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Harm Reduction Notes for the COVID-19 Pandemic

Medium depth peeling and hyperpigmentation

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- Mon, 17 Jun 2019 17:24:23 EST +42AZ9bC No.55802
File: 1560806663131.png -(147986B / 144.52KB, 599x433) Thumbnail displayed, click image for full size. Medium depth peeling and hyperpigmentation
Any dermatologists here? I was wondering, if someone has dermal hyperpigmentation and did medium depth chemical peels, to what extend can the hyperpigmentation be removed? I just read pic related and I was wondering if I did one medium peel and then another a couple of weeks later, if the second one helped to improve the hyperpigmentation further. The epidermis seems to move from the bottom to the surface, as new cells are generated and the old ones die and fall off at the surface. So any epidermal melanin will move to the surface as well. Now if a medium depth peel affected the upper layer of the dermis, would melanin located slightly lower than that ever move upwards with subsequent peels?
I'm doing this because I have eruptive syringoma, but I don't have a problem with the bumps, I just want to diminish the darker pigmentation of them.
>>
Lillian Blythefoot - Tue, 18 Jun 2019 11:06:25 EST FonZKC1l No.55803 Reply
1560870385303.gif -(2035233B / 1.94MB, 222x200) Thumbnail displayed, click image for full size.
>Any dermatologists here?

Yeah dude I finished medical school top of my class and in my spare time I post on 420chan/med/

Is this man a fake?

View Thread Reply
- Mon, 03 Jun 2019 00:02:26 EST 8bTpBFOx No.55790
File: 1559534546233.png -(413974B / 404.27KB, 517x504) Thumbnail displayed, click image for full size. Is this man a fake?
There this guy i saw on youtube called Paul Alexander (https://www.youtube.com/watch?v=gplA6pq9cOs&t=2s) and he claims to be the last surviving person living in an iron lung.
He must be in his sixties and has apparently written a memoir and became a lawyer but I'm not quite convinced he has polio and has been faking it the whole time. Is it easy to fake being crippled from the neck down for money or to avoid work?
6 posts omitted. Click View Thread to read.
>>
Nicholas Branderfotch - Mon, 01 Jul 2019 19:25:53 EST seInJVW2 No.55811 Reply
>it's fake because it contradicts my muh worldview lol xdDD corporate profits
this is why everyone hates antivaxxers
>>
Ebenezer Cligglewell - Fri, 05 Jul 2019 12:53:20 EST bFIbT47D No.55818 Reply
>>55811
No, everyone hates anti-vaxxers because opposing Big Pharma has been equated to endangering the public, thanks to extensive propaganda.

note feedback?

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- Mon, 20 May 2019 01:08:56 EST eAyeZGui No.55777
File: 1558328936882.jpg -(152775B / 149.19KB, 750x751) Thumbnail displayed, click image for full size. note feedback?
so, i jumped from a car when i was a teenager and fucked up my shoulder on one side, lucky to be alive
i also broke my left leg a few times, it's super fucked up and tilted out about 30
degrees to the left
Some serious injuries to face and head, too, but I think they're mostly cosmetic
I had numerous untreated fractures in my ribs and a basically infinite number of scrapes and bruises accumulated over a tough period of my life, and then on top of that, extreme weight loss and gain
The lower part of my back is fucked up, too, there could be many reasons, car accidents, falls, etc. It's something about the flexibility of the lombard. When I do a deep squat, I have to round at the very bottom to avoid a sharp pain.

My body is super fucked up. I have a home gym now and work out there and cardio outside.

So, I wanted to check with /med/ about my recovery plan..

I soak with epsom salts for various random pains and sores, and receive massages sometimes. My skin hurts basically all the time on some affected regions and it's not really clear to me why but I think it is the recent weight loss. so, i jumped from a car when i was a teenager and fucked up my shoulder on one side, lucky to be alive
i also broke my left leg a few times, it's super fucked up and tilted out about 30 degrees to the left
I had numerous untreated fractures in my ribs and a basically infinite number of scrapes and bruises accumulated over a tough period of my life, and then on top of that, extreme weight loss and gain
The lower part of my back is fucked up, too, there could be many reasons, car accidents, falls, etc. It's something about the flexibility of the lombard. When I do a deep squat, I have to round at the very bottom to avoid a sharp pain.

My body is super fucked up. I have a home gym now and work out there and cardio outside.

So, I wanted to check with /med/ about my recovery plan..

I soak with epsom salts for various random pains and sores, and receive massages sometimes. My skin hurts basically all the time on some affected regions and it's not really clear to me why but I think it is the recent weight loss.

I'm worried I have serious strength imbalances and other things that impair performance and free movement, but not sure how to check them out. My PCP basically can only see me for half an hour every six months. I've considered going to a specialist but I'm not really sure where to start.

When I am done getting myself in shape again, I expect my body to be riddled with scars in various places, but I want it to look basically like a thin, cut muscular man. I've asked on /fit/ for various things so this is just the medical side of it.
1 posts omitted. Click View Thread to read.
>>
Betsy Smallwell - Tue, 21 May 2019 13:34:32 EST eAyeZGui No.55779 Reply
>>55778
the big prob is I dont have time in one sitting to explain everything to the guy and he's also teaching residents
but yeah I need a new doc
will look around
>>
Oliver Giblingbanks - Fri, 31 May 2019 15:26:30 EST x2reZJ6d No.55786 Reply
>>55777
try smoking cigarettes and taking noopept it should recover ur circulation
>>
A_Wizard !cMZsY.BCnU!!vVWR8L52 - Mon, 10 Jun 2019 23:47:51 EST p98oIwAn No.55795 Reply
>>55786
The noopept isn't a bad idea, along with a choline supplement and maybe some shilajit. Noopept helped me heal a bunch of nerve damage, and if OP isn't just rambling off horrible things at random... he could use that.

Re: help me, german gangster scientists

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- Fri, 07 Jun 2019 12:45:09 EST eAyeZGui No.55793
File: 1559925909555.jpg -(69870B / 68.23KB, 650x433) Thumbnail displayed, click image for full size. Re: help me, german gangster scientists
"It's fatty tissue cancer. Destroy the fat and all will be well."

Mystery molecule

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- Sat, 01 Jun 2019 01:43:24 EST Iq5hnGQY No.55788
File: 1559367804756.jpg -(2065231B / 1.97MB, 4032x3024) Thumbnail displayed, click image for full size. Mystery molecule
Taking a commissioned painting to a friend. Can anyone ID this Molecule? It doesn’t make any sense to me.

Breaking open a hernia repair

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- Wed, 01 May 2019 17:03:10 EST w3a2KdN1 No.55744
File: 1556744590613.jpg -(1771031B / 1.69MB, 2448x3264) Thumbnail displayed, click image for full size. Breaking open a hernia repair
So I had a small umbilical hernia repaired via suture last week and I'm paranoid about buying it open again. I'd feel/see it if that happened, right? Pic unrelated, my cat
>>
Lillian Crunnerworth - Thu, 16 May 2019 07:43:19 EST ONXqOwXb No.55770 Reply
>>55744
I don't mean to sound impersonal but do you have a lot of belly fat? That can cause/make reinjury easier with hernias.
>>
Nell Choblingtere - Sat, 01 Jun 2019 11:23:12 EST X5BW44/s No.55789 Reply
>>55744
I have no experience with this whatsoever but I'm gonna agree that you'd probably feel the resumption of the unique hernia pain you had pre-surgery. It's gonna feel awfully like something isn't right. You'll know.

Urinary Tract Infection

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- Thu, 16 May 2019 07:14:01 EST pALhX+qO No.55768
File: 1558005241612.jpg -(3927B / 3.83KB, 309x163) Thumbnail displayed, click image for full size. Urinary Tract Infection
You ever have a UTI so severe that even so much as looking at a toilet causes your bladder to collapse with the force of a neutron star and you have to piss RIGHTNOWNOWNOW, and you just manage to get your dick out in time before a stream of condensed agony floods out with you unable to stop it and you're trying very hard not to shriek as your dick lights on fire from the inside because it's fucking three o'clock in the morning?

Anyone?

I'll continue. I like some pain with my sex, which is how I got in this mess in the first place. a fun session of sounding which is normally fine but I didn't take the time to properly sterilize my equipment first so after I pee, I'm turned on but my ureter is still so bacteria-laden that jerking off feels like broken glass inside my dick and that's TOO painful to be fun and I can't get release.

I've got blue balls and plasma piss. 0/10 combo, would not recommend.

I basically went and saw a doctor the second I felt something amiss and I'm on some pretty heavy duty antibiotics, but got dam am I miserable as fuck right now.

Thanks for coming to my TED Talk.
>>
Fanny Fendlesock - Sat, 18 May 2019 04:47:56 EST dTi7FwVC No.55773 Reply
>>55768
Did they give you pyridium? Take some pyridium. I also suggest drinking gallons of water and cranberry juice and pissing as continually as you can. Like in the shower. Drink the fucking shower water and piss it out. It's gross but I swear it does give you some relief.
>>
Oliver Giblingbanks - Fri, 31 May 2019 15:27:37 EST x2reZJ6d No.55787 Reply
>>55768
smoking cigs will make ur piss so toxic it eliminates all the bacteria

try a different brand if ur a smoker

bleeeergh

View Thread Reply
- Sun, 26 May 2019 02:26:45 EST eAyeZGui No.55781
File: 1558852005213.jpg -(78929B / 77.08KB, 782x513) Thumbnail displayed, click image for full size. bleeeergh
/med/ I have this weird cycle of feeling great and crappy every day. I abused my body for two decades of hard labor, drugs and filthy dirty living. Thankfully, I don't have any serious STDs (that I know of or show up on tests.)

I gained a shitload of weight due to rehab. I was down to like 207 with maybe 8% bodyfat or maybe even less prior to that due to homelessness and time spent in jail. In rehab, they pumped me full of strange medication that made me feel awful and sick. I'm off of it now, smoking weed and cigarettes, and just enough alcohol for withdrawals.

Basically, when I get up, I feel great. I go about my day, do shit, have fun. Then, when night time comes, I smoke a few cigarettes outdoors because my woman doesn't smoke nicotine, and come back in. I smoke all day, so it shouldn't be unusual. Anyway, I lay down and suddenly I feel this feeling like I'm sweating out poison in a fever dream and it makes it difficult to sleep. What on Earth could be going on? Just the nicotine and hard living before that catching up? How can I treat/cope with it besides enduring it? I'm already on a really nutritious diet of spinach, chicken, fish and minimal carbs like oatmeal other than that, and exercising daily.
>>
Fucking Bruttingcocke - Sun, 26 May 2019 07:13:15 EST FonZKC1l No.55782 Reply
>>55781

your brain has been conditioned for decades that "night time = fun chemicals" and then those chemicals dont come and ur brain is like WTF MAN WHERE THE CHEMICALS AT. it may take years to recondition it
>>
Oliver Giblingbanks - Fri, 31 May 2019 15:24:46 EST x2reZJ6d No.55785 Reply
>>55781
u arent posting all ur cigarette smokings on youtube like me, millie

u gotta record every cigarette otherwise it aint enough 4 u 2 just smoke so antisocially

also u gotta smoke a different cigarette every now and then, it keeps them non toxic

Getting a regular doctor for the first time at 28

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- Tue, 16 Apr 2019 01:05:28 EST Ih1YCYeX No.55727
File: 1555391128199.png -(4433423B / 4.23MB, 1919x1074) Thumbnail displayed, click image for full size. Getting a regular doctor for the first time at 28
Tldr:
First visit to first regular doctor for 28 year old Male - what say/request?
Patient lives in Colorado, USA, has pretty decent insurance. Doesn't know how to medicine

Unrelated pic is my dinosaur treehouse base atop a rock formation in Ark
Will provide more pics if anyone is keen, but entirely unrelated, I'm just proud

SO.
Insurance at my dream job is about to kick in, got the second highest PPO plan, includes dental
General doc visits are $25, specialists $50, as a generic price reference
I've never had regular medical consultation with the same person before
Want to make the most of it, but don't want to be an asshole patient
Living in Colorado, USA. Lived in Australia for years prior (not sure if relevant information)
Male, turning 29 in 8 months

As I setup first double appointment with what will become regular doc, I plan to disclose my:
  • Diet (mostly meat, soylent, fiber supplements, weekly veg only stir fry)
  • Alcohol intake (1-3 drinks 6 days a week, compulsory dry day each week)
  • Other drug usage (daily THC vape, weekly amyl inhalation, always solo)
  • STD risk profile (bisexual, moderately colorful history)
  • Sleep patterns (as reported by a Fitbit)
  • Heart rate (as reported by a Fitbit)

Request:
  • Lung capacity/health feedback (smoked for 12 months, bonged casually for about 5 years)
  • Liver feedback (cycled between low to moderate risk profile, always regular but rarely to excess)
  • Baseline STD panel of whatever's commonly catchable (done most things, always used condoms)

Invite:
  • Dental recommendation
Comment too long. Click here to view the full text.
2 posts omitted. Click View Thread to read.
>>
Another human - Mon, 22 Apr 2019 23:02:38 EST Ih1YCYeX No.55735 Reply
Greatly appreciate the advice, thanks all.
Have considered this a lot before replying.

...I have a new plan... Sort of. It has two potential second halves; plz help.
I feel sure about steps (1) and (1.5), but not sure which step (2) is better.


Step 1)
I'll ask the doctor for all of these in first session, and yearly checkup:
  • Baseline of bloodwork (thanks for the phrasing, I wonder what they'll test for?)
  • Baseline of vitals (heart rate, blood pressure)
  • Report sleep/diet/exercise profile
  • Report diluted stats on drinking ("a few drinks over the weekend most weekends")
  • Report no drug use.

Step 1.5)
  • Get quarterly STD checks while sexually active
  • Don't ask doctor - Find sexual health clinics and go there instead for these tests



Step 2) - Option A:
After step (1), while sitting with doctor, say something like:
"I'm looking for a doctor, and I want to know your answers to a few questions to help me judge if we're a good fit"
Then proceed to ask the doctor the following:
  • How do you feel about recreational drug use?
  • How do you feel about same sex marriage?
  • How do you feel about open relationships?

Repeat process until I find a doctor who seems sufficiently awesome to be honest with.
Comment too long. Click here to view the full text.
>>
Priscilla Clayham - Wed, 15 May 2019 06:45:43 EST e/9U2fdL No.55766 Reply
Cool base, not very aesthetically pleasing though :) is it on The Island?
>>
Lillian Crunnerworth - Thu, 16 May 2019 07:41:28 EST ONXqOwXb No.55769 Reply
>>55735
Why tell a doctor or counselor about your use? What positive results can come from that?

finding all natural products?

View Thread Reply
- Wed, 24 Apr 2019 06:01:32 EST 3R5LAgfR No.55736
File: 1556100092975.jpg -(42409B / 41.42KB, 612x439) Thumbnail displayed, click image for full size. finding all natural products?
how do you go about finding all natural products? just for daily things like soap, shaving cream, lotion and stuff like that?

i found one site thats pretty GOOD but i mean not perfect. everything on there still has like one or two questionable looking chemicals in it but its still a pretty good resource. i find some shit on amazon where everything in it comes from some sort of plant but then its like $25 or $15 for one thing and then 8 dollars for a small tub or this and 8 dollars for another small tub of this so its like 50-60 dollars just for a few things like 4 or 5 things. and its still hard to find just to find one product takes a little bit of looking and then to find other ones to compare it to or cheaper is fucking HARD and then even if you find products i have to open up like 23 tabs to compare them and read a long ass list of ingrediants to make sure they all come from some sort of plant source and its hard to find more than one that is just purely natural and organic

so basically finding a whole laundry list of everything i need for regular use is really fucking hard
>>
Shaman MD - Fri, 26 Apr 2019 14:57:58 EST GPSHBg0h No.55740 Reply
1556305078509.jpg -(3385495B / 3.23MB, 3112x2171) Thumbnail displayed, click image for full size.
>>55736
You're not gonna find something that's purely natural in ingredients, at least not for cheap. I don't know what's available where you are, I'm in Europe. Also if something is natural it doesn't 100% make it better and safer in all cases.
The only advice I can give is to use as little of this crap as possible. I only use baby soap and baby shampoo, they're not 100% natural but they're definitely safer than the adult alternatives.
You can even make your own stuff from natural ingredients you can buy from dedicated websites but that's just a pain in the ass.
What you do, comparing the products yourself, is your best option (it's what I used to do) but it's a lot to learn and a lot of work.
If you want skin health advice I can help you.
(Pic unrelated)
>>
Nell Snodstock - Thu, 02 May 2019 01:03:12 EST 3R5LAgfR No.55746 Reply
>>55740
eh i found some pretty good sources on ebay after tons of looking. yeah its pretty expensive but not really a problem for me. just slowly buying things one at a time and integrating it into my life.
>>
John Pannerbury - Tue, 14 May 2019 21:16:54 EST bFIbT47D No.55764 Reply
I've been looking into this with some friends for almost a decade now, and we've come a long way. I'd be happy to share my preferred products with you.

Toothpaste:
Tooth & Gums Essentials Toothpaste by the Dental Herb Company (located in Lancaster, NH, USA). I used to make my own toothpaste for years for me and close friends. We couldn't stand anything else after a while, but then I found this from a dentist I was trying out, and it was basically what I used to make, just better- no clumps, better oils and ingredients.
https://www.dentalherb.com/consumer/order-online/
Ingredients: calcium carbonate (the stuff that makes up limestone, marble, pearls, and oyster shells), deionized water, vegetable glycerin, xylitol, peppermint essential oil, echinacea augustifolia extract, gotu kola extract, red thyme essential oil, lavender essential oil, cinnamon bark essential oil, eucalyptus globulus essential oil, aloe vera, plant saponins, sodium carrageenan, gum cellulose, and kaolin (cosmetic clay)
If you have any questions about the ingredients, feel free to ask.


Deodorant:
Lemon And Sage Organic Deodorant (by Erbaviva, located in Northridge, CA, USA). This is stronger than any other truly natural deodorant. I work as a park ranger, and unless I'm really putting on some miles on the mountain bike, this won't need to be applied but once a day.
https://erbaviva.com/collections/body/products/lemon-sage-organic-deodorant
Ingredients: Alcohol, lemon peel essential oil, sage essential oil, tea tree leaf essential oil, pogostemon cablin (patchouli) essential oil.

Body Wash/Hand Wash
I just buy organic castille soap by the gallon and mix it in a smaller bottle with some water (50/50) and essential oils for fragrance. I prefer Mountain Rose Herbs' product personally.
https://www.mountainroseherbs.com/products/castille-soap-liquid/profile
Ingredients: Water, organic coconut oil, organic sunflower oil, organic castor oil, potassium hydroxide, citric acid, and rosemary extract (the potassium hydroxide is used to saponify fats, but it is removed during the saponification process)

Forced hospitalization for Xanax addiction?

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- Thu, 14 Mar 2019 22:01:26 EST 9l10QM9W No.55695
File: 1552615286711.jpg -(79527B / 77.66KB, 591x768) Thumbnail displayed, click image for full size. Forced hospitalization for Xanax addiction?
I know /benz/ is there but this is really about this specific psychiatrist's "approach" to get me off Xanax which to me sounds pretty wrong.

I've been taking 6mg a day for years. My prior psychiatrist prescribed them to me like they were candies. With this new doc I made it very clear I wanted to taper. He was glad to hear that.

However, he told me he wouldn't prescribe any benzos AT ALL. Instead he wants me to get hospitalized in order to withdraw. What the fuck? We're not talking about opiates here. Tapering off 6mg Xanax takes a long ass time. He must know that.

I asked him, what if I don't want to get hospitalized. He said that I would have to get them somewhere else. And that in case I find myself in WDs I should go to the ER and ask for Xanax basically. Seriously now?

By the way I do not abuse Xanax. I've been stuck on this huge dosage for a while now.

To recap my choices are:

1) Get hospitalized.
2) Refuse and when the WDs hit, rush to the ER. Which should get me hospitalized too...
3) Get benzos somewhere else and form my own taper plan.

What do you guys think about his drastic approach?

To me it sounds completely insane considering how benzo WDs work and how dangerous it would be for me to end up cold turkey if I can't get any. I'm pretty mad about it to be honest. This was our first appointment and I didn't expect this.

By the way, the Xanax addiction is the sole reason he wants me in a hospital. I didn't have time to talk about any other issues.

Thanks in advance for your opinions.
3 posts omitted. Click View Thread to read.
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Ebenezer Bindlebudge - Wed, 24 Apr 2019 23:32:23 EST RWZGt6Wh No.55738 Reply
>>55737

He's right. Take matters into your hands and as "research" as much as you need to throughout your taper.

But if you take 20mg's of diazepam with alcohol daily, you're pretty much fucked anyways. >>55709
>>
George Brogglemon - Sat, 27 Apr 2019 08:06:40 EST PWITWpwQ No.55741 Reply
>>55695
Can't you just go to a different doctor? I'd imagine somebody else would be more willing to help you?
Or you could just claim you changed your mind about quitting and try to get your prescription back and taper yourself.

Prozac iteractions

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- Wed, 24 Apr 2019 21:57:40 EST Ps4n2BRr No.55737
File: 1556157460862.jpg -(397133B / 387.83KB, 1280x1280) Thumbnail displayed, click image for full size. Prozac iteractions
Yo /med/, the score is I just got prescribed a trail dose of prozac (20mg daily) for depression and severe mood swings to cut a long story short what drugs can I still do. I'm no neurologist or expert in pharmakinetics so if we could keep it simple. That would be grand. From my understanding I can't do speed or acid, don't do mdma, only kicker is I'm using 20mg of diazepam daily and I drink 2_4 cans of beer and like a smoke. Any advice on what I can't mix would be great or even a how prozac works for retards would be grand.


Seizures

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- Tue, 16 Apr 2019 17:10:39 EST rshN7SPx No.55729
File: 1555449039959.png -(66825B / 65.26KB, 297x308) Thumbnail displayed, click image for full size. Seizures
weird thread but hear me out

So a year and a half ago I had my first seizure. Since it was the first I was taken to the ER, made sure I was cool and was basically told not to worry about it since most people will have one freak one at some point in their life. Wasn't taking drugs at the time.

I had my second one this past weekend. They did all the tests again and said "well you don't have any signs of actual epilepsy so we're gonna refer you to a neurologist." Full disclosure, I had totally been abusing tramadol for like, a week or two before. Never going beyond the 400mg a day guideline but maybe up to 300mg a day. Anyway, I'm pretty sure that's what caused it. I mean if I told the doctors that they would certainly blame that since there's nothing else to jump at. In any case it doesn't matter, cause I'm not gonna go down that road. I got off heroin years ago. The DEA has made it damn near impossible to get real opiates these days. So, I fell off the wagon with these fucking things. I know not to take them again.

My main question is about how long should I wait til I start fucking with more 'regular' street drugs again? I think last time I waited about a week. Thing is I broke a couple of toes, dislocated my shoulder and banged my ear and head pretty hard this time around. That little bit of 3meopcp in the drawer is really tempting since OTC pain meds ain't worth a shit and I keep having to leave work early cause I'm in such pain and I can't exactly afford that since I know I've got an ambulance and ER bill coming soon.

I understand I'm taking a risk no matter what. I guess I should also mentioned they sent me home with some Divalproex to prevent another seizure which I have been taking, although I'd rather not. Think I may just take it until I get to my regular doctor in a couple days. I know it's really stupid to even ask ya'll but the internet at large does not have an answer for "how long after a seizure can I start doing drugs again?" I'm hoping maybe one of ya'll has some personal experience or something.
>>
Eliza Settingnit - Wed, 17 Apr 2019 23:09:08 EST p98oIwAn No.55732 Reply
>>55729
You need more help than you're going to get here... Maybe try QQ on irc... damn.

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