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Dr. S R Otiv

Gynaecologist, Pune

100 - 400 at clinic
Dr. S R Otiv Gynaecologist, Pune
100 - 400 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. S R Otiv
Dr. S R Otiv is one of the best Gynaecologists in Rasta peth, Pune. You can visit him at KEM Hospital - Pune in Rasta peth, Pune. Book an appointment online with Dr. S R Otiv and consult privately on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 44 years of experience on Lybrate.com. You can find Gynaecologists online in Pune 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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#489, Rasta Peth, Sardar Moodliar Road, PunePune Get Directions
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Off No 6, 1st Floor, B Wing, Mittal Court, 478 Rasta Peth, Rasta Peth,LandMark:-Opp Samarth Police Chowky, PunePune Get Directions
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I am 27 years old male. I have multiple sex relationship with girls some are from my school and from college my office. Is there any chance that I can get any kind of disease?

PhD Human Genetics
Sexologist,
Of course. It goes without saying. The more the partners, the more the risk. Even if you use condoms they protect you up to 80% on an average and there are infections/infestations that condoms cannot protect.
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Hi, i' m 23. My periods are not coming regularly, I have done a lot procedure for this. I have consulted gynoclogist dr. Too, please kindly suggest me some suggetion

International Academy of Classical Homeopathy, BHMS
Homeopath,
U wil surely all right after homeopathic remedy. U can trytry puls. 30 4hrly. If not better than we wil discus. Take care. Thnks.
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PDDM, MHA, MBBS
General Physician, Nashik
PolyCystic Ovarian Disease (PCOD)


PolyCystic Ovarian Disease (PCOD) जिसे PolyCystic Ovarian Syndrome (PCOS) की कहा जाता है, एक महिलाओ में पाया जाने वाला सामान्य विकार है। अनुमान किया जाता है की प्रजनन की उम्र वाली 90 लाख से ज्यादा महिलाओ को PCOD है तथा इनमे से 60 % से ज्यादा महिलाओ को पता नहीं है की उन्हें यह विकार है। कुछ सालो पहले यह समस्या 30 से 35 साल के ऊपर की महिलाओ में ही आम होती थी परन्तु अब कम उम्र की लड़कियों में भी यह ज्यादा प्रमाण में दिखाई दे रही है।

PCOD क्या है ?

महिलाओ में Sex Hormones के असंतुलन के कारण अंडाशय (Ovary) में छोटी-छोटी गाठ या cyst तैयार हो जाती है जिस कारण महिलाओ के मासिक धर्म (Menstrual Cycle) के साथ प्रजनन क्षमता (Fertility) पर भी असर पड़ता है।

महिलाओ में अंडाशय में सामान्य से अधिक मात्रा में Androgen Hormones की निर्मिति होने पर अंडाशय में छोटी-छोटी तरल पदार्थयुक्त cyst तैयार हो जाती है जो धीरे-धीरे आकार में बढ़ने लगती है। इससे महिलाओ में प्रजनन क्षमता कम हो जाती है और महिला गर्भधारणा करने में असमर्थ हो जाती है।

PCOD के लक्षण क्या है ?

PCOD से पीड़ित महिलाओ में निम्नलिखित लक्षण पाए जाते है :

अनियमित मासिक धर्म (Menstrual cycle) चेहरे / शरीर पर अधिक बाल मुंहासे (Acne) Dandruff पेटदर्द गर्भधारणा में मुश्किल आना यौन इच्छा में अचानक कमी आना गर्भ में छोटी-छोटी गांठ जो की Ultra Sound Scan करने पर दिखाई देती है  बार बार गर्भपात सिर के बालो का अधिक झड़ना त्वचा पर डाग मोटापा 


PCOD के क्या कारण है ?


PCOD होने की मुख्य वजह महिलाओ में Hormones की सामान्य से ज्यादा प्रमाण में निर्मति होना है। स्त्रीरोग विशेषज्ञों का कहना है की पिछले 10 से 15 वर्षो में महिलाओ में PCOD के प्रमाण में 50 से 60 प्रतिशत वृद्धि हुई है। इस असामान्य वृद्धि के कुछ खास कारण है :

असंतुलित आहार (Diet): पिज़्ज़ा, बर्गर जैसे शरीर के लिए हानिकारक junk food। ज्यादा तेलयुक्त, वसायुक्त और मीठा आहार।

 रोग (Diseases) : PCOD होने के पीछे मधुमेह (Diabetes) और उच्च रक्तचाप (Hypertension) जैसे रोग भी एक बड़ी वजह है। अगर परिवार में किसी को PCOD का ईतिहास है तो अनुवांशिकता यह भी एक कारण है। Cholesterol का बढ़ना, HDL कम होना या उच्च Triglycerides के वजह से भी PCOD हो सकता है। 

मोटापा (Obesity) : अत्यधिक junk food का सेवन और व्यायाम के अभाव के कारण आज की युवा पीढ़ी में मोटापा एक बहोत बड़ी समस्या के रूप में उभरा है। ऐसे तो मोटापा कई बीमारियो का घर है परन्तु मोटापे में शरीर में बढ़ी हुई अत्याधिक चर्बी के कारण Estrogen hormone की निर्मिति सामान्य से ज्यादा होती है, जो की अंडाशय में cyst बनाने के लिए जिम्मेदार माना जाता है।

 तनाव (Stress) : आज के दौड़भाग के युग में बढ़ रहे तनाव के कारण लोगो का खानपान और दिनचर्या बिगड़ चुकी है। धूम्रपान, शराब, देर रात का खाना इत्यादि कारणों से भी hormonal imbalance होता है।    


PCOD का निदान (Diagnosis) कैसे किया जाता है ?


PCOD  का निदान करने के लिए निम्नलिखित परिक्षण किया जाता है :

Ultra Sound Scan of Pelvis / Vagina 
Serum LH 
Serum FSH 
LH : FSH ratio 
DHEA-S Level 


PCOD का उपचार कैसे किया जाता है ?

दवा (Medicine) : डॉक्टर द्वारा दी हुई दवा समय पर डॉक्टर के निर्देशानुसार लेना चाहिए। दवा से अंडाशय में ovulation induction कर गर्भधारणा में मदद की जा सकती है। अगर आप मुंहासो के लिए इलाज करे तो अपने डॉक्टर को PCOD होने की जानकारी अवश्य दे।

 वजन कम करना (Weight loss) : अगर आपका वजन बढ़ा हुआ है तो उसे कम करने का प्रयास करे। कई PCOD के मरीजों में केवल वजन कम करने से ही बेहद फायदा होते देखा गया है।

 व्यायाम (Exercise) : व्यायाम करने से आपका वजन नियंत्रण में रहेगा और PCOD की वजह से होने वाली insulin resistant की समस्या भी कम हो जाएंगी। आप अपने उम्र और शरीर अनुसार चलना, दौड़ना, तैराकी या aerobic व्यायाम कर सकता है। 

  संतुलित आहार (Balanced Diet) : खाने में पिज़्ज़ा, बर्गर जैसे शरीर के लिए नुकसानकारी आहार लेने की जगह हरे पत्तेदार सब्जी और फल का समावेश करे। 

जीवनशैली (Lifestyle) : चिंता, शोक, भय, क्रोध इत्यादि तनाव बढ़ाने वाली चीजो से दूर रहे। योग और प्राणायाम करे। हमेशा सकारात्मक विचार रखे।

 शल्यक्रिया (Surgery) : जरुरत पड़ने पर PCOD के उपचार में शल्य क्रिया या operation भी किया जाता है जिसे Laproscopic Ovarian Drilling (LOD) या Laparoscopic Electrocauterisation of Ovarian Stroma (LEOS) कहा जाता है। इस Operation में Laser या Cautery से अंडाशय के cyst में छेद किया जाता है।  

PCOD से पीड़ित महिलाओ में मधुमेह, उच्चरक्तचाप और कर्करोग होने का खतरा रहता है। जल्द उपचार आदि कार्यवाही करने से PCOD के दीर्घकालीन जाखिमो से बचाव किया जा सकता है। 

Dr surbhi agrawal
consultant physician and diabetologist
13 people found this helpful

I am female aged 44 yrs, having being diagnosed as Adenomyosis on USG scan, my complaints are heavy menstrual flow on day 1.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am female aged 44 yrs, having being diagnosed as Adenomyosis on USG scan, my complaints are heavy menstrual flow on...
Hello, heavy menstrual flow on 1-3 days of menses is fairly normal unless it continues to 4-5th day of bleeding and adenomyosis has been the cause detected then you can actually opt for antifibrinolytics to reduce your flow. Please follow up.
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Kavil test looks positive, I am 7 months pregnant. Following is my LAB report: Please do the needful. Report 1 Test Name Result Normal Range 1) HBsAG POSITIVE _, Sensitivity: 0.5 ng/mL Report 2 HBsAg screening Observed value: Reactive (5204.12) Unit: S/CO Non Reactive <1.0 Reactive >=1.0.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Kavil test looks positive, I am 7 months pregnant. Following is my LAB report: Please do the needful.
Report 1
Test N...
Hello, please keep a watch on your liver function tests. Also important would be to give HbsAg immunoglobin injection to child on day 1 after delivery.
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How to Know If You are Getting a Heart Attack?

Sr. Fellowship in Electrophysiology & Pacing, M.R.C.P.(U.K.), DM - Cardiology, MD - General Medicine, MBBS
Cardiologist, Delhi
How to Know If You are Getting a Heart Attack?

Heart attack or myocardial infarction mostly occurs when the flow of blood to the heart is blocked due to one or more reasons. The most prominent reason could be high fat or cholesterol that results in plaque build up in the coronary artery. The restricted blood flow has the potential to damage or even destroy the heart muscle. Some of the symptoms that can be helpful when it comes to the identification of a heart attack are listed below.

1. Discomfort in the Chest - Your chest may feel tight and pressured when you are about to be hit by a heart attack. Pain or discomfort in the chest is usually central typically felt behind the sternum, the central bone of chest. It may not be pain, it may be only discomfort, it may only be in upper part of tummy, very commonly confused with a gas problem. It is often accompanied by a painful sensation in the chest or arms. If a chest pain lasts more than 15-20 min it can be assumed to be a heart attack. This aching sensation may even spread to your back, neck or jaw.

2. Feeling of inconvenience - Often before the heart attack, the person may have feelings of nausea, ingestion, abdominal pain or a heartburn.

3. Breathing problems - Another prominent symptom of heart attack is shortness of breath which is accompanied by cold sweat and fatigue.

Emergency Measure:

If you think you are getting a heart attack, you should immediately take one tablet of Aspirin, 4 tablets of a drug called Clopidogrel, and one tablet of Atorvastatin 80 mg and rush to the nearest possible medical facility as time is very important in the treatment of an acute heart attack.

'Consult'.

Related Tip: Heart Attack - Is the Damage Reversible?

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My friend and his girlfriend indulges in unprotected sex once in a month and soon after intercourse she takes I-pill. This is happening from past 6 months. Is there any chance of getting pregnant for my friend's girlfriend.

BDS, Certification in hypnotherapy, Certification in N.L.P, Certification in Gene and behavior, Psychology at Work
Psychologist, Gurgaon
My friend and his girlfriend indulges in unprotected sex once in a month and soon after intercourse she takes I-pill....
No she will not get pregnant but regular taking of pills which are synthetic estrogen may spoil her body and emotional balance some physical and emotional changes take place that are permanent while you stay on the pill. Some of them are larger breasts weight gain or loss increased acne emotional sensitivity right before your period mood swings throughout your cycle irregular bleeding or spotting & decreased libido! let her know these effects if your friend is her well wisher!
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My sister has 24weeks old to 2nd pregnancy and 28years old too: In ANP (antenatal profile) report, white blood cells count 11500 (but range 4000 to 10000 shows). Is there any effects please tell me and remedy too.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My sister has 24weeks old to 2nd pregnancy and 28years old too:
In ANP (antenatal profile) report, white blood cells ...
Hello, the range is 4000 -11000, so 11500 is fairly normal and if she is not suffering from any infection and is asymptomatic, no treatment is required.
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Meri shadi ko 14 Saal ho gye hai first time aisa hua ki meri Ms. Ko inter course karte samay jalan hui lekin thodi der mai thik bhi ho gyi, kya vajeh ho sakti hai.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- Sex k samay jalan anek karano se ho sakti hai. Khana na pachna, acidity hona, need ka theek se na pura hona, ya vagina mai lubrication ki kami. Agar samasya theek ho gai hai to pareshan hone ki awashyakta nahi hai, sex k samay coconut oil ka prayoga karein, jalan kabhi nahi hogi.
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I am 28 year old guy, in 2013 when I was preparing for competition exam I was attacked by anxiety due to which it effects my sleep and I was consuming libo tyrp 10 mg. Doctor advised me for this you have to quit your drinking habits as it rise the anxiety problem. However from 2016 jan I suddenly realize that I no more want medicine now as I can sleep without it. My question is though I am not taking any medicine for 6 months and my sleeping problem is also recovering. But sometimes when I drink than next day I feel restless or become uneasy . Should I quit drinking forever , and is my anxiety problem is finished.

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
I am 28 year old guy, in 2013 when I was preparing for competition exam I was attacked by anxiety due to which it eff...
Dear lybrate user, I think you need to find out what is causing this anxiety. It is not about appearing for competitive exam, it is probably fear of failure or not living upto the expectations; that is causing this anxiety. Please understand your strengths and skills. Have faith in yourself. I think this anxiety is caused because you consider yourself weak to face any challenge in life. It appears that you are trying to take help either from the medicines or from your drinks. Both are not advisable. Both these habits have their own side effects which will harm your body and your future as well. Behaviour therapy will help you to get rid of your anxiety and drinking. Please consult a counsellor. Take care.
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I had an unprotected sexual relation with my husband on my 8th day of menstrous cycle which is repeating with in 30 days. I thing there is no chance to get pregnant. Is'nt it?

MS - Obstetrics and Gynaecology
Gynaecologist, Ludhiana
I had an unprotected sexual relation with my husband on my 8th day of menstrous cycle which is repeating with in 30 d...
What do you mean by" repeated with in 30 days. Is it 30 days cycle or +/-- 30 days. You have to very clear about it. 8th day is borderline, can fall on either side i. E. Can fall under fertile / safe phase depending on duration of cycle i. E. 28 days/30 days. So don't take any chance and give full detail including your lmp (date of last menstrual period) so I can help you.
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I am a 14 years old girl who has not started her menstruation cycle but for the past 2 years white discharge is seen. But with it light brown spotting are also seen. Is this a reason of worry? What should I do?

BAMS
Ayurveda, Ambala
I am a 14 years old girl who has not started her menstruation cycle but for the past 2 years white discharge is seen....
Leucorrhoea is whitish watery discharge secreted from vagina . Normal rise in secretion occurs before 5 days of periods coming date . If discharge is yellowish with foul smell and causes itching in and around vaginal region , it is a symptoms of infection . These are some instructions and methods which you should follow : * Eat green leafy vegetables daily . Eat a bowl of cereal and drink a glass of milk daily . * Drink plenty of water daily . Drink6 to 8 glass of water . *Maintain proper hygiene around the genital area . Take 500 ml of water and add one teaspoon of Dettol in it , clean the genital area with this daily for 7 days . * Take proper sleep of 6 hrs daily .
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Can anyone tell me the pregnancy symptoms. Because I not yet became. So this is first time. I want to become so please reply.

DNB, DGO, MBBS
Gynaecologist, Ghaziabad
Can anyone tell me the pregnancy symptoms. Because I not yet became. So this is first time. I want to become so pleas...
The easiest way to check if you are pregnant today is by urine pregnancy tests. These kits are easily available at pharmacists. Nausea, breast tenderness, loss of appetite are all non specific signs. These may or may not be present in all pregnant women. On the other hand, these can sometimes be present for reasons other than pregnancy also.
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Hello, I am 4 months pregnant. My office is on 3rd floor with no lift. Though I climb slowly, i am worried if climbing 3floors (100 stairs) would be harmful fr me. I am planning to take leave after completion of my 7 months. Please suggest on this.

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
Hello, I am 4 months pregnant. My office is on 3rd floor with no lift. Though I climb slowly, i am worried if climbin...
Yes 100 stairs everyday is tough with growing pregnancy, you take a call depending on quality of your pregnancy, you may climb slow with a pause for few minutes on every floor. You may use it as a part of light exercise. Take leave if you feel pain in abdomen and any other symptoms. Regular checkup with gynaec is the rule.
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I am 20 years old. Initially my periods continued for 4-5 days with good flow but since last 1.5 years it has reduced to 3 days with a good flow. This month I had periods for 2 days third day there was no flow and again 4th and 5th day there was moderate flow ample to use a napkin. Please suggest.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am 20 years old. Initially my periods continued for 4-5 days with good flow but since last 1.5 years it has reduced...
Periods lasting from 2-7 days is considered as normal menses. Less flow for this short duration does not warrant any tests or treatment. If they come on time even with little irregularity, more than or equal to 2 days and > or equal to 1 pad in a day then menses are normal. Sometimes hormonal changes or stress can reduce the flow of menses but it will get cured automatically. But if it is happening regularly for more than 6 months, then definitely you need to be investigated with sonography and blood tests: fsh, lh, tsh, and prolactin to find out the exact cause. You may be suffering from pcod or thyroid problem.
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Kegel Exercises - How Beneficial They are in Pregnancy?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Kegel Exercises - How Beneficial They are in Pregnancy?

Kegel is named after renowned gynaecologist Arnold Kegel. Kegel exercises are for the strengthening the pelvic floor muscles. You must continue doing Kegel exercises multiple times for several days, to begin to see changes and benefits.

Benefits 
1. It is a highly recommended treatment for urinary incontinence
2. Works well in case of decreased bladder control
3. Strengthens pelvic muscles
4. Relieves abdominal cramps
5. Helps in pelvic toning
6. Prevents organ prolapse
7. Beneficial to those with constipation as kegel exercises help regulate bowel movements

Kegel exercises during pregnancy
During pregnancy, most women suffer from problems related to constipation, which can be kept in check by regular practice of kegel exercises. The strengthening of pelvic muscles is of utmost need during this time, as weakened muscles can lead to a major prolapse if they are unable to bear the weight of a baby. Strong pelvic muscles are required to have a healthy pregnancy. These exercises are useful in preparing the muscles for labour and childbirth. If you notice occasional leakage of urine during the third trimester, it is a warning sign of losing bladder control, which, if left untreated, can worsen during the post partum period. Regularly exercising can help prevent complications occurring due to pregnancy.

How To Do Kegel Exercise During Pregnancy?

Try to stop the flow of urine when you are sitting on the toilet without tightening your abdominal, buttock, or thigh muscles. When you're able to successfully start and stop urinating, or you feel the vaginal muscle contract, you are using your pelvic floor muscle, the muscle you should be contracting during Kegel exercises.

You can do Kegel exercises two ways: either by holding or quickly contracting the pelvic floor muscle. To do slow Kegels, contract the pelvic floor muscle and hold for three to 10 seconds. Then relax and repeat up to 10 times. To do fast Kegels, quickly contract and relax your pelvic floor muscle 25 to 50 times. Relax for 5 seconds and repeat the set up to four times.

Squatting: Squatting is helpful during labor because it opens the pelvic outlet an extra quarter to half inch, allowing more room for the baby to descend. But squatting is tiring, so you should practice it frequently during pregnancy to strengthen the muscles needed.

How to do Squatting? An exercise called a wall slide is especially helpful. Stand with your back straight against a wall, place your feet shoulder width apart and about six inches from the wall, and keep your arms relaxed at your sides. Slowly and gently slide down the wall to a squatting position (keeping your back straight) until your thighs are parallel to the floor. Hold the position for five to 10 seconds, slowly slide back to a standing position. Repeat five or 10 times.

Pelvic Tilt: What is it? Pelvic tilts strengthen abdominal muscles, help relieve backache during pregnancy and labor, and ease delivery. This exercise can also improve the flexibility of your back, and ward off back pain.

How to do Pelvic Tilt? You can do pelvic tilts in various positions, but down on your hands and knees is the easiest way to learn it. Get comfortabe on your hands and knees, keeping your head in line with your back. Pull in your stomach and arch your back upward. Hold this position for several seconds. Then relax your stomach and back, keeping your back flat and not allowing your stomach to sag. Repeat this exercise three to five times. Gradually work your way up to 10 repetitions.

These exercises can yield great benefits with minimal effort. The exercises require no special equipment except comfortable clothes, and a little space to do them.

Do not worry if you are not close to the goal when you begin. Pelvic muscles are like any other muscles in your body. They will become stonger only with time, consistency and mindful work.

Beware: If you sense any pain in your back or abdomen after doing a Kegel set, it is a sign of you not doing them properly. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.

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Health Tips - Healthy Spices

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist,
Health Tips - Healthy Spices

Healthy Spices

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To give a baby birth should I do sex with my wife at her current periods date or before and after her periods?

MD - Obstetrtics & Gynaecology
Gynaecologist, Chandigarh
To give a baby birth should I do sex with my wife at her current periods date or before and after her periods?
Intercourse should be done during the fertile period of female's menstrual cycle, which ranges from 8 th to 18 day of cycle. Best is to have intercourse during ovulation time that is from 12th to 16 day.
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Diploma in Rehabilitation (Physiotherapy)
Physiotherapist, Lucknow
After every hour, take mini-breaks from your work desk and do some stretches to loosen your shoulder and neck muscles and shift position.
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