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| | SSE #88: Hyponatremia in Athletes |
 | | Although larger athletes are not immune to hyponatremia, small, slow athletes who sweat a lot, excrete a salty sweat, and are overzealous in their drinking habits are theoretically at greater risk. |  | | That hyponatremia can prove fatal to otherwise healthy athletes is reason enough for sports health professionals to be aware of what the risk factors are and how the disorder can be prevented. |  | | Although there is some evidence that individuals with CF are susceptible to hyponatremia (Montain et al., 2001; Smith et al., 1995), additional research is needed to determine just how prevalent the CF gene is among those who develop hyponatremia. |
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http://www.gssiweb.com/reflib/refs/604/SSE_88_Content.cfm?pid=96
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| | eMedicine - Hyponatremia : Article by Sandy Craig, MD |
 | | Rhabdomyolysis is an occasional consequence of hyponatremia and should be considered in patients with muscle pain or tenderness. |  | | Imaging studies may be indicated depending upon the underlying etiology of the hyponatremia (eg, chest radiograph in a patient with CHF). |  | | Patients with acutely developing hyponatremia are symptomatic at a level of 120 mEq/L. Those patients with chronic hyponatremia tolerate much lower levels. |
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http://www.emedicine.com/EMERG/topic275.htm
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| | News - Hyponatremia Possible Consequence Oxcarbazepine Therapy In Children |
 | | To determine whether hyponatremia is a potential problem in children treated with oxcarbazepine, researchers measured serum electrolyte balances in 75 children with epilepsy before and after taking the drug and after replacing carbamazepine therapy with oxcarbazepine. |  | | The dosage of oxcarbazepine taken did not influence the incidence of hyponatremia, nor did serum levels of the active metabolite of this drug, anti-epileptic comediation, age or gender. |  | | News - Hyponatremia Possible Consequence Oxcarbazepine Therapy In Children |
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http://www.docguide.com/news/content.nsf/news/8525697700573E1885256CD900513DFD
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| | THE MERCK MANUAL, Sec. 2, Ch. 12, Water, Electrolyte, Mineral, And Acid-Base Metabolism |
 | | Thus, in patients with thiazide-induced hyponatremia, elimination of the diuretic and replacement of Na and/or K deficits may be sufficient. |  | | Euvolemic hyponatremia results when TBW is increased and there is no significant change in total body Na content. |  | | Hyponatremia reflects an excess of TBW relative to total body Na content. |
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http://www.merck.com/pubs/mmanual/section2/chapter12/12b.htm
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| | Postgraduate Medicine: Hyponatremia and hypernatremia |
 | | This information is used to determine the cause of hyponatremia and help guide therapy. |  | | This condition is demyelination of the pons, which can lead to mutism, dysphasia, spastic quadriparesis, pseudobulbar palsy, delirium, coma, and even death. |  | | Rapid correction should be avoided because of the brain's adaptive response to hypernatremia and the potential risk of cerebral edema. |
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http://www.postgradmed.com/issues/2000/05_00/fall.htm
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| | HYPONATREMIA AND EXERCISE, PART 2 - MECHANISMS |
 | | This is seen in a variety of conditions, including post-surgery, head injuries, or in response to certain medications. |  | | Thus, in the case of an athlete who is dehydrated and hyponatremic, the pituitary will continue to release ADH to try to hold on to water, even though this may make the hyponatremia worse. |  | | What may happen as the athlete is slipping towards both dehydration and hyponatremia is that the body must make a tough choice, |
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http://www.rice.edu/~jenky/sports/hyponatremia.html
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| | eMedicine - Hyponatremia : Article by Muthukumar Vellaichamy, MD |
 | | Therefore, being aware of the risk factors that lead to hyponatremia is very important; recognizing and treating the condition appropriately is also very important. |  | | Because the human body protects itself from hyponatremia through an intact thirst mechanism, conditions associated with alteration in thirst mechanism are more prone to induce hyponatremia. |  | | This change prevents the development of hyponatremia and makes cells susceptible to dehydration during treatment, especially if significant osmolar change in the extracellular environment exists. |
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http://www.emedicine.com/ped/topic1124.htm
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| | Hyponatremia |
 | | The symptoms are very similar to heat injury, and for doctors, the clue to telling these two conditions apart is the core body temperature and blood work. |  | | Over-hydration with water can lead to dilution of salt in our body fluids which causes a condition known as hyponatremia. |  | | The article below, written by Carolyn McClanahan, M.D., a family physician with Jacksonville Emergency Consultants, should give you basic information to help you avoid this condition. |
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http://www.1stplacesports.com/hyponatremia.htm
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| | Salt and the Athlete |
 | | Athletes who are under a physician's care or have health problems should check with their doctor about salt and their ability to exercise in the heat. |  | | The exact mechanisms are not fully understood and I won't go into the complex physiologic pathways of sodium and water balance. |  | | For a more technical discussion plesase see hyponatremia and exercise part II |
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http://www.rice.edu/~jenky/sports/salt.html
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| | Summer Training and Competition: The Lowdown on Hyponatremia |
 | | Since most of the country is in the full swing of summer it seems appropriate to discuss a situation potentially dangerous to athletes competing and training in hot and humid conditions. |  | | To some athletes, it may seem very surprising that drinking excessive amounts of water during training or competition could be fatal Who would have thought that too much water was a bad thing? |  | | Get familiar with your own sweat rate and fluid/salt needs during training and competition in the heat. |
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http://www.carbboom.com/hyponatremia.htm
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| | MedlinePlus Medical Encyclopedia: Hyponatremia |
 | | In addition to laboratory studies, a complete physical examination will be done to find the underlying cause of this condition. |  | | Hyponatremia is confirmed through the following laboratory studies: |  | | Calling your health care provider Return to top |
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http://www.nlm.nih.gov/medlineplus/ency/article/000394.htm
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| | Active.com - Too much water can be dangerous: How to avoid hyponatremia |
 | | Hyponatremia occurs most often during marathons and long triathlons, when athletes are exercising longer and drinking more than they do in training. |  | | The study was conducted by the medical staff of the Boston Marathon, which found that an alarmingly high percentage of the finishers of the 2002 Boston marathon had developed hyponatremia -- a potentially fatal condition -- during the race. |  | | As dangerous as it may be, you really have to go out of your way to develop this condition. |
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http://www.active.com/story.cfm?story_id=11630
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| | Running Times Magazine: Too Much of a Good Thing |
 | | Rushed to the hospital for evaluation and treatment, Kiplagat’s problems were attributed to hyponatremia, according to her coach, Pieter Langerhorst. |  | | Ewert says that telling the difference between hyponatremia and heat stroke can be difficult. |  | | The immediate response is to treat a suspected heat illness victim with increased water intake, which could actually worsen the athlete’s condition. |
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http://www.runningtimes.com/issues/02nov/hyponatremia.htm
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| | Guidance to Athletes on Preventing Hyponatremia and Dehydration during Upcoming Races (press release) |
 | | Hyponatremia is a dangerous condition that occurs when an athlete consumes too much fluid (either water or other fluids), diluting the body's sodium levels. |  | | The incidence of symptomatic hyponatremia during endurance exercise events such as the marathon and triathlon is generally low (probably less than one in 1,000 finishers). |  | | The panel also concluded that especially during hot-weather training, dehydration occurs more frequently and has severe consequences, increasing the risk of heat exhaustion and heat stroke during and immediately after activity. |
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http://www.newstarget.com/010839.html
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| | The Doctor is IN: Hyponatremia and liver inflammation |
 | | Ensure that the hyponatremia was caused by fluid imbalance and not a result of the muscle breakdown injury. |  | | Rhabdomyolysis is the term for skeletal muscle breakdown that does affect the liver and the kidney, and this may be what you are experiencing. |  | | While hyponatremia is a dangerous condition, one that needs special attention to ensure that the body gets back to normal and avoids internal damage, liver inflammation is usually not associated with the effects of this condition. |
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http://www.insidetri.com/train/tips/articles/2854.0.html
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| | Hyponatremia |
 | | Symptoms of moderate hyponatremia include tiredness, disorientation, headache, muscle cramps, and nausea. |  | | "Hyponatremia and Hypernatremia." Medical Clinics of North America 81 (1997): 585-609. |  | | Such runners may experience neurological disorders as a result of the severe hyponatremia and require emergency treatment. |
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http://www.healthatoz.com/healthatoz/Atoz/ency/hyponatremia.jsp
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| | Facts on Hyponatremia |
 | | Furthermore, if an endurance athlete is taking any over-the-counter pain medications or prescription medicine, he or she may be asked to consult a doctor as some medications reduce the body’s capability to conserve salt. |  | | The symptoms of hyponatremia are very similar to the symptoms of heat illness. |  | | Both illnesses can be life threatening, therefore, if you or someone you know is experiencing the symptoms below, it is extremely important to seek medical attention immediately. |
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http://www.honoluluclub.com/pulse.php?ID=31
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| | Hyponatremia |
 | | If the body temperature is above 42 degrees Centigrade, the diagnosis is heatstroke, and the athlete must be placed in an ice-water bath for 5-10 minutes to lower his or her body temperature. |  | | The signs and symptoms of hyponatremia include bloating, upset stomach, nausea, headaches, cramps, disorientation, slurred speech and confusion. |  | | Aside from some medical conditions that are usually well recognized, there are really only two conditions specific to sport that cause an altered level of consciousness during prolonged exercise: heat stroke and hyponatremia. |
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http://www.spinalhealth.net/hyponatremia.html
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| | Dehydration: Why It Is So Dangerous - Diarrhoea, Diarrhea, Rehydration |
 | | Hyponatremia --II : A more technical discussion, of the mechanisms responsible for the development of exercise associated hyponatremia. |  | | Explains the important role water plays in regulating bodily functions and provides guidelines for staying hydrated. |
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http://www.rehydrate.org/dehydration
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| | Hyponatremia definition - Medical Dictionary definitions of popular medical terms |
 | | About half the women studied who finished the New Zealand Ironman triathlon developed hyponatremia, compared with 14 percent of the men, according to a report in the journal Medicine and Science in Sports and Exercise. |  | | The symptoms of hyponatremia include bloating and puffiness in the face and fingers, nausea, vomiting, muscle weakness, headache and disorientation. |  | | Hyponatremia has many causes including medications such as diuretics and antidepressants, hypothyroidism, cortisone deficiency (such as in Addison's disease), dehydration, vomiting or diarrhea, severe burns, kidney or heart failure, and cirrhosis. |
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http://www.medterms.com/script/main/art.asp?articlekey=3859&rd=1
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| | Runner's & Triathlete's Web Sportsmedicine: New Study Finds 13 % Hyponatremia At Boston ... |
 | | What the researchers learned after analyzing the data, however, was that the type of beverage consumed had no significant effect on this condition. |  | | Researchers suggest that the best way to reduce the frequency and severity of hyponatremia is to inform the greater public about the risk factors identified in this study that are linked to this potentially life-threatening condition. |  | | This suggests the problem of over-drinking may be more common than previously believed, especially in non-elite runners. |
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http://www.runnersweb.com/running/news/rw_news_20050414_Boston_Hyponatremia.html
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| | Hyponatremia |
 | | May use the calculations above to determine approximate length of therapy. |  | | Sivakumar V, Rajshekhar V, Chandy MJ.Management of neurosurgical patients with hyponatremia and natriuresis. |  | | Hyponatremia: (Serum sodium less than 136 meq/L) Clinical indicators and treatment depend on the cause of hyponatremia and whether or not it is associated with a normal, decreased or increased ECF volume. |
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http://www.globalrph.com/hyponatremia.htm
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| | Hyponatremia -- Primary Care article from New England Journal of Medicine |
 | | Hyponatremia -- Primary Care article from New England Journal of Medicine |  | | hyponatremia, by far the most common form of the disorder, is |  | | Borcherding, K. E., Ruchala, P. Maternal Hyponatremia: Prevention and Assessment Are Key for Managing This Rare but Potentially Devastating Condition. |
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http://content.nejm.org/cgi/content/extract/342/21/1581
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| | Hyponatremia |
 | | On July 26, 2005, sports medicine experts issued a warning to all athletes from the First International Exercise-Associated Hyponatremia Consensus Development Conference (Clinical Journal of Sport Medicine, July/August 2005). |  | | This condition is caused by drinking too much fluid and is not caused by excessive loss of salt in sweat or by exercising. |  | | You should suspect hyponatremia when the event takes more than four hours, the athlete is a thin woman in her first ultra-long endurance event, and when she has been drinking heavily as she exercises. |
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http://www.drmirkin.com/public/ezine082105.html
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| | NEJM -- Hyponatremia among Runners in the Boston Marathon |
 | | or less); 0.6 percent had critical hyponatremia (120 mmol per |  | | the incidence of hyponatremia and to identify the principal |  | | Conclusions Hyponatremia occurs in a substantial fraction of |
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http://content.nejm.org/cgi/content/short/352/15/1550
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| | Hyponatremia - Wikipedia, the free encyclopedia |
 | | Most patients are asymptomatic of the hyponatremia, but usually have symptoms related to the underlying cause. |  | | Hyponatremia is an abnormality that can occur in isolation or, as most often is the case, as a complication of other medical illnesses. |  | | As the hyponatremia worsens, confusion, stupor or coma may occur. |
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http://en.wikipedia.org/wiki/Hyponatremia
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| | American Family Physician: Management of hyponatremia |
 | | Severe hypertriglyceridemia and hyperproteinemia are two causes of this condition in patients with pseudohyponatremia. |  | | The identification of hyponatremia must be followed by a clinical assessment of the patient, beginning with a targeted history to elicit the symptoms of hyponatremia and exclude important causes such as congestive heart failure, liver or renal impairment, malignancy, hypothyroidism, Addison's disease, gastrointestinal losses, psychiatric illness, recent drug ingestion, surgery, or reception of intravenous fluids. |  | | Renal disorders that cause hyponatremia include sodium-losing nephropathy from chronic renal disease (e.g., polycystic kidney, chronic pyelonephritis) and the hyponatremic hypertensive syndrome that frequently occurs in patients with renal ischemia (e.g., renal artery stenosis or occlusion). |
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http://www.findarticles.com/p/articles/mi_m3225/is_10_69/ai_n6048503
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| | Hyponatremia |
 | | The patient may feel nauseated, and experience muscle twitching, which can progress to seizures. |  | | A patient with hyponatremia will have a blood sodium level lower than 136 mEq/L. Your doctor will also perform tests and study your medical history to look for the underlying cause of your condition. |  | | Mild hyponatremia is treated by reducing your intake of water and monitoring the use of diuretics. |
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http://www.hmc.psu.edu/healthinfo/h/hyponatremia.htm
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| | Critical Care Medicine Tutorials- Hyernatremia |
 | | A patient with diabetic ketoacidosis may have hyponatremia, but normal osmolality, due to hyperglycemia, hypertriglyceridemia and ketonemia. |  | | If the blood is hypo-osmolar in relation to the brain, water enters the brain and can cause acute cerebral edema, particularly in patients who are euvolemic (such as patients who develop "TURP" syndrome - caused by intravascation of hypotonic fluid during transuretheral resection of the prostate gland). |  | | Patients with acute renal failure may have hyponatremia due to uremia. |
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http://www.ccmtutorials.com/problems/explore/name/hyponatremia.htm
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| | Fluid and Electrolyte Balance and Endurance Exercise: |
 | | Effectively, it dilutes the sodium, which is largely an extracellular cation, and leads to the observed clinical effects of the syndrome. |  | | This means that the early symptoms can be relatively non- specific and include nausea and vomiting, lethargy, malaise, headache, and fatigue. |  | | These new sporting disciplines have brought with them a whole new raft of previously unreported medical illnesses. |
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http://www.wms.org/education/Hyponatremia.htm
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| | MDMA De-Hydration & Over Hydration Effects |
 | | Unfortunately as the electrolytes get out of balance, body systems start to fail and (because of the blood brain barrier), the sufferer starts to exhibit signs of crisis such as diarrhea, over salivation, stupor, vomiting, muscle tremors, confusion, frequent urination, and other general symptoms of illness, and their brain begins to swell. |  | | This swelling is called a 'brain edema' or 'cerebral edema' and can (and does) lead to brain damage, paralysis, and death. |  | | Several factors add to this effect, including MDMA's pharmacological effect of increasing body temperature, the strong physical stimulation experienced by most users, and the euphoria and comfort of the experience which can cause users to overlook their level of exertion. |
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http://www.erowid.org/chemicals/mdma/mdma_health_water.shtml
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| | Hyponatremia |
 | | Though the condition is opposite to dehydration, the symptoms generally mirror those of dehydration (apathy, confusion, nausea, and fatigue), although some individuals show no symptoms at all. |  | | Hyponatremia is a condition known as "water intoxication." It is the opposite of dehydration, and is often associated with long distance events like running and cycling. |  | | Moreover, it’s not an unusual problem, and you can develop it in a few hours. |
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http://www.geo-outdoors.info/hyponatremia.htm
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| | WebMD with AOL Health - Patient Handout |
 | | Caution is advised when using this drug in the elderly because they may be more sensitive to the side effects of the drug, such as dizziness. |  | | Caution is advised when using this drug in children because they may be more sensitive to the side effects of the drug, especially loss of appetite and weight loss. |  | | The elderly are also more likely to develop a type of mineral imbalance (hyponatremia), especially if they are also taking "water pills" (diuretics) with this medication. |
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http://aolsvc.health.webmd.aol.com/drugs/mono-8095-SERTRALINE+-+ORAL.aspx?dr...
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| | Technorati Tag: hyponatremia |
 | | A tag is like a subject or category. |  | | Health Care Professionals Register today, and make MerckMedicus your first stop for no access fee, time saving medical resources regarding hyponatremia. |  | | Support hydration with balanced electrolytes from ELETE-pure electrolyte add in. |
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http://www.technorati.com/tag/hyponatremia
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| | Marathon (sport) - World Record Encyclopedia |
 | | A patient suffering hyponatremia can be given a small volume of a concentrated salt solution intravenously, to raise sodium concentrations in blood. |  | | Water and light sports drinks such as Gatorade offered along the race course should be consumed regularly. |  | | However, at least to those amateur atheletes, over consumption of water could dangerously dilute the blood lead to hyponatremia that results in a coma and even death. |
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http://www.tiptophot.com/records/index.php?title=Marathon_(sport)
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