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Publications On Natural Health

28/5/2018

The Crucial Difference Between Your Own Progesterone and The One Found in Your Pill

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There is a common misperception about progesterone (naturally occurring hormone) and progestin (the synthetic version) — namely that they are essentially identical. “Progesterone” and “progestin” are used interchangeably so often that patients may inadvertently think of them as one and the same, and put themselves at risk for health issues by not being aware that they are not, in fact, synonymous. So what is the difference between progesterone and progestin? The answer may surprise you.
 
What is progesterone?
 
Progesterone is a naturally occurring hormone that functions primarily to regulate reproductive processes. It is produced by the adrenal glands and ovaries or testes, and by the placenta in pregnant women. In women, progesterone is responsible for preparing the uterus for the implantation of an egg and maintains the lining of the uterus — the endometrium — during pregnancy.


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18/12/2017

10 Signs You May Have a Magnesium Deficiency

Magnesium Deficiency
      Magnesium is the 4th most abundant mineral in the human body. It is found in every cell in the body and is an essential component in regulating over 600 different biochemical reactions and bodily functions. It helps convert food into energy, to build new proteins, to repair DNA/RNA, regulate muscle relaxation, and balance neurotransmitters in the brain, nervous system, and gut. It has direct impacts on heart health, blood pressure, immune response, metabolic rates, and more.
​
  Unfortunately, magnesium deficiency is on the rise, with an estimated 50% of the population in the US and Europe getting less than their daily requirement of magnesium (1). Historically, magnesium was abundant in the foods we ate and the water we drank. However, today, most soil grown produce has been shown to be more magnesium depleted than ever, and even the grass and grains livestock eats lacks magnesium content. For those of us that live in the city, our water is treated with chlorine and fluoride to remove bacteria and minerals, like magnesium. Furthermore, consumption of caffeine, sugar, alcohol, and medications like birth control pills, antihypertensives, insulin, and certain antibiotics all deplete magnesium further.

    One particularly important mechanism magnesium regulates is our balance and utilization of calcium. Every cell has a regulatory switch that controls the balance between calcium and magnesium, and when there is a deficiency in magnesium, the switch will allow excess calcium into the cells. This can ultimately lead to cellular calcification, amongst a number of other concerns, including:
  1. Muscle Cramps and Spasms – Calcium is essential for muscle contraction, whereas magnesium allows muscular fibres to unbind, and ultimately relax. As a result, low levels of magnesium may lead muscle stiffness, cramping, and spasms.
  2. Calcification of the Arteries – Magnesium deficiencies increase risks of calcification in the arteries as a result of unopposed calcium in the bloodstream. Atherosclerosis and arteriosclerosis are primary warning signs.
  3. Hypertension (High Blood Pressure) – Calcification can cause blood pressure rates to become higher. A Harvard study showed that those with the highest magnesium intake had the healthiest blood pressure levels.
  4. Fatigue/Lack of Energy – All of our cells contain adenosine triphosphate (ATP), a chemical that must bind with magnesium in order to convert itself into energy. With low magnesium levels, our energy molecules remain unusable, and as a result, energy level often declines.
  5. Problems Sleeping – Magnesium promotes active muscle relaxation, and is essential for the proper function of our GABA receptors. When activated, GABA promotes restful relaxation, improving not only our ability to fall asleep, but maintain sleep. Furthermore,
  6. Hormone Imbalances – There is a direct correlation between estrogen/progesterone and magnesium levels in women. The higher the hormones – the lower the magnesium. Additionally, increased hormone levels during pregnancy can quickly deplete magnesium levels. Low magnesium levels can make menstrual cycle cramping more severe.
  7. Pregnancy Health Complaints – Pregnant women tend to have more cramping, pregnancy-related high blood pressure, and other such problems, all signs of low magnesium levels.
  8. Depression and Anxiety – Chemical imbalances in the brain brought on by stress and anxiety could be contributed to magnesium deficiency, as well as certain types of depression. Furthermore, as mentioned above, magnesium’s relationship to GABA receptors mean that lower levels result is a less relaxed state of mind.
  9. Deficiencies in Other Minerals – Without the right level of magnesium in the cells, other minerals, such as calcium, potassium, vitamin K and vitamin D, are not utilized correctly.
  10. Bone Density Concerns – In order for Vitamin D to be able to help absorb calcium into the bones, where it belongs, it needs the right amount of magnesium. Magnesium also works with a hormone called calcitonin that draws calcium out of the muscles, circulatory system, and soft tissues so it can be absorbed by the bones.

     With the proper magnesium levels in the body, risks for heart disease, heart attack, kidney stones, calcification in the arteries, and osteoporosis are reduced. To ensure proper magnesium levels, expose yourself to these magnesium-rich foods:
  • Spinach and Chard: ~ 157 mg/cup
  • Pumpkin Seeds: ~ 92 mg/1/8 cup
  • Almonds: ~ 80 mg/1 cup
  • Black Beans: ~ 60 mg/ ½ cup
  • Avocado: ~ 60 mg/1 medium
  • Dark Chocolate: ~ 95 mg/1 square (did you know specific chocolate cravings are suspected to be a sign of a Mg deficiency!)
  • Bananas: ~ 30 mg/1 medium

     If you have experienced any of the signs discussed, and want to find out more about the benefits of magnesium, please feel free to contact Toronto Naturopathic Doctor, Dr. Courtney Holmberg at 647-351-7282 to schedule a consultation today!

  1. Rosanoff A1, Weaver CM, Rude RK. Nutr Rev. Suboptimal magnesium status in the United States: are the health consequences underestimated? 2012 Mar; 70(3):153-64. 
  2. Elin RJ, Rude RK. Oral magnesium and wellness. The Magnesium Report: Clinical, Research and Laboratory News for Cardiologists. 2000.
  3. Fox C, Ramsoomair D, Carter C. Magnesium: its proven and potential clinical significance. Southern Medical Journal. 2003;94(12):1195-201. 
  4. Kimura M. Overview of Magnesium Nutrition. In: International Magnesium Symposium. New Perspectives in Magnesium Research. London: Springer-Verlag; 2007:239-260.
  5. Pumpkin Seed Nutritional Profile: superfoodprofiles.com/raw-pumpkin-seeds-nutrition

19/7/2017

Post-Birth Control Syndrome: What is it + How to Heal

Birth control syndrome
​If you’ve ever taken birth control pills and discontinued, you may have experiencedsomething known as post-birth control syndrome. It generally arises within the first 6 months of discontinuing, affects women of all ages, and has a wide array of symptoms. The severity is based on several factors, including how long you took the pill, the type of pill (dosage and hormone combination), your age, liver health, bowel regularity, and overall wellbeing.

Some of the more common symptoms one might experience after stopping the pill include acne and losing hair, and for some women it results in an absence of menses returning, known as amenorrhea. Other less common symptoms women may experience include:


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23/6/2017

Combating and Relieving Stress through Food

Combating and Relieving Stress through Food
Believe it or not, the foods we eat play an important role in helping our bodies manage our stress levels. During periods of time in which we feel overwhelmed with stress, it is easy to turn to “comfort foods” like ice cream, sugary sweets, chocolate, deep fried foods, pizza, and others that make us feel good.

Why do we crave these things, you might ask?
Well interesting enough, the foods we consume have a direct impact on the neurotransmitters our bodies eat. For example, eating dietary sugars and starches raise serotonin levels, giving you the temporary sensation of feeling calm and relaxed. Furthermore, the pleasure in doing so promotes dopamine release, which stimulates our reward system, and explains why the more sugar you have, the more your body will continue to crave it.

However, the problem with “comfort foods” is while they initially bring a brief moment of relief, they do not last.

Instead of reducing the stress, these foods can make us feel tired and lethargic by spiking or insulin and cortisol levels, which ultimately directly impact the levels of stress we are experiencing. Furthermore, consuming large quantities of “comfort foods” during high levels of stress can cause a drastic increase in “bad” cholesterol levels, increase our blood pressure, and create long-term risks associated with heart disease and heart attacks.
So when you are feeling overly stressed, rather than consuming your favourite “comfort foods”, its best to turn your attention to stress-reducing foods that are good for the body. Choosing the right foods can help increase the levels of serotonin, without spiking cortisol. You should also include foods that boost your immune system response, as increased stress for prolonged periods weakens immune responses, resulting in more frequent periods of illnesses.

The Dos and Don’ts

You should avoid simple carbohydrates, like sugar, because it is quickly digested by the body and only provides short-term calming effect. Stay away for sugary sodas, candy bars, and other foods that are packed full of sugar, corn syrup or other such sugar-based sweeteners.
Instead, choose complex carbohydrates because these foods provide the same calming effects as sugar, but last longer because they take longer to digest. Some of the foods considered complex carbohydrates include:
  • Oatmeal
  • Starchy Vegetables: sweet potatoes, carrots, turnips, squash
  • Lentils
  • Beans & Legumes

For sweet treats, consider citrus fruits, like oranges and grape fruits, that are high in Vitamin C. Vitamin C not only helps the adrenal glands to reduce stress levels, but also has added benefits for the immune system.

If you feel lethargic or are experiencing an increase in the frequency and duration of headaches, along with elevated stress levels, this often indicates you are not getting a sufficient amount of magnesium in your diet. Magnesium is found in green, leafy vegetables, such as spinach. You will also find magnesium in salmon and soybeans, so you have several options.

Additionally, salmon (and other darker meat fish) are considered a good source of Omega-3s, which are great for controlling spikes in the hormones that cause stress and at the same time, help reduces risks of heart attack, heart disease, pain syndromes, depression and PMS. Remember to always source wild fish, or use supplements.

Bonus tip: Sugar cravings can sometimes mean you’re not getting enough fat in the meal prior. Up your fat intake to offset these cravings.
Increasing the amount of vegetables in your daily diet can help combat energy crashes throughout the day. To get the most benefits from veggies, try to sauté them lightly or steam them vs boiling or frying them.

Lastly, stay away from high sugar fruits, like bananas and tropical fruits. While the sugar is natural, it still spikes insulin (and ultimately cortisol) the same way refined sugar will. Always aim to eat fruits with a high fiber food like oat bran or flax, as it helps to offset this effect.
For natural health tips for fighting increased stress levels, please feel free to contact Toronto Naturopathic Doctor, Dr. Courtney Holmberg, at 647-351-7282 to schedule a full health assessment today!

27/2/2017

Is Stress Keeping Us From Getting Pregnant?

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If you and your loved one have been trying to conceive a child, but have unfortunately had little success, stress levels are often on the rise for both of you. But for some couples, the stress resulting from the inability to conceive may actually be part of the reason they’re having difficulty getting pregnant. Anew condition called “Pregnancy Stress Syndrome”not only can prevent you from getting pregnant, but also can create problems and complications during the pregnancy, most notably, miscarriages.
What Is Going on Inside My Body When I’m Under Stress?
When faced with excessive stress levels, the brain signals the adrenal glands to start producing and releasing more stress hormones, especially adrenalin and cortisol. In other words, your body is initiating your “fight or flight” response in the sympathetic nervous system. Since all hormones talk to each other (that is their job, after all), increased levels of stress hormones within your body often cause an imbalance to other hormone systems.
Together, the adrenal glands, pituitary gland, and hypothalamus of the brain, evaluate the level of stress and perceived stressors on your present state, and increase the production of stress hormones to enhance our “survival instincts” during heightened levels of stress. While this can be beneficial occasionally in certain situations, it is when we are in a constant state of “fight or flight,” it is counterproductive to the reproductive system and being able to conceive a child.

How Does Stress Prevent Pregnancy?
Increased, prolonged levels of stress results in the body’s continual release adrenalin and cortisol, and elevated levels affect the body as follows:
  • Progesterone secretions from the corpus luteum (which are responsive for maintaining your uterine lining and sustaining a pregnancy) are reduced.
  • The release of estrogen is reduced and impedes follicle development and health.
  • With reduced estrogen levels, it also reduces the thickness of the fertile mucous and endometrium.
  • The secretion of prolactin is increased and inhibits ovarian functions, like ovulation.
  • Reduces immune responses, like the part of the immune system responsible for preventing miscarriages.
  • Reduces secretion of LH (luteinizing hormone), which is responsible for ovulation.
  • Reduced conversion of active thyroid hormones, leading to elevated TSH levels, and subclinical signs of hypothyroidism (one of the primary factors in infertility)
In addition, since increased stress levels reduce immune responses, other health issues can arise, which can further impede the ability to conceive.

What Can I Do?
The first thing you need to do is address and deal with your stress in a healthy manner.

Diet
First and foremost, a change in dietary eating patterns and developing a daily exercise routine helps immensely. Far too often, our “go-to” foods when overly stressed are those we consider “comfort” foods, which are full of unhealthy fats and contain large amounts of sugar and sodium. Eliminating refined sugar and a processed food reduces the insulin burden on the hormone system, and the livers need to detoxify chemicals. Instead, reach for whole foods, healthy fats like avocado and nuts, and be sure to reach your required daily caloric intake healty fat making up at least 40% of it.

Stress Management
Others benefit from learning new techniques and methods to reduce stress and relax, like getting regular message therapy, joining a yoga class, or trying acupuncture. I’ve personally seen acupuncture lower FSH levels (a sign of ovarian failure) from 19 down to 9 in a the course of a month.

Seek Help
Lastly, DON”TGoogle things! The Internet is a never-ending black hole of information, some good, some bad, and some terrible. You’re wasting precious energy adding potentially incorrect information to your already stressed state. This is what your Naturopath is for. Unsure to build a well rounded health team to not only help you manage stressors, but to look at every factor involved that may be reducing your chances of conception, all the while optimizing your chances of success (there’s a LOT you can do to improve sperm & egg quality, ovulation patterns, etc.)

As an additional resource, consider a well-rounded book that will provide insight and empowerment, like Taking Charge of Your Fertility, by Toni Weschler MPH.

To determine whether your inability to conceive is due to heightened stress levels, I encourage you to consult with a qualified and experienced Naturopathic Doctor who has a focus in hormones and infertility for a detailed and comprehensive examination.

To schedule a consultation appointment today, please feel free to contact Dr. Courtney Holmberg at 647-351-7282, or visit www.courtneyholmbergnd.ca for more information. 

28/1/2017

the Truth about the Brain and Gut Connection 

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​We have all been there, had a nervous sensation before speaking in front of a large group of people, or a “pit” in the bottom of our stomachs as we started a new job with a new employer. These “gut feelings” actually have a connection to our brains. It is believed there is a second brain within the gut to handle digestion and other functions. Scientists are continuing to discover how this “second brain” and the microbiome affects our emotions, state of mind, and relation to a variety of illnesses, diseases, and conditions.

​Our Feelings and Our Gut
Have you ever felt so stressed out you sought comfort in a pint of ice cream or some other sugary, salty, or deep fried food or snack? If so, this is just one aspect of our guts and brains talking to each other. When we become overly stressed, it leads to anxiety. This triggers the body’s natural “flight or fight” response and releases adrenaline into our systems. Along with the adrenaline, another hormone, called cortisol is released.

Cortisol tricks the gut into thinking it is hungry, even though you are not. Until the stress is reduced and brought back down to more manageable levels, the body continues to release cortisol. For someone, who is highly stressed, this can result in overeating, or what many of us refer to as “stress eating,” as a means to address the stress.

Our Mood and Our Gut
Besides stress, other emotions and moods we experience have a direct link to our guts. For instance, if we are overly excited, we are full of energy as the gut works to release energy and burn calories. On the other hand, if we are feeling sad or depressed, our gut functions can slow down or could cause the gut to become upset where we have a “sour” or “burning” feeling in our gut, or experience nausea.
​
Conditions of the Gut
Many types of gastrointestinal medical conditions, like GERD (gastroesophageal reflux disease), IBS (irritable bowel syndrome), gluten intolerance, dairy intolerance, and food sensitivitiesare believed to directly related to various types of disorders some people suffer from including anxiety, autism, depression, and ADHD (attention deficit/hyperactivity disorder).

In people suffering from these conditions, the make-up of their gut’s microbiome is different, compared to people without these disorders. Fortunately, there are natural remedies available to help change how the microbiome functions and restore order to the gut and improve its connection with your brain.

To start, you also want to aim to incorporate these three power foods to rebalance gut function and microbiome.

Probiotics:
  • Kimchi
  • Kombocha
  • Sauerkraut
  • Fermented foods
  • Dandelion Greens
These foods contain pre & probiotics to promote a health gut flora and prevent overgrowth of harmful or unwanted organisms. They also assess in proper digestion and bowel formation.

Bitters:
  • Kale
  • Bitter melon
  • Arugula & dandelion
  • Turmeric
  • Cumin
These foods, because of their bitter properties, promote natural gentle cleansing of the body via liver stimulation, and stimulate your rest and digest nervous system for proper digestive function

Cleansing:
  • Processed meats, prepared foods, sauces, etc
  • Gluten
  • Dairy
  • Refined sugar
Avoiding processed foods and following a healthy, non-processed diet will change the functioning of the microbiome and gut. As an added bonus, you reduce your risks for diabetes, obesity, and other conditions.

Of course, the best place to learn how to address concerns over your own brain-gut connection, is to schedule a visit with a qualified health professional.
Schedule a consult with Dr. Courtney Holmberg, ND to learn how naturopathic medicine can rebalance your gut for good. Book online or call 647-351-7282 today!

30/11/2016

Birth Control and Depression: Are They Related?

medicine
There have been several studies and research conducted over the years on the topic of whether depression and taking a birth control pill is related. A very recent study was published this year on the topic, and is making headlines, as some of you may already know. But before discussing some of its findings, it is important to first understand how the pill works, and discuss its efficacy, side effects, and potential risks on your mental and physical wellbeing.

Birth control pills are the most commonly prescribed form of contraception to young females in North America. They contain a variety of different active and inactive ingredients. Among the more common ones are progestin, synthetic progesterone, and estrogen. The pills can contain a combination of these hormones in various dosages, or just consist of a single hormone. Ingesting synthetic hormones alters your body’s natural hormonal balance, levels, and production, ultimately preventing ovulation and subsequent ability to conceive.

The estimated probability of pregnancy during the first year of perfect use of the pill is 0.3% if taken at the exact same time every day, and a dose is never missed. However, actual rates of pregnancy with oral contraceptive are more like 9-11% in their first year of use [1]. Furthermore, an estimate 51% of unintended pregnancies happen while using a birth control pill [3], suggesting failure rate is high.
Furthermore, as a result of this natural hormone imbalance, it also affects responses within the brain, which causes altered psychological and physical responses. For instance, some of the more common side effects that have been reported from women taking oral contraceptives include:

  • Water Retention
  • Weight Gain
  • Yeast Infections
  • Overeating
  • Weight Loss
  • No Appetite
  • Erratic Changes in Emotions
  • Sense of Helplessness/Sadness
  • Reduced Sex Drive
  • Lack of Energy
  • Problems Concentrating
  • Increased Risks for Cervical and Breast Cancers

The University of Copenhagen Study on Depression and Birth Control

This recent study contained a large sample population, consisting of 1,061,997 female subjects, who were aged 15 to 34. In addition, none of these women had experienced any form of depression or other psychiatric/psychological problems prior to starting birth control. To help determine the effects of taking oral contraceptives, the researchers monitored whether subjects were diagnoses with depression or started a new antidepressant prescription throughout the study.

The study sample was also divided into two groups, where one set of women would take some form of birth control including:

  • Transdermal Patches
  • Progestin-Only Pills
  • Vaginal Rings
  • Combination Pills
  • Levonorgestrel IUD

The other group of women would not use female birth control during the study. At the conclusion of the study, researchers compared the number of women who developed depression during the study period in both groups. The findings were as follows [3]:

  • 131,178 women had obtained a prescription for antidepressant medications at some point during the study period.
  • 23,077 women were newly diagnosed with depression.
  • Subjects, aged 15 – 19 had the highest ratio of antidepressant medications and depression diagnoses.

Relative risks for first time use of antidepressants were as follows:

  • Combined oral contraceptives: 23% increased risk
  • Progesterone-only pill: 35% increased risk
  • Contraceptive Patch: 100% increased risk
  • Vaginal Ring: 60% increased risk
  • Progesterone IUD: 40% increased risk

Based upon these findings, the study concluded there was evidence that birth control use and depression were related. However, future studies conducted at other research facilities have resulted varying findings. For instance, a 2007 study also found an increase in depression from subjects taking birth control, while another one in 2012 did not find a correlation between the two.

Natural Alternatives for Birth Control

If you are worried about potential risks and side effects of oral contraceptives, there are several natural alternatives available. Forms of hormone free birth control method include:

  • Male Condoms
  • Female Condoms
  • Diaphragms
  • Cervical Caps

A conversation I often have with my patients is the use of a hormone free intrauterine device made from copper. While the study did not assess the use of a hormone free intrauterine device, if you have a history of depression, or have previously experienced low moods on a birth control pill, this may be an effective alternative for you. Of course, it comes with its own risks and side effects, so always have a full discussion with your Medical Doctor or Naturopath to find an option that is right for you.
For more information about these and other natural alternatives, please feel free to contact Dr. Courtney Holmberg ND at 647.351.7282 or access the online schedule HERE today to arrange a consultation appointment at her naturopathic clinic in Toronto.
​
References:
  1. Trussell, James (2011). "Contraceptive efficacy". In Hatcher, Robert A.; Trussell, James; Nelson, Anita L.; Cates, Willard Jr.; Kowal, Deborah; Policar, Michael S. (eds.). Contraceptive technology (20th revised ed.). New York: Ardent Media. pp. 779–863
  2. Unintended pregnancy in the United States. Sept 2016. https://www.guttmacher.org/fact-sheet/unintended-pregnancy-united-states
  3. Charlotte Wessel Skovlund, MSc; Lina Steinrud Mørch, PhD; Lars Vedel Kessing, MD, DMSc, Øjvind Lidegaard, MD, DMSc, et al. Association of Hormonal Contraception With Depression. JAMA Psychiatry. 2016;73(11):1154-1162.

3/8/2016

Weekly Challenge: No Electronics Before Bed

improve sleep
Join us for the next 6 weeks as we challenge each other to incorporate healthy habits into our lifestyles. Share with a friend to challenge them with you!
 
Health Habits Challenge: No Electronics 1 hour before bed
Our bodies are made up of millions of electrons that are constantly subjected to stimulation: more specifically, light stimulation. 
The reception of light into our optic nerve emits a signal to the brain to indicate daytime, and therefore mounts a release of our wake/stress hormones, cortisol, dopamine and noradrenalin.
This tells our brain that we should be awake and active, not restful and sleepy.

Furthermore, research out of Thomas Jefferson University shows that the light emitted from our devices is “short-wavelength-enriched,” meaning it has a higher concentration of blue light than natural light. Blue light has been shown to affect levels of melatonin (our sleep-inducing hormone) more than any other wavelength.

Instead, dim the lights, power down all the electronics, and relax in bed by listening to a podcast, chatting with your partner, or reading a good ol' fashion paperback novel. Choose relaxing reading materials that have nothing to do with work! Stop all your work-related activities at least 2 hours before bed!

And no, night mode doesn't count.

4/12/2014

To break, or break up with, BREAD

Gluten Free
     Unless you've been living under a rock, I'm sure you've come across the ingredient every product is labelling free-of and every consumer is trying to avoid, gluten. One of the most common questions I'm asked with regards to dietary changes in practice is "should I be gluten-free too?" Stats say roughly 29% of households now have a family member who eats gluten free, and the "Gluten Free" label has become the top 5th label claim since 2011. But when asked, less than a third of respondents (including those who claimed to be gluten free) actually knew what gluten was and where it was found.
     So... what is it? Why is it bad for us? And what's with all the hype anyways?


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DR. COURTNEY HOLMBERG, ND

Platinum Health and Wellness
​​955 Queen St W, Unit 111
Toronto, ON
M6J 3X5

​647-351-7282
​​

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​© 2018 Courtney Holmberg ND. All rights reserved. Dr. Courtney Holmberg, ND does not endorse or have professional affiliation with any discussed supplement or lab companies. All material provided is for general education and may not be construed as medical advice. The information is not intended to assist in diagnosing to treating a medical condition. Legal & Medical Disclaimer, sitemap

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