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Dr. Sandeep Duggal

Pediatrician, Delhi

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Dr. Sandeep Duggal Pediatrician, Delhi
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Sandeep Duggal
Dr. Sandeep Duggal is a popular Pediatrician in Kamla Nagar, Delhi. You can consult Dr. Sandeep Duggal at Dr. Sandeep Duggal Clinic in Kamla Nagar, Delhi. Book an appointment online with Dr. Sandeep Duggal on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 26 years of experience on Lybrate.com. You can find Pediatricians online in Delhi 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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Behavioral Problems in Adolescents

MBBS, MD
General Physician, Gurgaon
Behavioral Problems in Adolescents

Upon reaching adolescence, children's bodies undergo several changes and so do their minds. It is then that their minds are most, as well as least impressionable. And the daunting question regarding the upbringing of an adolescent is how to treat their constantly changing behavior?

Here are some of the tantrums adolescents more commonly throw, and what should ideally be your approach to it:

  1. Your child seems to hate you: It is very common for a phase of emotional exclusionism to prevail between 16-17 years of age approximately. And the worst thing you could do is heighten that emotion by returning the hatred. Make sure you're firm against any extremely unacceptable behavior, but at the same time, show them that you're there for them no matter what.
  2. Electronic devices become the center of their attention: Whenever you want to have an earnest conversation with your children, their attention seems to be drawn solely to their phones and computers. They feel the need to be connected to their friends and all times. Ways to monitor that are by setting limit to the maximum hours spent on devices or making them pay their own bills, which will make them more responsible rather than splurging unnecessarily. Also, if your child is not entirely secluded from the family, it is probably best not to interfere all the time.
  3. Ignoring the curfew: Your kids often stay out later than the set limit. But it is quite possible that your curfew is unreasonable when compared to other parents' curfew. Find out what the average time limit is; it may prevent your child from bearing a grudge against you. In case they still fail to respect your curfew, make sure you spill out to them what the consequences can be, like being grounded for a week. However, in certain cases, your child may be spending time doing nothing constructive, but away from home. There may be something else going on, find out what that is.
  4. Being friends with the wrong people: Sometimes it might happen that you think some children do not have a good influence on your child, but you cannot say that directly because adolescents tend to get very defensive about their choice of friends. Unless the adolescent is doing something harmful with the friend, like using drugs, let him exercise his choice. Otherwise, don't hesitate from seeking professional help to counsel your child.
  5. Being over-dramatic: Every emotion is heightened in your child and you cannot tell them that what they are whining or being overjoyed about are trivial, because that's their prime focus then. Let them realize on their own how irrational they sound or else you may risk spoiling your relation with them.
4613 people found this helpful

My baby is 2 months old and has a swollen navel it is not painful nor sensitive is there any thing to worry.

MD - Paediatrics, MBBS
Pediatrician, Jodhpur
My baby is 2 months old and has a swollen navel it is not painful nor sensitive is there any thing to worry.
This finding by itself is suggesting umbilical for which no intervention is needed. This provisional advice provided by me stands subject to the actual examination of report/ image and is based entirely on inputs provided to me. It should be correlated with clinical findings.
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M.Sc - Psychology, PGDEMS, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Healthy tips for school-aged children---

Children need a variety of different foods each day.
Snacks are an important part of a healthy diet for active children.
Make snacks nutritious, not just high in energy.
Plan to share meals as a family.
Enjoy talking and sharing the day’s happenings at mealtimes.
Let children tell you when they’re full.
Give your child lunch to take from home.
Let children help with food preparation and meal planning.
Encourage physical activities for the whole family.
Encourage children to drink plain water.
2 people found this helpful

11 mahine ki beti hai meri. Use dhoop asar kar gaya. Loo lagya. Drugs de rahe hai. Aur ghar pe kya swdhani barte.

MBBS, Diploma in Child Health (DCH), DNB (Pediatrics), MNAMS (Membership of the National Academy), MRCPCH, Certificate in GI Endoscopy
Pediatrician, Delhi
11 mahine ki beti hai meri. Use dhoop asar kar gaya. Loo lagya. Drugs de rahe hai. Aur ghar pe kya swdhani barte.
Offer plenty of fluids, preferably who-ors, to avoid dehydration. Avoid going out in sun, avoid sun carrying an umbrella.
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Hi , my daughter has 2years 6months old, she is not properly sleeping in night, from last one month. After sleeping 1to 2 hrs she wake up and starts crying, and cry for hour then sleep then again some time starts crying.

MBBS, cc USG
General Physician, Gurgaon
Hi , my daughter has 2years 6months old, she is not properly sleeping in night, from last one month. After sleeping 1...
May be she is feeling pain somewhere in body like pinworm infestation/ stomach pain She need complete evaluation so consult child specialist
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Hello, My child suffering from marasmus which of the clinical manifestation is commonly observed? What should we do to cure?

Diploma in Child Health (DCH), MBBS
Pediatrician, Hyderabad
Hello, My child suffering from marasmus which of the clinical manifestation is commonly observed? What should we do t...
Marasmus is a severe kind of nutritional disorder in children usually below one and of year of age. They are emaciated, wasting of all muscles, weak, no energy, weight loss of more then 60%. They will have skin infections, irritable. All this is due to the defeciency of carbohydrates proteins and fats. Have to give proper balanced diet with the advice of paediatrician, dietician treat all the infections, if necessary after admitting in hospital.
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Hi. M having 2 months baby. After feeding though I give him a burp but even after that he spits milk, sometimes in large amount. Why?plz help.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi. M having 2 months baby. After feeding though I give him a burp but even after that he spits milk, sometimes in la...
It is normal for newborn to spit milk and it is called possetting and is due to the muscle of esophagus not developed and is not a disease . You can put on left side and see. Monitor weight every month
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I have a girl child. Her age is 3. 6 yrs. She is suffering with cold n flu. The main problem is at night she is unable to sleep because of coughing. And this happens to her every fifteen days. She catches cold first and then severe coughing

MBBS DCH
Pediatrician, Gandhinagar
Put a pillow below the head will decrease coughing. You can give some good anti histaminic syprup like t minic for 5 days.
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Hello sir or mam mera four months ka baby boy hai use baar baar stomach re releated problem hoti rhti hai kbhi motion ki kbhi gas uska pet tight ho jaata hai jb wo ek hafte ka tha thi bhi use problem thi us time pr use toilet me infection tha uski mummy ko delivery k baad se piles ki problem ho gyi thi babyboy bhi motion thik se nhi krta thodi thodi quantity me motion krta hai 6 se 7 baar uska weight ki growth to thik hai wo maa kya hee milk pee rha hai jb se uski mummy ki piles ki medicine chli hai jbse hee usko stomach ki problem hui hai.

FIAP(NEONATE), MD - Paediatrics
Pediatrician, Ahmedabad
Hello sir or mam mera four months ka baby boy hai use baar baar stomach re releated problem hoti rhti hai kbhi motion...
Piles has no relation with the current problem. Children tend to suffer from stomach ache in the initial months of life. However if there are no other symptoms, child is taking orally well and there is weight gain, nothing to worry about. Otherwise consult a pediatrician. Warm Regards.
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Can a Root Canal Actually Be Painless? Shocking Facts Revealed

BDS, FICOI, MDS
Dentist, Mumbai
Can a Root Canal Actually Be Painless? Shocking Facts Revealed

How scared are you of root canals? what if we tell you. You no longer need to be?
Root canals are easily one of the most dreaded treatments in the world. I have seen patients compare the anxiety they feel before a root canal to things like open heart surgery and labour. The last thing you want to hear on a dental chair is the diagnosis that you need a root canal. The horror stories surrounding this dental treatment range from gruesome to excruciating.

This article is an attempt to dispel the mystery and pain associated with root canals and show you how far we have come from the horrors to the sophistication of the latest technology.

From painful to pleasing

What are root canals really?
In its simplest sense a root canal is a deep filling done by cleaning the infection from the third and innermost layer of the tooth which is made up of nerves and blood vessels.

Our tooth is made up of 3 layers the first 2 are hard and confined layers called enamel and dentin when decay affects these it is very slow to spread and easy to remove and fill within one short session.

The third layer may take 1-3 sessions to clean as the infection may have spread or collected in the supporting tooth structures.

Why are root canals considered painful?

The 3rd layer of our tooth is a nerve chamber containing soft nerves and blood vessels in communication with the rest of our body.

This is the place that communicates pain to our brain and this is why when decay or bacteria hit this soft deeper layer we experience sharp shooting pain.

Top 3 reasons why root canals used to be painful


    Improper or inadequate anesthesia to numb the inflamed nerve
    Mechanical instrumentation to manually pull out the nerve which we now dissolve and clean with automated machines
    Lack of the right medications to use within the tooth.


What happens to root canal infections if left untreated?
If this pain is suppressed with medication and not treated it can lead to an infection spreading within the bone which may later lead to a swelling with pus etc.

If this infection is left within it can eat into the supporting bone and eventually infect or affect the adjacent teeth as well.

How to improve breast milk quality that baby gets sufficient Energy, vitamin,minerals etc?

MBBS
General Physician, Mumbai
How to improve breast milk quality that baby gets sufficient Energy, vitamin,minerals etc?
For increasing breast milk naturally Few diet tips - Not to eat fried food items and Can eat All green vegetables, moong , chana , Dal , rice etc And to apply ghee over chappati and don't apply oil over chappati And to drink milk mixed with turmeric powder twice a day And If possible eat eggs on alternate days And If possible in breakfast eat atleast one bajra ka rotla And Eat seasonal fruit
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My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should I do?

MD Paediatrics, MBBS
Pediatrician, Hyderabad
My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should...
Try to keep the temperature normal by giving paracetamol syrup every 4-5 hours. Generally children tend to get irritable when temperature shots up so try to keep it normal, once temperature is normal, children will be active and playful.
1 person found this helpful
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The Best Vitamins & Minerals For Your Teeth

BDS
Dentist, Gurgaon
The Best Vitamins & Minerals For Your Teeth

The tooth may look a tiny structure, but is a very complicated one. Structurally, it has very high concentrations of minerals and vitamins, all essential for optimal dental health. Reduced or increased amounts of these substances can lead to obvious defects in the teeth, which may impair aesthetics and sometimes even the functioning of the tooth.
While calcium is one mineral that would immediately come to mind, there are a lot of other vitamins and minerals too which play a significant role both in tooth formation and in optimal dental health. Listed below are some of these, along with their role in dental health.

Vitamins:

  1. Vitamin A: Often associated with vision, vitamin A is essential for production of good amount of saliva which maintains healthy mucous membranes. Reduced saliva increases predisposition to decay and gum disease and also increases bad breath.
  2. Vitamin D: Needless to say, with the strength of the jaw bones, a good amount of calcium is required to boost bone mineral density.
  3. Vitamin C: The gums have connective tissue fibers which help bind the tooth to the jaw bone. For good strength of the connective tissue, vitamin C is important. Therefore, vitamin C deficiency can lead to tooth mobility and even tooth loss in severe cases.
  4. Vitamin B complex: There are too many people who would have popped a multivitamin to ward off mouth sores. Niacin and riboflavin especially are essential for optimal mucosal health and reduce inflammation.
  5. Vitamin K: This has multiple roles to play. It helps in improving the body's healing process, blocks substances that break down bone, promotes bone strength, and reduces bleeding disorders.
  6. Minerals: There is a long list of minerals that are essential for optimal dental health, as below:
  7. Calcium: From strong enamel to jaw bone, calcium is extremely important for the tooth to be fully formed. Calcium deficiency can result in hypoplastic teeth that are more prone for chipping and decay.
  8. Potassium: Needed to improve bone mineral density. It also works in conjunction with magnesium and prevents from the blood turning too acidic. Acidic blood can suck out calcium from teeth and bones.
  9. Fluoride: Proven to be the anti-decay magic medicine, fluoride reduces the incidence of tooth decay. Fluoride gels are applied for children to promote remineralization of enamel which may have initial caries.
  10. Phosphorus: Provides support to calcium and potassium in bone formation.
  11. Iron: Required for keeping red blood cell count at a good level and fighting infections.
  12. Iodine: This trace mineral is required for absorption of calcium and potassium that is essential for tooth formation.
  13. Zinc: Naturally found in saliva, it fights against plaque formation and subsequent infections.

For optimal dental function, ensure your diet has these essential nutrients.

12 people found this helpful

My daughter is 4 months old but she is not getting hairs properly on head Wat should I do?

Diploma in Child Health (DCH), MBBS
Pediatrician, Ponda
My daughter is 4 months old but she is not getting hairs properly on head
Wat should I do?
At 4 months babies tends to loose hair and regain by 6 months of age. If she is growing well then nothing to worry continue multivitamin with iron drops for 1 year.
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What is the effect to stop adwize tablet after taking this tablet for 3 and half years to cure my autistic child now aged 13 years, who is also is an epilectic patient.

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
Your child has to continue Antiepileptic medication. As regards Autism ia an associated disorder, hence advisable not to stop medication. You can see Autism is a condition that affects mental and physical well being. In fact autism is not a single disorder rather a group of ailments that is classified as autism spectrum disorders (ASD). Autistic children have problems with social interactions. They may also encounter problems with verbal and non-verbal communication, exhibit pattern of repetitive behavior with narrow, restricted interests, hyper sensitive to light, sound, touch etc (sensory overload). Otherwise majority of the cases are diagnosed anywhere between the age of 2-5 years. Interestingly, there are many individuals who may have ASD but never aware of it. Though the exact cause for autism is unknown, genetics plays an important part. Environmental, immunological and metabolic factors may have a contributory role. Since, it is a spectrum of disorders, there is no single reason attributed to this condition. Genetic, environmental, immunological and metabolic causes may be the contributing factor. Where genetic basis is identified as a cause, palliative measures are initiated immediately. When the reasons are not clear, diagnosis, classification and management invariably gets delayed. As stated earlier under watchful eyes of parents or family physicians, autistic symptoms could be recognized early. Severely autistic infants do not make normal babbling sound and have abnormal eye movements. Some of the symptoms include but restricted to limited vocabulary, unable to follow verbal or facial cues, abnormal eye movement or hand eye co-ordination etc. They also tend to make incoherent sounds. These children also do not follow simple commands. Many times these symptoms are glossed over delaying early diagnosis. Denial, my child is normal attitudes contribute to the delay in early diagnosis. In general ASD is loosely classified into five different types. However, this classification is hotly debated. 1. Pervasive developmental disorder(PDD) - Children suffering from PDD show delay in development of social and language skills 2. Kanner?s syndrome - This is most common type of autistic disorder. They live in their own world and have poor social interactions. They do not like any change in their routine. Individuals with this disorder get affected by loud sounds and cannot lead a normal life as they have low communication skills 3. Rett?s syndrome - Usually seen in females and is quite rare. They are mentally retarded and show muscle atrophy. The individuals show repetitive hand movements. 4. Childhood disintegrative disorder- The symptoms starts to appear in otherwise normal children between 2-4 years of age. They stop talking and interacting with people around them. Individuals start losing motor skills after the age of two 5. Asperger syndrome- Often misdiagnosed as obsessive ?Compulsive disorder or Attention ?Deficit disorder. They don?t show normal social interactions and have problems communicating. Children with Asperger syndrome show repetitive actions and exhibit poor motor skills. Some are thought have talent on which if they focus on could reach great height. Autism is known for decades, unfortunately, there are very few medications available to treat ASD. However, not all hopes are lost. In contemporary medical system (allopathic medicine) different symptom specific treatment options are offered for autistic patients. It is to be noted that these are mood altering medicines. Therefore, qualified physicians should be consulted and the medications administered under care. Ayruvedic approach: In ayurveda there are some herbal medications prescribed for autistic individuals. These are more of remedial measures than cure. Therefore, these medications are to be taken for life. As in many mood altering disorders, besides medications, management is suggested. Very interestingly, an Indian mother of an autistic son, Mrs. Soma Mukhopadhyay, developed Rapid Prompting Method (RPM) to train autistic children to lead near normal life. This has been demonstrated to be a boon for several severely autistic children. Her son Tito Mukhopadhyay is indisputably the most famous Indian with autism. With his mother?s guidance he had written many poems and authored a book titled ?Beyond the Silence: My Life, The World and Autism. Noting her revolutionary method she was brought to the United States by Cure Autism Now Foundation. Since then she had refined her techniques. Currently she is running ?Helping Autism through Learning and Outreach ? HALO? foundation (www.Halo-soma.Org). Recently, she had published a book ?Understanding autism Through Rapid Prompting Method? that details the technique developed by her.
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Hello my daughter is 18 months old. Her weight is 9.3 kg. She is not at all having good quantity of food. She eats only 4 spoons of food. Does she have correct weight? Some of my cousins are suggesting me to use vitamin supplements. If you using vitamin supplements at that age is good. What should I use her? She drinks 2 cups of plain milk. Should I add some powder to the plain milk?

MBBS MD DCH, Dch
Pediatrician, Muzaffarpur
Hello my daughter is 18 months old. Her weight is 9.3 kg. She is not at all having good quantity of food. She eats on...
18 months old baby if active alert playful no fever no clinical symptoms that means your child is in perfect condition. Get her hb and stool examination to rule our anemia and worm infestation. There is no role of any vitamins and appetite stimulants. Please keep on recording her wt periodically. If there is any wt faltering consult your pediatrician.
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DIABETES: How Homeopathy can Cure?

Homeopath,
DIABETES: How Homeopathy can Cure?

Diabetes is a long term disease. Homeopaths resorts to different approaches towards diabetes. When the blood sugar level is very high, the priority is to control it. There are homeopathic remedies that could reduce the sugar. Another approach is to understand the patient’s profile through a patho- physiological profiling and resort to treatment of his illness. There is yet another approach to understand the patient in depth through a detailed case taking, crate a profile at his physical, mental, social and spiritual level (holistic approach) and then select a constitutional remedy. Each of these approach has its own scope and limitations. The physician has to take a decision as to what approach is needed on a patient depending on his general health, progress of disease, complications, the organs affected etc. Here’s discussing the four approaches:

1) Management of blood sugar
The commonly used remedies are uranium nitricum, phosphoric acid, syzygium jambolanum, cephalandra indica etc. These are classical homeopathic remedies. These are used in physiologically active doses such as mother tincture, 3x etc. Depending up on the level of the blood sugar and the requirement of the patient.

Several pharmaceutical companies have also brought in propriety medicines with a combination of the few homeopathic medicines. Biochemic remedies which is a part of homeopathy advocates biocombination no 7 as a specific for diabetes. Another biochemic medicine natrum phos 3x is widely used with a reasonable success in controlling the blood sugar. Scientific studies on the impact of homeopathic medicines in bringing down blood sugar are limited, but many of the above remedies have some positive effects either as a stand-alone remedy or as an adjunct along with other medications.

2) Holistic as well as individualistic approach in medicine through homeopathy

This is a unique concept in homeopathy. Even though it may sound strange, homeopathy does not treat pathological effect of the disease per se. A homoeopath treats the patient taking into consideration the mental, emotional and physical peculiarities of the person who is afflicted with pathological state. He considers diseases are a mere deviation in life force and make efforts to correct this aberration. Homeopathy regards health as a state of balancing the equilibrium of the life force and the physicians’ duty is to support the individual to maintain a harmony in health (promotive health), restore the sick to health through a rational medication (curative health) and prevent diseases whereever needed (preventive health). There is a defined philosophical approach in each of the above areas and therefore homeopathy in true sense is called holistic system of medicine. It is also known as experienced medicine because all the medicines that are used on the patients are subjected to human trial and assured of its safety even in infants. The medicines are being used for over two centuries and not even one instance of adverse drug reaction has ever been reported.

3) Constitutional treatment
Hahnemann who published his work on chronic diseases and its cure advises to give more importance to the patients past and family history to understand the genesis of illness and to prescribe constitutional medication. In the modern terminology this could be said as the genetic preponderance or modification due to the patient’s life style or circumstances or due to suppression of illness in the past. The homeopaths, therefore take long hours to understand the patient’s history to understand the constitution, temperament, history of suppression etc to arrive on a constitutional medication. This approach is unique to homeopathy and a little time consuming. It also require extreme skill, perseverance, knowledge and experience. Constitutional remedies acts deeper into the system and correct the inherent disorder of the individual. Thus the constitutional remedy not only cures the disease, but improves individual’s health in general. If patients with diabetes take his constitutional remedy, it will not only help to control his sugar metabolic process, but also the tissue to absorb and assimilate the sugar and try to make other organs function perfectly.

4) Promotive approach to diabetes.
Type 2 diabetes can be prevented by lifestyle modifications. Some of the easy tips are:

Eat small meals every 2-3 hours regularly instead of consuming large meals. Prefer to steam your vegetables rather than fry them. Reduce the consumption of sugar, alcohol and fatty foods in your diet

Eat fiber rich foods like whole grains, pulses and reduce your intake of oil. Avoid fried foods.

The lifestyle modifications that can be followed by everyone are regular exercise for at least half an hour. Prefer to climb stairs rather than using elevators or escalators unless there is any heart ailments. Avoid sitting in same position for longer duration at your workplaces. Take short breaks. Practice yoga at home in case it is not possible to go outdoors and indulge in household chores in order to keep yourself active and fit.

Even a patient who is suffering from type ii diabetes can follow life style medications and resort to regular medications under strict supervision of a qualified homeopath, will escape the serious complications of diabetes and keep his disease under control.

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MD - Paediatrics
Pediatrician, Ranchi
Post vaccination complication management in children-

1)Following vaccine injections the child may have soreness, redness, itching, swelling or burning at the injection site for 24-72 hours. Don't rub or maasage the effected area.Application of ice bag will provide some help.Paracetamol might be required to ease the discomfort.
Sometimes a small, hard lump (nodule) at the injection site may
persist for some weeks or months. One should not get worried for this and it does not require any treatment.

2)Post vaccination rise in temperature is very common. Give extra fluids to drink. Do not overdress the baby if hot. Although routine use of paracetamol after vaccination is not recommended, if fever is present, paracetamol can be given. The dose of paracetamol for a child up to 12 years of age is 15 mg/kg/dose, every 4 to 6 hours, up to four times a day.

If fever persists for longer duration,swelling/redness progressively increases or child becomes irritable/ behaves abnormally consult your pediatrician for evaluation.
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