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Dr. Kaustubh A Joag

Psychiatrist, Pune

Dr. Kaustubh A Joag Psychiatrist, Pune
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Kaustubh A Joag
Dr. Kaustubh A Joag is a renowned Psychiatrist in Koregaon Park, Pune. You can consult Dr. Kaustubh A Joag at Inlaks and Budhrani Hospital in Koregaon Park, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Kaustubh A Joag on Lybrate.com.

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Inlaks and Budhrani Hospital

#7- 9, Koregaon Park. Landmark: Next Rajini Ashram, PunePune Get Directions
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My husband is 32 year. Now facing mood swing problem in working time like dream, old memories, flash back. And we have done mri. Some minor thickness on rt. Brain side but dr, said that its not a big issue it is a migraine aura and give medicine. But what is the treatment of mood swing? neurologist said its not a psychological problem.

D.P.M, MBBS
Psychiatrist, Nagpur
Its is psychological problem, symptoms you mentioned are present in stress related conditions, depression, and anxiety disorders please contact psychiatrist for detailed evaluation mri finding are normal.
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I am usually very unpredictable and easy going but lately I feel like sitting in front of my laptop and open my books and never get out of my room and listen to music all day and drown out other things in my life. What do you suggest I do? I think I have depression but I am not sure. So your opinion will really help thanks.

Masters in Clinical Psychology & Certified Cognitive Behaviour Therapy Practioner, Certified Neuro linguistic programming Practioner, Masters in Clinical Psychology, Post Graduate Diploma in Child and ADolescent Counselling
Psychologist, Pune
I am usually very unpredictable and easy going but lately I feel like sitting in front of my laptop and open my books...
Theses are few Symptoms of depression: Feelings of helplessness and hopelessness. A bleak outlook—nothing will ever get better and there’s nothing you can do to improve your situation. Loss of interest in daily activities. You don’t care anymore about former hobbies, pastimes, social activities, or sex. You’ve lost your ability to feel joy and pleasure. Appetite or weight changes. Significant weight loss or weight gain—a change of more than 5% of body weight in a month. Sleep changes. Either insomnia, especially waking in the early hours of the morning, or oversleeping. Anger or irritability. Feeling agitated, restless, or even violent. Your tolerance level is low, your temper short, and everything and everyone gets on your nerves. Loss of energy. Feeling fatigued, sluggish, and physically drained. Your whole body may feel heavy, and even small tasks are exhausting or take longer to complete. Self-loathing. Strong feelings of worthlessness or guilt. You harshly criticize yourself for perceived faults and mistakes. Reckless behavior. You engage in escapist behavior such as substance abuse, compulsive gambling, reckless driving, or dangerous sports. Concentration problems. Trouble focusing, making decisions, or remembering things. Unexplained aches and pains. An increase in physical complaints such as headaches, back pain, aching muscles, and stomach pain. Theses are the criteria for qualifying for depression A. Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure. Note: Do not include symptoms that are clearly attributable to another medical condition. 1. Depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g. Feels sad, empty, hopeless) or observation made by others (e.g. Appears tearful). (Note: In children and adolescents, can be irritable mood.) 2. Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective account or observation.) 3. Significant weight loss when not dieting or weight gain (e.g. A change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day. (Note: In children, consider failure to make expected weight gain.) 4. Insomnia or hypersomnia nearly every day. 5. Psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down). 6. Fatigue or loss of energy nearly every day. 7. Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick). 8. Diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others). 9. Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide. B. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
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What's the reason of mental disease? Whats the reason of obsessive compulsive disorder? Give me answer in detail. Plz.thank you.

MD - Psychiatry
Psychiatrist, Chennai
Psychiatric illnesses occur due to bio-psycho-social reasons. Biological is your brain neurons and functioning, psychological are the factors during your developmental stage and sociological are the external environment/ people/ job/ stress u r exposed to. So it is multifactorial for various disorders, each contributing in varying proportion. For OCD, there is altered serotonergic ( a neurotransmitter) transmission in certain brain areas as the main reason.
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What is Maximum stage (or) speed to be achieved by a 46 years old men. During TMT STRESS TEST. Upto what level can BP& HR reaches.

MBBS
General Physician, Mumbai
What is Maximum stage (or) speed to be achieved by a 46 years old men. During TMT STRESS TEST. Upto what level can BP...
Diastolic reading should not go above 100 and the main thing to see is about any changes in the ecg during the tests.
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Want to Reduce cholesterol levels and Reduce weight. Please suggest something. I am a social drinker. Alcohol twice a month.Please tell.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Want to Reduce cholesterol levels and Reduce weight. Please suggest something. I am a social drinker. Alcohol twice a...
Dear lybrate user. I can understand. The best time tested method to reduce weight and cholesterol is physical exercise and games along with low fat low carb high fiber diet. There are no short cuts in reducing weight. Regarding cholesterol, raw garlic, honey, lemon, cinnamon, turmeric etc are known to reduce cholesterol. Include them in your daily diet. Please do not skip exercise. Take care.
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I am 26 year old and having habit of chewing tobacco and cause of this habits my mouth jaws is lock and only 2 fingers I can open my mouth so please help to open my mouth normally firt how it was opening wide and im quiting this habit slowly slowly.

MD - Psychiatry, MBBS
Psychiatrist, Pune
I am 26 year old and having habit of chewing tobacco and cause of this habits my mouth jaws is lock and only 2 finger...
First first problem- consult to ent surgeon, he will treat you with some medicine and injections if needed. For second problem- consult to addiction psychiatrist will start nicotine or non nicotine replacement therapy depending on your condition.
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How To Identify Day-To-Day Stress?

POST GRADUATE DIPLOMA IN CLINICAL PSYCHOLOGY, Masters in clinical psychology
Psychologist, Mumbai

Many of us may feel stressed out in our daily lives without knowing why, actually the real problem is the stressful situation is that we are enduring, either in our minds or in reality.
Identifying stressors is not easily done for most people, while some of us can point to different stress factors that have occurred recently in our lives, others have no idea why we are stressed.
If you are feeling" stressed out" sit down with a pen and paper and try to identify the causes of your stress. In most cases, it will be more than one different problem that is causing stress.
Keeping a journal of your day to day activities and how you feel periodically throughout the day is also a great idea. Think about the different people with whom you interact and how you feel about each interaction.
Once you have identified the source of your stress, you can then make a determination on how you can handle the stress that is affecting your daily life.
Need to understand that some of the stressors you will be able to control, others you will not be able to do anything about. But in order to help yourself you are going to have to know what are the causes of your stress. Often we don't realize that we are in control because we feel so out of control at the time of stress, but the tools are there, you just have to use them.

I Am 52 years old and taking allopathic medicines for depression as prescribed by PGI Chandigarh, for the last one year. Having depression for the last 10 years and taking medicines since that time. Now having ED problem which again has become another reason for depression. Pls advice.

BHMS
Homeopath, Sindhudurg
I Am 52 years old and taking allopathic medicines for depression as prescribed by PGI Chandigarh, for the last one ye...
Allopathic treatment for depression have lot of side effects like ed. So stop taking those harmful medicine for depression and take homoeopathy for depression as well as ed.
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I am having problems with erectile dysfunction for the past two years. Though I am healthy and physically fit and wants have intercourse I am not able to perform due to anxiety. Some other time I get erection but can't do it because of timings and place. Kindly advise.

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
I am having problems with erectile dysfunction for the past two years. Though I am healthy and physically fit and wan...
Dear lybrate user, you need to learn some techniques which will reduce your anxiety. A little more knowledge about sex will also help you. Hence, please contact a counsellor or a sexologist who will guide you.
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After I had break up with my gf. Till now im very depressed. Help me to forget her.

BHMS
Homeopath, Thrissur
After I had break up with my gf. Till now im very depressed. Help me to forget her.
Exercise yoga meditation etc are found to be helpful in such difficult times. Find a new hobby (reading etc) to distract yourself from the thoughts.
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Sir my brother is schizophrenic since 1998. Engineer by profession. In 2008 he moved to australia for studies and work. Before that in india he was not doing anything but to disturb other family members. He uses to get violent. Mom. N dad used to cry. We tried various doctors for treatment n succeeded a little bit. After moving to australia he took. Medicine for 1 and half years then he stopped it saying that he is alright. Recently I lost my father. ME n my mom. Are staying here in india. Whenever my brother comes home I get very scared. I'm a working woman, unmarried. Recently I feel a little disturbed so as to how to handle all the pressures. MOm's health, brother's erratic behaviour etc. I'm 35 years old. Let me know what I should do when my brother comes to INdia and how to cheer myself up.

MBBS, MD (AIIMS, Gold Medalist), Diploma in CBT (UWS, Glasgow)
Psychiatrist, Delhi
Sir my brother is schizophrenic since 1998. Engineer by profession. In 2008 he moved to australia for studies and wor...
I think he can be put on what are known as depot injections. Basically he will not need to take medicines daily; just one injection a month. It is very common for relatives of schizophrenia to have depression and feel stressed. You need to be evaluated for this and treated accordingly. Please understand that none of this is your fault. In fact you and your mother are brave and have shown extraordinary courage that people often lack! after all these years of caring for your brother, mother and dad, it is now time for you to care for yourselves! don't neglect it!
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There is some kind of pain in my food pipe. When I swallow something, I feel pain.

DNB (Pediatrics)
Pediatrician, Amravati
There is some kind of pain in my food pipe. When I swallow something, I feel pain.
Pain in your food pipe that is esophagus could be because of ulcers or acidity. Take cold milk, avoid spicy food. If it persist then go to yourself physician.
1 person found this helpful
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I am 19 years old. I am male. I have sinus. I am also some fat. I am non-veg how can I reduce the effect of sinus on my body. My blood group is A+ and weight is 75 Kg. I Don't have any smoking or drinking habits. Is there a chance that I will get any other diseases.Please suggest.

Diploma in Tuberculosis and Chest Diseases (DTCD), MBBS
Pulmonologist, Delhi
I am 19 years old. I am male. I have sinus. I am also some fat. I am non-veg how can I reduce the effect of sinus on ...
The best way is to do lots of breathing exercises like jogging, running, swimming and playing games which involves running
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A boy had got a female character he want it to changed by hormone replacement it can be cured.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
A boy had got a female character he want it to changed by hormone replacement it can be cured.
Dear lybrate user. I can understand. Sex reassignment surgery from female to male includes a variety of surgical procedures for transgender men that alter female anatomical traits to provide male anatomical figure and other features. Hormonal therapy alone cannot work here. Do talk to your doctor. Take care
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Are You A Heavy Drinker? 5 Tips to Help You Drink in Moderation!

MBBS, Diploma in Public Health ( Preventive and Social Medicine)
General Physician, Navi Mumbai
Are You A Heavy Drinker? 5 Tips to Help You Drink in Moderation!

While most of us consume alcohol on a social basis, or during certain special and momentous events of our life, there are some people who may be classified as heavy drinkers. There is a certain alcohol limit as per the sex, age and climate that a person can have on a daily basis. When a person overshoots that limit on a daily basis and that too by a large margin, he or she may be known as a heavy drinker.

If you fall in this heavy drinking category, then you may want to go through the following tips in order to bring down and curb your habit so that you can drink in moderation, without causing undue problems for your mental and physical health.

  1. Use bitters: Using bitters, especially digestive bitters, with your drinks can help in bringing down the amount of alcohol that you consume in one go. This can also help your body in digesting the alcohol in a better manner so that you do not wake up with a hangover. Also, the use of digestive bitters can help in detoxification of the liver and prevent it from getting coated with toxins released by alcohol.
  2. Water: It is a well-known fact that one must stay hydrated while drinking so that he/she does not get carried away and drink too much. You can easily have a glass of water between each drink so that you keep the buzz at a stable level rather than letting it get to your head, to a point where you start to ask for even more alcohol. Moreover, before a big party or event, it is best to first have plenty of water so that you do not end up going overboard.
  3. Cleansing juices: The latest diet and fitness fad includes a dose of juices churned from various kinds of fruit and vegetables. You can also try this cleansing juice menu every time you feel like reaching out for a drink. This will help you in keeping things in perspective and then drinking moderately, if and when the need arises.
  4. Set a drink deadline: If you want to cut back on your drinks significantly, then one of the best things to do is to set yourself a drink deadline. As per this deadline, you will set a number where you will stop. For instance, once you have reached 2 to 3 drinks, you will automatically stop so that you do not binge.
  5. Find a support group: It is best to find a support group of friends or even an alcoholic anonymous group so that you can share your experiences and find motivation at the same time. This is especially important for those going through withdrawal symptoms. If you wish to discuss about any specific problem, you can consult a general physician.
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What to do for often panic attacks. I feel my heart is beating fast. Is it harmful?

MBBS
General Physician, Cuttack
What to do for often panic attacks. I feel my heart is beating fast. Is it harmful?
Yes it is harmful.if you have recurrent panic attack you need medication.Consult psychiatrist for advice and treatment
3 people found this helpful
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I went to neurologist in 2013. He prescribed me antidepressants for 6 months; as a result of that I suffer from depression symptoms. Now whom should I consult? I suffer from many symptoms now.

MD - Psychiatry
Psychiatrist, Guwahati
I went to neurologist in 2013. He prescribed me antidepressants for 6 months; as a result of that I suffer from depre...
Antidepressant medicines do not cause depression. These medicines reduce & cure Depression. If after treatment also your depressive symptoms are increasing, then better take opinion of a Psychiatrist, as either the medicine is not helping you or the dose have to be adjusted. There is treatment available for depression in the form of medicines & counseling. Get yourself evaluated by a Psychiatrist, who will make your proper diagnosis regarding whether you are suffering from depression or some other condition, & then you will be prescribed medicines or advised counseling sessions accordingly. Along with, take the following measures to help yourself: •Try to lead an active life & maintain a healthy lifestyle. Go for a walk, exercise regularly, do some yoga or relaxation techniques daily. •Try to be contented with what is in hand. Over expectation is usually harmful. •Set goals which are realistic & within your capability & try to pursue them. •Do not spend time alone. Spend time with friends, family members or well wishers with whom you feel comfortable & positive. •Read motivational books & quotes. •Spend some time daily recollecting the good moments in your life. •Try to evaluate things practically & rationally. •Avoid people who spreads negativity or demoralize you. •Avoid watching or reading mind disturbing things like violence, crime, horrors etc. •Maintain a daily routine. •Pursue your hobbies or keep a pet. •Every day spend some time with nature & try to feel its beauty. •Stay away from substance of abuse like alcohol, cannabis, inhalants, drugs etc. •If any problem is there in your life, put your maximum effort & try to solve it. Work to enhance your problem solving skills & coping skills. If you are not able to solve any problem yourself, discuss about it with a well wisher or take professional help. •Keep reminding yourself the fact that people with bigger problems exist in this world. Then your problem will seem trivial. •Read or watch comedies & laugh to your fullest. •Above all, keep reminding yourself that life is precious & one is gifted with this life for once only. Every moment, every day is precious & life once lost can never be regained back.
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I am facing the stress problem to avoiding this getting a peace of mind what should I do.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I am facing the stress problem to avoiding this getting a peace of mind what should I do.
Dear lybrate-user, stress is a response of body and is a defense mechanism. You don't have to worry about stress. You cannot avoid stress. Stress needs to be adjusted with. Please give the details of your stress so that I can help you overcome stress with stress therapy. Take care.
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HELP NEEDED DESPERATELY My boyfriend, 18 years, is suffering since 9 months. These are the symptoms he describes. Different doctors have given different diagnoses such as Anxiety, Depression, Bipolar Disorder and borderline Personality Disorder. There is no improvement since all these months. We need help urgently, please tell us what you think doctors. Chronic Tingling sensation, all day fatigue, chronic weakness in legs, mood and thoughts change in minutes, yawning when fatigued, thoughts and images that are not reverent to what I am thinking, blurred vision and flashy lights 24 hours, no sex drive and chronic decrease in libido since last 1 and a half year, intrusive thoughts of hitting some one from my car once they were troubling me for 24 hours now they come n go, feelings of nerves in fingers, anger,extreme irritability, inflated ego always, spinning vision (once) chronic memory loss, strain remembering things, trouble concentrating, sometimes I think I will recover n I am recovering sometimes I think I will not recover ever and other negative thoughts, muscle twitches, pain in fingers or head, headache, weired thoughts like why are we like this with 2 hands 2 legs etc and other disturbing thoughts, brain fog, brain shocks or brain zaps without any withdrawal of a medication, chest tightness, thinking of first time I am seeing night, dreamlike state, spending,little bit of hallucination, I used to feel nervous excitement before all of this has started, not believing the medications and the doctor, constant feeling of getting misdiagnosed. I was diagnose with health anxiety and depression before took 2 medicine none of them work now diagnosed as bipolar disorder. Lazy,less motivation, pain in knee while stepping stairs ,low vitamin d low b 12 was founded but it got resolved, chest tightness, when I was diagnosed with anxiety and when the medicines were not working I made everyone believe that it is something else like bipolar which is more serious now these medicines (bipolar) are also not working n I think I have anxiety and depression which is in its most severe state n causing me these troubling symptoms. All of this started when I was in my hometown suddenly I felt like fainting n after that for some time my vision got dark which was fine the next day in morning that was the period of time when I used to think that I have hit someone from my car n I used to check again n again n used to seek reassurance and this was the time when I used to think of different ideas of business and used to tell my dad about my creative ideas one-two of them were copied. I always had less motivation but I used to do the things I loved very bravely as in driving for long road trips at a very small age I always used to feel that I am not sleepy everyone around used to get tired when I used to keep driving.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
HELP NEEDED DESPERATELY My boyfriend, 18 years, is suffering since 9 months. These are the symptoms he describes. Dif...
There is high possibility that there will be confusion and mixed diagnosis due to your age. This is the last stage in your adolescence and because of hormonal and unresolved childhood issues, these symptoms will arise seeking a resolution. The symptoms will settle down to a more defined diagnosis in a short while and treatment can be geared to facilitate the correct prescription. However, there is a strong possibility that there may be a genetic factor that is getting activated also because of your age. Check your family history with your parents and find out the predisposition to any pathology. That will indicate the type of pathology that will finally come up. In the meantime, combine counseling with the medication and you will do a lot better. Because you are young the prognosis can be very good if you are cooperative. People with mental illness lose contact with reality and are therefore not aware. The more aware you are, the more likely you are of being in sound mental health. Now there are two types or levels of awareness: the internal and the external. Both require equal important but not at the same time. At any given time one might require more than the other for practical reasons. It is important to learn to vacillate between the two in smooth harmony as per the demands of the situation. So if there are thoughts internally, then the external behavior must match and conform to what is going on internally. This synchronization is a hallmark of the quality of awareness. So you must always manifest that connection, and there will be no discrepancy to raise other people’s doubts or your own about your mental health. You must put yourself on a tight time schedule of interesting activities and be in the company of people. You must do vigorous and regular exercise, eat well, sleep adequately and work on your emotions, especially fear. The treatment will take as long time and will will work very well if you are cooperative.
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Suffering from depression and irritation for last few days. And memory power low and think about negative thoughts. Fear about future and loss of self confidence.

BHMS
Homeopath, Faridabad
Suffering from depression and irritation for last few days.
And memory power low and think about negative thoughts.
F...
Hello, Practicing yoga with homoeopathic medication helps you in releasing the stress from your body. Brisk walk in a park will help you inhale more fresh air and oxygen for good functioning of the cells and tissues of the body. Medication: Take Schwabe’s Bacopa Monierri 1x/ thrice daily and Kali Phos. 6x/ once at night. Yogasana: Practice the following poses if you don’t have any medical condition or pregnancy or else take an advice from your concern doctor and then only perform these. 1.Balasana: Sit on your heels with your big toes touching and hands resting on your thighs. Lower your belly and chest to rest between your knees, bringing your forehead to the floor. Relax your arms back beside your shins, palms facing up. Soften your breath by taking 5 to 10 long, deep inhalations and exhalations. 2.Savasana: lie back, letting your body sink into and open around the support. End in a supported pose on your back with a folded blanket under the length of the spine to help arch the upper and middle back, and lengthen the lower back. Move your arms a comfortable distance away from your body and anything else around you. Turn your palms to face up. Separate your legs a natural distance apart. Relax your feet and let them roll open. Finally, do a mental scan from head to toe: Where are you holding tension. Release it from every part of your body—including your heart and head. 3.Bhujanasana: Slowly slide forward from Child's Pose to lie facedown. Press your toes and forehead gently into the floor. Rest your palms lightly on the floor on either side of your chest with fingertips pointing forward and elbows bent and hugging in toward your ribcage. Inhale and lift your chest from the heart, pressing only very lightly into your palms and mostly using your back strength to hold your shoulders and chest up. Soften your shoulders. Then lift your hands off the floor completely, broadening across your collarbones and reaching your heart up. Take a couple of deep, slow breaths here. Then as you exhale, place your palms back down and gently lower your chest to floor.
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