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Dr. Muthukumar

Endocrinologist, Chennai

400 at clinic
Dr. Muthukumar Endocrinologist, Chennai
400 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Muthukumar
Dr. Muthukumar is a popular Endocrinologist in Adyar, Chennai. He is currently practising at Arka Center For Hormonal Health in Adyar, Chennai. Book an appointment online with Dr. Muthukumar on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 25 years of experience on Lybrate.com. You can find Endocrinologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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#5/2, Sastri Nagar, 1st Avenue, Adyar. Landmark: Near Priyalab, ChennaiChennai Get Directions
400 at clinic
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Hi, I am 43 years old married woman. I am suffering from hypothyroidism from last 3 yrs. I was taking 125mg recently I am feeling low, sleepy nd I hv gained weight. Kindly guide me with correct dose my tsh is 12. 21. Thanks.

PGDHM, PGCDM, MD - Internal Medicine, MBBS
General Physician, Ahmedabad
Hello, you are suffering from hypothyroidism as you said and you are on correct medication 125 thyroid medicine. Your tsh is not under control, as it is 12, if you are taking this medicine regularly than you need to adjust dosage by increasing it to 150 mg, daily, and repeat tsh after 6 weeks, further you need to do lipid profile, and your ecg done. To evaluate your status. If any further clarification is required ask private question. Thanks Dr. J rangwala.
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Hi, I am 27 years old and in these days am often feeling hungry even if I had good lunch or dinner. Is this the sign of diabetes? please let me know.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi, I am 27 years old and in these days am often feeling hungry even if I had good lunch or dinner. Is this the sign ...
Mr better get your blood sugar checked, both fasting and after food levels. This should help you to know if there is diabetes present or not.
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I am diabetic since 9 yr now taking zomelismet 50-500 and triglicomet 1 tablet at morning and triglicomet 1 at night also ecosprin' 75 at night. I want to know if I can control my sugar level with exercise I have fracture in my right leg 6 month back can not walk smoothly still. What type of exercise I can do. My fasting sugar is 135 and pp 235 around.

MD - Internal Medicine
General Physician, Bangalore
Hi, thanks for posting your query. Well yes you can control your sugars with exercise. But know one thing you are on quiet a high dose medication for diabetes so don't except that only with exercise you can control blood sugars and avoid taking medication. With exercise you requirement for medication comes down and still you will require some medication. Best exercise are brisk walking and jogging but since you have limitations doing it, you can try cycling or stepper exercise. Also to some extent upper body exercise like weight lifting etc.
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I am 48 years old male I am diabetic have 150 at fasting suggest some ayurvedic and homeopathic medicine.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Mumbai
A proper measure for knowing and managing your diabetes will be to ensure a hba1c below 6.5%. My guess is you would be around 7.2-7.5%. Regarding diet, we indians have high carbohydrate diet. You have to closely observe your plate and you can come up with a better diet plan for yourself. To simplify it, identify the items which are carb rich in your plate and try to compensate the same with protein and fibres, for eg cut down a roti and increase sabji, dal or salad. To have a better control you can do a monthly self glucose monitoring 3 times a day and keep a track of your food with it. Check fasting sugar, sugar one hour prior your lunch and 2 hrs post lunch, and note down the details of your breakfast and lunch items. Modify as per my earlier suggestions and within a week you will see your blood sugar level responding. Then we will plan for meds. Best of luck and let me know if you need more info.
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How to control blood sugar?

BAMS
General Physician,
How to control blood sugar?
Avoid intake of direct sugars. Follow strict diabetic diet. Go for 1hr walk daily, take your medicines regularly. Get your blood sugar levels tested at regular intervals and consult your doctor for follow-up check-up.
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I am diabetic since 2 years my sugar level is 170/180 in fasting which medicine you refer to use ?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Being a homoeopath I can recommend you a good homeo medicine syzygium jambolanum q ( dr. Reckeweg )20 drops tdss before meals in 20 ml fresh water gymnema sylvestra q (sbl ) 30 drops morning empty stomach in 1 glass fresh water.
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Suggest measures to reduce. Blood uric acid level mine is5. 4, is it cause gouty arthritis?

MBBS, DFM, FID, CERTIFICATE COURSE IN EVIDENCE BASED DIABETES MANAGEMENT, Certificate Course in Management of Thyroid Disorders, Advanced Certificate Course in Prevention and Management of Diabetes and Cardiovascular Disease, M.MED
General Physician, Hyderabad
Suggest measures to reduce. Blood uric acid level mine is5. 4, is it cause gouty arthritis?
Gout, a painful form of arthritis, occurs when high levels of uric acid in the blood cause crystals to form and accumulate around a joint. Uric acid is produced when the body breaks down a chemical called purine. Purine occurs naturally in your body, but it's also found in certain foods. Uric acid is eliminated from the body in urine. A gout diet may help decrease uric acid levels in the blood. While a gout diet is not a cure, it may lower the risk of recurring painful gout attacks and slow the progression of joint damage. Medication also is needed to manage pain and to lower levels of uric acid. Purpose Diet details The general principles of a gout diet are essentially the same as recommendations for a balanced, healthy diet: Weight loss. Being overweight increases the risk of developing gout, and losing weight lowers the risk of gout. Research suggests that reducing the number of calories and losing weight — even without a purine-restricted diet — lowers uric acid levels and reduces the number of gout attacks. Losing weight also lessens the overall stress on joints. Complex carbs. Eat more fruits, vegetables and whole grains, which provide complex carbohydrates. Avoid foods such as white bread, cakes, candy, sugar-sweetened beverages and products with high-fructose corn syrup. Water. Keep yourself hydrated by drinking water. An increase in water consumption has been linked to fewer gout attacks. Aim for eight to 16 glasses of fluids a day with at least half of that as water. A glass is 8 ounces (237 milliliters). Talk to your doctor about appropriate fluid intake goals for you. Fats. Cut back on saturated fats from red meats, fatty poultry and high-fat dairy products. Proteins. Limit daily proteins from lean meat, fish and poultry to 4 to 6 ounces (113 to 170 grams). Add protein to your diet with low-fat or fat-free dairy products, such as low-fat yogurt or skim milk, which are associated with reduced uric acid levels. Recommendations for specific foods or supplements include the following: High-purine vegetables. Studies have shown that vegetables high in purines do not increase the risk of gout or recurring gout attacks. A healthy diet based on lots of fruits and vegetables can include high-purine vegetables, such as asparagus, spinach, peas, cauliflower or mushrooms. You can also eat beans or lentils, which are moderately high in purines but are also a good source of protein. Organ and glandular meats. Avoid meats such as liver, kidney and sweetbreads, which have high purine levels and contribute to high blood levels of uric acid. Selected seafood. Avoid the following types of seafood, which are higher in purines than others: anchovies, herring, sardines, mussels, scallops, trout, haddock, mackerel and tuna. Alcohol. The metabolism of alcohol in your body is thought to increase uric acid production, and alcohol contributes to dehydration. Beer is associated with an increased risk of gout and recurring attacks, as are distilled liquors to some extent. The effect of wine is not as well-understood. If you drink alcohol, talk to your doctor about what is appropriate for you. Vitamin C. Vitamin C may help lower uric acid levels. Talk to your doctor about whether a 500-milligram vitamin C supplement fits into your diet and medication plan. Coffee. Some research suggests that moderate coffee consumption may be associated with a reduced risk of gout, particularly with regular caffeinated coffee. Drinking coffee may not be appropriate for other medical conditions. Talk to your doctor about how much coffee is right for you. Cherries. There is some evidence that eating cherries is associated with a reduced risk of gout attacks. A sample menu Here's a look at what you might eat during a typical day on a gout diet: Breakfast Whole-grain, unsweetened cereal with skim or low-fat milk 1 cup fresh strawberries Coffee Water Lunch Roasted chicken breast slices (2 ounces) on a whole-grain roll with mustard Mixed green salad with balsamic vinegar and olive oil dressing Skim or low-fat milk Water Afternoon snack 1 cup fresh cherries Water Dinner Roasted salmon (3-4 ounces) Roasted or steamed green beans 1/2 cup whole-grain pasta with olive oil and lemon pepper Water Low-fat yogurt 1 cup fresh melon Caffeine-free beverage, such as herbal tea Dos and do nots Uric acid: Manage high uric acid with nutrition tip #1 High-fibre foods According to the University of Maryland Medical Center, adding foods high in dietary fibre may help lower uric acid levels in your blood. Dietary fibre may help absorb uric acid in your bloodstream, allowing it to be eliminated from your body through your kidneys. Increase the consumption of dietary soluble fibres such as Isabgol, Oats, Spinach, Broccoli to name few. Uric acid: Manage high uric acid with nutrition tip #2 Cold-pressed olive oil Use cold-pressed olive oil in cooking instead of shortening, butter or vegetable oils. Oils that have been subjected to heat or processing turn rancid quickly. Rancid fats destroy vitamin E in your body - this vitamin is necessary for controlling uric acid levels. Olive oil helps you avoid the production of excess uric acid, which is associated with the consumption of rancid fats. Uric acid: Manage high uric acid with nutrition tip #3 Take in a healthy dose of vitamin C To help reduce the amount of uric acid in your system, regularly taking 500 milligrams of vitamin C will decrease your uric acid levels in a month or two. Uric acid: Manage high uric acid with nutrition tip #4 Avoid bakery products Avoid cakes, pastries, cookies and other sugary delights which are rich in saturated fats and trans fats. Uric acid: Manage high uric acid with nutrition tip #5 Celery seed extract This is also a popular natural remedy for gout and uric acid problems. The seeds of the celery plant have long been used to treat gout, rheumatism and arthritis. Celery possesses sedative, antioxidant and mild diuretic action and is considered a urinary antiseptic. In rare cases, this herb is also used to treat sleeplessness, anxiety and nervous breakdown. Although the seeds of this plant are often used in herbal supplements, the roots may also be used. Uric acid: Manage high uric acid with nutrition tip #6 Antioxidant-rich foods Fruits and vegetables such as red bell peppers, tomatoes, blueberries, broccoli and grapes are rich sources of antioxidant vitamins. Antioxidants which are vitamins that prevent free radical molecules from attacking your organ and muscle tissue cells may help lower uric acid levels. Uric acid: Manage high uric acid with nutrition tip #7 Cherries Cherries contain chemical compounds that may help neutralise uric acid allowing your body to eliminate this acid as waste. Some researchers recommend consuming 30 to 40 cherries every four hours during an attack. Uric acid: Manage high uric acid with nutrition tip #8 Apple cider vinegar It is believed that raw, apple cider vinegar can help alleviate high uric acid levels by changing the pH values of your blood. But it has to be raw, un-distilled, un-pasteurised apple cider vinegar; the kind you get from your local health food store. Dr. Sharad advices a simple home remedy" Add 2 teaspoons of vinegar to a large glass of water and stir thoroughly. Drink a glass between 2 and 3 times every day. You can also use it topically: half a cup added to three cups of hot water and soak the affected area for 30 minutes. Reheat and repeat as necessary. Uric acid: Manage high uric acid with nutrition tip #9 Saturated fat, trans fat, sugar and alcohol All these affect your triglycerides, a type of fat that can clog your arteries and increase your risk for heart attacks and strokes. Uric acid: Manage high uric acid with nutrition tip #10 High-fructose corn syrup This is a type of sweetener in soft drinks and other processed foods that can elevate your levels of triglyceride and uric acid - a chemical associated with diabetes, gout, alcoholism, kidney disease and other health problems. Uric acid: Manage high uric acid with nutrition tip #11 Drink plenty of fluids to help flush uric acid from your body Drink a minimum of 3 and 1/2 liters of water daily. Water is a medium that aids the kidney to'strain' the impurities from your body. Uric acid: Manage high uric acid with nutrition tip #12 Also avoid high-protein weight-loss diets which can cause you to produce too much uric acid (hyperuricemia). Uric acid: Manage high uric acid with nutrition tip #13 Limit meat, poultry and fish - animal proteins are high in purine and this will result in high uric acid levels in the body Uric acid: Manage high uric acid with nutrition tip #14 Limit or avoid alcohol Alcohol interferes with the elimination of uric acid from your body. Drinking beer in particular has been linked to gout attacks. If you are prone to uric acid attacks, limit alcohol consumption to one drink three times a week. Uric acid: Manage high uric acid with nutrition tip #15 Choose complex carbohydrates Eat more whole grains, fruits and vegetables and fewer refined carbohydrates such as white bread, cakes and candy. Because foods rich in complex carbohydrates promote feelings of fullness, and prevent overeating and are useful in maintaining a healthy weight.
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My mother is 58 and she is diabetic from last 5 years. She is taking Tab Amaryl 1mG, voglitor (0.2mg 500). Recently after Dexa scan we found that her bones are getting weak and there is a high risk of fracture, she is on medicine like tab Dolo, Tab Uprise D3, Tab Calcimax, Tab Osteofos, Tab pregaba. She is also taking Cranpac-D for immunity. She is getting repeated UTI from last 4 months and each time same bacteria responsible for this is Escherichia coli. Doctor advised Septran DS after going through the Urine culture report. Bacterial infection cleared in the urine routine report but few other problems occurred. Proteins: Present (plus) Occult Blood: Present (Trace) Pus Cells: 40-50/hpf Red Blood Cells: 6-8/hpf Casts: 6-8/lpf granular casts She is having fever 102-103 Please help.

MBBS
General Physician, Mumbai
My mother is 58 and she is diabetic from last 5 years. She is taking Tab Amaryl 1mG, voglitor (0.2mg 500). Recently a...
She is suffering from low grade urinary infection with acute exacerbation mostly aided due to her diabetic state. You haven't mentioned her blood sugar levels. It may be the problem area. Any such infection. If not controlled efficiently will cause it to spread upwards along the ureters and may reach kidneys causing a critical condition called payelonephritis. If bactrim ds is not giving relief you must urgently consult your physician. He might change the drug according to the culture report done recently. With good control of blood sugar she will recover as I hope.
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Drugs finally end up slowly damaging the kidneys.Is there an alternative to these destructive so called drugs for diabetes?

MD - Medicine, MBBS
Cardiologist, Panchkula
It is a misconcept. Drugs for diabetes do not damage the kidneys. It is the erratic control of diabetes which leads to kidney damage.
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I am diabetic II and the blood sugar PP is 210 when fast is just 100. I am taking Ingola 20. Please help.

BAMS
Ayurveda, Ambala
I am diabetic II and the blood sugar PP is 210 when fast is just 100. I am taking Ingola 20. Please help.
You should follow this diet chart to control & treat the diabetes. * in morning, drink 1-2 glass of luke warm water empty stomach & walk for 15 minutes to detoxy the body. In breakfast, take 2 chapatis of gram flour (besan) with a bowl of cooked vegetables (green leafy vegetables only) * in lunch take 2 chapattis of wheat flour with a bowl of cereals (dal) with a bowl of curd. * in evening, take a bowl of salads or a fruit like apple / orange / pear/ melon. * in night, take a bowl of boiled soyabeans with raw vegetables like tomatos/ cucumber/ onion. After dinner avoid taking milk & walk for atleast 15 minutes after dinner. * avoid food items like rice, potatos, banana, chiku, sweets, candy& chocolate.
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I am heart patient and diabetic as well.My left arm and shoulder pains severely from last one month.My ECG and TMT are normal but the pain never stops. suggest.

MD - Pathology, MBBS
Pathologist, Ahmedabad
In what sense you are heart patient? as your ecg and tmt are normal and other cardiac symptoms are absent your problem looks like orthopedic .So better you get X ray of shoulder with cervical spine and consult orthopedic surgeon
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Hello. I'm a thyroid patient from last 5 yrs. My thyroid was always in control. I took 25 mcg tablet. But frm last year it was high so I took 50 mcg. Again I went for a test. It's normal now. Should I continue with 50 mcg? And frm few days my bp is 140/90. Is it due to thyroid. I'm 23 years old. Pls help me I'm really really worried. Thank you.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist,
Hello, Dosage of thyroxine should not be frequently changed on your own. Since you have not mentioned TSH level, it is difficult to comment. When on treatment TSH should be between 3 to 4 mU/L, then only all the symptoms are in check. BP 140/90 mm Hg is high for your age. If it remains at the same level then you need to take treatment for that. Plus reduce salt intake. Thanks.
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I am 36 yr old male diabetic, taking Advog 0.2 and Zoryl M2 daily twice, please comment on my medicice prescription.

MBBS, DGO (cal)
General Physician,
Are not satisfied with result? What is your FBS PP2BS and HbA1C report for last two years. Is it not well controlled? None can and should comment on such silly question. 'I eat rice daily' can you really comment on this statement?
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I observe pain in my spine when I get up in the morning. My feet also swell during the day. I had got my blood test done some days ago and found that the uric acid level has increased.

MBBS, DGO (cal)
General Physician,
I don't your Uric Acid has any role to play with this. It is possibly and most probably you are suffering from Lumber spondylosis with disc disease. A digital X-ray of your Lumbo Sacral region region (both AP and Lateral Vies) shall help to understand. You need to consult a spinal surgeon or orthopedic surgeon for this. Till then you follow these: 1) - Weight reduction is absolutely essential for you. 2) - Avoid forward bending and carry heavy weight which require forward bending. 3) Posture Corrections - sit with back in erect posture. Avoid back rest of sofa or chair. To view TV better lie down than sitting for long time. 4) Spinal Extension Exercises - like Bridges, and Yogas, videos available in U-tube. Just type 'spinal extension exercises' on google chrome. You shall find lot of it. Hard-bed concept is obsolete for nearly 35 years. Use 60 Density firm foam mattress of reputed make shall be good for you. To avoid denting on mattress rotate mattress every 15 days. Madam Exercise is the the only remedy for treating, cure and prevention of low back pain. No other ways. Medicine is to give relief in acute painful condition. Every day is important in your life for your low back pain. Starting action even from next morning is going to add benefit in your quality of life on the contrary delay is going to cause harm. Please believe it and start from next morning itself. Otherwise you shall invite surgery.
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I am an insulin patient, also having regular alopathic medicine course. Also have thyroid and high BP. Do you have any remedy in Ayurvedic medicines for the same?

MBBS
General Physician, Jalgaon
I am an insulin patient, also having regular alopathic medicine course. Also have thyroid and high BP. Do you have an...
Please Continue your all medicine at present Wake up early go for morning walk in greenery daily Do yogasanas and pranayam daily Avoid oily spicy and fast food Avoid maida containing items like biscuits toast bread khari etc Take Vegetable juices and soups more Take salads more Do meditation regularly Send me names of current medicine and fresh reports on Lybrate So that I can guide you precisely.
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I am a type2 diabetic patient and detected since a year now. I have been taking Reclimet-XR & Pioz mf 7.5 tablets daily. Could you please tell me if there any side effects of these medicines ,particularly for pioz mf 7.5 as someone told me it might have some linkage with cancer. So i need to know from the experts. Thanks in advance

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
There has some hue n cry about pioglitazone two years back but that is politics between pharma companies. MOREOVER Bladder cancer risk is with high dose that is 30 mg or above but it's benefits overweigh risk. In India Doctors are using this salt for 15 years.Nobody has seen any case of bladder cancer. On the contrary cancer is more seen in people who are not diabetics and aren't using pioglitazone. So rest assured you are on right track.Good luck.
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What is diabetes diet for the hypertension patient and what are the requirements for exercise?

MBBS
General Physician, Cuttack
What is diabetes diet for the hypertension patient and what are the requirements for exercise?
if you are having hyper tension follow the advice given below 1. Do regular aerobic exercise like brisk walk for 30 minutes every day 2.reduce your weight if overweight 3.Reduce salt intake 4. Drink plenty of water 5. Take bland diet,avoid spicy, oily, junk saturated fat and cholesterol rich diet. Take plenty of green leafy vegetables, Fruits 6.Stop smoking and consumption of alcohol, Tobacco, 7.Avoid stress, anxiety, physical and mental exertion 8.Do Yoga, Meditation, and deep breathing exercise 9. Monitor your Bp regularly and consult Physician for treatment
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I have a diabetes in last 2 year it's type 1 diabetes nd presently I m taking 3 time insulin 10-10 units nd + aayurvedic treatment bt most the time my sugar lever is too hight approx more thn 350 nd day to day I think my health is also going to down. Please suggest me what I do is it safe to take aayurvedic + insulin?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I have a  diabetes in last 2 year it's type 1 diabetes nd presently I m taking 3 time insulin 10-10 units nd + aayurv...
your insulin type and dosage both needs to be changed ..bedtime lantus like long insulin has to be added ...metformin tablet has to be started...your sugar levels are too high... but ur body weight is required to calculate dosages....kindly revert with details
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If a person having blood sugar. A baby born to him will have the same complain by birth.

MD - Medicine, MBBS
General Physician, Kangra
If a person having blood sugar. A baby born to him will have the same complain by birth.
no its not necessary.... but the child born to a diabetic mother has chances of having diabetes later on their life
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Helow doctor frm past two weeks my lips getting dry frequently and my hunger levels increased and thirsty too. When I consulted a doctor he said its because of winter I think it might be diabetes but my any of my bloodrelations dnt hav diabetes mu father my grandpa no one please tell me wats behind dis.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
Helow doctor frm past two weeks my lips getting dry frequently and my hunger levels increased and thirsty too. When I...
Dear lybrate-user what to think. Go straight for testing fasting and p.p.blood sugar and hba1c test. Every thing will be clear. Yes it is right diabetes may run in families but obesity, sedentary habits also play role. So go ahead for testing. Every thing will be clear.
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