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Dr. S.Arumugham

Endocrinologist, Chennai

Dr. S.Arumugham Endocrinologist, Chennai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. S.Arumugham
Dr. S.Arumugham is one of the best Endocrinologists in Ambikapuram, Chennai. You can visit him/her at Arumugham's Clinic in Ambikapuram, Chennai. You can book an instant appointment online with Dr. S.Arumugham on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 44 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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Am suffering from diabetes from last three years, am also patient of hypertension, joint pain in my knees, I want medicine,

MBBS
General Physician, Mumbai
Am suffering from diabetes from last three years, am also patient of hypertension, joint pain in my knees, I want med...
In a known case of diabetic we need to control sugar levels with medication, aerobic exercise and following a diabetic diet and for pain take tablet paracetamol 650 mg and for bp and diabetes medication we have to have the value along with symptoms.
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My son 38 years is 5 ft 6 inches tall, weight 75-76 kg, obviously BMI is higher with abdominal fat. Recently his employer has got his elaborate medical examination at a Reputed india Famous Hospital .And following irregularities observed. Ultrasound shows mild fatty lever with bright echo texture. Liver Function Test done o.k.Only thing is as he suffers from Gilbert Syndrome his bilirubin ,specially Uncongugate is high. Other liver enzyme like SGOT, SGOT are all normal Blood Sugar Fasting 122, PP figure is 103. He is prediabetes since 3 years. Diet strictly restricted but does not do any exercise due to his busy schedule (MNC Executive. He however does not take any diabetes medicine. Total Cholesterol 193, Triglyceride 163, LDL Cholesterol 115 Uric Acid 7.4,Thyroid Normal I wold request you to suggest whether to take any medicine for Uric Acid and limiting Cholesterol figures. Stress Test (heart) OK. He has no symptoms except high abdominal contour The hospital where the tests were done maintains a Uric Acid level 7.7,Normal Maxm. Any food restriction/suggestions may kindly be advised for impending Uric/ Acid, Pre Diabetes/,Fat Burning Foods which may reduce belly fat. With thanks.

Master In Diabetologist, Post Graduation In Public Health
Endocrinologist, Kolkata
My son 38 years is 5 ft 6 inches tall, weight 75-76 kg, obviously BMI is higher with abdominal fat. Recently his empl...
only walk 30 mints daily, regular diet habit, fodd must be simple and bland, no tobacco, regulat 8 hrs sleep, avoid seeds, meat take more veg, fruit, and salad. try less stressful life.
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Small pimples on face and back irregular periods 5to6 months gap thyroid ultra sound test says all is fine sexually active pregnancy test negative.

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
Endocrinologist, Bangalore
Small pimples on face and back irregular periods 5to6 months gap thyroid ultra sound test says all is fine sexually a...
I would do a more comprehensive assessment of Thyroid and related hormones. Pimples and irregular periods suggests PCOS. It is important to address the issue early and initiate appropriate therapy in order to preserve fertility and avoid Metabolic disorders in future.
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I am 69 Years old. 5ft 3 inches tall active a good walker vegetarian occasional smoker 68 kgs weight. Having Type 2 Diabetes and controlled by drugs, food habits and walking. No adding Sugar in coffee/Tea. On and off the Diabetic Fasting goes up to 130 and pp to 270. Glide 2 is taken along with amlong 5 for B. P. cholesterol levels ok. Taking a palm full of Nuts. Please advice as to how I can have normal levels always,

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 69 Years old. 5ft 3 inches tall active a good walker vegetarian occasional smoker 68 kgs weight. Having Type 2 D...
Mr. Lybrate-user, it is good to know that you are very active. However, are you aware that your bmi is 26.56 kg/m2, which shows being over weight. Plus at your age ideal body weight should be 54 kgs, which means there is an excess of 14 kgs. So reduction of a few kgs will help in bringing sugar levels lower. Plus your diet should be giving calories based on 54 kgs and actual workout that is done plus blood sugar levels. So it is possible that either the drugs may to be added or dietary control has to be more strict. So please look at it. With regards.
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Diet for DM HTN

Homeopath,
Diet for DM HTN

Diet plan for DM and HTN


 Food should be distributed into small frequent feeds. The days requirement should be well distributed between the different meals. Skipping a meal or fasting is not really advisable. 

As far as possible, the patient should maintain ideal body weight. Considering the height, weight, activity, age and sex of the individual the days calorie requirement can be calculated. Of the total calories 55-65% should come from cho's 15-20% from protein and the remaining 15-20% from fats. 

General instructions to be followed:

Different cereals contain almost the same amount of cho and so the quantity of cereal consumed should be noted rather than the type consumed. 

Whole grain cereals are better, preferred for their fibre content and satiety value.

Rice gruel if consumed, should be done so by discarding the rice water, and adding hot water. 

When consuming wheat porridge, it is better to have it with pulses than using coconut milk in it. 

Include whole pulses in the diet, soya products help to reduce cholesterol. Sprouted pulses are more nutrious. 

Fish can be included in the diet, in the curry form. Fried fish is the best avoided. Shell fishes like prawns, lobsters etc should be avoided. 

Poultry (without skin) can be used occasionally. Beef, pork, mutton, liver etc should be avoided by cardiac patients. Trim off excess fat (if any) before cooking. 

Egg yolk has to be avoided by individuals with hyperlipidemia. 

Milk and its products need not to be used more than 400 ml/ day. Use skimmed milk whenever possible, otherwise cream has to be removed before consumption. 

Root vegetable like tapioca, yam, potato, colocasia etc are better avoided and if used, should be in moderation instead of cereals.

Include more vegetables (esp. Raw salads and green leafy vegetables) in your diet, as it is rich in fibre which in turn helps to reduce blood sugar and cholesterol levels. Raw salads with sprouted pulses enhances the nutrient composition. 

Fruits are restricted for diabetics and preferably should be consumed as such than having it in the form of juice. Select low calorie fruits from exchange list. 

Cardiac and hypertensive patients can take 3-4 servings of fruits. Whenever possible consume fruits with edible skins eg. Apple. Guava etc. 

Use of coconut and its products must be minimized. 

Cardiac patients need not restrict the intake of tender coconut water, whereas diabetes can only use it occasionally. 

It is better to avoid nuts like badam, peanuts, cashew nuts etc. But occasionally can be used in restricted amounts instead of some other food items so that the calories remain unchanged. 

Sugar and sweet should be avoided by diabetic patients. Low calorie sweeteners can be used in moderation as substitutes for sugar, honey, sweets etc. Cardiac and hypertensive patients should minimize their intake of sugar and sweets. 

Garlic, curry leaves, fenugreek seeds cluster beans, oatbran etc have blood sugar and cholesterol loosing efforts. Ginger, foods in rich with vit- e and b carotene reduces the risk of cardiac diseases. 

Alcohol intake injurious to health, 1 ml of alcohol contains 7 calories. Alcohol can cause hypoglyemia and can increase triglycerides which can be harmful for the heart. 

Cooking oil used should be minimized and may be restricted to 10-15 ml/day. (2-3 tsp). Use cooking methods that require little or no fat. Hidden fat in bakery products and snacks should also be taken into account. 

Preferably use a combination of cooking oils like sesame. Ground nut, sunflower, rice bran, corn oil etc. Use of coconut and palm oil should be maintained at minimum levels. 

Dinner should be enjoyed two hours before retiring. At bed time either diluted milk of fruit can be consumed. 

Include foods from all the different food groups and thus consume a balanced diet. 

Regular exercise is most useful but physical strain after a meal should be avoided. 

Free foods (can be included liberally)


 Thin buttermilk, unsweetened lime juice, jeera water, fenugreek water, raw vegetable salads made of low calorie vegetables, plain clear soups etc. 

Foods to be used in moderation.

Cereals, pulses, dhals, egg white, fish, chicken (skinned) milk and milk products, fruits, coconut, oil etc. 

Foods to be avoided by diabetics. 

Sugar, honey, jaggery, glucose and sweets of all varieties like cake, pastries, jams, jelly, sweetened drinks etc. 

Roots and tubers like potato, tapioca, yam etc

Butter, ghee, dalda and fried preparations. 

Horlicks, bournvita, boost etc

Fruits like jackfruit, banana, mango, sapota etc. 

Dry fruits and nuts

Barley water, rice water etc. 

Cholesterol rich foods (to be avoided by cardiac patients)

Whole milk and milk products

Egg yolk

Shellfishes like prawn, crab, lobster etc. 

Organ meats like kidney, liver, brain etc. 

Chicken, duck with skin. 

Sweet like pastries, ice creams etc. 

Butter, ghee, dalda, coconut oil, palmoil

Fried foods like vada, chips, pappads, samosa etc. 

Alcoholic drinks, creams soups etc. 

Fiber rich foods

Whole wheat, parboiled, sago, oats etc. 

Pulses

Fenugreek and sesame foods

Vegetables and fruits (with skin)

Fresh coconut etc. 

Sodium rich foods (to be avoided by hypertensive patients)

Salt (avoid extra salt in food and table)

Baking powder, baking soda, ajinomoto etc

Bakery products like biscuits, cakes, pastries, chocolates, bread, bun etc. 

Salted chips, nuts, popcorn etc

Pappads, pickles, dried fish etc

Canned and salt preserved foods

Sauces, soup cubes

Sausages, lobsters, meat and yeast extracts

Carbonated beverages

Readymade foods like cornflakes, noodles, fast foods etc.

Proprietary drinks eg. Horlicks, complan, bournvita etc

1 person found this helpful

Fasting 86, pp 250. Taking. Metformine. Gemnepride. What should to do to control pp?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Fasting 86, pp 250. Taking. Metformine. Gemnepride. What should to do to control pp?
Your pp is fairly high, it means the medication is not adequate or your intake is a bit high. Please let me know level of physical activity that you do during the day. Daily 1 h plus exercise will help to control pp levels. Your bmi is28.1 kg /m2 (normal <23 kg/m2). It shows you are over weight. Excess weight also increases blood sugar. You have to exercise for more than 1 hour a day and also reduce you intake by at least 15 - 20 % a day. What is the dose of both drugs? dosage may have to be increased.
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Hello sir I am of age 19 and I have small doubt about thyroid nad my t3 and t4 are alright but tsh is increased by one point i.e.6.55 so sir please tell about this it is problem or not.

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
Dear madam! U have what is called subclinical hypothyroidism. Nothing to worry. Pls monitor your thyroid function 3 monthly and for once get anti TPO titers done. It TSH keeps increasing we have to treat then. If TPO +ve you will need medicines then.
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I am suffering from Thyroid since last 7 months, and I am always feeling tired and because of this my weight also increasing day by day. So please suggest me what to do.

MSc
Dietitian/Nutritionist, Chandigarh
•Reduce saturated fat and cholesterol from your diet. •Trim any visible fat off meat before cooking and remove the skin before cooking. Consume fish or chicken instead of red meat. •Instead of frying, choose to grill, broil, bake, or stir-fry. •Avoid using heavy cream, use low-fat milk. •Eat more foods rich in fiber, such as fruits, vegetables and whole grains. •Consume a low-fat balanced diet consisting of whole-grain cereals, low-fat/ skimmed dairy, fruits, vegetables, sprouts. •Drink 10 to 12 glasses of water everyday. •Lose weight, if overweight. Aim to maintain a healthy body weight. •Increase your level of physical activity (walk at least 45 minutes to 1 hour daily). •Meditation and relaxation techniques can help calm the body and mind, bringing them into a better state of balance. •Get enough sleep. A good night’s sleep helps reduce overall fatigue, anxiety and stress.
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My blood sugar levels after food started climbing up recently during the past two months 140, 158, 170. Suggest me a diet to reduce this ? I am from Kerala south India and the traditional meal is rice. Is it time to see a physician ?

MBBS
General Physician, Indore
Your post prandial sugar raised to a high level, you should check HbA1c levels and can start with Tab. METFORMIN 500MG once a day in between breakfast. For diet you take rice in less amount and substitue with Roti and other vegitables also. Check the difference in 2 weeks by doing Fasting and PPBS and consult again.
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Symptoms of thyroid in male Teen age 25, is constipation and ejaculation, frequent urination problems. Symptoms of thyroid please tell.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Symptoms of thyroid in male Teen age 25, is constipation and ejaculation, frequent urination problems. Symptoms of th...
Mr. Lybrate-user, symptoms of hypothyroidism (i am sure you mean hypothyroidism by saying" thyroid"). The symptoms are: weight gain, slow heart rate, sluggishness, early fatigue, tired feeling, swelling of face & lower limbs, intolerance to cold, dry skin, dry hair, hair fall, difficulty in speech, inability to concentrate, anxiety, depression, in females irregularity of menstruation, inability to conceive & miscarriage the symptoms mentioned by you are usually not related to hypothyroidism.
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Am a male age 24 diabetes patient For every 3 months or six months my penis get infection.

BHMS
Homeopath, Faridabad
Am a male age 24 diabetes patient For every 3 months or six months my penis get infection.
Hello, Although you are more prone to catching infections but there should be a possible cause of repeated penis infections. Take Echinaecea 1x, 2 tablets once daily after lunch for 1 month to clear off the infection.
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Dear Doctor, It has been 3.6 year to our marriage and we are trying for a baby since last two year and from last eight month we are consulting with Gyno, in our initial test my wife is diagnosed with hypothyroid (TSH Level 5.255) so our doctor prescribed us Thyronorm 12.5 mgc. Again after 3 month we did TSH test and this time TSH level has been decreased to 4.861. Meanwhile she asked us for several test which includes: Semen Analysis, follicular studies and HSG however she never asked for FSG test. Each of these test are normal. After 6 month we again did TSH test and this time TSH level has been increased to 7.442. After that, I have taken consultation from other doctor and she asked us to do AMH and TB Gold test. Here my concern is no one is giving importance to TSH level and asking for different test however as per my research TSH level should be in 1 to 2 range to get pregnant successfully. So, isn't doctor should focus on thyroid treatment before going for other test. It would be very helpful for us if you can provide us your valuable comments on this. Also could you please suggest correct does of Thyronorm.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Dear Doctor,
It has been 3.6 year to our marriage and we are trying for a baby since last two year and from last eigh...
Mr. lybrate-user, It is possible that the doctors want to first confirm if any of the other hormonal deficiency are existing, which may be a hinderance in getting pregnant. I do agree with your observation that TSH value should have been looked at by at least one of those doctors. It is essential to bring it <2 to get conception. Plus American Thyroid Association recommends levels in the range of 0.1 to 2 mU/L before conception and similar values to be maintained during pregnancy so as to ensure proper fetal brain development in first 3 to 4 weeks and later part of pregnancy for proper growth. Thanks.
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My wife is suffering from uric acid, thyroid and diabetes. Kindly suggest the type of food she can can consume.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My wife is suffering from uric acid, thyroid and diabetes. Kindly suggest the type of food she can can consume.
The best treatment of gout consists of restoring the balance of vata (air element) and detoxifying the blood. High protein diet should be avoided in cases of increased uric acid. Take maha rasnadi kwath 2-2 tsf twice a day. Take maha yograj guggul 1-1 twice a day. Kaishor guggulguggul and chandraprabha vati 1-1 twice a day. Avoid junk food. Fermented food. Spicy food. Tea. Coffee. Do pranayama early morning. Avoid alcohol consumption.
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How best it is useful to use Insulin Plant (Botanical Name: castus Igneus) for diabetic patients. Is it useful only for those who are using Insulin medicine for diabetic control or is it useful for those are using only tablets for controlling the diabetic.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
How best it is useful to use Insulin Plant (Botanical Name: castus Igneus) for diabetic patients. Is it useful only f...
There is no insulin plant, it is produced in pancreas of human and animals or gentically engineered from from viruses in the yeast. your plant may have some sugar lowering properties which I don't know.
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I am a diabetic since last 2 years. I am very worried. I tried ayurvedic medication but nothing worked. Prescribe some medicine for normal daily life.

MBBS
General Physician, Delhi
You need to get your fasting blood glucose and hba1c checked first, along with your lipid profile. There are a lot of anti-diabetic medicines available in the market and choice of medicine varies from person to person. So get your tests done and visit your physician at the earliest. Life lstyle modification has a great role to play too. Avoid all starchy and sweet things, fatty foods to be avoided too. Quit smoking and alchohol. Exercise daily for at least 40 minutes.
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How to control diabetes I eat 2 medicine in full day allopathy treatment please help so sugar remain normal.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
How to control diabetes I eat 2 medicine in full day allopathy treatment please help so sugar remain normal.
Diabetes Control Requires four important things #1. Proper Medicines #2. Low Carb Diet #3. Weight Reduction #4. Daily exercise... All these four things have to be done together. Only then your Diabetes can be controlled. >> Avoid 3 big meals. Instead take small mini meals every 2/3 hours. Take green vegetables/salad with every minimeal..>> Eat whole grain food/grains like ragi, wheat, jowar instead of refined grains like maida/ sooji/ white bread etc..>> Reduce foods with high GI Index like potato, white rice, banana, mango..>> Avoid all forms of simple sugars like Colas, juices, sweets, cakes, biscuits, pizzas, noodles etc..>> Eat fruits with low/medium GI index like apple, guava, mosambi, orange..>> Do at least 30-45 mins of exercise everyday. Walk for 10 mins after every meal.
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Practical tips to manage Diabetes

B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
Practical tips to manage Diabetes

I .Meal Planning

  • Eat smaller , more frequent meals
  • Control carbs
  • Ensure variety in diet - whole grain foods, fruits and vegetables daily
  • Limit fats - 3-4 tsp/day
  • Seasoning tips - use salt sparingly, avoid adding sugars.

II.Practical tips to make you meals healthier

Eat lots of fruits and vegetables- Except for few fruits like banana, mango, chickoo, jackfruit and grapes, and vegetables like potatoes,sweet potatoes , yam . ,both fruits and veggies are cornerstone of diabetes,- gives you vitamins, minerals and antioxidants.
Eat more whole grains- brown rice, ragi, bajra , jowar,wheat
Use healthy fats and oils- Choose- MUFA's - olive oil, canola oil , less often use PUFA- corn , sesame and safflower oil. Minimise SFA- high fat meat , dairy, coconut,
Choose heart healthy proteins- beans, peas and dals (good source of protein and fibre), Eat fish and shell fish 2-3times/weel, choose skinless, white chicken, nuts in moderation ( almonds , walnuts)
Select low fat dairy products- skim milk and its products like curd, paneer and low fat cheese

III.Healthy breakfast choices

  • An egg white omelette with a bran paratha and fruit wedges
  • Oats with low fat milk and spirinkling nuts and fruits
  • Dalia and veggies upma with a bowl of fresh fruits
  • Oats dosa with mint chutney and orange segments
  • Ragi porridge with milk/buttermilk and a whole fresh fruits.

IV.Healthy lunch box ideas

  • Healthysandwhich - brown bread with veggies no potato, low fat butter and cheese
  • Salad warps- mix veg salads in a wheat chapatti
  • Spinach and oats paratha,brown rice veggie pulao.

V.Snacking ideas to keep blood glucose in check

  • Handful of nuts - 7-8 almonds and walnuts
  • Raw veggies
  • Vegetable soups
  • Fruit bowl
  • Cereal chivdabhel
  • Wrap- salads,/ rajma with salsa sauce

VI.Choos.e your bevarages wisely

Stay away from, sugary drink, carbonated beverages, tea and coffee with sugar, syrup based drinks.
Choose from - plain water, unsweetened tea and coffee, low fat milk drink, green tea.

VII. Exercise.

Why is Exercise imp-

  • Improves blood glucose control
  • Improves energy levels.
  • Helps to lose weight and maintain body weight
  • Helps in preventing Diabetes complication.
  • Improves mental health by reducing stress,
  • Strengthens bone and muscles
  • You can do flexibility exercise like stretching, yoga, Aerobic exercise(brisk walk, dance, swimming, cycling etc), Strength training,.

Exercise should be performed 1-3hrs post meals, avoid workout at bed time to avoid hypoglycemia. (Do remember to hydrate yourself throughout workout)

Before exercise - make sure your sugar levels are normal - between 150mg/dl- 250mg/dl.

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I am 40 yrs and diabetic since last 8 years. Using combination drug metaformin 1000 mg and gilmipirde 1 mg, what are its longterm side effects and how to avoid them?

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
I am 40 yrs and diabetic since last 8 years. Using combination drug metaformin 1000 mg and gilmipirde 1 mg, what are ...
Side effects are negligible as compared to high sugars. Rest assured and control your sugars to win valuable years of life. Remember diabetes can be controlled but it's complications are untreatable.
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What is the ideal diet and work out for diabetic patient who wants to avoid medicines as long as possible?

LCPS, BAM&S
General Physician, Pune
What is the ideal diet and work out for diabetic patient who wants to avoid medicines as long as possible?
1. Daily Walking - 45 min; Light weight training -10 min. 2. Daily diet - 4-6 chapaties depending on your weight and build, vegetables - 200 g, Dal + Nonveg - 100 g, snack - 1 plate, fruits - 100 g, 3. Divide the diet into 6 small meals. Eat at every 2 hours. 4. Strictly avoid White Rice, Potatoes, Sweet and Fried food. Contact a good naturalist doctor for food-medicine.
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