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Dr. Srivasta

Endocrinologist, Chennai

250 at clinic
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Dr. Srivasta Endocrinologist, Chennai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Srivasta
Dr. Srivasta is an experienced Endocrinologist in Adyar, Chennai. You can visit him/her at Sree Clinic Diabetes Centre in Adyar, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Srivasta on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 26 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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Sree Clinic Diabetes Centre

#20, Besant Avenue Road Landmark: Near Awai Home School, Adyar, ChennaiChennai Get Directions
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I am diabetic for last 5yr. & on insulin (mixtard 30) 18 units morning before breakfast & 14 units before diner & my sugar level is 125 fasting, 143 pp is there any oral medicine in homeopathy, ayurvedic or any other.

Advanced Aesthetics
Ayurveda, Gulbarga
I am diabetic for last 5yr. & on insulin (mixtard 30) 18 units morning before breakfast & 14 units before diner & my ...
Ayurvedic medicens 1tab-hyponid 1-1 tab 2 times a day 2. Madhumardhana churna 5gm 2 times a day it controlles your sugar level.
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Sir, I am 42 years old and resident of india, I have diabetic problem from last one year. I have taken advice from so many doctors, my sugar is not being controlled. I have random sugar of 181. My problem is only as I am losing fat day by day. Kindly advice on it ?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I will advise you to start homoeopathic treatment diabonil drops (sbl) 20 drops in 20 ml fresh water 3 times a day 20 minutes before meals vincetoxicum (adel) 20 dropss in 1 glass fressh water morning empty stomach eat little every 2 hrly instead of full meals report after 2 months.
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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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I have a thyroid of tsh 5.27 uiu/ml level. from last 10-15 days i am feeling too much low energy, depressed, and not willing to do any work. recently check my eye power so detected power of -0.25 in left eyes.

DNB Ophtalmology, MS - Ophthalmology, MBBS, Fellowship in Medical Retina, Fellowship in IOL & Cataract Microsurgery
Ophthalmologist, Delhi
I have a thyroid of tsh 5.27 uiu/ml level. from last 10-15 days i am feeling too much low energy, depressed, and not ...
The eye power is neglible and it is not necessary for u to wear glasses for that power. as for us systemic complaints, it will help u to take some nutrients supplememts - multi vitamin, multi mineral n omega 3 fatty acids. Some physical exercises and meditation will improve ur mood.
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I am 40 years old male. I am high sugar complaint for the past 2 years. I am taking treatment sugar is also in control level. But my leg are very pain in night hours what should I do.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 40 years old male. I am high sugar complaint for the past 2 years. I am taking treatment sugar is also in contro...
Mr. lybrate-user, Thanks for the query. In diabetes peripheral neuropathy is seen as a frequent complication. This causes various troublesome symptoms like burning, tingling and numbness in legs and feet, even hands plus there may be pain also. First and foremost is to achieve a strict blood glucose control with fasting < 100 mg, PP 150 to 160 mg & HbA1c% <6.8. This helps in reducing those symptoms plus certain drugs do help like pragabalin and gabapentine. Thanks.
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I am 48 years old women I am suffering from diabetes my sugar level up 250 what I can do?

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
I am 48 years old women I am suffering from diabetes my sugar level up 250 what I can do?
Go for a walk in the morning at least for 5km avoid sugar rich foods. Avoid heavy food at a time. Start with some safe medications such as metformin.
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My blood glucose level fasting is 101mg/dl Post prandial is 135mg/dl Is it ok or I am in pre diabetic stage.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My blood glucose level fasting is 101mg/dl
Post prandial is 135mg/dl
Is it ok or I am in pre diabetic stage.
Mr. Lybrate-user singh, your blood sugar levels both fasting and pp are with in the normal range. Nothing to worry. Keep checking once a year. Continue to be active like walking for 1 hour a day and taking a healthy balanced diet. Thanks for the question.
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I am a diabetic and since a week I facing problem in the throat, like something stucked in the mid of the throat. For my confirmation I have check the sugar levels at the time 180 after food. Could you please advice on the same.

MD, DYA, PGDCR
Ayurveda, Nashik
I am a diabetic and since a week I facing problem in the throat, like something stucked in the mid of the throat. For...
Just do gargling with luquorice + haldi + boiled salt water thrice a day. Take 4 Tablets Trifal guggul at bed time for 7 days.
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What are the symptoms of diabetes? How it destroys the body? How can we take preventions?

MBBS
General Physician, Cuttack
What are the symptoms of diabetes? How it destroys the body? How can we take preventions?
Symptoms of Diabetes 1.Excessive Thirst 2.Frequency of urination especially in night 3.Excessive Hunger 4.Fatigue 5.Blurring Of Vision, irritability, tingling and numbness in hand/feet, fatigue 6.Recurrent boil/fungal infection, Sores or cuts that won’t heal Type of Diabetes Type 1 It is an auto immune disease that attacks beta cell of pancreas, as a result pancreas is unable to produce insulin which is responsible for controlling blood sugar. It affects 5% of population, mostly younger age group. Patients are to be treated with insulin Type-2 Body cells can not utilise insulin effectively in controlling blood sugar. Hence patients are given oral tablets. It affects elderly people. The risk factors are- Heredity, obesity, stress, lack of exercise, Lack of diet control, sedentary life style Prevention 1.Do regular aerobic exercise for 1 hour daily (brisk walking, jogging,running, swimming,cycling etc) 2.Reduce weight if overweight 3Control diet a) Avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) Avoid sweetened fruit like banana, mango,litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (Akhrot) e) Avoid white/polished rice, take unpolished rice like brown rice/wheat/Jowar/Ragi, moong and chana Dal. F) Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) Avoid red meat. Take fish/chicken. H) Avoid alcohol and carbonated drinks like soft drink 4.Adhere to a strict diabetic diet by consulting Dietitian 5.Monitor your fasting, PP blood sugar 3 monthly and HbA1c six monthly 6.Consult diabetologist for advice and treatment.
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What is the symptoms for diabetes. How to find it. What is the precautions to avoid diabetes. What type of food should take. And what type of food should avoid?

MBBS
General Physician, Cuttack
What is the symptoms for diabetes. How to find it. What is the precautions to avoid diabetes. What type of food shoul...
Frequency of urination, increased appetite and thirst. Blood sugar is raised. To avoid diabetes go for regular exercise, reduce weight, take less of carbohydrate and sweets.
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My question is to an Ayurvedic doctor. Am a 75 years male with Grade II Haemmoroid pile problem which is suspected to cause blood loss with consequent low hemoglobin, couple of times as low as 6.5. Same was restored with iron injections. The problem is 5/6 years old. I wish to know if my Haemmoroid pile can be cured with Ayurvedic medicine. My other health parameters are ok. Am though a patient of thyroid, Uric acid n gastritis. Thanks.

DHMS (Hons.)
Homeopath, Patna
Hello, i, being a homoeopath can suggest you homoeo-medicine. Ii-grade, hemorrhoid can b managed in homoeopathy. @ sulphur 30-6 pills, alternate, morning @ nux vom 30-6 pills, thrice a day. * take, easily digestible, non irritant diet. * take plenty of water. * avoid, non-veg, crud-intake, ginger, chilly, take care.
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Female Infertility - When Should You Actually Worry?

DGO, MAOGD, MBBS
Gynaecologist, Panchkula
Female Infertility - When Should You Actually Worry?

Trying to get pregnant can go either ways for most couples that is it can be a breeze, or it can be a difficult process that ends up with lots of fertility clinic visits. While in some cases, the reasons for not being able to conceive may come down to male infertility, there are many cases where the reason may be female infertility too. In many other cases, both male and female infertility may be the cause.

Let us discuss female infertility in more details here.
When can it be called Infertility?

When a couple is not being able to conceive even after trying for a period of over a year, then a case can be made in favour of infertility. Infertility can result from females in at least one third of the cases, as per various medical studies. While the actual cause may be difficult to diagnose, there are many available treatments that one can use in order to fix the underlying issues.

When to Start Worrying? 

Female infertility comes with many symptoms, while the main symptom may be the inability to conceive, the other symptoms include excessively long menstrual cycles that show signs of slowing down only after 35 days or so, or even cycles that are too short where they appear within 21 days. Irregular and absent periods can point at the lack of ovulation which is the main sign of infertility. Other than that, there are no outward signs of infertility as such apart from pelvic pain and cramping or heavy bleeding during periods. If you are 30 years of age, or younger, then you may want to see a doctor regarding irregular and absent periods, or the lack of conception even after trying for a year. Also, if you are between 35 and 40 years of age, you can discuss the inability to conceive with your doctor, after efforts for six months. If you have been trying to conceive and you are over 40 years of age, then the doctor will put you through tests on an immediate basis.

The Requirements for Conception? 

In order to conceive, you will need to ovulate on a normal basis and have regular menstrual cycles as well as intercourse. Also, your fallopian tubes and uterus must be in normal working condition without any infections and other conditions.

Causes

There may be many causes for female infertility including ovarian faults like polycystic ovary syndrome (PCOS), hypothalamic dysfunction, premature ovarian insufficiency and excessive prolactin in the ovaries. Also, pelvic inflammation disorders that lead to damage of the fallopian tubes and other uterus related issues like endometriosis can lead to female infertility. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

2695 people found this helpful

I am 47 years male I am diabetic my sugar is 200-230 in empty stomach I am feel very weak and tired I take medicine Galvus met 50/1000 two times in a day so what can I do pls.

MBBS
General Physician, Chennai
I am 47 years male I am diabetic my sugar is 200-230 in empty stomach I am feel very weak and tired I take medicine G...
Diet exercise meds are the pillars of diabetic manage ment check your diet exercise daily do all this regularly for amonth and get your sugar checked.
2 people found this helpful
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I am 50 years old I am suffering with sugar last 10 years. At present I am unable to sex like previously. How to improve the stamina for sex for long time with hot rod. Kindly give suggestions.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 50 years old I am suffering with sugar last 10 years. At present I am unable to sex like previously. How to impr...
Mr. Lybrate-user, first thing is to have a very strict blood sugar control like fasting around 100 mg, pp 150 to 160 mg and hba1c%<6.8. Ed is a common problem occurring in patients with diabetes due affection of small vessels supplying the penile musculature because of persistent hyperglycemia. So primary need is to achieve strict control as mentioned earlier. Plus there are some drugs available belonging to pde iv inhibitors, which do help. Thanks for the question.
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Addison's Disease - 4 Causes Behind It

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Endocrinologist, Thane
Addison's Disease - 4 Causes Behind It

Addison’s disease is a disorder caused due to significant damage in the adrenal cortex (located alongside the adrenal gland’s perimeter that helps mediate stress reaction), which leads to a deficiency in the secretion of the hormones ‘aldosterone’ (that regulates the sodium and potassium level of the body), ‘androgen’ and ‘cortisol’ (which control the body’s reaction in situations of intense pressure) by the adrenal glands.

Causes
There are generally two stages of Addison’s disease. The causes vary according to the stages:

In the primary stage of the disorder, the body’s immune system attacks the adrenal cortex and significantly damages it.

Other significant causes are as follows:

  • This might occur as a result of the development of tumors and cancerous cells in the body
  • Resulting from certain infections
  • Long-term usage of glucocorticoids (inflammation reducing steroids) might result in the primary adrenal insufficiency
  • This might also be caused due to tuberculosis or severe bleeding in the adrenal glands.

Risk Factors

If you’re suffering from any one of the following complications, your chances of contracting Addison’s disease increase significantly:

  • Cancer or if you have undergone any surgery to remove parts of the adrenal gland
  • Tuberculosis or diabetes.
  • Frequent usage of coagulants

Treatments
The treatment of Addison’s disease varies according to the cause of the disorder.
The most common treatments for the disorder include:

  • A prescribed dosage of glucocorticoids might be recommended
  • Replacement of the hormones that the adrenal glands are unable to produce: Cortisone acetate or prednisone might be used in order to replace the ‘cortisol’ hormone.
  • Meditation or other relaxing techniques to ease excessive stress levels or manage any trauma that you have been through.
2112 people found this helpful

Sir I have thyroid problem since 10 years. Now I am using thyronorm 75 mcg tablets. Now a days my skin is changing alot. Please suggest me a doctor.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
Sir I have thyroid problem since 10 years. Now I am using thyronorm 75 mcg tablets. Now a days my skin is changing al...
Make sure that your TSH is under control. You can use a good cream which has aloe Vera & Vit E combo. This will help you.
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Know More About Infertility

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
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Causes, symptoms and treatment of Infertility

Hi, I am Dr. Jayanti Kamany. I am an IVF Consultant practicing at Srishti Fertility Centre and Women's Clinic in Mumbai. So, today i'll be talking about Infertility. The problem of infertility is on a steep rise. Some of the causes for the rise in inferility are increased age at the time of marriage for women, postponement of child bearing. Even if a women gets married earlier she postpones her child bearing for various purposes like her career.

Increased stress levels today, increased levels of sexually transmitted diseases and of course Tuberculosis, which is a very common disease in our country. So, who is to be blamed for the infertility. We have found that 3 out of 10 couples are battling with this problem of infertility. 30% of the faults is found in the female, another 30% is found in the male partner, again 30% is found in both partners and about 10-15% cannot be explained because inspite of all the tests being normal, there is no problem which can be found and we call it unexplained infertility.

There are two types of infertility:

1. Primary infertility- Primary infertility is when the couple has never conceived

2. Secondary infertility-  Secondary infertility is when the couple had a child but cannot conceive again, or the couple has conceived, has had an abortion but there is no conception again.

When should a couple consult or take treatment for infertility? 

Usually if the ovum is young, if she is below 28 years she can wait for one year after trying to consult an Infertility Specialist. Even after one year if the couple doesn't conceive inspite of having regular sexual intercourse without having birth control measures they should see an Infertility specialist.

Now there are certain conditions where a couple irrespective of the duration of marriage or age should see a doctor immediately. So, what are those conditions? In the female, if she is having any problems regarding her menstrual cycle, suppose her menstrual cycles are irregular or she is getting very scanty bleeding or scantimensis or she has very severe pain during mensis or otherwise if she had a surgery where her one ovary is removed or a problem of polycystic ovarian disease which is very common today the she needs to see a Gynaec immediately. If she has recurrent abortions, that is, she can conceive but cannot carry the pregnancy to 9 months then definitely there is something wrong with her so she has to consult an Infertility specialist.

What are the causes in a male?

A male, if he has had a surgery in the testes or if he has a history of a disease called mumps in his childhood, or if he has a low sperm count or he cannot feel his testis in his scrotum then he needs to see a Fertility specialist.

For further information on this topic of Infertility or if you are planning to conceive, you can consult me on Lybrate.com.

3711 people found this helpful

I have high Uric Acid level (7.3) detected for the last 4-5 months. After consultation I take Feburic-80 for one month and changed my eating habit. I stopped taking medicine when level reduces to 4.0. Just before one month I realized heel pain and checked it again, it is now 7.7. Dr. Advised me do a close look to your uric acid level and continue to take medicine but denied heel pain pain relates high uric acid level. I just wanted to know is it relates, I am feeling difficult walking for10-20 steps just after bed. I also feel stretches in between heel and ankle in downstairs. Please suggest.

DNB (Orthopedics), MS - Orthopaedics, MBBS
Orthopedist, Bhopal
Heel pain as the only symptom of high uric acid is rare, your doctor is right. What you have is plantar fascitis, which is a common problem. Treatment includes wearing comfortable footwear, and plantar fascia and tendo achilles stretching exercise which should be done first thing in the morning.
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Diabetes- Everyone should know about (Dos And Don'ts)

MD - Homeopathy, BHMS
Homeopath, Vadodara
Diabetes- Everyone should know about (Dos And Don'ts)

While india is racing towards the no 1 country having the most number of diabetic patients, though the knowledge regarding the general guidelines about diabetes care, or dos and dont's to follow is lacking on a very large scale patients and that includes the most literate persons also.

There are a few things that matters the most which are as follows:

1) diet: most patients are in knowledge that the diet should be restricted in sweets. But rarely anybody knows that only restriction of food that taste sweet will not do the needed.

The food high in carbohydrates also must be included in the list as carbohydrates are the first line source of the body's energy store to convert them in to sugar.

E. G. Rice, potatos, bananas, or over ripen fruits.

And advice is to take them in minimum quantity instead of completely banning them.

Again how to eat? the advise is to divide your large meals in to smaller meals at the interval of 3-4 hours. Avoid eating too much at a time. Diabetes patients also should not indulge in fasting too much.

2) exercise: now many knows that diabetes is having two types: insulin dependent and insulin independent.

In the first type there is actual lack of effective circulating insulin, while the second types does have most of the time considerable amount of insulin to be used but the effectiveness is reduced. Because of the increased amount of fat deposition around cells. In that case doing prescribed exercise will not only help build the general health but by reducing the fat layer around the cells it helps the insulin to reach its effector cells and do its functions normally. Thats why exercise is one of the crucial key points in the diabetic regime.

3) regular investigation: this a very major dilema in many patients that I have observed throughout my practice. Many of the patients don't go for investigation in the fear that what if the blood sugar level comes abnormal. At that point I could remember a saying" if a cat drinks milk with the eyes closed, it doesn't mean that world does not see it.

If its already abnormal then by going for the investigation will make you aware and you can take proper preventive steps to by pass any complications that might have fall upon you.

So advise isto go for the regular blood sugar checkup at least once every two months for those whose levels remains under the normal range and often if it is uncontrolled.

And one should also think of investigated for hba1c every 3-4 months as it will give general idea of the glycemic control.

4) general prevention of complication and specific cares:

By following the above mentioned points you could easily prevent the major complications. But there are also some specific cares you should not ingnore:

Like get examined for any underlying heart condition, or opthalmic conditions, or the like, or kidney problems, or neurological involvement.

Out of these one that I care the most and patients ingnore the most is foot care:&amp;nbsp;

Why is this important: as our feet not being a vital organ we usually ignore but it can be a reason for a very major complication and even can be fatal.

How?

Because of diabetes there are very chances that any injury will not heal at a normal pace and if not taken a due care then it can turn into gangrene. Which we all know that leads to amputation and life long being a handicap.&amp;nbsp;

Because of poor supply and other vascular degeneration it can cause deep vein thrombosis means the veins in you leg gets obstructed by clotts and if such clott dislodges from there and gets in to the circulation then whenever it gets deposited it causes a grave complication like myocardial infarction (heart attack), stroke (paralysis), or other organs can also get affected.

These were some important topics that I thought the general population should know so that they can educate themselves and minimize their emergency visits to the doctors.

Being a homeopath I cannot restrain myself to propogate homeopathy because it is as a true notion that a harmless and gentle treatment, less costly than any other mode of treatment (directly or indirectly), very easy to follow (just few white sugar pills and drops of medicines), prevents the above mentioned complications, and not only that also improves the general health.

There are some homeopathic medicines well proved to be very effective and unquestionable positive effects:

E. G:- syzigium jambolanum, cephalendra, abroma augusta, uranium nitricum, phosphoric acid etc.

Note: above mentioned medicines are very useful and anybody can try but the advise is to consult the specialist as the doses and the repititions needs to be regulated case specifically.

1 person found this helpful

My mother is 60 years old. She have sugar, cholesterol and high blood pressure problem. She was suffering since 5 year last. We do various type of treatment but not get permanent solutions. What we do now?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother is 60 years old. She have sugar, cholesterol and high blood pressure problem. She was suffering since 5 yea...
Mr Ramkrishna, I am sure you are aware that diabetes mellitus and Hypertension are two conditions which can only be controlled. There is no permanent cure or solution. Treatment with specific drugs and suggested life style changes have to be adhered to all the while. Similarly for reducing cholesterol or correcting dyslipidemia appropriate drugs with diet control and exercise also are equally important. To give any suggestions I need to know present fasting and PP sugar levels, HbA1c%, diet pattern, extent of exercise, height and weight. Based on those details I will be able to give some guidelines. It will be better if you come in a private conversation where I will be able to give specific suggestions.
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