suppressive daily divided corticoid dose for control. Once control is again established alternate day therapy may be re-instituted. Clinical studies have found that continuous treatment with antimalarials may prevent flares from recurring. Side effects of anti-malarials can include upset and, extremely rarely, damage to the retina of the eye. dapoxetine

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