Before receiving this vaccine, tell your health care professional your medical history, especially of: current fever/illness, immune system disorders (such as those due to cancer/radiation treatment), certain heart problems (myocarditis, pericarditis). Does Pfizer-Biontech COVID-19 Vaccine (PF) 30 Mcg/0.3 Ml IM Suspension(EUA) (SARS-Cov-2) Vaccines interact with other medications? The scientists did not find any differences in efficacy among people who are underweight, overweight, obese or in the normal weight range with a single dose, according to Dr. Susanne Doblecki-Lewis, an associate professor of infectious diseases at the University of Miami Miller School of Medicine. government site. 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. COVID-19 vaccination (emergency use authorization) (58 reviews), vaccination to prevent COVID-19 (30 reviews), 2 days after getting the first shot I gained 30 30 pounds in 30 days. COVID-19 ravages the lungs, so a preexisting lung condition such as asthma, which sometimes occurs alongside obesity, makes COVID-19 a far more serious affair. My feet/ankles began to swell right after getting the 1st Covid vaccine. Leftovers beckoning from the fridge for a 10:30 a.m. lunch. Weight gain. The vaccine may prevent the illness, or reduce the seriousness of it. The companies plan to also submit applications to the European Medicines Agency (EMA) and other global regulatory authorities to extend the marketing authorization of the Omicron-adapted vaccine to include its use in children under five years as both the primary course of vaccination and booster dose. Early in the pandemic, it became clear that males are more susceptible than females to severe COVID-19 and have a higher risk of death from the disease. Is there a link between COVID-19 and weight? This site needs JavaScript to work properly. "There are a number of ways health professionals can manage obesity successfully through education, lifestyle modifications, medications and surgery if appropriate. Adding body shaming to the mix isn't helpful, because it can make people with obesity feel bad about their eligibility and thus lead them to hesitate accepting the vaccine. Im an active 56 female & I went from being 135lbs on Aug 2021 to 150lbs a year later. The SARS in 2009 seemed to be better controlled. da feel discomfort if you work with this condition Dr. Tan Yah Yuen, a breast surgeon at the Mount Elizabeth Hospital, warned that the swollen underarm lymph nodes could lead doctors to falsely suspect breast cancer. I went from 105 and with no change in diet or activity level gained a total of 60 lb. This product may contain inactive ingredients (such as polyethylene glycol), which can cause allergic reactions or other problems. January 05, 2021 1:03 PM. "I've had such complex feelings (about qualifying because of her weight)," Baisas says, because "most people wouldn't know my BMI was high enough to qualify just by looking at me." In terms of allocation of resources overall, there's not a better patient population to target.". it kinda swell a bit, just a bit, like little instant muscle growth on my arm, on "Deltoid muscle", a bit hurt, kin. For more than 130 years, Norton Healthcares faith heritage has guided its mission to provide quality health care to all those it serves. I would have preferred to have died from covid than to be alive as I am now. i guess from my point of view i can only see this changes happened. What is the latest research on the form of cancer Jimmy Carter has? Most people will experience natural hormonal imbalances during their lifetime. The coronavirus is 60 to 140 nanometers across. Updated Pfizer-BioNTech COVID-19 vaccine also became available on December 9, 2022 for children aged 6 months-4 years to complete the primary series. 2022 Apr 12;11(2):e0261. Forty-eight percent of millennials, roughly ages 25 to 40, reported undesired weight gain, with an average of 41 pounds, while half of Gen Z put on pounds they didnt want, with an average of 28. Experts have ideas why, Whats the COVID risk in South Florida? Fitch said tackling weight gain can be daunting and she advises her patients to follow what she calls the five ps planned portions; plants and protein; power for physical activity; pillow; and pause (as in taking a break from eating, with at least 12 hours of fasting each day). Can you speed. 12 Medicines That Could Help, List Pfizer-Biontech COVID-19 Vaccine (PF) 30 Mcg/0.3 Ml IM Suspension(EUA) (SARS-Cov-2) Vaccines side effects by likelihood and severity. i gained double my weight in the last 4 months after my vaccine. Many states have used BMI, which is a calculation of height and weight, as a factor considered in the roll-out of vaccines. I will be getting the booster. Providers should track these time frames. Depression can set in, so simply reaching out is empowering.. Had to quit a great paying local trucking job because I was a truck driver and couldn't walk or do my job. Despite its name, vitamin D is not a vitamin, but a hormone precursor. It feels like you're doing a public good.". Counter-regulatory renin-angiotensin system in hypertension: Review and update in the era of COVID-19 pandemic. If you do have side effects, they tend to be mild and go away in a few days. Pfizer-BioNTech COVID-19 Vaccine (PF) 30 mcg/0.3 mL IM susp (purple), Select a condition to view a list of medication options. "And that includes those with obesity, which we know is a condition more prevalent in the Black and Latinx community and a significant reason why this population suffered disproportionately greater from COVID.". This is similar to many other medications that do not rely on the distribution within fat or other parts of the body, she added. It has ruined my life because it is ruined the How of Who I am.Read More Read Less. This may partly explain new cases of diabetes following severe COVID-19. CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. Ann Clin Lab Sci. doi: 10.1128/spectrum.02362-21. 148150. H Heald A, Perrin R, Walther A, Stedman M, Hann M, Mukherjee A, Riste L. Cardiovasc Endocrinol Metab. The authors write that physicians should exercise caution when prescribing testosterone in particular, androgen replacement therapy for male hypogonadism in older patients. Beta cells in the pancreas, which produce insulin, may be particularly vulnerable to damage by the virus because they express an abundance of ACE2 receptors. So does being male. "The downside is tremendously low. An alarming side effect to the COVID-19 vaccine is being reported among women after getting their shot of Pfizer and Moderna's vaccines. Her body mass index rose to 30 Kg/m 2 from 22 . There have been rare reports of swelling of the heart muscle (myocarditis) or the lining of the heart (pericarditis) that occurred within a few days after receiving this vaccine, especially after the second dose. Monsanto's GMO Corn Causing Weight Gain, Disrupting Organs. Abs are made in the kitchen, but for a change in diet to stick it needs to come behind physical activity. Intramuscular route (Suspension) Although the licensed vaccine (Comirnaty) is FDA-approved in patients aged 16 or older for 2 doses , Pfizer-BioNTech COVID-19 vaccine is an unapproved product authorized for emergency use in individuals aged 12 through 15 years and to provide a third dose to individuals aged 12 years or older who are solid organ transplant recipients or have an . iStock. And that's a good thing despite the emotional conflict that comes bundled up for many people who have BMI or obesity as a qualifying factor for COVID-19 vaccination because being overweight or having obesity can be very dangerous when it comes to COVID-19. Vitamin D insufficiency, for example, is very common, and the knowledge that this condition has emerged frequently in the hospitalized COVID-19 population and may negatively impact outcomes should not be taken lightly.. Forty-eight percent of millennials, roughly ages 25 to 40, The pandemic also led to major impacts on sleep and mental health, with an especially heavy toll on essential workers, parents of young children, and communities of color, the Stress in America survey found. Dynamic Changes of the Blood Chemistry in Syrian Hamsters Post-Acute COVID-19. Blagojevic NR, Bosnjakovic D, Vukomanovic V, Arsenovic S, Lazic JS, Tadic M. Int J Infect Dis. Can diet help improve depression symptoms? Laflamme D. Canine and feline gastroenterology. Baskett WI, Qureshi AI, Shyu D, Armer JM, Shyu CR. Who should not take Pfizer-Biontech COVID-19 Vaccine (PF) 30 Mcg/0.3 Ml IM Suspension(EUA) (SARS-Cov-2) Vaccines? MNT is the registered trade mark of Healthline Media. Heres a look at the latest coronavirus numbers in Massachusetts, including case numbers, deaths, demographics, and more. I imagine there's a political motive behind many of these negative reviews.Read More Read Less. If any of these effects occur, tell your health care professional promptly. I would have preferred to have died from covid than to be alive as I am now. If someone has a headache, they may take an ibuprofen pill. i never take medicine and never count on it, i once got positive from covid with 0 illness, i feel nothing. a fever or chills. martin guitar service center; white stuff in bottom of canned green beans She also wondered whether it was ethical for her to take it when others are in need too. CDC recommends everyone stay up to date with COVID-19 vaccines for their age group: Children and teens aged 6 months-17 years. Initially, she was embarrassed that her weight made her eligible. Consult your health care professional before breast-feeding. Generally speaking, the higher your BMI, the more likely you are to have complications if you contract COVID-19, and thus, you're considered high risk. ", Exactly how obesity or a high BMI can contribute to worse outcomes from COVID-19 infection is not fully understood, but Kurani says that "obesity is frequently associated with insulin resistance and diabetes, which compromises immune function.". Mike Barrett on 2012-03-23. . i'm healthy as freak. The Pfizer COVID-19 vaccine might not work as well on people with obesity, according to a new study out of Italy. Kurani is medical director of inpatient medicine at Santa Clara Valley Medical Center in San Jose, California, and co-creator of a set of criteria that indicate how sick COVID-19 patients will typically get. We evaluated factors associated with weight gain of 15 pounds during the pandemic within an integrated health care system. 3,356 confirmed cases and 87 deaths in a week. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Your fitness tracker nagging you to move just 9,819 more steps till your goal. Im convinced the vaccine did something to decrease my metabolism, or increase fat retention, or something l. ike that. Almost 82 per cent of people getting their second Moderna shot had injection site . However, studies show that this vaccine helps protect most people who receive it against COVID-19. But Covid vaccinations in the U.S. are waning. Have had weight gain and inability to All of our stories rely on multiple, independent sources and experts in the field, such as medical doctors and licensed nutritionists. I will say though that I got covid for my first (and so far only) time in Sept 2022 & it was very mild, so the vaccines did help there. Pfizer denied doing gain-of-function research while developing its COVID-19 vaccine, and an expert told PolitiFact he agreed with Pfizer's assessment. It may help to mark a calendar as a reminder. For live updates on the latest developments regarding the novel coronavirus and COVID-19, click here. But the first step in reversing that is to get up and move. Enter your information below to sign up for our free Get Healthy e-mail newsletter. ZERO change in lifestyle or eating habits and weight had been exactly the same for over 10 years prior. -a bit swell on my left arm (where they inject it) 2 day after injection still Because immune systems have evolved to respond to such minute quantities of something they deem foreign, for most vaccines its the same dose no matter what your size is, he said. Last week, the companies also filed an application to the FDA for a full approval of their Omicron-adapted COVID vaccine as a primary course and a booster dose for individuals 12 years of age and above. WebMD does not provide medical advice, diagnosis or treatment. You can get more information from your health care professional via the FDA Fact Sheet for Recipients and Caregivers, the Health Canada Patient Medication Information, or the Informed Consent Form for a study.Vaccines may not fully protect everyone who receives them. Surgeon General Issues Advisory on Health Worker Burnout ; Should You Get a Second COVID-19 Vaccine . ", This means that "COVID is certainly among those infections that people with obesity don't fight as well, and they tend to have a worse outcome when they get sick.". See for yourself with this map, DeSantis surgeon general and health department draw fire for amplifying vaccine doubts. Finally, the endocrinologists emphasize that clinical trials of COVID-19 vaccines demonstrated similar efficacy and safety in patients with stable diabetes and obesity, compared with healthy subjects. Many people using this vaccine do not have serious side effects. Alongside diabetes, obesity has emerged as a major risk factor for COVID-19. I had some skepticism that this was going to happen this quickly, but that makes it feel extra sweet in some ways. It was her turn. There was no history of polyuria, polydipsia, pruritus, or prior eating disorder or related history. this has resulted in other side effects due to the weight gain, such as depression, lack of sleep, loss of appetite. Since having the second jab I am no longer ovulating or having periods. 2022 Oct 8;17(1):261. doi: 10.1186/s13019-022-01998-1. What's Safe to Do After Getting the COVID-19 Vaccine. The Pfizer-BioNTech COVID-19 vaccine has been authorized by the U.S. Food and Drug Administration as it demonstrated 95% effectiveness against the SARS-CoV-2 virus. Swollen lymph nodes can be seen after the first or second doses. These opinions do not represent the opinions of WebMD. "There's always exceptions to the rule.". Studies report that post-acute COVID-19 syndromes (PACs) continue to evolve, however, polyphagia is not uncommon. "Yes, you have to take the BMI with a grain of salt," Apel says, noting that an Arnold Schwarzenegger-type might clock in as having morbid obesity while actually being a picture of health. "Those who have obesity have a disease. It's this focus on smart personal health choices that can benefit the individual as well as the general public that Kurani hopes will last after the pandemic is over. Many people have no side effects from COVID-19 vaccines. i guess from my point of view i can only see this changes happened. In this Special Feature, we look at the data on COVID-19 cases and mortality, broken down by sex, insofar as these data were made available. Cardiovascular health: Insomnia linked to greater risk of heart attack. What conditions does Pfizer-Biontech COVID-19 Vaccine (PF) 30 Mcg/0.3 Ml IM Suspension(EUA) (SARS-Cov-2) Vaccines treat. What to know, 9 million people in the U.S. have received their first dose, What to do if your COVID test expires or if you test positive? Something isnt right. They felt a little pain when being pressed and a little tight when I moved the ankles around. National Library of Medicine The COVID 19 is real: Weight gain has been a problem for many during the pandemic By Billy Baker Globe Staff,Updated April 9, 2021, 12:29 a.m. A man did pullups at Magazine Beach Park's outdoor. Susan Reverby is one of Salados clients and after packing on some unwanted pounds during the spring lockdown coping by baking, she said she buckled down on a diet and exercise plan and got results. Published by Elsevier Ltd. All rights reserved. -kinda lose appetite for 82kg person like me, In a cruel twist, people who are overweight are more likely to develop serious illnessif they get COVID-19. Women who are in cancer remission are also advised to discuss their mammogram or ultrasound checks with their doctor. If youve gained weight during the pandemic, take comfort in the fact that there are things you can start doing today to turn things around. That type of principle really applies to vaccines, too, Adalja said. Eating better felt slightly easier because I wasnt traveling, I wasnt going to restaurants, I wasnt hanging out with the grandkids and eating snacks, and she has been able to hit her goal of losing 20 pounds. Some information may be out of date. According to the American Psychological Association, 61% of American adults say they have experienced undesired weight changes, including weight gain, in the last year. Regardless of the specific reason why you're considered high risk, if you've been prioritized to get the vaccine, you should, Kurani says. Accessibility Tell your doctor if you are pregnant before using this vaccine. Lose it since getting fully vaccinated. Analysts say the market is estimated to be over $5 billion and could exceed $10 billion by 2030, Reuters . If you're over age 60, a point is added to the score. High-risk individuals are encouraged to get vaccinated against COVID-19 as soon as possible. This is not a complete list of possible side effects. What are the myths and facts of metabolism? I have always been fit with a high metabolism. Based on that work, Kurani and his team developed a prognostic risk score called the ABC-M score. It's your valuable health care visit, so get answers that matter to you. The reason people who are carrying extra weight have been prioritized is simple: They're more vulnerable. 2022 Dec 21;10(1):ofac683. Disclaimer. Pfizer-BioNTech COVID-19 vaccine is used to protect you against coronavirus disease, also known as COVID-19. Vaccine should NOT be used after . I have not experienced any lingering effects and the short term sluggishness is well worth it for the protection I get and dramatically reduce any severe reaction if I were to have a breakthrough infection. Something isnt right. Massive hair loss 2,5 months after Pfizer booster. Follow him on Instagram @billy_baker. The condition usually resolves itself within 10 days of getting a vaccine shot. The bulk of these can be defined as neuropathies, but weight gain and hair loss have been linked with some frequency. Its the shadow, he said. SINGAPORE The 16-year-old boy who suffered a cardiac arrest six days after receiving his first dose of the Pfizer-BioNTech/Cominarty COVID-19 vaccine had been taking supplements and was. The first step is to make the decision to treat it as a health condition and not defer it for later. 2005 - 2023 WebMD LLC. That vaccine is really make my life miserable. More women reported weight gain than men, 45 percent to 39 percent, and women also experienced a higher average gain, 37 pounds compared to 22 for men, the survey found. We should view this period as we come out of the pandemic as an opportunity to improve our health as a nation.". No doubt rapid, unloseable weight gain was caused by vaccine. Eating Habits and Body Weight Changes Induced by Variation in Smell and Taste in Patients with Previous SARS-CoV-2 Infection. i think this is a mental problem but i think i start getting immune, usually if there is someone cough near me i feel a bit sick, but now its like pffftt ", She also notes that it felt historic to be an early adopter of the vaccine, and getting her shots reminded her of images she's seen of kids in the 1950s getting the polio vaccine with "stickers that said, 'I'm a polio pioneer.' Some vaccine storage conditions are associated with beyond-use dates and times. I had no other side effects other than it caused me to gain extreme weight, very quickly. "The score is automatically calculated in the electronic chart and has been used as a tool by our emergency room health care providers to triage and manage patients with COVID. All it takes is a microscopic amount of virus to make someone sick. Overweight is considered a BMI of 25 to 29. feeling tired, unwell, or have a headache. Salado, who lives in Malden and is also an EMT, said he starts his clients with physical activity to get the endorphins flowing and relieve some stress before they start tackling diet. But Kurani recommends working with a supportive health care provider who specializes in this area of medicine. Our COVID vaccine experience during the past six months By the time the Pfizer and Moderna COVID vaccines were approved for emergency use in the United States in December 2020, "we already knew the short-term side effects very well from the efficacy studies," Goepfert said. Common side effects may include: redness, swelling, a hard spot, or feeling sore where you had the needle. Developers of the Pfizer-BioNTech vaccine the first coronavirus shot to be given emergency use authorization studied how body mass index (BMI), or the measure of . Maybe its just a mile, but then you build, start adding. For those writing immediately afterward with aches/pains: it was similar to when you get a Flu shot and passes shortly. Just a few weeks after Baisas was able to schedule her appointment for the COVID-19 vaccine, her "normal-weight" husband also became eligible when New York State opened vaccination eligibility to all adults over the age of 30. COVID-19 vaccines can cause mild side effects after the first or second dose, including: Pain, redness or swelling where the shot was given Fever Fatigue Headache Muscle pain Chills Joint pain Nausea and vomiting Swollen lymph nodes Feeling unwell Most side effects go away in a few days. There are some exceptions when it comes to vaccines, though. All rights reserved. I started seeing stuff about how people were getting sicker with COVID if they had obesity, and that was enough to scare me into action, said Reverby, 75, a retired womens studies professor at Wellesley College. I could going to detail about how there's no other cause or change in my life that could be an alternative explanation for the weight gain, I will simply say that I've looked at all other possibilities for it and the only one that is glaring is getting the shots. This could be the depression, however even in times of depression in the past never resulted in these physical symptoms. So, diseases such as COVID-19 can be worse if you are already in a state of chronic low-level inflammation.. "The combination of all of these factors associated with obesity can result in a perfect storm leading the body to succumb to COVID.". Eighteen percent of people reported undesired weight loss, with an average of 26 pounds. But changes in weight are never about just one thing. There's a complex connection between carrying excess weight and COVID-19. Tags: health, obesity, patient advice, Coronavirus. Apel says that anyone who has a BMI of 30 or greater "should have some concern" about COVID-19 and seek vaccination. "If the reaction was after an mRNA COVID-19 vaccine (either Pfizer-BioNTech or Moderna), you should not get a second shot of either of these vaccines," the agency says. They recommend that vaccination should not be handled differently in patients with stable endocrine diseases such as autoimmune thyroiditis, Graves disease, Addison disease, pituitary adenomas, type 1 and 2 diabetes, and obesity. Explore the top medications used to treat anxiety, and understand the various options available for managing this condition. If you're feeling rushed out of the hospital, it's important to understand your rights and options. The side effects can also occur in men. 2008;14(2):96104. there's a political motive behind many of these negative reviews. The main symptoms of COVID-19 are fever, dry cough, and shortness of breath. Tiredness, headache, fever, muscle/joint pain, chills, or swollen lymph nodes may also occur. Because of the excess fat, "you can't divert the entirety of the immune system toward fighting the infection because it's already having some low-grade, smoldering inflammation. Two in three people said they have been sleeping more or less than desired since the pandemic started. If they have a really bad headache, that person may take more than one. Smith P.M., Ferguson A.V. With the arrival of spring and the vaccines becoming more widely available, many people are now focused on getting back in shape. Also my iPhone has given me exposure warnings. Tongue scraping is an easy routine to remove food and bacteria from the surface of the tongue. 28, 2023, Ruben Castaneda and Angela HauptFeb. The authors recommend that healthcare professionals ensure that their patients have adequate vitamin D levels in particular, older adults with diabetes or obesity. Gained over 15 pounds since the covid vaccine! These other conditions often create inflammation in the body. All rights reserved. +i think its kinda work, i never take medicine so i think its effectiveness increase but how my body adapt to this condition always discomfort me, but i'm not that weak to handle it. Find out how to adopt this simple step into your daily oral health regimen. Keep all regular medical and lab appointments. Once a week, youll receive stories and insights from the Norton Healthcare family, right in your e-mail inbox. But even after shelter-in-place orders lifted, many people continued to put on weight. Breast scans are recommended for women above 50 who exhibit no signs of cancer, Stay up to date with our daily newsletter, Mass 'Real World' Study Confirms Pfizer Vaccine's Efficacy, S.Africa To Boost Spending On Vaccine And Job Creation, Mamma Mia! It has ruined my life because it is ruined the How of Who I am. It was time for her to do her part to help build the herd immunity that will help protect herself as well as others in her community. It feels discouraging, he said. -kinda lose appetite for 82kg person like me, The endocrinologists note that a large body of published evidence suggests that diabetes, poor management of blood glucose, and obesity are strong risk factors for worse outcomes and mortality in COVID-19. Metabolism involves biochemical reactions in the body and is central to maintaining life. Underlying all of these chronic conditions is inflammation. eCollection 2023 Jan. Ferrulli A, Senesi P, Terruzzi I, Luzi L. Nutrients. MeSH Polyphagia may be one of the rare PACs, requiring further research. Extrapulmonary complications of COVID-19: a multisystem disease? Reasons for weight gain during lockdown and isolation: Obesity is categorized as having a body mass index (BMI) of 30 or higher. A separate study, which measured the weight of a quarter-million people as part of a heart study, was recently published in the Journal of the American Medical Association. Her body mass index rose to 30 Kg/m2 from 22 Kg/m2 prior to suffering from COVID-19. I used to be very healthy and am 2 days after getting the first shot I gained 30 30 pounds in 30 days. I work in healthcare and still got covid after receiving 2 Pfizer vaccines and a booster. 2020;11(24):40174020. And simple things like not sleeping enough can hurt your metabolic flexibility.. (Reporting by Sriparna Roy in Bengaluru; Editing by Shailesh Kuber). 2022 Feb 23;10(1):e0236221. Some studies have also found that low vitamin D levels are associated with more severe disease and mortality. No changes in diet or food intake! yesterday they gave me vaccine from "Pfizer" i dont know it was written "Vaccine Pfizer covid-19" -a bit swell on my left arm (where they inject it) 2 day after injection still . 2005;184(2):291318. Viruses. Factors Associated with Severe COVID-19 and Post-Acute COVID-19 Syndrome in a Cohort of People Living with HIV on Antiretroviral Treatment and with Undetectable HIV RNA. If you have any questions, ask your health care professional. Unable to load your collection due to an error, Unable to load your delegates due to an error. Keywords: You can calculate your BMI via the National Heart, Lung and Blood Institute's website. These have been challenging times for everyone, and we have to assume stress is the primary culprit, said Dr. Angela Fitch, associate director of the Mass General Weight Center. Active vigilance and testing in outpatient endocrine clinics, as well as early hospitalization for COVID-19 is recommended, they write. The chances that someone who's very overweight will need this kind of advanced care is higher because of the "amplified pro-inflammatory response leading to further damage of the lungs and body," Kurani adds. Researchers with Pfizer-BioNTech and Moderna are testing their coronavirus shots in children as young as 12. Always had regular periods. Learn about the common causes and when to seek medical attention. I had a big, visible, painful lump, Dr. Bridget Rogers told CBS4s Kathy Walsh. 2023 Feb;208:115370. doi: 10.1016/j.bcp.2022.115370. Plus, turning that person onto their stomach, a practice called proning that can help "recruit different parts of the lungs to make ventilating them easier," is nearly impossible in someone with morbid obesity, Apel says. Obesity is tied to many other conditions such as diabetes, high blood pressure, decreased lung function and sleep apnea that can make getting any illness worse for someone who is of a higher body weight, said Benjamin D. Tanner, M.D., bariatric surgeon with Norton Surgical Specialists.
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