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Minerva Hospital

Endocrinologist Clinic

Plot 74 Pawna Nagar, Chinchwad, Landmark: Near Chafekar Chowk Next To Jain School, Pune Pune
1 Doctor · ₹150
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Minerva Hospital Endocrinologist Clinic Plot 74 Pawna Nagar, Chinchwad, Landmark: Near Chafekar Chowk Next To Jain School, Pune Pune
1 Doctor · ₹150
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We are dedicated to providing you with the personalized, quality health care that you deserve....more
We are dedicated to providing you with the personalized, quality health care that you deserve.
More about Minerva Hospital
Minerva Hospital is known for housing experienced Endocrinologists. Dr. Kalyan Gaud, a well-reputed Endocrinologist, practices in Pune. Visit this medical health centre for Endocrinologists recommended by 102 patients.

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MON-SAT
02:00 PM - 05:00 PM

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Plot 74 Pawna Nagar, Chinchwad, Landmark: Near Chafekar Chowk Next To Jain School, Pune
Pawna Nagar Pune, Maharashtra
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I am Diabetic since 9 years. I was on Getrol and Bimet for the first 6 years and my HB1AC was 6.20 until the doctor changed me to Diamicron MR30 before food and Jalra 50/500 after food. I have been taking since past 30 months. Now my HB1AC level is 9.10 (Avg 214 Blood Sugar). What could be the reason? I am on proper diet and exercise too.

MBBS, D.P.H
General Physician, Gurgaon
I am Diabetic since 9 years. I was on Getrol and Bimet for the first 6 years and my HB1AC was 6.20 until the doctor c...
Mr. lybrate-user good evening the medicine other than diabetes continue, you require following management of drug 1. Amaryl 1 mg 1/2 hour before breakfast 2. Janumet 100/1000 in morning after breakfast 3. Amaryl 2 mg before dinner 1/2 hour 4.obimet 1000 mg after dinner 5. Read health tip on diabetes and diet on at following link and follow instructions 6. You may consult to local endocrinologist for this change for follow up 7 before change of treatment you require following investigation a. Fbs b. Ppbs c. Lipid profile d. Sr. Creatinine all test after 10- 12 hours fasting consult on line by text chat for onward management before starting above treatment.
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Know More About Thyroid

BAMS, MD Ayurveda
Sexologist, Lonavala
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Causes, symptoms and home remedies for Thyroid

1 person found this helpful

Hypothyroidism - 8 Tips To Help You Deal With It!

MBBS, MD - General Medicine
General Physician, Hyderabad
Hypothyroidism - 8 Tips To Help You Deal With It!

If you are suffering from hypothyroidism, it is important for you to deal with the condition so that your daily life and activities do not get affected. Hypothyroidism occurs when your thyroid gland becomes under active and does not produces sufficient amount of hormones. This affects the metabolism rate of your body. Hypothyroidism has several symptoms which include fatigue, constipation, dry skin, muscle cramping, hoarse voice, depression, sudden gain of weight and brittle hair and fingernails.

Here are some important tips which you should follow in order to deal with hypothyroidism and for its treatment:

  1. Go Gluten and A1 Casein free: Common allergies and food intolerance, which occur today are because of wheat and dairy products because of the hybridized proteins of A1 casein and gluten. These may lead to a leaky gut, as a result of which inflammation of the thyroid gland takes place. This affects the thyroid’s functioning. You should avoid grain and gluten in your diet. Try to consume dairy products coming from A2 cow’s milk.
  2. Avoid BPA: Bisphenol A or BPA is present in plastic bottles. These are capable of disrupting the endocrine system and also affect the thyroid gland. You should avoid drinking from plastic bottles and drink water from glass, stainless steel and plastic bottles which are BPA free.
  3. Check your iodine levels: In case your iodine levels are low, you should use an organic liquid supplement. Kelp is ideal for this purpose.
  4. Heavy metal detox: You need to detoxify your body and eliminate traces of harmful metals from your organs and cells. For this, you may use a combination of milk, turmeric, chlorella, cilantro and thistle, which are ideal for a metal detox.
  5. Increase your selenium intake: It is important for you to consume sufficient amounts of selenium in your everyday diet, but you should not consume them in excess. You should eat food items containing selenium in good amount such as salmon, sunflower seeds, Brazil nuts, mushrooms, onions and beef.
  6. Take adaptogen supplements: You should lower your cortisol levels and improve thyroid functioning by taking supplements such as tulsi and ashwaganda.
  7. Remove silver fillings: If you have amalgam fillings, you should consult a dentist and get the fillings removed.
  8. Lower your carbohydrate intake: You also need to reduce the amount of sugar and grains in your regular diet. Instead, take healthy fats. Consuming too much carbohydrates leads to increased estrogen, which affects thyroid negatively. Choose healthy fats like coconut oils, avocado, wild salmon, hemp seeds and flax seeds. These will help in balancing your hormone levels.

Hypothyroidism usually occurs from common causes such as toxicity due to radiation and metal exposure, deficiency of iodine and selenium, food intolerance and hormonal imbalance due to stress and excess carbohydrates.

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Role of Homeopathy in Treating Type II Diabetes

MD - Homeopathy, Doctor of Homeopathic Medicine (H.M.D., BHMS
Homeopath, Delhi
Role of Homeopathy in Treating Type II Diabetes

Type II Diabetes is also known as Non-Insulin Dependent Diabetes Mellitus (NIDDM) or Adult-onset Diabetes. Diabetes mellitus is a syndrome characterized by increased level of sugar (glucose) in the blood due to deficiency or inactivity of hormone 'Insulin' that is absolutely necessary to monitor glucose metabolism of body. This is a metabolic disorder that is primarily characterized by insulin resistance, relative insulin deficiency and consecutively hyperglycemia. Diabetes is prevalent worldwide and if not attended properly, it may lead to serious complications.

Causes of Type II Diabetes:

Diabetes basically occurs due to defective insulin secretion combined with defective responsiveness of the body to the insulin (also called Insulin resistance). Due to both these factors, hyperglycemia starts occurring in the body. It is strongly associated with obesity and with increasing age. A strong inheritance pattern has been noted in cases of type 2 diabetes. Sedentary lifestyle, pregnancy, hypertension, cardiovascular diseases, etc pose as risk factors for developing Diabetes.

Type 2 diabetes can begin at any age though it is not very common in childhood. It usually begins with insulin resistance, a condition in which the body does not use insulin properly. At first, the pancreas keeps up with the added demand by producing more insulin but later it loses the ability to secrete enough insulin in response to meals. This ultimately results in Hyperglycemia (high levels of glucose in circulation).

Homeopathic Treatment for Type II Diabetes:

Diabetes is a constitutional disorder as it is an offshoot of constitutional defects (genetic factors, altered immunity) having an impact on the entire constitution of an individual. Hence it calls for an in-depth constitutional approach for its management.

Homeopathy is based on the principle that disease is a total affliction of body. Moreover, homeopathy recognizes importance of the underlying causes such as genetic and inherited factors as the root of any ailment of the body. Homeopathic medicines prescribed on such criteria plays a crucial role in management of many deep-rooted, chronic, difficult diseases; one amongst them being Diabetes.

When we talk about diseases like diabetes, we talk in terms of management rather than cure. Homeopathic treatment along with intake of hypoglycemic drugs and/or insulin can prevent the progress and the complications associated with this condition. Moreover timely administered homeopathic medicines help in maintaining the levels of exogenous insulin and hypoglycemic drugs at minimum possible dosage and in preventing the further progress of the disease. However, it may be noted that there is no substitute to insulin in homeopathy. The role of a healthy diet and exercise cannot be underestimated along with all the above treatment measures.

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Causes and Treatment of Infertility in Men and Women

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
Causes and Treatment of Infertility in Men and Women

If you are having problems conceiving, you are not alone; around one in seven couples has difficulty.

Infertility is often thought of as a female concern, but in fact in a third of the cases, it is because of male problems, such as a low sperm count.

Male infertility is a condition wherein a man is unable to cause a successful pregnancy in a perfectly fertile woman. Male infertility usually stems from deficiencies in the semen (relating to poor sperm count or low sperm motility).

On the other hand, female infertility is as a condition wherein a woman is unable to carry a pregnancy to full term or conceive after an entire year of having unprotected sexual intercourse.

What causes infertility?

Causes of Male Infertility:

  1. Blockage or obstruction either in the production of sperm or its motility leads to infertility. This problem is caused by various factors such as prostate infections or vasectomy (a surgical procedure used for birth control in men).

  2. Difficulty in the production of sperm, either due to genetic or chromosomal causes, can lead to this condition. Damage to the testes or the condition of undescended testes can also result in this disorder.

  3. Hormonal problems caused due to anabolic steroid (a synthetic steroidal hormone with effects similar to those of testosterone) abuse or pituitary tumors (tumors of the endocrine gland) are other factors responsible for male infertility.

Other factors that may play a part in infertility include:

  1. having had inflamed testes (orchitis)

  2. a past bacterial infection that caused scarring and blocked tubes within the epididymis as it joins the vas

  3. having received medical treatment such as drug treatment, radiotherapy or surgery – for example to correct a hernia, undescended testes or twisted testicles

  4. genetic problems

  5. diabetes

  6. lifestyle factors such as being overweight or having a job that involves contact with chemicals or radiation.

  7. Male fertility is also thought to decline with age, although to what extent is unclear.

Causes of Female Infertility:

  1. Ovulation disorders: Ovulation disorders account for about 25% cases of female infertility. This happens either because of under-secretion or other problems in the secretion of the reproductive hormone by the pituitary gland.

  2. Tubal infertility: The fallopian tubes allow the eggs to travel from ovaries to the uterus. Any blockage or obstruction of these tubes results in infertility, owing do the fact that the eggs or the ova do not reach the uterus. Certain factors such as pelvic inflammation (infections of the uterus) can result in the blockage of the fallopian tubes.

Other factors that may play a part include:

  1. age – female fertility declines sharply after the age of 35

  2. Polycystic Ovary Syndrome (PCOS)

  3. gynaecological problems such as previous ectopic pregnancy or having had more than one miscarriage

  4. medical conditions such as diabetes, epilepsy, and thyroid and bowel diseases

  5. lifestyle factors such as stress, being overweight or underweight, and smoking.

Treatment Methods for Males:

  1. Surgery can correct blockage or obstruction in the testes.

  2. Gonadotropin treatment is a treatment method to develop sperm production. This includes injectable medicines which comprise of both the hormones, Follicle-stimulating hormone (FSH) and luteinizing hormone (LH). This mode of treatment has been found to improve sperm motility, morphology and count.

  3. Varicocele treatment method is the enlargement of a varicose vein (swollen or twisted vein) in the scrotum (testicles). The objective of this treatment is to correct abnormal sperm shape.

Treatment Methods for Females:

  1. Fertility stimulating drugs: Fertility restoring drugs are known to induce ovulation in women who have ovulation disorders. They tend to work like hormone stimulators such as the luteinizing hormone and follicle stimulating hormone (FSH) which trigger ovulation.

  2. Surgical process: There are surgical treatment methods available to boost female fertility. Laparoscopic surgery is a minimally invasive surgery that reduces or corrects abnormalities related to pregnancy

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My mother is suffering from diabetes she is 42 years old. I just wanted know that she can consume ghee. Some people say yes you should and some says no. And also jaggery replacing sugar. My mother's diabetes is 170 after meal and before meal is normal 101. So please help me out. What to eat and what not to eat.

MBBS, MD
Endocrinologist, Delhi
My mother is suffering from diabetes she is 42 years old. I just wanted know that she can consume ghee. Some people s...
It seems that your mother's blood sugar is satisfactorily controlled. Do not give jaggery and she can take small amount of ghee some times.
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How can I treat uncontrolled diabetes mellitus type 1 preoperatively and also post operatively?

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
How can I treat uncontrolled diabetes mellitus type 1 preoperatively and also post operatively?
Hello Sir, You can control your blood glucose levels by following a good healthy diet, avoiding high calorie and high sugar food stuffs, limiting the intake of carbohydrates (rice, roti etc.), increasing the consumption of vegetables and taking adequate amounts of protein - dal, non-veg food etc. Kindly get your fasting and post prandial blood glucose tests regularly. Further get your HbA1C checked every 3 months. Your FPG should be less than 110, PPG should be less than 160 and HbA1C should be less than 6.5 % for good control. Kindly see a good diabetologist who can titrate your insulin doses. If you need any more specific information, please consult me privately through Lybrate. I hope this answer has helped you Thank you.
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I am diabetic - can I eat dry currents (raisins) - is it ok to drink coconut water (not sweet)

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
I am diabetic - can I eat dry currents (raisins) - is it ok to drink coconut water (not sweet)
Hello Sir, You can eat about 8-10 raisins. Eating too many raisins will increase your blood glucose levels. Drinking coconut water once in a while is Ok, but not daily. I hope this answer has helped you Thank you.
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What type of food should take for type - II diabetes? Please give me food chart for daily.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
What type of food should take for type - II diabetes?
Please give me food chart for daily.
Diabetes can be controlled/managed by a proper regulated diet and exercise..>> 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..>> These steps can help reduce sugar levels.
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I am diabetic. For past 10 years I am 42 yrs. What preventive medicine should I take to avoid any weaknesses.

MBBS
General Physician, Pune
I am diabetic. For past 10 years I am 42 yrs. What preventive medicine should I take to avoid any weaknesses.
Dear lybrate-user, If you are diabetic since long time, your weaknesses are the target organs of diabetes. They are retina, heart, nerves, kidneys and blood vessels. Following are the precautions: 1. Do a regular check-up of these target organs regularly. An annual retinoscopy from an eye specialist for eyes is a must. 2. ECG, ECHO, TMT etc for heart. Very good tests have come up for assessing heart health. Do them once a year. You can find out them on internet. 3. Kidney function test for kidney. Keep track of Glomerular Filtration rate, creatinine clearance, albumin in urine, etc. 4. Take B 12 etc for nerve protection. Please always wear shoes to protect your feet. Never leave your feet unprotected. 5. Exercise, exercise, exercise. 6. Keep your HbA1C between 5-6. 7. Yog, pranayaam, meditation, help to break the adrenalin rush. You can try Sufi music and sufi whirling for meditation. All the best.
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It's for me m 31 years old male suffering from hypothyroid TSH >150 T3-39 T4-2.3 Pls suggest me what medicine shall I take.

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
It's for me m 31 years old male suffering from hypothyroid TSH >150
T3-39
T4-2.3
Pls suggest me what medicine shall I...
Hello Sir, Your results show that you are having overt hypothyroidism. You need to go on Thyroid hormone replacement medication. You have to take this tablet once a day on an empty stomach in the morning. You need to get your Thyroid function tests repeated once every 6-8 weeks. . You can consult me privately through Lybrate if you wish. Then I can thoroughly assess you and prescribe the medication. Alternatively see a good endocrinologist. I hope this answer has helped you Thank you.
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About Diabetes

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
About Diabetes

Diabetes often referred as diabetes mellitus is a metabolic diseases in which the person has high blood glucose (blood sugar) either because insulin production is inadequate or because the body's cells do not respond properly to insulin or both. There are three types of diabetes:

1. Type 1 diabetes: The body doesn't produce insulin. People usually develop type 1 before their 40 th year often in early adulthood or teenage years. It is nearly 10% of total diabetes 

2. Type 2 diabetes: The body doesn't produce insulin for proper function, approximately 90% of all cases of diabetes of this type 

3. Gestational diabetes: This type affects females during pregnancy, uncontrolled or undiagnosed gestational diabetes can raise the risk of complications during child birth

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Diabetes - Role of Ayurveda in Treating it!

Jiva Ayurveda Clinic
Ayurveda, Faridabad
Diabetes - Role of Ayurveda in Treating it!

Most people dread the prospect of having to deal with diabetes. After all, having any disease is not a nice prospect, let alone a lifestyle disease such as diabetes. For many people who have it, a lifetime of pill taking at different parts of the day is a reality. But what if, other successful forms of treatment were found to be effective? Yes, there is good news for all diabetic patients. Ayurveda is one such line of medicine, which has been successfully treating diabetic patients for centuries.

A lot of the effort to treat a person who has diabetes by using Ayurvedic principles has to do with the kind of food regularly consumed. This should not really come as that much of a surprise as our overall health has a lot more to do with the food that is eaten by a person than is normally thought. While cinnamon is considered to be great to add flavour to food, Chinese cinnamon, also known as cassia, which is sourced from the bark of the cinnamon tree, is a good resource to treat diabetes with.

When it comes to food items that should be avoided by a person who has diabetes, rice tops the list. It is something that should not be consumed in large quantities at all. This is true in spite of it being a staple food in many countries and for many people. Apart from this, eating potato does not do any favours either; so consume them in limited quantities.

It is very important to quit smoking and stop consuming alcohol to a large extent, if a complete withdrawal is not possible. In addition to this, sufficient sleep on a nightly basis is also key to maintaining a healthy lifestyle. A person with diabetes would do well to make it a habit to practice meditation in a consistent way. Practising yoga and going for regular walks are also highly recommended. As a matter of fact, the activity level of a person should be high throughout the day and not just peak at the time of exercise.

One of the main beliefs of Ayurveda is that an overall healthy state of body needs to be maintained. If the body is not in balance, this will cause various problems in different parts of the body. As long as there is discipline, with Ayurveda, diabetes can be easily beaten!

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I have thyroid problem my TSH level is between 7 to 8 miliunit. please tell me how much this is dangerous for me. My periods is also affect by this .My ovaries get bulky. Please reply.

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
I have thyroid problem my TSH level is between 7 to 8 miliunit. please tell me how much this is dangerous for me. My ...
Hello Madam, Your TSH is only minimally raised. It is likely that you have subclinical hypothyroidism. It is not dangerous, it is quite easy to control with tablets. You need to get your TSH levels checked once every 2-3 months. As you are having period problems, you can be started on a small dose of Thyroid hormone replacement medication.. You can consult me privately for it if you wish through Lybrate. I hope this answer has helped you Thank you.
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Hello sir/madam my dad is suffering from diabetes since 15 years. Now he 51 years old. His glucose level is normal. But frequently he suffer with loose motions thrice r twice in a week. What is the reason why is this happening. please reply?

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
Hello sir/madam my dad is suffering from diabetes since 15 years. Now he 51 years old. His glucose level is normal. B...
There are numerous reasons for the same. It can be something as simple as stomach infection or worms in the stomach which can be easily treated. Other causes can be diabetes related changes. Or can be intestinal problems.
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I was infected by insulin pen while giving it to my grand father who has diabetes It struck at my finger I immediately took blood out of my finger and washed hands properly I also used hydrogen peroxide to clear the wound. Will there be any chances that I get the diabetes I am worried a lot please suggest me. I will be very thankful to you.

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
I was infected by insulin pen while giving it to my grand father who has diabetes It struck at my finger I immediatel...
No. Diabetes is not transmitted like this. However, make sure that the site where you got the prick is not infected with any other bacteria.
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Doctor advised to take Glycomet GP 1 forte (glimepiride 1 mg Metformin 1000 mg) twice a day, Can I take two tablets (glimepiride 1 mg + metformin 500 mg in one tablet & metformin 500 mg in another tablet) at the same time, i.e 4 tablets in a day. Will that combination work same as the Glycomet GP 1 forte?

MD - General Medicine, DM - Endocrinology
Endocrinologist, Faridabad
Doctor advised to take Glycomet GP 1 forte (glimepiride 1 mg Metformin 1000 mg) twice a day, Can I take two tablets (...
Yes, you can use these two tablets instead of one. That will work as one tablet of glycomet gp1 forte.
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My mom is a diabetic patient Dr. Starts insulin he said she stop to take insulin after 20 days. Mostly mom blood sugar is high but now days its low 153 after breakfast. I am very worried about this insulin please tell after 20 days she will stop to take insulin. Because I heard if insulin starts to take a diabetic patient it not stop. Please solve my problem.

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
My mom is a diabetic patient Dr. Starts insulin he said she stop to take insulin after 20 days. Mostly mom blood suga...
Insulin is not addictive. It can be stopped depending on blood sugar levels. Please consult the doctor before stopping.
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I am 25 year old married woman. I am suffering from diabetes since last 15 years. Nd taking insulin. Which care I want to take for healthy life?

Homeopath,
I am 25 year old married woman. I am suffering from diabetes since last 15 years. Nd taking insulin. Which care I wan...
IF your TYPE 2 DM is noninsulin dependent type DM and having 15 years DM instead of tablet still taking insulin you need to check C-peptide is measured to tell the difference between insulin the body produces and insulin injects into bodyis proper or wrong. Type 2 diabetes C-peptide level measured to see if their body is still producing any insulin you need to decrease weight cholestrol bp & routine check up of heart kidney & your DM & other test require always check sugar three times day normal at home never stop taking insulin& medicine until doctor advice this may lead to emergency conditio develop.
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