Other herbs and supplements are thought to work similarly to chlorophyll. A 2014 study conducted by theDepartment of Experimental Medical Science at Lund University in Swedenfound that chlorophyll supplements taken along with a high-carbohydrate meal decreased feelings of hunger, elevated cholecystokinin levels and helped prevent hypoglycemia in overweight women. It may have several health benefits, such as reducing cancer risk and helping with skin healing. Green plant pigment, chlorophyllin, ameliorates non-alcoholic fatty liver diseases (NAFLDs) through modulating gut microbiome in mice. A 2019 clinical trial looked at the effect of a supplement that contained both chlorophyll and sodium iron chlorophyllin, a derivative of chlorophyll. The information in our articles is NOT intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice. WebIt can positively impact the expression of genes that regulate systemic inflammation, making it a great supplement for autoimmune disease. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Some supplements may contain chlorophyllin, a derivative of chlorophyll, instead of chlorophyll itself. Studies show people with lupus might have higher levels of oxidative stress.. Brittany Lubeck, RD, is a nutrition writer and registered dietitian with a master's degree in clinical nutrition. Chlorophyll is good for your body from the inside out, literally. WebMD does not provide medical advice, diagnosis or treatment. DOI: Yamazaki H, et al. Wheatgrass may be a good alternative-medicine approach for some conditions. Egner PA, et al. This nutrient is present in green vegetables and other plant-based foods, like algae. This article is based on scientific evidence, written by experts and fact checked by our trained editorial staff. Luckily, chlorophyllin has similar properties to chlorophyll. 3 Similar to glutathione, even high-grade curcumin supplements are generally not well absorbed in your gut, and often metabolized by your liver before ever being utilized. Some researchers believe that supporting a healthy gut microbiome may lead to new treatments for the condition. While the results of animal studies are promising, there have only recently been human trials. Chlorophyll supplements rarely cause severe reactions. WebMD does not provide medical advice, diagnosis or treatment. A diet change that works for one person may not work for you. No supplement is intended to treat, cure, or prevent disease. Some research suggests that chlorophyll may benefit the health of your skin. This test measures the number of red blood cells, white blood cells and platelets as well as the amount of hemoglobin, a protein in red blood cells. Potassium can help combat high blood pressure. Healthline Media does not provide medical advice, diagnosis, or treatment. Chlorophyll: Structural properties, health benefits and its occurrence in virgin olive oils. But if you have a history of heart disease, your doctor might suggest 1 gram of fish oil a day with both EPA and DHA. Lupus already puts you at higher risk for developing heart disease. Chlorophyll might also be able to protect the skin from shingles, reducing symptoms like painful sores, plus lower the risk for skin cancer. You can also add the powder form into water, juice, or sauces. Most studies on lupus looked at the benefits of less than 3 grams per day, though some looked at higher doses. Jubert C, et al. to 134 lbs. 2017;210:242-246. doi:10.1016/j.ejogrb.2017.01.003. Health enthusiasts have long raved about the countless benefits of wheatgrass, and for good reason. Spirulina contains more thiamine, copper, and possibly more protein. This article reviews the benefits, safety, and side, Making your own green tea mask is easy to do, and you only need a few ingredients. Researchers are still learning why, but treatments are similar across. (2018). 2016;4:e1879. Before purchasing a supplement, carefully read the ingredients list and nutrition facts panel to know which ingredients are in the product and how much of each ingredient is included. 2005 - 2023 WebMD LLC, an Internet Brands company. Whether you have lupus or not, there isnt a recommendation on how much fish oil you should take. However, research to support these claims is both lacking and conflicting. DOI: İnan AL. Influencers and chlorophyll enthusiasts may have you believe that the pigment will cure body odor. With strict editorial sourcing guidelines, we only link to academic research institutions, reputable media sites and, when research is available, medically peer-reviewed studies. Alternative therapies: What role do they have in the management of lupus? These products can interact with drugs youre taking for lupus and cause side effects. Calcium: Fact sheet for health professionals. Although, research on the topic is limited. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Many supplements and nutrients have been looked at for their potential role in cancer treatment or prevention, including chlorophyll. To learn more, please visit our, lupus needs to be controlled with meds that treat the underlying inflammatory process, not with. A healthy, well-balanced diet will always top herbs and supplements. Unfortunately, though, there is no concrete scientific evidence that this is true. Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, itching or burning, when applied topically. Created for people with ongoing healthcare needs but Please review all supplement labels with your healthcare provider to discuss any potential interactions with foods, other supplements, and medications. Topical vitamin C and the skin: mechanisms of action and clinical applications. When youre shopping for chlorophyll supplements, you may notice that the marketed benefits are: However, research results are mixed about whether chlorophyll can actually boost your health in these ways. For example, drinking while taking NSAID drugs such as ibuprofen (Motrin) or naproxen (Naprosyn) could increase your risk of stomach bleeding or ulcers. If you dont eat any animal foods, Chlorophyll supplements are actually chlorophyllin, which contains copper instead of magnesium. Some studies show that it can help you lose. Its important to note that this research is on chlorophyllin and not natural chlorophyll. Proponents of chlorophyll believe the pigment may play a role in the treatment of such conditions as: However, once again, there is no scientific evidence to support these and other health claims. Note that the numbers in parentheses (1, 2, etc.) The most recent study of people with trimethylaminuria, a condition that causes a fishy odor, found that chlorophyllin significantly decreased the amount of trimethylamines. To prevent any negative reactions, only use chlorophyll supplements as directed. Effects of the dietary supplements, activated charcoal and copper chlorophyllin, on urinary excretion of trimethylamine in Japanese trimethylaminuria patients. If you already have a drug treatment plan for lupus, its natural to wonder what else you can do to feel better. While chlorophyll is totally natural, a similar semi-synthetic mixture called chlorophyllin is made in laboratories and used in supplements, such as those marketed as liquid chlorophyll. These supplements have been in existence for more than 50 years and are commonly used to treat skin wounds, body odor, digestive problems and other health concerns with practically no dangers at all. A low white blood cell or platelet count may occur in lupus as well. You can blend parsley with water to create a liquid chlorophyll drink. Chlorophyll Benefits, Uses, Risks and Side Effects - Dr. Axe (2021). Its common for people with lupus to have low levels of vitamin D. Thats partly because sunshine can trigger a flare, and ultraviolet (UV) rays are the biggest source of vitamin D. Other reasons might include: Its unclear how vitamin D levels affect the disease course in someone who has lupus. Holy basil has been shown to reduce stress, treat ulcers, relieve joint pain, and more. More research is needed to confirm the safety and potential health benefits of drinking liquid chlorophyll. Chlorophyll supplements are also available at health food stores and drug stores. Both are thought to act as antioxidants. Parsley has about 19 mg per cup. One animal study in trout found that, depending on the dose, chlorophyll reduced the incidence of liver tumors by 29 to 63 percent and stomach tumors by 24 to 45 percent. A small pilot study of 24 women with mild to moderate acne found that topical chlorophyll may help treat the skin condition. Her work is regularly featured in media such as First For Women, Woman's World, and Natural Health. Along with calcium, you need vitamin D to build strong bones. Our website services, content, and products are for informational purposes only. are clickable links to medically peer-reviewed studies. Chlorophyll may have some anti-cancer benefits. Here are some tips: Eating too much salt can raise your blood pressure and increase your risk for heart disease. Below is a look at just a few of these similar supplements: Liquid chlorophyll is thought to be safe to drink in moderation, but it may not be the health elixir it is purported to be. A 2004 pilot study suggested that wheatgrass, which contains about 70 percent chlorophyll, reduced the number of blood transfusions needed in people with thalassemia, a blood disorder. When doses of chlorophyllin are taken, the copper can be detected in plasma, which implies absorption has occurred. Talk to your doctor before you take any dietary supplements. How to tell if i have t1 diabetes, lupus and m.s at age 17? Certification may not necessarily mean that the supplement works, but it does confirm that the ingredients are present in the amounts listed on the label. This means taking thesemedications along with chlorophyll can increase sensitivity to sunlight even more and make you susceptible to burns. Serum zinc levels and efficacy of zinc treatment in acne vulgaris: A systematic review and meta-analysis. However, alcohol can interact with medicines you take to control your condition. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Glucocorticoid-induced osteoporosis: an update. Topical chlorophyll (applied to the skin) may help treat various skin conditions, including acne and sun damage. This vegetable is easy to prepare, as you can eat it raw or cooked in different ways. The very best sources of chlorophyll found on the planet are green vegetables and algae. They can cause unintended side effects, especially if youre already taking medication or have existing health concerns. :/? In natural plants containing chlorophyll, there is a ratio of 3:1 cholorophyll-a(a bluish-black solid) to cholorophyll-b(a dark green solid), which both work together to reflect the dark green pigment thats visible to the human eye. 2021;65(7):e2000761. Within the human body, enzymes called cytochrome P450 activateprocarcinogens and turn them into active carcinogens, which go on to attack healthy cells. The FDA does not strictly regulate nutritional supplements. Omega-3s are polyunsaturated fatty acids that help protect against heart disease and stroke. Vitamin D and fish oil are at the top of the list. This is in line with an old study from China where chlorophyllin consumption at each meal led to a 55 percent decrease in aflatoxin biomarkers compared to placebo. Caster DJ, et al. One interaction to keep in mind is that certain medications thatincrease sensitivity to sunlight (photosensitizing drugs)caninteract with chlorophyll. Dietary supplements are not regulated the way drugs are in the United States, meaning the Food and Drug Administration (FDA) does not approve them for safety and effectiveness before products are marketed. Supplements and recommended doses include the following: Related: Top 10 Benefits of Romaine Lettuce Nutrition (+ Recipes). Some herbal supplements are thought to have immune-stimulating properties. Its common for people to try these products when they have a cold or other illness. But some herbs might trigger a flare if you have an autoimmune condition like lupus. Talk to your doctor before you take any dietary supplements. You are in fact immunocompromised with lupus i suspect degree of control and current medicat New evidence from a study in Canada strongly suggests that POTS is an autoimmune disorder. Let's look at the support available to you: Yes, about 1 in 10 of the people with lupus are men or assigned male at birth. More research is needed in this area before we can know the full safety profile of chlorophyll supplements. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. That may: Fish oil might quiet an overactive immune system. A significant amount of research suggests topical chlorophyll has many WebOverview Chlorophyll is a green pigment found in plants. Some chlorophyll supplements may require refrigeration. Some herbal supplements are thought to have immune-stimulating properties. Here are some of the top food sources to incorporate into your diet to experience all of the chlorophyll advantages. Red Raspberry Leaf Tea: Pregnancy, Benefits, and Side Effects, 5 Benefits of a Green Tea Face Mask and How to Make One, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI. Chlorophyll is found naturally in various fruits and vegetables. As a supplement, chlorophyll comes in a few different forms, including: According to Oregon State University, the average dosage of chlorophyllin supplements is between 100 and 300 milligrams (mg) per day over three divided doses. Primary outcomes of a randomized controlled crossover trial to explore the effects of a high chlorophyll dietary intervention to reduce colon cancer risk in adults: The Meat and Three Greens (M3G) Feasibility Trial. Chlorophyll-mediated changes in the redox status of pancreatic cancer cells are associated with its anticancer effects. You can learn more about how we ensure our content is accurate and current by reading our. All rights reserved. WebChlorella is the best natural source of chlorophyll. McCook JP, Stephens TJ, Jiang LI, Law RM, Gotz V. Ability of sodium copper chlorophyllin complex to repair photoaged skin by stimulation of biomarkers in human extracellular matrix. As a general rule of thumb, do not exceed the dose printed on the product label. Keep supplements out of the reach of small children and pets, and make sure they are properly sealed. Sources of Chlorophyll & What to Look For, Uses of Lavender: Everything You Need to Know, Is TikTok's Liquid Chlorophyll the Health Cure-All? This is so that the dosage can be monitored more accurately. (2022). In general, they arent known to prevent chronic conditions. Omega-3s are polyunsaturated fatty acids that help protect against heart disease and stroke. Unfortunately, the enhancement of immune response is counterproductive in people with autoimmune disease such as Chlorophyll also helps to prevent damage done to genes by harmful aflatoxins. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. This helps stop them from circulating throughout the body and reaching susceptible tissues, such as those within the joints or heart. It also contains essential amino acids that are not made by the body but must be obtained from food sources. Check with your doctor before taking it. Chlorophyllin may also be effective for other skin conditions, as evidenced by the results of two pilot studies. Studies suggest that your gut microbiome may be linked to your risk for developing lupus, and it may also influence how the condition affects your body. Although it has not been completely proven, researchers believe the delayed clearance of methotrexate was due to chlorophyll. The metabolism and potential bioactivity of chlorophyll and metallo-chlorophyll derivatives in the gastrointestinal tract. It helps plants to absorb energy from the sun as they undergo the process of photosynthesis. Learn how to make one, how to apply it, and how your skin can. Wheatgrass powder can range from $12 to $60, depending on the quality and where you buy it. Jiang LI, Hino PD, Parker L, Stephens TJ, Mccook J, Gotz V. Efficacy and tolerability of an acne treatment regimen with antiaging benefits in adult women: a pilot study. Not particularly worries about von willebrands disease. 2018;2018:4069167. doi:10.1155/2018/4069167. Zhang L, et al. DOI: Marwaha RK, et al. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. In its most natural form, even when accompanied by some healthy fat, chlorophyll can still be somewhat hard to break down. Your doctor can run a blood test to find out how much is safe for you. It also covers side effects, precautions, dosage, interactions, and food sources of chlorophyll. But vitamin D also affects how your immune system works. Store your chlorophyll supplements in a cool, dry place out of direct sunlight. But researchers are studying the possible benefits of adding a supplement. 19 naturally occurring amino acids. McQuistan TJ, et al. Theres no way to know if youre getting the product described on the label. These usually go away quickly and are only caused by supplemental chlorophyllin use, as opposed to eating foods that naturally contain chlorophyll. You take certain medications, including corticosteroids. Hemoglobin levels were also improved in all adult groups, as well as in children who received moderate and high doses of the supplement. Too much vitamin D can be harmful. Try to eat more: Some other foods rich in omega-3s include: The steroid drugs you may take to control lupus can thin your bones. Enzymatic debriding agents: An evaluation of the medical literature. A case of delayed methotrexate clearance following administration of a complementary medication containing chlorophyll, Amino acid chelated iron versus an iron salt in the treatment of iron deficiency anemia with pregnancy: A randomized controlled study, Serum zinc levels and efficacy of zinc treatment in acne vulgaris: A systematic review and meta-analysis, Topical vitamin C and the skin: mechanisms of action and clinical applications, Chlorophyll enhances oxidative stress tolerance in Caenorhabditis elegans and extends its lifespan. A recent pilot study found that chlorophyll has great cancer-fighting properties which help reduce carcinogen bioavailabilitythe rate at which carcinogens are absorbed into the skin and body. Got green poop? To establish that the product manufacturers addressed safety and efficacy standards, we: We do the research so you can find trusted products for your health and wellness. It's always best to take a food-first approach to nutrition. Too much added sugar in your diet can contribute to conditions such as: The occasional glass of red wine or beer isnt restricted. Treatment can help improve your symptoms, Researchers continue to explore how chlorophyll may be beneficial for health and wellness. Whats the Connection Between Lupus and Anemia? For these, please consult a doctor (virtually or in person). Complete blood count. Red raspberry leaves have been used during pregnancy and to treat various ailments for centuries. People who have drug-induced Benefits. Limited studies show that chlorophyll may also decrease oxidative damage done by harmful carcinogens. Learn more about how stress affects people with lupus and how stress management techniques can. For symptom relief of pain you can use Acetaminophen or NSAIDs like Ibuprofen or o Naprooxen or Cox 2 Celebrex Some research suggests that chlorophyll may aid in the treatment of iron deficiency anemia. Trials are also being planned to examine how a chlorophyll-rich diet could impact colon cancer risk. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. But if you buy fish oil, make sure its purified to get rid of mercury and other heavy metals. This means inhibiting their effects can help stop the process of chemically induced cancers. Cancer chemoprevention by dietary chlorophylls: A 12,000-animal dose-dose matrix biomarker and tumor study. Even though research hasnt been able to prove what minimum amount of fat is needed to metabolize chlorophyll, its thought that small amounts of healthy fats can help the body process it during meals. Our team thoroughly researches and evaluates the recommendations we make on our site. (2008). However, its important to note that the study authors didnt conclude that chlorophyll was the reason for the decreased need for transfusions. Chlorophyll plays an important role in making plants green and healthy. When you ingest chlorophyll, it moves around your body in micelles, which are molecular groups that contain fat. Heres what some of the latest science shows: Researchers gave a group of 31 people with lupus vitamin D3 supplements for a year. Efficacy of SXN in the treatment of iron deficiency anemia: a phase IV clinical trial. Side effects there hass to be an underlying autoimmune issue. Research indicates that omega-3 supplements may improve ratings of lupus activity and test results on certain markers of lupus. It is very high in antioxidants and has numerous health benefits for your body and brain. Why is it important for humans beyond sustaining plant life? Veggies like broccoli and asparagus may be green on the outside, but their whitish interior indicates a smaller amount of chlorophyll. Mol Nutr Food Res. After 16 weeks of taking chlorophyllin, AFB1 levels dropped an average of 55 percent more in those taking chlorophyllin compared to those taking the placebo, suggesting chlorophyll supports liver health in a useful and safe way. Learn more here! This is because chlorophyll may not survive digestion long enough for absorption. Some people incorporate chlorophyll into their diets by adding a liquid form to recipes. Dosage: How Much Chlorophyll Should I Take? You can buy chlorophyll supplements at most health food stores, drug stores, and natural food shops. This last 2 weeks feel so run down between p.o.t.s and lupus im 27 i want to feel normal. It often goes unnoticed because the symptoms are so similar to lupus symptoms. Other leafy greens have between 4-15 milligrams of chlorophyll per raw serving. Although, even fruits and vegetables that aren't green may contain chlorophyll. Last medically reviewed on November 1, 2022. Chlorophyll benefits include helping fight cancer, improving liver detoxification, speeding up wound healing, improving digestion and weight control, and protecting skin health. Be sure to talk with your healthcare provider before using chlorophyll. You can include chlorophyll in your diet by increasing your intake of vegetables like spinach, parsley, and arugula. Here's all you need to know about green potatoes and whether they're safe to, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. In the study, children and adults with iron deficiency anemia were treated with low, moderate, or high doses of the supplement for one month. These include: Small amounts of chlorophyll are present in green fruits like kiwi and green grapes. The mechanism by which chlorophyll decreases the risk for cancer development and cleanses the liver is by interfering with the metabolism of chemicals procarcinogen, which must first be metabolized in order to damage DNA. J Clin Aesthet Dermatol. A 2014 study involving 38 female participants found that those who took a green plant membrane supplement, which included chlorophyll, once daily had greater weight loss than a group that didnt take the supplement. doi:10.1111/dth.14252. Chauhan M. (2014). Consult a doctor before taking chlorophyll supplements. These are natural or man-made molecules. (2015). i do have some s/s? Studies in rodents show that chlorophyll can reduce the occurrence of cancerous tumors. It was found that chlorophyll can form close bonds to carcinogenic chemicals called aflatoxins. Cathy Wong is a nutritionist and wellness expert. Get the book "Living With Lupus". Dietary intake of free sugars is associated with disease activity and dyslipidemia in systemic lupus erythematosus patients. Prior to the study, previous research had shown that chlorophyll, taken in the form of thylakoid supplements, helped balance the release of hormones that make us feel fuller, including cholecystokinin, ghrelin and insulin. Discard chlorophyll supplements once they pass their expiration date. This means that you can manage it with treatment, but it will not go away. Our website services, content, and products are for informational purposes only. Because lupus Stephens TJ, et al. Adults Taking Certain Medications Systemic lupus erythematosus and cardiovascular disease. Utilization of biomarkers in lupus nephritis. More than 20 bio-available vitamins & minerals. Abdel Moety GAF, Ali AM, Fouad R, Ramadan W, Belal DS, Haggag HM. (2015). High doses of some vitamins and minerals might be harmful. (2011). Chlorophyllin is intended to improve the quality of life in people who have fecal incontinence due to spinal cord injury, bowel cancer, psychotic disorder, terminal While the studies so far have mostly looked at the weight-loss effects of chlorophyll taken by rodents, results suggest that it might help naturally suppress food intake and prevent body weight gain in humans too. Chlorophyll is the green substance in plants that makes it possible for them to make food from carbon dioxide and water. As with any medical condition, consider eating a healthy blend of foods, including fresh fruits, vegetables, whole grains, legumes, plant fats, lean proteins, and fish. Get the facts about this green pigments health benefits. We avoid using tertiary references. I Drank Chlorophyll Water for 7 DaysHere's What It Did to Aflatoxin-B1 (AFB1) is associated with increased risk of hepatocellular carcinoma and liver cancer because its metabolized to a carcinogen that causes cellularmutations. (2001). Can i have lupus if my ana is positive, tired is 1:320 homogeneous diffuse, but ena panel is negative. The best way is through fatty fish. (2014). In one case report, a male with relapsed cancer experienced delayed clearance of a chemotherapy drug called methotrexate after using chlorophyll. Turns out, chlorophyll is linked to natural cancer prevention, blocks carcinogenic effects within the body and protects DNA from damage caused by toxic molds like aflatoxin very similar to way in which chlorophyll-rich chlorella has anticancer properties. Theyll let you know whats safe. Chlorophyllin supplements are believed to help neutralize oxidants, which means they effectively decrease oxidative damage caused by factors like a poor diet, chemical carcinogens, UV light exposure and radiation. is it to dangerouse for me to travel out of the u.s. to a disease infested, poverty sticken country? How Much Vitamin D or Fish Oil Should I Take? Vitamin D: Fact sheet for health professionals. Chlorophyll is not considered toxic or poisonous. Some fruits and vegetables that contain chlorophyll include: Nutritional supplements containing chlorophyll are sourced from various plants that contain the pigment. But its believed that chlorophyll is destroyed during the production of wheatgrass extract. One of the most popular claims associated with liquid chlorophyll is weight loss support. For example, up to 60% of people with lupus may develop lupus nephritis, a condition that affects the kidneys. Xiang K, et al. We include products we think are useful for our readers. Studies have found that chlorophyll and liquid chlorophyllin can bind to potential carcinogens and interfere with how theyre absorbed within the human gastrointestinal track. Amino acid chelated iron versus an iron salt in the treatment of iron deficiency anemia with pregnancy: A randomized controlled study. The results showed that the rats consuming haem experienced about eight times the amount of cytotoxicity of the colon compared to the beginning of the study. Keeping a food journal and having an open dialogue with your doctor and dietitian will help you determine how different foods help or hurt your symptoms. Natural sources include wheatgrass and parsley. You can then use your homemade chlorophyll for a tasty smoothie recipe, like from the blog The Green Lean Bean. Scientists are studying the effects of chlorophyll intake when it comes to liver, skin, stomach, and colon cancers. J Oncol Pharm Pract. Such a diet would involve increasing intake of leafy greens like spinach and parsley. Evid Based Complement Alternat Med. Chou CT. (2010). - up to 300 mg Plaquenil daily 101 lbs or less - up to 200 mg Plaquenil daily A lupus patient explains her changes in vision Yang Y, Jiang X, Pandol SJ, Han YP, Zheng X. I have vonwillebrands disease and lupus (sle). Chlorophyll should not replace prescribed medications or other conventional treatments you may need. If you buy through links on this page, we may earn a small commission Heres our process. (2011). Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Additional studies are needed to characterize these potential benefits. (2022). Large amounts of omega-3 fatty acids might raise your chances of unwanted side effects, including increased bleeding. Effects of chlorophyll and chlorophyllin on low-dose aflatoxin B1 pharmacokinetics in human volunteers. how did jeffrey donovan and michelle woods meet, terrence mayrose nyfd, grants for sober living homes near alabama,

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