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Recurrent Pregnancy Loss Tips

Recurrent Pregnancy Loss - What Can Constitute It?

Dr.Asha Gavade 88% (797ratings)
DNB - Obstetrics & Gynecology, MBBS
Gynaecologist, Pune
Recurrent Pregnancy Loss - What Can Constitute It?

Recurrent miscarriage is a condition when there have been three or more successive pregnancy losses. It is different from infertility as infertility is the inability to conceive. For many cases, the cause of a recurrent miscarriage has not always been found. A number of factors can cause recurrent miscarriages of which some are treatable. It may not always be possible to identify a cause for recurrent miscarriage in a couple even after extensive research and treatment procedures. Some of the common causes of recurrent miscarriage are described below:

1. Chromosomal abnormalities
Incompatible chromosomes can result in pregnancy losses. When an egg and a sperm meet, of which one of them is faulty, they can't line up properly resulting in chromosomal abnormality. Such conditions lead to miscarriages.

2. Uterine abnormalities or Incompetent cervixes
Miscarriages occur if the uterus is abnormally shaped since the embryo is not properly implanted or even if it gets implanted, it may not get sufficient nourishment to survive. If the woman has a weak cervix, it cannot hold the developing embryo, leading to miscarriage.

3. Immunologic disorders
Under rare cases, the embryo itself is not accepted by the body. Antiphospholipid antibodies are antibodies which attack self-tissues such as embryos and prevent them from building up. This leads to miscarriages.

4. Untreated thyroid problems
Conditions such as thyroid or uncontrolled diabetes result in uterine conditions which make it tough for the embryos to survive.

5. Polycystic ovary syndrome
Women with polycystic ovary syndrome tend to have high levels of male hormones which result in irregular menstruation and ovulation. This can prevent the lining of the endometrium from maturing that is required for holding the embryo.

6. Bacterial infections
There may be a presence of a number of micro-organisms inside the reproductive tract that may be harmless for the person. But there may be certain bacteria lined up in the reproductive tract which can prevent the development of an embryo, thus leading to miscarriages.

7. Lifestyle
Smoking and drinking are harmful lifestyle habits which may increase the chances of miscarriages to a great extent. It is always advised to avoid smoking or drinking when you wish to conceive. Other lifestyle conditions, such as working in certain environments like hospital environments, farms, laboratories, etc, may lead to miscarriages; however, the exact reason has not been identified yet.
 

8614 people found this helpful

Recurrent Miscarriage - How To Avert It?

Dr.Usha Agarwal 88% (11ratings)
MBBS, MD - Obstetrtics & Gynaecology, DGO - Obstetrtics & Gynaecology, FCPS - Dermatology, Venereology & Leprosy
Gynaecologist, Navi Mumbai
Recurrent Miscarriage - How To Avert It?

Natural therapies are a great option to support your body and prepare it for pregnancy. As with any approach trying to decrease the chance of miscarriage, these steps will help to nourish and support the body, inviting a healthy pregnancy to occur.

Preparing ahead of time for your pregnancy is also important for decreasing the chance of a miscarriage, these steps must be practised for at least 3 months before you become pregnant again. If you are currently experiencing a miscarriage contact your doctor or midwife right away.

Prepare for conception: The first step is to prepare your body with fertility cleansing. Fertility cleansing helps you to support the liver in cleansing the body of old toxins and excess hormones while encouraging the uterus to cleanse itself of ‘old’ contents, increasing uterine circulation and tone.

Eat a nutrient-dense fertility diet: The next step is to nourish and build up your body to be a healthy, baby-friendly body. This can be done through eating a well balanced and nutritious diet. What you eat has a strong impact on:

  1. The health of your eggs
  2. Your hormonal balance
  3. Creating a healthy placenta
  4. Decreases chance of a miscarriage
  5. Building nutrient storage for baby
  6. Creating a healthy reproductive system

Build a healthy foundation: One of the major foundational steps to increase your chance of having a healthy pregnancy is to take some basic vitamins, minerals, and EFA’s. There are specific vitamins and minerals that are necessary for a healthy reproductive system, hormonal balance, and ovulation. Essential fatty acids are also extremely important for miscarriage prevention.

1205 people found this helpful

Recurrent Miscarriage - What Can Lead To It?

Dr.Ajay Aggarwal 93% (772ratings)
MBBS, MD - Obstetrtics & Gynaecology, Fellowship in Laparoscopy, DNB (Obstetrics and Gynecology)
Gynaecologist, Chandigarh
Recurrent Miscarriage - What Can Lead To It?

Recurrent miscarriage is a condition when there have been three or more successive pregnancy losses. It is different from infertility as, infertility is the inability to conceive. For many cases, the cause of a recurrent miscarriage has not always been found. A number of factors can cause recurrent miscarriages of which some are treatable. It may not always be possible to identify a cause for recurrent miscarriage in a couple even after extensive research and treatment procedures. Some of the common causes of recurrent miscarriage are described below:

1. Chromosomal abnormalities
Incompatible chromosomes can result in pregnancy losses. When an egg and a sperm meet, of which one of them is faulty, they can't line up properly resulting in chromosomal abnormality. Such conditions lead to miscarriages.

2. Uterine abnormalities or Incompetent cervixes
Miscarriages occur if the uterus is abnormally shaped since the embryo is not properly implanted or even if it gets implanted, it may not get sufficient nourishment to survive. If the woman has a weak cervix, it cannot hold the developing embryo, leading to miscarriage.

3. Immunologic disorders
Under rare cases, the embryo itself is not accepted by the body. Antiphospholipid antibodies are antibodies which attack self-tissues such as embryos and prevent them from building up. This leads to miscarriages.

4. Untreated thyroid problems
Conditions such as thyroid or uncontrolled diabetes result in uterine conditions which make it tough for the embryos to survive.

5. Polycystic ovary syndrome
Women with polycystic ovary syndrome tend to have high levels of male hormones which result in irregular menstruation and ovulation. This can prevent the lining of the endometrium from maturing that is required for holding the embryo.

6. Bacterial infections
There may be a presence of a number of micro-organisms inside the reproductive tract that may be harmless for the person. But there may be certain bacteria lined up in the reproductive tract which can prevent the development of an embryo, thus leading to miscarriages.

7. Lifestyle
Smoking and drinking are harmful lifestyle habits which may increase the chances of miscarriages to a great extent. It is always advised to avoid smoking or drinking when you wish to conceive. Other lifestyle conditions, such as working in certain environments like hospital environments, farms, laboratories, etc, may lead to miscarriages; however, the exact reason has not been identified yet.
 

2044 people found this helpful

Recurrent Pregnancy Loss - How To Restrict It?

Dr.Chintan Gandhi 91% (62ratings)
Diploma in Obstetrics & Gynaecology
Gynaecologist, Ahmedabad
Recurrent Pregnancy Loss - How To Restrict It?

Recurrent pregnancy loss (RPL) is defined as a condition where the woman suffers three or more pregnancy losses consecutively and the miscarriages occur within 20 weeks from the last menstrual cycle of the women. This condition is fairly common in women. Some of the causes that may be responsible for this condition include genetic factors, uterine disorders, hypothyroidism, diabetes, anatomical or cervical conditions, endocrine-related disorders, auto-immune diseases, chronic endometritis, viral infection, ecological conditions, and antiphospholipid antibody syndrome (APS).

As part of the RPL diagnosis, the medical experts will conduct transvaginal ultrasonography during the early stages of the pregnancy. If the woman is not pregnant, had had two to three pregnancy losses in the past, and is being evaluated for pregnancy loss, the doctors may deem it suitable to conduct parental chromosome testing (karyogram). Also, blood tests may also be carried out to determine blood sugar levels, thyroid-related problems, ovarian dysfunction, and thrombophilia.

Treatment For RPL-

When treating a woman for RPL, the doctors will need to determine the cause of this condition. In cases of congenital thrombophilia and antiphospholipid syndrome, the doctors could prescribe anticoagulants if the woman has suffered recurrent miscarriages. Several studies conducted in the past have shown that through a course of antibiotics, women suffering from chronic endometritis can enjoy a healthy pregnancy. In cases wherein the woman is found to have a karyotypic disorder, she is advised to undergo genetic counselling. During the sessions, the genetic specialist will have a discussion on the type of genetic disorder and the possibility of future pregnancies.

Some couples may also opt for prenatal genetic studies for analyzing the genetic makeup of the fetus. In this procedure, chorionic virus sampling and amniocentesis may be carried out. In cases of chromosomal conditions, when treatment is not available, the in vitro fertilization (IVF) with preimplantation genetic diagnosis (PGD) procedure may be advised. As a part of this treatment, the woman is given shots over a period of some days for eggs to grow in her ovaries. Then, the eggs are obtained through a minor surgery and sperm is injected into them to enable the embryos to grow. Thereafter, a single cell of the embryo is subjected to biopsy and the genetic disposition is examined. This helps to prevent the transfer of an afflicted embryo. In cases of uterine abnormality, the doctors may conduct surgery as a part of the treatment.

In cases of thyroid-related issues or diabetes, medicines for treating the respective conditions are prescribed. However, if the patient has antiphospholipid syndrome, they are given drugs to prevent the development of blood clots.

The condition of women who has a history of recurrent pregnancy loss must be monitored closely. Even if they are given proper treatment, the chances of future pregnancy loss cannot be ruled out completely. After each pregnancy loss, the woman may suffer from psychological trauma and she may harbor doubts about her ability to conceive as well. In such cases, they require counselling for helping them in overcoming their grief. Also, recurrent miscarriages can result in women suffering from coronary heart disease, cardiovascular problems, and ovarian cancer at a later stage. During their later pregnancies, they run the risk of having preeclampsia as well. Moreover, the mortality rates of such groups of women are high.

Unexplained RPL: In cases of unexplained RPL, there are no treatments available. The afflicted groups are given counselling. By doing so, there is around 50 to 60 percent probability of them delivering in their subsequent pregnancy. However, with each pregnancy loss, the woman’s chances of conceiving diminish. Aspirin is not known to be effective in preventing recurrent miscarriages in women. Also, immunotherapy does not meet the desired results. Currently, the drug NT100 is under scrutiny for improving the chances of conception in women with unexplained recurrent pregnancy losses.

2997 people found this helpful

Recurrent Miscarriage - How To Deal With It?

Dr.Rutvij Dalal 89% (23ratings)
MBBS, DGO, DNB (Obstetrics and Gynecology), MRCOG, FNB, Diploma in Advanced Laparoscopy, Fellowship in Human Reproduction and Assisted Reproduction
IVF Specialist, Delhi
Recurrent Miscarriage - How To Deal With It?

It is no hidden fact that miscarriages hurt you deeply. The trauma that comes with it is unbearable, but you will have to get through it. Don’t blame yourself for the situation, you may not know it but miscarriages are quite common. Doctors have said that one out of four pregnancies ends up in a miscarriage. If you have experienced more than two consecutive miscarriages then you are suffering from a recurrent miscarriage. If you are going through recurrent miscarriages then there are some medical conditions to blame.

Is miscarriage the end?
A recurrent miscarriage may sometimes complicate things a little, but don’t think that it is the end. As the medical research has progressed, there are several ways for you to get pregnant or have a child. There is in vitro fertilization or IVF which is one of the best ways to cope with a miscarriage. Even if you are having some problem with your fallopian tube IVF can solve your problems and fertilization will be done in the lab and the embryo will be implanted.

How to cope with the emotional stress?
Miscarriages are hard in itself, and you need to deal with the post-miscarriage situation with the utmost maturity to keep your psychological and physical state under complete care. Emotionally good health will go a long way and let you think clearly about your options. If the stress and sadness of the miscarriage have brought you down, then seek the counseling of psychiatrist. Don’t feel ashamed to share your feeling and never suppress them. Talk about them and if needed join a support group that will help you to get through the tough situation.

Remember one thing that if you are emotionally aggrieved and suppress your feelings then that will take a toll on your relationship with your partner. With IVF becoming so developed, there is no need to lament about miscarriage.

How can I improve my fertility?
You may be suffering from recurrent miscarriages, but you should not lose your hope. Keep on trying and you may succeed. You never know. Visit the specialists and let them know your medical history. With special care, IVF can solve all your problems.

But only IVF would never work. Opt for a healthy lifestyle by doing exercises, eating healthy foods, quit smoking, and reduce your alcohol and caffeine intake. You should take a multivitamin rich in folic acid every day. You should also restrict your exposure to environmental chemicals and toxins. It is advisable that you leave behind any kind of heavy lifting, strenuous physical exercises, and any dangerous contact sports. Try not to take stress by taking up yoga or tai chi. And most importantly, try to maintain a healthy sexual relationship with your partner and contact your doctor to know when can you get pregnant again.
 

2541 people found this helpful

Recurrent Abortion - What Causes It?

MBBS, MS - Obs & Gynae (Gold Medalist)
Gynaecologist, Delhi
Recurrent Abortion - What Causes It?

Recurrent miscarriage is a condition when there has been three or more successive pregnancy losses. It is different from infertility as, infertility is the inability to conceive.For many cases, cause of a recurrent miscarriage has not always been found. A number of factors can cause recurrent miscarriages of which some are treatable.It may not always be possible to identify a cause for recurrent miscarriage in a couple even after extensive research and treatment procedures. Some of the common causes of recurrent miscarriage are described below:

1. Chromosomal abnormalities
Incompatible chromosomes can result in pregnancy losses. When an egg and a sperm meet, of which one of them is faulty, they can't line up properly resulting in chromosomal abnormality. Such conditions lead to miscarriages.

2. Uterine abnormalities or Incompetent cervixes
Miscarriages occur if the uterus is abnormally shaped since the embryo is not properly implanted or even if it gets implanted, it may not get sufficient nourishment to survive. If the woman has a weak cervix, it cannot hold the developing embryo, leading to miscarriage.

3. Immunologic disorders
Under rare cases, the embryo itself is not accepted by the body. Antiphospholipid antibodies are antibodies which attack self-tissues such as embryos and prevent them from building up. This leads to miscarriages.

4. Untreated thyroid problems
Conditions such as thyroid or uncontrolled diabetes result in uterine conditions which make it tough for the embryos to survive.

5. Polycystic ovary syndrome
Women with polycystic ovary syndrome tend to have high levels of male hormones which result in irregular menstruation and ovulation. This can prevent the lining of the endometrium from maturing that is required for holding the embryo.

6. Bacterial infections
There may be presence of a number of micro-organisms inside the reproductive tract that may be harmless for the person. But there may be certain bacteria lined up in the reproductive tract which can prevent the development of embryo, thus leading to miscarriages.

7. Lifestyle
Smoking and drinking are harmful lifestyle habits which may increase the chances of miscarriages to a great extent. It is always advised to avoid smoking or drinking when you wish to conceive. Other lifestyle conditions, such as working in certain environments like hospital environments, farms, laboratories, etc, may lead to miscarriages; however, the exact reason has not been identified yet.
 

1230 people found this helpful

Recurrent Miscarriage - What Could Be The Reasons Behind It?

Dr.Pooja Choudhary 92% (372ratings)
MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Recurrent Miscarriage - What Could Be The Reasons Behind It?

Recurrent miscarriage is a condition when there has been three or more successive pregnancy losses. It is different from infertility as, infertility is the inability to conceive. For many cases, the cause of a recurrent miscarriage has not always been found. A number of factors can cause recurrent miscarriages of which some are treatable.

It may not always be possible to identify a cause for recurrent miscarriage in a couple, even after extensive research and treatment procedures. Some of the common causes of recurrent miscarriage are described below:

  1. Chromosomal abnormalities: Incompatible chromosomes can result into pregnancy losses. When an egg and a sperm meet, of which one of them is faulty, they can't line up properly resulting into chromosomal abnormality. Such conditions lead to miscarriages.
  2. Uterine abnormalities or Incompetent cervixes: Miscarriages occur if the uterus is abnormally shaped since the embryo is not properly implanted or even if it gets implanted, it may not get sufficient nourishment to survive. If the woman has a weak cervix, it cannot hold the developing embryo, leading to miscarriage.
  3. Immunologic disorders: Under rare cases, the embryo itself is not accepted by the body. Antiphospholipid antibodies are those, which attack self tissues, such as embryos and prevent them from building up. This leads to recurrent miscarriage.
  4. Untreated thyroid problems: Conditions such as thyroid or uncontrolled diabetes result in uterine conditions which make it tough for the embryos to survive.
  5. Polycystic ovary syndrome: Women with polycystic ovary syndrome tend to have high levels of male hormones which, result in irregular menstruationand ovulation. This can prevent the lining of the endometrium from maturing that is required for holding the embryo.
  6. Bacterial infections: There may be presence of a number of microorganisms inside the reproductive tract that may be harmless for the person. But there may be certain bacteria lined up in the reproductive tract, which can prevent development of embryo, thus leading to miscarriages.
  7. LifestyleSmoking and drinking are harmful lifestyle habits, which may increase the chance of miscarriage to a great extent. It is always advised to avoid smoking or drinking when you wish to conceive. Other lifestyle conditions, such as working in certain environments like hospital environments, farms, laboratories, etc, may lead to miscarriages; however, the exact reason has not been identified yet.
2019 people found this helpful

What Can Cause Recurrent Miscarriage or Recurrent Pregnancy Loss?

Dr.Padmaja Mohan 93% (216ratings)
MS - Obstetrics and Gynaecology, DCN -Diploma in Clinical Nutrition, MBBS, Fellowship in Cosmetic Gynaecologgy
Gynaecologist, Noida
What Can Cause Recurrent Miscarriage or Recurrent Pregnancy Loss?

Recurrent miscarriage is a condition when there has been three or more successive pregnancy losses ,It is also called as Habitual Abortion. It is different from infertility as, infertility is the inability to conceive.For many cases, cause of a recurrent miscarriage has not always been found. A number of factors can cause recurrent miscarriages of which some are treatable.It may not always be possible to identify a cause for recurrent miscarriage in a couple even after extensive research and treatment procedures.

Some of the common causes of recurrent miscarriage are described below:

1. Chromosomal abnormalities

Incompatible chromosomes can result into pregnancy losses. When an egg and a sperm meet, of which one of them is faulty, they can't line up properly resulting into chromosomal abnormality. Such conditions lead to miscarriages.

2. Anatomical factors like Uterine abnormalities or Incompetent cervixes

Miscarriages occur if the uterus is abnormally shaped since the embryo is not properly implanted or even if it gets implanted, it may not get sufficient nourishment to survive. If the woman has a weak cervix, it cannot hold the developing embryo, leading to miscarriage.

3. Immunologic disorders

Under rare cases, the embryo itself is not accepted by the body. Antiphospholipid antibodies are antibodies which attack self-tissues such as embryos and prevent them from building up. This leads to miscarriages.

4. Untreated medical problems

Conditions such as thyroid or uncontrolled diabetes , Uncontrolled Hypertension, Kidnet disorders , result in uterine conditions which make it tough for the embryos to survive.

5. Hormonal Causes like Polycystic ovary syndrome, thyroid dysfunction

Women with polycystic ovary syndrome tend to have high levels of male hormones which result in irregular menstruation and ovulation. This can prevent the lining of the endometrium from maturing that is required for holding the embryo.

6. Bacterial infections

There may be presence of a number of micro-organisms inside the reproductive tract that may be harmless for the person. But there may be certain bacteria lined up in the reproductive tract which can prevent development of embryo, thus leading to miscarriages.

7. Lifestyle

Smoking and drinking are harmful lifestyle habits which may increase chances of miscarriages to a great extent. It is always advised to avoid smoking or drinking when you wish to conceive. Other lifestyle conditions, such as working in certain environments like hospital environments, farms, laboratories, etc, may lead to miscarriages; however, the exact reason has not been identified yet.

5334 people found this helpful

Recurrent Pregnancy Loss - How To Avert It?

Dr.Ajay Aggarwal 93% (772ratings)
MBBS, MD - Obstetrtics & Gynaecology, Fellowship in Laparoscopy, DNB (Obstetrics and Gynecology)
Gynaecologist, Chandigarh
Recurrent Pregnancy Loss - How To Avert It?

Recurrent pregnancy losses happen to a very small fraction of the population. Only 1% of couples are affected by it. Nevertheless, it is a very difficult and serious process to deal with due to the sensitivity of the issue. A woman is said to have recurrent pregnancy losses if she has lost 3 or more of her pregnancies. Although the exact reason for recurrent pregnancy losses are not known, there are several suggested reasons.

Reasons why it may happen

  1. Anomalies in the uterine lining such as polyps (abnormal tissue growth, usually in the cervix), or fibroid tumors can result in miscarriages if left untreated.
  2. Hormonal factors such as thyroid malfunctions or pituitary problems can cause an imbalance in the luteinizing hormone (a hormone which triggers ovulation) resulting in miscarriage.
  3. Age is also an issue one must keep in mind while addressing pregnancy losses. Women over the age of 35 are more likely to experience recurrent pregnancy losses. As women get closer to menopause, their bodies produce reduced levels of hormones and eggs which cater to a pregnancy. Therefore, due to the reduced levels of hormones, an older woman is susceptible to losing a baby as they have elevated levels of hormones and therefore are more fertile.
  4. Lifestyle factors also have been linked to recurrent pregnancy losses. Constant exposure to toxic chemicals can result in pregnancy problems. Along with that, constant drug use, smoking and excessive consumption of alcohol are some of the lifestyle choices that can cause recurrent pregnancy losses.
  5. Infections such as syphilis, malaria, measles, herpes simplex etc. can cause recurrent pregnancy symptoms if left untreated as they can obstruct and complicate the growth of the baby, resulting in premature development or pregnancy loss.

Management of Pregnancy Loss

  1. Polyps and fibroid tumors are complicated disorders which should be given immediate medical attention. Although surgical methods are available, the best way to treat polyps and fibroid tumors is through the intake of progestin hormone pills which shrink the size of the polyps/cysts.
  2. Eating a healthy diet to ensure the prevention of diabetes is highly recommended. Fruits, leafy green vegetables and whole grain cereals are a prerequisite for the complete growth of the baby as well as arming the body with the necessary strength it needs for pregnancy transitions as well as a stronger immune system.
  3. A regular workout routine is also advised for pregnant women as it ensures a healthier and stronger immune system.

Although recurrent pregnancy loss is very emotionally debilitating for a woman and her partner, there are several means and measures to overcome this tragedy. One should not be disheartened by such an occurrence and get the required help needed.
 

3993 people found this helpful

Repeated Pregnancy Loss - Know Reasons Behind It!

Dr.Vibha Bansal 89% (49ratings)
MBBS, MD - Obstetrtics & Gynaecology, Certification in IVF & Infertility, Fellowship in Advanced Laparoscopy
Gynaecologist, Mohali
Repeated Pregnancy Loss - Know Reasons Behind It!

Recurrent pregnancy loss can be defined as the consecutive loss of three or more pregnancy. Recurrent Pregnancy loss is a medical condition in which the pregnancy loss occurs before completing 20 weeks in an involuntary manner. Pregnancy loss can be visualized using ultrasound technique.

What are the causes of recurrent pregnancy loss?
Most of the pregnancy losses occur due to various abnormalities in the genetic makeup of an organism or any chromosomal aberration. The abnormality can be present during the formation of an egg or sperm or the embryo. However, it is well said that the miscarriage usually happens within first 12 weeks of conception. Almost half of the times, women even don’t realize that she is pregnant during first three months. The risk of recurrent pregnancy loss increases with the increase in previous miscarriages.

Recurrent pregnancy loss is more common in the women who conceive late according to their age. It is because the quality of egg formation decreases and this may lead to abnormalities in chromosome formation or division. Sometimes, it may happen that father and mother, both suffer from a slight abnormality in their genes and hence, the fetus can be more severely affected and hence causes recurrent pregnancy loss in the uterus.

The weakening of the immune system can also lead to recurrent miscarriages. Abnormality in the functioning or secretion of hormones can cause severe diseases such as diabetes and thyroid which can cause an impact. Also, blood clotting issues may also play an important role.

The gynecologists may help in the treatment of this medical condition but their treatment option depends upon the underlying cause of recurrent pregnancy loss.

The gynecologist recommends genetic counselling to those patients who have any chromosomal abnormality in their genetic makeup. Some of the couples can opt for prenatal genetic studies while expecting a child so as to keep a check on whether the child has normal genetic makeup. Some of the techniques used by the medical health providers are chorionic villi sampling, or amniocentesis.

For genetic diagnosis, in vitro fertilization can also be done along with pre-implantation. If there is any abnormality in the uterus or the tract in the female then surgery can be done so as to cure the defect. If there is a syndrome such as anti-phospholipids syndrome, then medications are provided in order to decrease the formation of the blood clot.

Therefore, gynecologists are assisting in the treatment of recurrent pregnancy loss in females.
 
 

2619 people found this helpful
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