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Dr. Anutosh Das

Gynaecologist, Kolkata

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Dr. Anutosh Das Gynaecologist, Kolkata
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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. Anutosh Das
Dr. Anutosh Das is a popular Gynaecologist in Laskarpur, Kolkata. He is currently associated with Dr. Asutosh Das 's Clinic in Laskarpur, Kolkata. Save your time and book an appointment online with Dr. Anutosh Das on Lybrate.com.

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P1685,Garia Ram Krishna Ngr Laskarpur,Garia, KolkataKolkata Get Directions
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Causes of Renal Transplant Rejection

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Causes of Renal Transplant Rejection

Living with a renal transplant constantly exposes you to the risk of organ rejection. Although it might sound scary, it usually happens because the medication needs to be tuned according to the requirements of your body. A change in medication usually solves the problem of a possible rejection, and a rejection becomes less likely if it doesn't happen within a year of the transplant. Some obvious signs of rejection are a pain on the region of transplant, fever, change in weight or low urine discharge.

The causes behind a renal rejection vary on the basis of the type of rejection that takes place. Here are three different types of renal rejection and their causes:

  • Hyperacute Rejection - Hyperacute rejection occurs within 24 hours of the transplant. It can have an immediate effect and occurs as the existing antibodies act against the grafted material, causing irreversible destruction. The immune system may recognize it as a foreign body and destroy it. Hyperacute rejection is common for patients who have received multiple blood transfusions or have suffered from transplant rejection earlier. The tissue must be removed immediately before it becomes fatal for the recipient. This type of rejection can generally be avoided if the doctors type or match both the receiver and the organ donor. The organ is less likely to be rejected if there are similar antigens between donor and receiver.
  • Acute Rejection - Acute rejection generally occurs after the first week of transplantation. Acute rejection is common in most recipients. Since a perfect match of antigens is rare to find, except in the case of identical twins, some amount acute rejection occurs in the case of all recipients. It can cause complications like bleeding and inflammation. The risk of acute rejection is highest in the first three months of the transplant.
  • Chronic Rejection - Chronic rejection occurs months later after the transplantation. This happens over time when the immune system of the body reacts against the transplanted tissue and slowly damages the organ. In such a case, the kidneys can suffer from scarring or fibrosis and damaged blood vessels.

Tip: 5 Benefits of Lasik Surgery?

3558 people found this helpful

Am a girl and I had unprotected sex with my partner before 1 month. And we did that with securely and we are serious at the time of ejaculation. But now I don't get my periods till now. I left my periods for 2 days. Can I wait for more 4 days for pregnancy check through tube or can I check it now.

DGO, MBBS
Gynaecologist, Delhi
You can go for pregnancy test now also. Preferably take first morning sample of urine. If it turns out to be negative and you do not get your periods then repeat the pregnancy test after seven days.
1 person found this helpful
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I am 24 yrs female. I fell down from steps during my periods. There is severe backpain from two months. Will it be remain same and will it effect my future.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Vadodara
I am 24 yrs female. I  fell down from steps during my periods. There is severe backpain from two months. Will it be r...
It depends on where did you get hurt after falling. Just because you were in periods it doesnot mean it will cause any major problem so dont worry about that. But if there has been a severe back injury it may cause back pain, so treat your back pain problem. You can consult me privately for detailed case discussion and if required I will suggest some investigation.
1 person found this helpful
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Past one year, I have thyroid problem. I gain too much of weight. As well as irregular menses. How to overcome it? I feel so tired.

Diploma in Diet and Nutrition, B.Pharma, MD - Alternate Medicine
Dietitian/Nutritionist, Gurgaon
Past one year, I have thyroid problem. I gain too much of weight. As well as irregular menses. How to overcome it? I ...
Hi, you are suffering from PCOS, which is imbalance of insulin and estrogen hormone. it can be controlled with food and nutrition
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I have severe pain around my left ovary and a ball shaped lump. What it is. Is it dangerous or harmful. I also have lump on my left breast and it pains. please let me know. Is it serious.

International Academy of Classical Homeopathy, BHMS
Homeopath,
I have severe pain around my left ovary and a ball shaped lump. What it is. Is it dangerous or harmful. I also have l...
Hi mam, tak phytolacca 12c 4tims apis 6c 3tims a day conium 3c 3tims day allabov for wk sil 200 2tims day for 3 days it may be harmonal imbalance or fibroadenoma.
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My friend had unprotected sex with his gf. She took pill even though she didn't get his mensis. She did pregnancy test the result is positive. Wat should we do now?

PG Diploma in YOGA, Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Ghaziabad
Again recheck. If reconfirms then she is pregnant. How many days period is late? if its below 50 days form last period start date then there are tablets for abortion. Consult a local gynecologist. Thanks.
2 people found this helpful
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Growth Spurt and Nutrition!!

MSc.PhD Nutrition & Diete, Jr. Research Fellowship for PhD, M.Sc - Dietitics / Nutrition - Dept. of Post Graduate Studies
Dietitian/Nutritionist, Mumbai
Growth Spurt and Nutrition!!

Teenage girls usually hit puberty between 8-14 years and boys a little later at about 10- 13. This is a time of a lot of changes. Sexual maturity of the body happens along with a spurt in height. Needless to say, this special time requires special care from parents like you. Extra nourishment of the body is also required so that your teen can develop optimally.

Let’s take a quick look at how you can support your teen’s growth spurt -

Nutrition is the first block facilitating the optimal growth of teenagers. The other blocks are sleep and play.

Sleep: All teenagers need 8-9 hours of sleep every night, according to the National Sleep Foundation, America. This is because our pineal or master gland produces growth hormone during this time. And exposure to maximum quantities of growth hormone is crucial if you want your child to grow optimally and not remain stunted. Less sleep usually means less exposure to the growth hormone and less height than was written in your child’s DNA. However, you must also know that puberty causes a change or shift in your teen’s sleep- wake cycle. This means that he or she will usually go to bed late and wake up late too. The thing to do is to let your child sleep longer.

Food and nutrition: All praises sung for good nutrition during puberty will still not be enough. Teens, as we know, love to eat junk food these days. They love processed foods, hate greens and veggies and the scary part is that this could throw a spanner in their growth.

  • Great nutrition is essential to optimal growth of your teen and there’s just no getting around that.
  • During the growth spurt of puberty, your teen requires the maximum calories and nutrients in his or her entire life span.
  • The ‘Growing’ or healthy foods should form at least 90 % of your teen’s total food intake every day.

And these ‘Growing’ foods are:

Proteins:

  • Protein is the most required food group for growth and development of the body.
  • This is so because it is the building block of all tissue, including muscles and bones.
  • Teens need at least half grams of protein per pound of their body weight to grow optimally.
  • Good sources of protein are eggs, meat, nuts, seeds, legumes and veggies.

It’s not scientifically right, however, to ply your teen with proteins. Why? Because it will not help her grow, but may actually leave her dehydrated.

Calcium and vitamin D:

  • What happens during a growth spurt? The bones grow vertically. Arms and legs grow longer.
  • And we all know that calcium is very important for bones and, so is vitamin D as these are both bone-forming nutrients.

If your teen eats enough foods containing calcium and vitamin D, her bones will be strong for a lifetime…

But what happens usually is that kids do not like foods rich in calcium and vitamin D like milk, greens and nuts, and beans.

So, make sure your teen has enough of the above in her daily diet.

Eating habits:

  • Teens don’t usually eat on time. They hem and haw during mealtimes and stop their bodies getting the nutrition it needs to grow.
  • Skipping meals also only feeds bingeing on junk food and stops the absorption of nutrients.

Your teen, thus should eat three square meals per day without skipping a meal. Snacking is not bad, as long as it’s healthy. ‘Growing’ foods like nuts and seeds can be consumed.

Exercise:

  • Activity is crucial to growth too.
  • Regular exercise is good because it keeps your teen’s metabolism healthy and supports digestion and appetite. If you wish to discuss about any specific problem, you can consult a Dietitian/Nutritionist.
6682 people found this helpful

Hi I am 26 year old female, had 2 cesarean. Before I become second time pregnant I observed one of my intestine on just above belly button and can easily figure it.

MS - Obstetrics and Gynaecology, MBBS, DNB (Obstetrics and Gynecology)
Gynaecologist, Mumbai
Hi I am 26 year old female, had 2 cesarean. Before I become second time pregnant I observed one of my intestine on ju...
From your description, it looks like incisional hernia. In simple words, intestines have pushed out through weak point in your abdomen after caesarean. You will need a repair surgery for this.
1 person found this helpful
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I am 28 tears old female. My period was due on 1st. But still it has not started. I have tested twice and it is showing negative. M planning since 5 months. M having abdominal pain and thigh pain as before due date. Can I still expect pregnancy. please help me. M very upset.

DHMS (Hons.)
Homeopath, Patna
I am 28 tears old female. My period was due on 1st. But still it has not started. I have tested twice and it is showi...
Hello, menstrual disorder is caused due to stress, anxiety,depression, malnutrition,anaemia, over exertion, Pcod, thyroidism ,results in  ,delayed, painful,excess & frequent blood flow during menstruation. * Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body.  * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress, improving Oxygen volume in blood in order, to establish your smooth flow, improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. * Tk, Apple, carrots,cheese, milk,banana, papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. * Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 200-6 pills, thrice. @ Sepia200 -6 pills, thrice. * Ensure, sound sleep in d night for at least 7 hrs. * Avoid, caffiene,junkfood, dust,smoke, exertion > Your feedback will highly b appreciated for further, follow up. Tk,care,
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I had sex with a girl on 8 april while last she had period on 5-6, and I haven't used condom while intercourse. Is there any chances of pregnancy. As I have heard that you can do sex with a girl without condom within 6 days before her period and at least 8 days after her period stops. Please guide me.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I had sex with a girl on 8 april while last she had period on 5-6, and I haven't used condom while intercourse. Is th...
Practising safe days for sex is highly reliable and has high failure rate as sperms can live upto 7 days. If she was in menses then she can not get pregnant, but for the safer side you should give her ipill asap as menses must have been very less by the time you had sex.
1 person found this helpful
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Hello sir, I am not having a baby from last 3 years. What should i do? Please help me.

MBBS
General Physician, Faridabad
Hello sir, I am not having a baby from last 3 years. What should i do? Please help me.
try if your cycle is regular then take chance on mid of cycle,. say your cycle start on 1st then try help between 12-17.during this period you have maximum chance. but it may happen at any time. it will. welcome. get semen test done, back with report
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How to Increase Progesterone Naturally?

MBBS, MS - Obstetrics & Gynaecology, DNB - Obstetrics & Gynecology - Obstetrics & Gynecology
Gynaecologist, Ghaziabad
How to Increase Progesterone Naturally?

Progesterone is a characteristic female hormone, which is also known as the pregnancy hormone, its percentage is generally higher before and during pregnancy. Progesterone supplementation is regularly important during assisted reproductive technology (ART) systems; for example, In-vitro fertilization (IVF). This is recommended because the medicines you may use during these strategies can change your body's capacity to deliver progesterone. Certain techniques can even expel progesterone delivering cells from your ovaries. All women who wish to end up pregnant need progesterone to help the uterus get ready for and sustain a prepared egg.

Before pregnancy
Progesterone readies the uterus for pregnancy. After ovulation happens, the ovaries begin to deliver progesterone required by the uterus. Progesterone causes the uterine covering or endometrium to thicken. This readies a strong domain in your uterus for a fertilized egg.

During pregnancy
Progesterone sustains the baby. A supply of progesterone to the endometrium keeps on being critical during pregnancy. After an effective implantation, progesterone keeps up a steady domain for the forming baby. Following eight to ten weeks of pregnancy, the placenta takes control of progesterone creation from the ovaries and considerably builds the hormone.

Other sources of progesterone supplements
A few types of progesterone supplements are accessible, including vaginal items that deliver progesterone straight to the uterus. The diverse structures include the following:

1. Vaginal gel:
• Utilized once every day for progesterone supplementation
• Over a time of involvement and more than forty million dosages recommended
• In studies where quiet inclination was measured, a dominant part of women favored the gel for comfort over other progesterone medicines
• Some discharge felt during use

2. Vaginal suppositories:
• Wax-based
• Generally utilized yet not FDA-endorsed
• Utilized two to three times each day
• Spillage can be chaotic

3. Vaginal supplements:
• Intended for vaginal use
• FDA-endorsed for progesterone supplementation yet not for progesterone substitution
• Useful in ladies under thirty-fie years; no settled outcomes in women of more than thirty-five years
• Utilized two to three times each day

4. Progesterone oral cases, utilized vaginally:
• Not planned or FDA-affirmed for vaginal utilization
• Less symptoms when it is utilized vaginally rather than orally
• Utilized approximately three times each day

5. Infusions:
• An oil-based arrangement (now and then called progesterone in oil)
• Generally utilized; most settled strategy for progesterone delivery
• Infused into the bottom once every day
• Requires long, thick needle to enter layers of skin and fat
• Hard to oversee
• Infusions might be difficult
• Skin responses are normal

Progesterone is a vital piece of infertility treatment since it boosts implantation and pregnancy. Human services suppliers regularly have an inclination towards which type of progesterone they recommend for fertility treatment. Their application is by and large in view of their involvement with the different techniques. However, accommodation and demand are likewise critical. Most women lean toward a progesterone definition that is simple, advantageous, and agreeable. Thus, make sure to talk about your choices with your social insurance supplier or your doctor. If you wish to discuss any specific problem, you can consult a gastroenterologist.

4266 people found this helpful

Hi, I am 29 years old 5 months pregnant. I would like to know what have to do to get normal and painless delivery. Thanks.

MBBS
General Physician, Chandigarh
Hi, I am 29 years old 5 months pregnant. I would like to know what have to do to get normal and painless delivery. Th...
At present you just have to take care of your pregnancy take good diet sufficient rest and moderate exercises to keep yourself and your baby healthy painless delivery option you can give to your gynaecologist at the time of delivery they will give you medication accordingly.
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Know Everything About INVO - In-vitro fertilisation

MD - Obstetrtics & Gynaecology, DGO
IVF Specialist, Mumbai
Know Everything About INVO - In-vitro fertilisation

INVO (intravaginal culture of oocytes), also called IVC (Intravaginal culture) is an abetted procedure of reproduction where early embryo development and oocyte fertilization are carried out inside a gas penetrable, air-free plastic tool or device that is placed into the maternal vaginal chamber for incubation. It is a device that helps the future mothers to participate in the evolution and growth of their own embryos present inside their body. The device is composed of an inner cavity with a protective outer rigid shell and a rotating valve.

It can be used for IVF (In Vitro Fertilization) cycles; whether with the mother's own eggs or any donor's eggs. It provides the same successful results as conventional treatments. It works in a very simple way:- when the requisite samples to produce embryos have been acquired or when the eggs have been impregnated in the laboratory, they together with culture medium are placed into the INVOcell device and then the device is inserted into the vagina of the mother and there it is kept for two to three days (for 72 hours culture period). Throughout this time, the mother can lead a practically normal life but she needs to elude taking bath, having intercourse or flying during those days on which she is wearing it.

When fertilisation takes place, it will be the mother's own heat which will supply the best conditions for the proper development of the embryos. Once they are set and ready, the doctor will remove the INVO from the mother's vagina to recover the embryos. The embryos are then evaluated under the microscope to choose the healthiest-looking ones to transfer them into the uterus. Within the uterus they will be embedded in order to begin developing.

Advantages of INVO are:

  1. It is one of the most cost-effective assisted conception treatments.
  2. In this method, the embryo incubation is more natural.
  3. Since in this whole process embryo incubation in the laboratory isn’t required, the possibility of stumbling at the laboratory is diminished.
  4. In this method, the couple experiencing the treatment is involved more.
  5. This method has similar efficacy as the IVF treatments.

Disadvantages of INVO are:

  • Since the device has to remain for three days in the mother's vagina, it causes some discomfort.
  • The patient has to spend much time in the assisted reproduction clinic and visit it more often.

The studies suggest that it could be a usable alternative choice for assisted reproduction. If you wish to discuss about any specific problem, you can consult a gynaecologist.

3515 people found this helpful

Dear Doctor, Pregnancy test is +ve (βHCg 1600 on 1st August, progesterone 12.44 ), it's thru IVF , FET transfer done (3 day 8cells grade 2) on 16th july, LMD 24th June . Have done SONOGRAPHY on yesterday 22/8/2016 GA BY LMP 9 WEEK SINGLE INTRAUTERINE GESTATIONAL SAC NOTED WITH FOETAL POLE IS SEEN CRL MEASURES 1.36 CM CORRESPONDS TO 7.5 WEEKS FOETAL HEART RATE 167 b/min. OS CLOSED OVARY NORMAL NO FREE FLUID IN CULDESAC IN MEANWHILE TOO MUCH OF SEVERE ACIDITY AND MORNING/NOON SICKNESS CONTINUING SINCE LAST TWO WEEKS (9aug). TAKING rantac (2 tabs) + dexonate (nyte) but still very much vomiting. Pls suggest "hw to cure this acidity with lesser side effects on my pregnancy. Please guide further , on Medication with time validity of each of the following medicines. 1.Progynova thrice -(2-2-3) daily 2.Crinone gel - twice 3. Susten injection on every 4th day 4. Folvite once daily 5.Aspirin 50 mg at bedtime (STOPPED after foetal pole detection)

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
Dear Doctor, Pregnancy test is +ve (βHCg 1600 on 1st August, progesterone 12.44 ), it's thru IVF ,
FET transfer done ...
Hi. Pregnancy vomiting is a good sign.Please take dominate additionally in the morning also for a while.To reduce acidity eat frequent small meals,don't eat full stomach, sit upright for sometime after eating,lie down with head elevated,avoid excessive tea,coffee and spicy foods. In addition you can take Mucaine gel 2 tsp thrice a day before food and at bed time.It will give a soothing relief. The hormonal support you are receiving 1.2.3 will be stopped after a while say 12 to 14 weeks.Vomiting also stop by then.Until then eat wisely.Take plenty of fluids.Best of luck.Anything more you can revert back to me always.
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I have a 1 question. On which age will produce milk in female breast. And on which age will come produce breast milk on teenage (or) maturity.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I have a 1 question. On which age will produce milk in female breast. And on which age will come produce breast milk ...
Milk production in girls / women starts with pregnancy hormones called lh-lactational hormones which are secreted by pituatary gland present in brain, it can be a disease if pituatary is overactive due to any other disease in brain. Normal young girls do not produce milk. Sometimes a bit of water comes out through nipples, it is due to retention of water, just before the periods.
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I am 24years old my menstrual cycle is not in proper condition from starting on wards what should I do?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I am 24years old my menstrual cycle is not in proper condition from starting on wards what should I do?
It needs detailed medical history, examination and reports to decide management, so meet gynaecologist.
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Cotton Buds - Why You Must Not Use Them?

MBBS
General Physician, Malappuram
Cotton Buds - Why You Must Not Use Them?

Cotton swabs or cotton buds, are commonly used in our daily lifestyle. Many people use it for various purposes, such as make-up, bacterial culture, and most commonly for extracting wax and debris from the ear. Even though they are sometimes handy in our busy schedule, they usually cause much more harm than benefits.

How are they misused?
Cotton buds are toothpick like pieces made of wood, plastic, or rolled paper, which have cotton stuck at both ends with a roundish edge. It came into existence during the 1920s for a safe purpose of ear cleaning by Leo Gerstenzang, when he saw his wife cleaning their baby’s ear with a toothpick. And, til now they are used by the general population for ear cleaning, but these hardly remove the outer debris which is stuck near the outer edges. Impressing it inside the ear canal only does further damage, by forcing the inner wax further inside. Sometimes extensive force also causes damage to the ear drums.

How does it cause the damage?
Applying a tool like the cotton bud inside the ear with hands usually creates a force that impresses upon the eardrum, also accumulating the surrounding earwax to that area, resulting in impaction of the wax. The force applied most often, if not always, causes a damage to the ear drums, which might cause severe pain, also leading to leakage, causing improper balance, deafness, and certain similar abnormalities.

Alternative measures
Although we are worried about cleaning our ears, it doesn’t really require our notice, since our usual showers allow an adequate quantity of water to enter the ears and clean the accumulated debris automatically. The structure, in which our ear canal is designed, is usually naturally assisting in cleaning up the unusual wax around the ear.

If there is an uncontrollable build up of earwax that is not cleaned off normally, you can always consult an ENT or any general physician and get it cleaned under medical surveillance, which is best advised.
Doctors and medical practitioners all around the world have been trying to spread the message of preventing the use of cotton buds for ear cleaning. It is important that the message reach the greater part of the population. Spread it to your family, your closest friends, their friends, and as further, you can reach!

7075 people found this helpful

Sir I always suffer from vaginal itching n after that white water like sticky things comes out from that part. Sometime I use v wash and candid powder. Is this OK?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
hi Nazneem, it's better if you get proper internal examination to rule out vaginal infection, your further treatment will depend upon type of the infection. in the meantime please keep local area Clean and dry, wear loose cotton trousers and, wear cotton undergarments change twice a day. have a speedy recovery.
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Mera uterus ka operation ek mahiney pahley hua h face per pimple ho jata h aisa kyu? Aur ek baat sugar patient ko kaun sa soup de saktey h reply please.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Mera uterus ka operation ek mahiney pahley hua h face per pimple ho jata h aisa kyu? Aur ek baat sugar patient ko kau...
Hello, There is no relation of uterus and pimples at all. You can give fresh vegetable soup to diabetics.
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