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05.12.2015
Besides a stoppage of drainage pathways, abnormally enlarged fluid pathways into the ear such as the vestibular aqueduct or cochlear aqueduct may also be associated with Meniere's like symptoms. Thus, the bottom line is that in most patients with Meniere's disease in 2015, the underlying cause of Meniere's disease is unknown. Figure 3a: Audiogram (hearing test) typical of early Meniere's disease on the right side (x=left, o=right). A longer discussion of the information to be gained in testing of persons with Meniere's disease is found here.
When there is sulfa allergy, one may try amiloride by itself, or ethacrinic acid (edecrin). Histamine injections (irrational treatment as histamine is broken down rapidly in the body).
What the author recommends in his practice in Chicago for medical prevention of Meniere's.
These are combined with symptomatic drugs such as meclizine, benzodiazepines, and antiemetics, to be taken during attacks. In persons with severe progressive bilateral disease, the author will generally recommend a trial of high dose steroids. An emerging treatment that may eventually end up as a standard treatment is multiple injections of steroids into the middle ear.
The big problem with this section is separating placebo's from slightly effective treatments. There are an immense number of placebo and probable or nearly placebo treatments for Meniere's disease. The Meniett device's status at this writing (2010) seems most likely to be a slightly effective treatment. There is a separate page on this topic, but briefly, for intractable unilateral Menieres disease cases, we often presently advise a low dose gentamicin protocol. Persons who have intractable bilateral Meniere's disease are offered a trial of steroids with a safer immunosuppressant should this be effective, a modified gentamicin protocol, and very occasionally systemic aminoglycosides to deaden both ears.
In our opinion, medical treatments, including a reasonable trial of anti-migraine drugs such as verapamil or venlafaxine, should precede use of any last resort treatment. Hearing is thought to gradually decline throughout life, with roughly 50 dB loss in 10 years. Note that it is not the overall level of sodium that is important, but whether or not it fluctuates that is important in avoiding attacks of dizziness. Gu X, Fang ZM, Liu Y, Huang ZW, Zhang R, Chen X.Diagnostic advantages of intratympanically gadolinium contrast-enhanced magnetic resonance imaging in patients with bilateral Meniere's disease.
Sato G1, Sekine K, Matsuda K, Ueeda H, Horii A, Nishiike S, Kitahara T, Uno A, Imai T, Inohara H, Takeda N. As my wife tells it, our daughter’s middle name came to her while she pregnant, concerned about the baby. Our daughter, Kara Grace, has Stickler syndrome, a rare genetic disorder caused by a lack of collagen, which is used to develop cartilage in our bodies. With the knowledge that certain nutrients operate as scavengers, possessing the ability to inactivate free radicals, the Duke researchers investigated the ability of alpha lipoic acid to reduce ear damage to the cochlea (see Fig 1) when damage is induced by the aminoglycoside antibiotic, amikacin. However, episodes of vertigo usually subside as the illness progresses or stabilizes, and most patients learn to manage tinnitus and hearing loss.
Episodic, characteristic definitive spells of vertigo lasting 20 minutes to 24 hours with no unconsciousness, vestibular nystagmus always present. Tinnitus (ringing in the ears, from mild to severe) Often the tinnitus is accompanied by ear pain and a feeling of fullness in the affected ear. Several environmental and dietary changes are thought to reduce the frequency or severity of symptom outbreaks. A man performs the Valsalva maneuver, while the eardrum of his right ear is examined with an otoscope. The systems of pressure equalization of the inner ear are coupled in a highly complex way to the permanently ongoing variations of static pressure in the air chamber in the middle ear.
Middle ear pressure is determined primarily by a slow mechanism, the gas exchange with middle ear tissues, and secondarily by a fast mechanism, the transient opening of the Eustachian tube (auditory tube) that links the nasal spaces (nasopharynx) to the middle ear. The method of choice for voluntary ventilation of the middle ear is the Valsalva maneuver.[38] It can be applied nearly anywhere spontaneously and without tools and is preferably combined with a following equalization by yawning or chewing (soft plopping sound per ear).
If symptoms do not improve with typical treatment, more permanent surgery is considered.[43] However, because the inner ear deals with both balance and hearing, few surgeries guarantee no hearing loss.
Nondestructive surgeries include procedures that don't actively remove any functionality, but rather aim to improve the way the ear works.[44] Surgery to decompress the endolymphatic sac has shown effective for relief from symptoms. In more serious cases surgeons can cut the nerve to the balance portion of the inner ear in a vestibular neurectomy.
Retraining of the balance system after loss of sensory input from the vestibular system in the inner ear is essential. Betahistine was investigated in both a systematic review and a large-scale placebo-controlled longitudinal study.
Goya the famous Spanish court painter also became deaf after a series of episodes of illness. Paddy McAloon, English singer-songwriter and member of the band Prefab Sprout, hailed as one of the great songwriters of his era.
Chris Packham, British wildlife photographer and television presenter.[71] He has suffered from the condition since he was 37, but has vowed to continue with his work regardless. Les Paul, American musician, innovator of early electric guitar and recording technology, prolific songwriter, performer. David Terrell; UFC president Dana White mentioned in an interview that Terrell underwent the same surgery as White himself. Su Yu, PLA General who achieved many victories for the communists during the Chinese Civil War was hospitalized in 1949.
While the cure rate of vertigo is high, post-neurectomy dysequilibrium is common and in some reports imbalance is worse after surgery in 26% of patients.
In the 1980's intramuscular injections of streptomycin in a protocol designed to blunt but not ablate vestibular function replaced the high-dose treatment used initially. Since description of this procedure in the 1920s, debate has raged over the efficacy of this procedure, the mechanism by which it works, as well as issues of whether a shunt should be inserted or the sac simply decompressed. MEI introduced the concept of sac-vein decompression after observing apparent benefit when the sigmoid sinus was included in decompression. Have you ever experienced the sudden feeling that the world around you is moving or spinning?
Lack of exercise, use of a computer for long hours, and sleeping postures, are some of the major factors of vertigo to most people. In this article, we'll let you know why vertigo occurs, how you can recognize vertigo, and what type of vertigo can be cured at home. Otoliths sit inside the inner ear and they are responsible in helping you orient your body and keep your balance. The otoliths can become dislodged (may be due to a head blow or aging) and settled in the semicircular canal, which is the primary sensory system of the inner ear that detects rotational movements. This is how the most common type of vertigo occurs and is called "benign paroxysmal positional vertigo (BPPV)". However, if dizziness is accompanied by other symptoms such as numbness in hands and feet, paralysis, or slurred speech, then these can be indications of stroke. Otoliths can leave behind calcium carbonate debris over time and find their way to the sensitive structures in your inner ear. Turn your head 45 degrees to the left and lie down quickly on your right side for 10 seconds. Turn your head 45 degrees to the right and lie down quickly on your left side for 10 seconds.
Symptoms may go away suddenly during the exercise, but usually improvement can be seen gradually over a period of weeks.
Another way to cure vertigo at home employs a technique that helps prevent the ear stones (otoliths) from entering the semicircular canal in the first place. The rationale to this is that the ear stones are less likely to enter the sensitive structures of your inner ear when sleeping on raised pillows. Meniere's disease is the second most common inner ear disorder after BPPV that also causes intense vertigo. Fluid-filled blisters are fluids that are trapped under your skin, which is caused by an excess fluid build-up in the tissues of your body.
The root cause of Meniere's disease is not well understood by the medical community so improvements are difficult to achieve.
With that said, we strongly believe that the root cause of Meniere's disease boils down to the outside negative energy surrounding the patient's body (read "Root Cause of Cancer and Viral Diseases Revealed"). Junji Takano is a Japanese health researcher involved in investigating the cause of many dreadful diseases.
In April of 2005 I started to experience a building “fullness” and low frequency hearing loss in my left ear. I started looking at parallels in my life, trying to find anything that might have triggered this, directly or indirectly.
In June of 2010 I jumped off a cliff and quit my 24 year restaurant career having spent the last 10 years as the manager of a very successful Italian restaurant in Seattle. When symptoms started to creep back in July of 2011, I immediately hit the anti-fungals at the onset, a 14 day regimen.
In our clinical practice, where we care for large numbers of Meniere's patients, the most common age of presentation is in the 6th decade. While in the past, it was felt that plumbing problems (hydrops) in the ear were responsible for the disease, the most current opinion is that hydrops is a marker for the Meniere's disease, rather than necessarily being responsible for the symptoms. Recent evidence is against a relationship between the cochlear aqueduct and MD (Yilmazer et al, 2001).


We ourselves hold this opinion, based in part on a study in which patients with Meniere's disease had a very high prevalence (about 25%) of autoimmune thyroid disease (Brenner et al, 2004). However, the evidence is against this being the main mechanism in human beings (see Kitamura et al, 1997; Nadol et al, 1995).
Those who present to the doctor with more severe hearing impairments at onset, usually do worse than those who have milder hearing impairments (Sato et al, 2014). Although Ondansetron isn't as strong as phenergan or compazine, and doesn't always work, it also doesn't have much side effects either.
All of the above diuretics have sulfa in them, which persons with sulfa allergies may be unable to tolerate.
Loop diuretics such as Edecrin should be used in low doses and with caution because they are ototoxic. If there is a significant improvement in hearing, then there is an attempt to switch to Enbrel (an immunosuppressant with less side effects than steroids), with the thought that in this situation an autoimmune disorder is more probable.
There is nothing wrong with a placebo, if it provides some benefit (presumably psychological), and you can afford to do this.
This treatment requires a surgical procedure (insertion of a ventilation tube) and purchase of a very expensive device (the pressure machine).
Gentamicin is administered through the ear drum every month for a total of one or two administrations.
The difficulty in pregnancy is that there should be an effort to avoid medications that might cause birth defects or otherwise injure the unborn child. Vertigo spells are generally thought to persist for decades, although with a gradual decline after roughly the first decade (Huppert et al, 2010).
It is not necessary or wise to lower your salt intake to amounts barely able to sustain life.
Psychological characteristics of patients with Meniere's disease compared with patients with vertigo, tinnitus or hearing loss. For some of us, some of the time, and for others, all of the time, "hearing" is a necessity for successful communication.
Items such as magnesium, quercetin, ginkgo biloba, Vitamin D, calcium, niacin, and zinc can help preserve your ability to distinguish the many nuances of sound: timbre, balance, tone, pitch, bass and treble. It is characterized by episodes of vertigo and by fluctuating or permanent tinnitus and hearing loss. This even applies to patients who are affected in both ears from some point in the course of their lives (ca. They may also experience additional symptoms related to irregular reactions of the autonomic nervous system. However, a detailed otolaryngological examination, audiometry, and head MRI scan should be performed to exclude a vestibular schwannoma or superior canal dehiscence, which would cause similar symptoms. Usually the tinnitus is more severe before a spell of vertigo and lessens after the vertigo attack.
Importantly, the inner ear pressure equalization is activated by these middle ear pressure changes.
The Valsalva maneuver, which always needs to be carried out gently, leads to a short-time increase in middle ear pressure that then disappears during the following equalization.
Miguel da€™Escoto Brockmann, Nicaraguan diplomat, politician and Catholic priest of the Maryknoll Society of Missionaries.
For patients with useful hearing, a variety of treatments can be employed for the 20 - 40% who continue to have disabling vertigo despite medical therapy. While section of the nerve via the middle fossa has some advantages, the increased risk to hearing, facial nerve function, retraction of the temporal lobe, and difficulty accessing the inferior vestibular nerve have led surgeons to largely abandon this approach in favor of the retrosigmoid approach.
VN has the longest period of postoperative recovery before patients can return to work or driving. This remains a useful option for individuals with bilateral disease or disease in an only hearing ear.
Using this technique, we found that after 2 years, vestibular symptoms were resolved or mild in 92%, 85% had stable or improved hearing, none had profound hearing loss. This type of vertigo occurs suddenly and people who encounter it usually never had any prior experience. Because of the dislodged otoliths, the sensory hair or hair cells in the inner ear get stimulated even when you are not moving and give wrong information to the brain. If you are having symptoms of dizziness that go away within a minute, then your vertigo is most likely the BPPV type. If dizziness does not subside after one minute, we recommend that you go to your doctor immediately as it could be a sign of other condition. In fact, treatments or procedures to do this is available and can be performed by health professionals. If they only accumulate in small amounts, the hair cells of the semicircular canals may not respond and not cause vertigo at all.
By doing this, the otoliths will less likely form a mass and less likely to gather in one place in your inner ears.
Studies show that people sleeping without a pillow are at a higher risk of getting frequently attacked by violent vertigo. This is simply because many diseases or illnesses are caused by reasons that we cannot actually sense such as mental or spiritual problems, and that is where alternative healing modalities like the PYRO-ENERGEN electrostatic therapy machine comes into play. Therefore, we believe the PYRO-ENERGEN can be a great help for Meniere's disease sufferers!
In 1968, he invented PYRO-ENERGEN, the first and only electrostatic therapy machine that effectively eradicates viral diseases, cancer, and diseases of unknown cause. Having had numerous ear infections in that ear throughout my life and a perforated ear drum on that side, I passed this off as an ‘atypical’ infection. My ENT sent me to a  neurotologist who told me that I would likely be deaf in the infected ear within 3 years and my only options were radical surgeries or steroid injections into the inner ear, both of which would not cure my condition and would have serious risks involved, including accelerated and permanent hearing loss. The only things I could come up with is that I started an affinity for wine, primarily white (Chardonnay) about 4 months before the symptoms started, and I had increased stress with growing responsibilities as a restaurant manager. Get blood work done, especially food allergy, candida, herpes virus testing and vitamin deficiencies such as B12 & D. We think Meniere's disease should more properly be called Meniere's syndrome, but we will use the two terms as if they were the same. This probably reflects the age distribution of Meniere's in Chicago Illinois, which of course is also a function of the age of the population in Chicago. Enlarged vestibular aqueducts are one of the most commonly identified inner ear bony malformations in children with sensorineural hearing loss of unknown cause (Oh et al, 2001). On the other hand, Ruckenstein and others recently obtained a large number of autoimmune blood tests in a group of 40 patients with unilateral Meniere's disease including CBC, ANA, Anti-Sjoegren, RF, Complement, antiphospholipid antibody, western blot for heat shock protein, MHA (syphilis test), and Lyme. Rather, it seems that Meniere's disease damages both hair cells and nerve fibers in humans.
Should MRI scanners become even more powerful in the future, this could be an important test.
Oddly, there is sometimes a discrepency between OAE tests and audiometry in the low-frequency SNHL of Meniere's. Van Deelen and Huizing studied the use of diuretics in Meniere's disease in a double-blind, placebo controlled trial, and reported that it reduces vestibular complaints, but has no significant effect on hearing (1986).
Because Menieres and Migraine are very often combined, this medication's main role may be to treat the migraine associated vertigo that can be confused with or accompany Menieres disease.
Of course this strategy should rationally be adjusted to the variability in hearing, as in any undertaking, one's confidence that a particular result has been obtained depends both on the size of the effect as well as the underlying variability in the effect. However, we don't think that placebos that are billed to health care insurance providers should be supported. Bilaterality of the condition gradually increases with time, but in most the symptoms in the opposite ear are minor. Knowing this does not make the road ahead any easier, but I know that hope is there, and so is grace.
Vinpocetine may help restore hearing function that has been lost due to age-related decline, exposure to noise pollution, or other various unknown causes.
In effect, lipoic acid-protected animals did not have part of their hearing impaired compared with animals receiving the damaging antibiotic alone.
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Some of the same symptoms also occur with benign paroxysmal positional vertigo (BPPV), and with cervical spondylosis (which can affect blood supply to the brain and cause vertigo). Once much or all of vestibular function in an ear has disappeared, distorted sensory input to the brain is no longer generated and vertigo attacks cease. It has the advantage over ablative procedures of having lowest risk of hearing loss (1-2%) and fastest recovery time.
Our experience with ELS surgery has led us to continue to recommend it to patients with serviceable hearing and attacks of vertigo uncontrolled or poorly controlled by conservative management. The frequency can also increase gradually until it comes to the point that it happens every day at length.
Diuretics are one of them, which make your body get rid of excess water by helping your kidneys increase the flow of urine. As a musician and audio engineer, my hearing could not be risked, so these treatments were not options. I had developed “hyper-accusis”, extreme sensitivity to louder sounds which cause physical pain and terribly distorted hearing. I had gotten myself out of debt, put a nice chunk of money in the bank, and felt I had to give it a try.
I also believe that stress played a huge roll in my case, it was compromising my immune system. When you take any prescription drug, read the fine print in the little handout that comes with it.


As hard as this may be at times, you need strength to fight and your metabolism needs to be up. It is a natural supplement that has just recently been discovered to increase circulation to the inner ear and has provided great relief for many. It is a little older than the typical age of presentation of vestibular migraine which is in the 5th decade, much older than the reported highest prevalence age for non-vestibular migraine (about 35), and similar to the age of presentation of BPPV. The vestibular aqueduct extends from the medial wall of the vestibule to the posterior surface of the petrous temporal bone. Only elevations in the antiphospholipid antibody test were found 27% of patients, above the expected 6-9%. Studies of humans are handicapped by the possibility that Meniere's is the final common pathway of a variety of illnesses of the ear. Potential reasons are an exitatory nystagmus, Bechterew's phenomenon (recovery nystagmus), Meniere's involving the opposite ear, and stronger vestibular responses on the side with hydrops due to hydrodynamic factors associated with hydrops. Another new MRI approach involves injecting gadolinium through the ear drum, and then a MRI scan (Gu et al, 2014).
The same cannot always be said for meclizine, lorazepam and klonazepam, phenergan or compazine. Much room for improvement in these algorithms is needed -perhaps involving daily hearing monitoring using an internet protocol.
The treatments briefly discussed below are (probably) not placebos, but they are high in cost (because they are surgical), and low in benefit (because the literature suggests low or no efficacy). Our daughter had facial features like those with Down syndrome, a cleft palate, and an unusually small chin. Lipoic Acid Protects Against Antibiotic-Induced Hearing Loss There's something more to be added to our nutritional armamentarium; it involves an old friend in new clothing. The researchers thought that lipoic acid was particularly well suited to protect the ear because it is widely distributed in both aqueous and lipid tissues after administration.5 In addition, it crosses the blood-brain barrier quite readily, has low toxicity, and has excellent uptake in neural tissue.
The membranes become dilated (stretched thin, like a balloon) when pressure increases and drainage is blocked.[17] This may be related to swelling of the endolymphatic sac or other tissues in the vestibular system of the inner ear, which is responsible for the body's sense of balance. The choice of options is based on hearing status, whether the disease is unilateral or bilateral, the patient's self-assessment of symptom severity and, after counseling, the patient's assessment of risk versus reward for each option available to them. These are fluid-filled blisters and it has been proposed that the symptoms of Meniere's disease in many patients are linked to the herpes virus or shingles!
It seemed like stress had to be playing a big role, though I didn’t feel as though it was “the cause”. Music became unpleasant, imagine that… I resorted to playing my digital piano at very low volume levels much of the time. I didn’t want to look back in 20 years and wonder what might have been had I given it a shot. A simple blood test for Candida overgrowth can determine if you may have fungal infection issues. If it says it may cause tinnitus or ringing, think twice… Also, keep Q-tips out of your ear canal.
It has noticeably helped reduce the residual tinnitus I have left over from the damaging affects on Meniere’s.
Most persons with enlarged vestibular aqueducts with ear disorders have hearing loss, but occasionally there is an association with vestibular problems (Shessel and Nedzelski, 1992).
This technique is plausible, but we are doubtful that the diagnostic gain justifies injecting gadolinium dye into the middle ear.
Kundu (2006) were unable to come to a conclusion as to efficacy as no papers published up to 2006 were adequate for meta-analysis. Sometimes known as thioctic acid to honor its sulphur (thio) component, we know this item also as the universal antioxidant alpha lipoic acid, or lipoic acid for short.
Furthermore, lipoic acid is delivered to both the intra- and extra-cellular environment.6 These data may help explain why lipoic acid is able to protect against aminoglucoside-induced hearing loss.
This article focuses on patients who have useful hearing or do not wish to lose residual hearing and are, thus, not candidates for labyrinthectomy.
One night at dinner I heard a screeching sound in my left ear and felt the pressure subside.
I lowered my sugar in-take in general, which wasn’t particularly high, but I watched it closely. There may be a genetic link between enlarged vestibular aqueduct and Pendred syndrome, which is a congenital thyroid disorder. They concluded that it is unlikely that autoimmune etiologies play a significant role in their population of unilateral Meniere's (Ruckenstein, 2002). Lipo indicates that there is a fat molecule in the alpha or first position, which is important because lipoic acid operates in fatty tissue as well as aqueous (water) tissue.
I tried many treatments, some had short-termed relief but nothing kept the intruder at bay. I managed to continue composing and my music spread to reach many people and my sales grew. My ENT once took a picture of the wax piled up against my ear drum, I was sold at that point. Another interpretation of their data is that they may simply not have had an appropriate marker for autoimmune involvement, as well as unilateral Meniere's may have less autoimmune cause than bilateral. Bound into the chemical composition of lipoic acid is the amino acid cysteine, which is connected to glutathione which we'll examine momentarily. However, lipoic acid has been shown to increase intracellular glutathione levels by as much as 70% in vivo.9 Several other benefits of lipoic acid regarding hearing protection involve its ability to regenerate and increase Vitamins C and E in the body. I wrote much of the music to Somewhere Within and all of the music to Mesmerized in this time, chronicling my journey within during these challenges. Many people have found relief suppressing this virus (which can embed itself in the nerves of the inner ear) with prescription anti-virals, L-Lysine & vitamin C. These vitamins are important naturally-occurring, free-radical scavengers.10 Also, lipoic acid chelates iron which appears to be catalyzed into mischievous activity by the antibiotic gentamicin. After hours of vomiting and a trip to the ER, my symptoms subsided and the ER suggested I visit an ENT. I did tons of research on Meniere’s, which can be a frightening internet adventure in itself. It also became ironic to me that the closer I came to feeling as though my music may get me out of the stressful restaurant career, the more I feared losing my hearing, which threatened my dream of being a musician. You can accomplish anything within your body, just listen and be patient…it took me six years.
Iron operates as a pro-oxidant, greatly increasing free-radical activity.11 So lipoic acid's ability to disarm iron is of significant value. A few weeks later the pressure began building again and what my doctor had suspected was confirmed… a diagnosis of Meniere’s disease. I managed to focus on the very few success stories I could find while staying away from my doctors.
Another report in the literature appeared eight years ago about a study finding that a certain vitamin regimen restored short-term hearing loss, especially hearing loss related to Meniere's disease.12 Meniere's disease is characterized by recurrent vertigo, ringing in the ears (tinnitus) and progressive hearing loss.
I visited several naturopaths & chiropractors who taught me much about general health, though none could help my symptoms.
My stress level was drastically reduced and my first post-restaurant attack wasn’t as severe or as long as usual. I tried many supplement regimens, again getting some short termed relief, but nothing sustained.
I still have some bouts with tinnitus, but never sustained, usually just a few hours once or twice a week in the morning. In 2008 I tried an anti-viral approach of natural supplements known as the “John of Ohio regimen”. My maintenance regimen includes daily doses of probiotics, garlic, lemon bioflavanoids, vinpocetine, vitamin E, B12 and pycnogenol (proven to increase circulation to inner ear). I went almost 5 months without symptoms, only to have them inexplicably return, and with a vengeance. I will not hesitate to hit the prescription anti-fungals again if symptoms return, though I haven’t had to in almost 3 years. This "vitamin" therapy was compared against what was described as conventional therapy, consisting of a steroid, Vitamin B, dextran, and a local anesthetic (to nerves distributed to the head). I stayed on it hoping for relief, but after another 6 months, I “gave up” on the regimen, though remained intrigued with the viral approach. I have noticed that after taking anti-biotics, my symptoms increase, showing a very clear connection to a fungal infection. All told, 454 ears were treated for sudden deafness and 354 cases for perceptive hearing loss from other causes. Both treatments were equally efficacious; but in newer cases of hearing loss, treated within a four-week period of onset, the "vitamin" therapy gave significantly better cure and effectiveness rates. My 7 day script ran out & a the subsiding symptoms started creeping back within three days.
Also, in cases with severe hearing loss or vestibular symptoms (vertigo, loss of balance, nausea, among others), the "vitamin" treatment was more effective. Remember that the "vitamin" therapy also contained lipoic acid at a level of 200 mg per dose, a respectable level. The screaming tinnitus I had grown accustomed to almost all the time started dissipating, sometimes disappearing completely for days.



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Comments Menieres hearing loss cure youtube

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