Bipolar Disorder and Your Sex Life . Bipolar disorder, previously known as manic depression, is a mental disorder characterized by periods of depression and periods of abnormally elevated mood that last from days to weeks each. in comorbid bipolar disorder w/ ADHD, must do this before initiation stimulants, although gernally avoid stimulants. They may speak loudly, with … A person struggling from bipolar disorder may experience extremely elevated moods that bring about feelings of euphoria as well as intense agitation. Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by inattention, or excessive activity and impulsivity, which are otherwise not appropriate for a person's age. Consistent research shows that one of the top triggers of bipolar disorder is a change in sleep patterns. It is not a valid excuse for using a potentially deadly substance, but it is the truth. This mental health disorder makes people experience extreme highs and lows, known as manic episodes and depressive episodes. While currently the disorder ADHD is widely recognized and accepted, the treatments for the disorder are not. Also, stimulants given to treat ADHD sometimes reveal bipolar disorder symptoms, says Jeffrey Rakofsky, MD, a psychiatrist at the Emory University Bipolar Disorders Clinic in … Alcohol or opiates might be the same kind … The oldest of them, Lithium, has been in use for over 50 years and has proven very effective, particularly for bipolar I disorder. Stimulants and atomoxetine (ATX) are effective treatments for ADHD, but their use in adults with comorbid BD (ADHD-BD) has not been extensively studied and may be problematic. It's a habit that many of us living with bipolar have taken on as a way to cope with stress, depression, and overwhelming thoughts. Bipolar disorder arises from a complex mixture of genetics, brain chemistry, and life experiences. ... or bipolar disorder. Aside from that, kratom has a long history of being used to treat mental illnesses for that reason. The name ‘bipolar disorder’ has come to replace the name ‘manic depression’, but the idea is the same – bipolar symptoms vary between two poles, mania being one and depression being the other. Stimulants and bipolar disorder Bipolar adolescents with stimulant exposure (n = 21) were more likely to have co-occurring ADHD (FisherÕs exact test, p = 0.02) compared with those without a history of stimulant treatment (n = 13). In these patients, a history of stimulant use is also as- •Differentiate bipolar disorder from other psychiatric disorders •How to treat bipolar disorder in the short-term (<3 months) ... stimulants, SNRIs/tricyclics, non-useful psychiatric meds, reconsider non-essential asthma meds or steroids 2. Get them to sleep Too often they are treated with stimulants or antidepressants--medications that can actually worsen the bipolar condition. It is tempting to think that the condition that starts first is the true diagnosis, but ADHD symptoms are often an early sign of an evolving bipolar disorder. The first principle in the bipolar-addiction connection is this: Bipolar disorder frequently co-occurs with substance use and substance dependence. The link between bipolar disorder and creativity is well-established, though further study is needed. "In addition to higher levels of ADHD, conduct disorder, and alcohol or drug use disorders, the majority of those misusing stimulants met or approached criteria for stimulant-use disorder." Childhood onset bipolar disorder (CO-BD) presents a panoply of difficulties associated with early recognition and treatment. Having a great mood: As mentioned, a person with bipolar disorder experiences uncontrollable highs and lows. Mood stabilizers are the most common medications for treating the mood swings of bipolar disorder. If you take mood stabilizers, what is the effect if you actually have adhd (primarily hyperactive) and not a mood affective disorder? The researchers also discussed stimulants for bipolar disorder. Although the disorder persists into adulthood in half of cases, adult ADHD is often not recognized due to different psychopathological characteristics, quite often overlapping with other diagnoses such as mood, anxiety and personality disorders. Red Flags for Paediatric Bipolar The following symptoms, especially if episodic, are red flags for bipolar: Increased activity and/or elation or sillness Certain … Retrospective data from patients with schizophrenia or bipolar disorders document high rates of childhood stimulant use—generally higher even than other groups with attentional dysfunction (26) and histo-ries of stimulant-associated adverse behavioral effects (27). – 22% of ADHD patients have BP • Joshi and Wilens 2009 • ADHD and Bipolar … Treatment for bipolar disorder usually involves mood-stabilizing medications, education, psychotherapy, and support. T1 - Earlier onset of bipolar disorder in children by antidepressants or stimulants? They may speak loudly, with a sense of urgency, or inappropriately. Thus, prescription stimulants developed to help children with ADHD improve their focus and attention are often misused by the patient, especially ADHD patients with conduct disorder or comorbid substance abuse (Kollins 2008). Similarly what holds for the opposite, taking stimulants when having some form of bipolar? Method: Thirty‐four adolescents hospitalized with … With stimulants, there is a risk of conversion to mania. The dose was 300-600mg a day. About 30 to 50 percent of people with bipolar disorder develop substance use disorder at some point in their lives, according to the Substance Abuse and Mental Health Services Administration. World J Psychiatry. In addition to these more general symptoms, however, bipolar disorder can also affect your sex life, leading to a drastically increased libido during periods of mania. TY - JOUR. Bipolar disorder may be associated with the highest rates of substance abuse of any psychiatric illness. Although bipolar disorder more commonly develops in older teenagers and young adults, it can appear in children as young as 6. The use of stimulants for catatonia in bipolar disorder may be an interesting and effective option for treatment. For example, I read somewhere that impulsivity connected ADHD is when the person does what they want to do; when it is connected to bipolar disorder, it is out of the person's character. Bipolar I disorder is more severe than bipolar II disorder. Caffeine and bipolar disorder. 7 During the high times, the person is in a manic or hypomanic state. Symptoms vary widely, across depressed and manic states, and are often masked or exacerbated by self-medicating. Individuals may also present with decreased sleep, grandiosity, talkativeness, racing thoughts, and indiscretion or risk-taking behaviours. CO-BD is associated with a variety of precursors and comorbidities that have been inadequately studied, so treatment remains obscure. This is indirect evidence that supports the notion that most Bipolar Disorder occurs prior to 18 years old. As an example, for someone with bipolar disorder, stimulants may be a temporary fix for feelings of depression. Caffeine is another drug that can cause problems with bipolar disorder. When they are feeling low, they take a drug like cocaine and get an immediate high. While bipolar disorder is a treatable condition, 83 percent of those diagnosed with the illness are classified as having a severe case. Bipolar disorder and addiction can be a dangerous combination when left untreated, with both conditions creating increasing emotional turmoil over time. Bipolar disorder is a mental illness that causes dramatic shifts in an individual’s mood and energy, causing impaired thinking and judgment. 1 Individuals with manic depression experience periods of extreme happiness and high energy and other periods of sadness, hopelessness, and sluggishness. Bipolar disorder: an overview 15 The page number in the footer is not for bibliographic referencing 15 Cyclothymic disorder presents with chronic fluctuations between sub-syndromal depressive and hypomanic episodes. Bipolar disorder is associated with mood swings that can last for a long period of time and is defined by high highs and low lows. 5 Longitudinal assessment and detection of hypomanic periods are crucial to differentiate BD from other conditions. Bipolar disorder is a serious, often lifelong, mental illness that causes serious disruptions in lifestyle and health. asthma medication, stimulants, interferon, corticosteroids. People with bipolar disorder can veer from a depressed state to a manic high in a matter of weeks or even days, depending on the type of the disorder and the nature of their episodes. Stimulants… Bipolar I Disorder Primer Bipolar I Disorder is a mental disorder characterized by episodes of highly elevated or irritable mood, known as mania. Because roughly 65% of people with ADHD and Bipolar disorder will experience an anxiety disorder in their lifetime, a doctor or mental health professional may recommend treatment for anxiety as well. 1. Opioids, stimulants, and especially alcohol are used, misused, and abused in an attempt to contain BPD symptoms. Also, more of the students misusing stimulants … It increased to 5.7% for Bipolar Disorder, NOS. Bipolar Affective Disorder is characterized by intermittent episodes of mania and depression, with periods of remission. For example, the antidepressants used to treat OCD and the stimulants used to treat ADHD may worsen symptoms of bipolar disorder and may even trigger a manic episode. This is indirect evidence that supports the notion that most Bipolar Disorder occurs prior to 18 years old. As a result, these kids may be given any number of psychiatric labels: "ADHD," "Depressed," "Oppositional Defiant Disorder," "Obsessive-Compulsive Disorder," or "Separation Anxiety Disorder." A depressed episode may appear similar in cases of unipolar and bipolar depression, making history-taking and an assessment of cycling key to reaching an adequate diagnosis. Bipolar disorder, formerly known as manic-depression, is a brain disorder that produces extreme shifts in energy levels, and mood, moving between emotional highs and lows. ADHD and bipolar disorder. Introduction: Attention deficit/hyperactivity disorder (ADHD) persists into adulthood in about 50% of the affected children, with high rates of comorbidity with bipolar disorder (BD). Attention deficit hyperactivity disorder (ADHD) is a condition that usually has its onset in childhood. With long-acting stimulants, any worsening of the mood disorder will take longer to wear off. The most common drugs used to treat ADHD are stimulant medications . An hypothesis. A Self-Perpetuating Cycle. Why a little bit of exercise can help academically for kids with ADHD. They are not like drugs that go into your system and potentially cause a manic episode such as meth, cocaine, ADHD stimulants, or anti-depressants. Thanks! Bipolar disorder was once thought to affect about 1% of the population. The causes of stimulant use disorder are complex and varied, but current research notes that both genetic and environmental factors are partially to blame. While this is not the first time this treatment has been suggested, there is very little data in support of it; our case confirms the discoveries of previous case reports. Reiger, et … Caffeine is a stimulant that speeds up the system, gives people energy and cuts down on their sleep. If you have more than one condition (called co-occurring disorders), be sure to get a treatment plan that works for you. Prior to initiating treatment, screen patients for risk factors for developing a manic episode (e.g., comorbid or history of depressive symptoms or a family history of suicide, bipolar disorder… Bipolar disorder is a mental illness that affects the person’s energy and mood levels as well as the ability to think clearly. Having a great mood: As mentioned, a person with bipolar disorder experiences uncontrollable highs and lows. Attention deficit hyperactivity disorder (ADHD) controversies include concerns about causes, perceived overdiagnosis, and methods of treatment, especially with the use of stimulant medications in children. Lifetime rate of bipolar disorder among adolescents is 2.7% (Lewinsohn, 1995; Kessler, 2009; Van Meter, 2011). As far as mood disorders go, bipolar disorder or BPD is a chronic mental disorder that disrupts your emotional stability and energy levels. This … However, there are effective treatments for bipolar disorder, and people with this diagnosis can live full and productive lives. As soon as his ideas entered the mainstream, he moved on to the next controversy, and on January 20th 2021 he moved on from this life. Hagop Akiskal was known for the bipolar spectrum, but that was just the latest in a 50 year career that constantly pushed psychiatry in new directions. The International Society for Bipolar Disorders Task Force report on pediatric bipolar disorder: Knowledge to date and directions for future research 25 September 2017 | Bipolar Disorders, Vol. Bipolar disorder is a serious illness characterized by wide mood swings. Risperidone was added on during the current treatment. Background: Residual depression and medication‐induced sedation remain significant problems for many patients with bipolar disorder (BD). One of the risk factors for developing a substance use disorder is having a mental illness. It appears to peak in adolescents. In the absence of a compelling reason, patients doing well on the stimulants … PDF | Childhood onset bipolar disorder (CO-BD) presents a panoply of difficulties associated with early recognition and treatment. The pharmaceutical and similar formulations inhibit the neurotransmitter norepinephrine, which plays a … stabilize mood. Some experts now believe it's higher, perhaps affecting 3% to 4% of the population. Everything you thought you knew about ADHD is wrong So much fighting, negative energy, and total depression consumes youre entire life. The following are 12 major bipolar disorder signs and symptoms. These factors include the following: Genetic: People who grow up in families with parents or siblings who abuse stimulants … Bipolar disorder is a serious disorder that can cause significant problems in school, the family, and the community. 19, No. Interestingly, maternal exposure to influenza during the 2nd or 3rd trimesters increased the risk for MDD but not BD. Their attempts to lower inhibitions can be taken to extremes. What would the effects be, how would it interact with the symptoms of adhd? Ayurveda, Yoga and You – Ancient Wisdom for Bipolar Disorder Interest in the more subtle Yoga practices related to mental health has expanded. Doctors and patients can work together to find the best medication, dose, or medication combination. For example, I read somewhere that impulsivity connected ADHD is when the person does what they want to do; when it is connected to bipolar disorder, it is out of the person's character. For example, the antidepressants used to treat OCD and the stimulants used to treat ADHD may worsen symptoms of bipolar disorder and may even trigger a manic episode. In this podcast, we look back on his legacy, beginning in the early 1970’s when Dr. Akiskal reshaped … Bipolar disorder includes episodes of extreme, elevated mood and energy lasting many days or weeks. Bipolar disorder, also known as manic depression, affects about 1 percent of the general population. Now, large RCTs of stimulants are needed, not only for treat-ing comorbid ADHD, residual fatigue, cogni-tive impairments, or the depressive phase These substances seem to ease the symptoms of manic and depressive episodes at first, which partially explains why many people with bipolar disorder have an addiction. Attention deficit hyperactivity disorder (ADHD) (3) Patients with both ADHD and bipolar disorder also experience unique challenges, as their ADHD symptoms may benefit from the use of stimulants, however: • Bipolar disorder may become more difficult to manage with the use of stimulants. Symptoms. Many children and adults suffer from attention deficit hyperactivity disorder (ADHD), which results in an impaired ability to concentrate and focus on basic tasks. Bipolar disorder is considered a serious mental illness. They don’t. Bipolar disorder, also known as manic-depressive disorder is a serious psychiatric diagnosis that is defined by presence of at least one episode of abnormally elevated energy levels, cognition and mood, followed with one or more depressive episodes. ... For some people, use of antidepressant drugs and/or stimulants can be linked to the onset of manic symptoms. Bipolar disorder is a mental condition involving unusual changes in energy, mood and ability to function in daily life. One research finding: as many as 60% of people with bipolar … Some bipolar disorder patients tolerate stimulants well, whereas others experience serious side effects, toxicities, and illness destabilization (Table 2). However, 10% of those misusing stimulants had a history of conduct disorder compared with only 3% of controls. 1. Bipolar disorder types I and II affect about 2% to 4% of the world’s population. In fact, it is estimated that 60% of BPD patients abuse substances at some point. Too often they are treated with stimulants or antidepressants--medications that can actually worsen the bipolar condition. Some individuals with ADHD also display difficulty regulating emotions or problems with executive function. The associated symptoms of BD can be especially debilitating and painful. In my situation, having bipolar 2 disorder, smoking cigarettes allows me to gather my thoughts and center myself. The use of certain substances, especially stimulants such as cocaine or methamphet-amine, may cause symptoms that mimic, or are similar to, those of bipolar disorder. Objectives: To compare demographic and clinical characteristics between bipolar adolescents with and without a history of stimulant treatment, we hypothesized that adolescents treated with stimulants would have an earlier age at onset of bipolar disorder, independent of co‐occurring attention‐deficit‐hyperactivity disorder (ADHD). The first study is risperidone treatment for bipolar disorder in children. BACKGROUND: Residual depression and medication-induced sedation remain significant problems for many patients with bipolar disorder (BD). It’s common for people with bipolar disorder to self-medicate with drugs and alcohol. The following are 12 major bipolar disorder signs and symptoms. Bipolar disorder (BP), also known as manic depression, is a mental illness that causes severe high and low moods alongside changes in sleep, energy, thinking, and behavior. In contrast with bipolar disorder, preliminary evidence shows a lack of response to lithium 10 and symptom improvement with stimulants and possibly antidepressants in patients with DMDD. Lithium remains a mainstay of treatment for bipolar disorder, especially for acute mania and maintenance treatment . Bipolar disorder is not well-understood. A study with 1709 high school students, ages 14-18 years old found a 1.0% prevalence of Bipolar Disorder. At age 7, after his family moved, Tim exhibited sadness, social withdrawal, increased anxiety, and decreased appetite. Anil Malhotra from the Zucker Hillside Hospital found that pramipexole (Mirapex), a dopamine D2 and D3 agonist used in the treatment of Parkinson’s disease, improved measures of processing speed and working memory in euthymic bipolar patients (whose average age was 42) when compared with placebo in an adjunctive clinical trial. 1.The most effective treatment for bipolar disorder is a combination of medication and… View the full answer Transcribed image text : Bipolar disorder has been shown to respond well to [Select] . People with bipolar disorder are especially at risk of substance misuse. Apparently, however, there is continued debate over this. Childhood onset bipolar disorder (CO-BD) presents a panoply of difficulties associated with early recognition and treatment. Even with treatment, about a third of patients relapse within 1 year, and two-thirds within 2 years. For me, the serotonin-reuptake inhibitors cause me to go bizarrely manic. The terms describe the same disorder, but bipolar disorder is an upgraded term based on a more thorough understanding of the disorder. It increased to 5.7% for Bipolar Disorder, NOS. A Clinician Guide’s to Treating Schizophrenia and Bipolar 1 Disorder Stimulants have caused stroke, heart attack, and sudden death in people with high blood pressure, heart disease, or a heart defect. The exposure to influenza seems to be specific for psychotic bipolar I disorder, consistent with previous identified associations between exposure to prenatal influenza and schizophrenia. We think that replicating these results is an important finding that necessitates further studies and larger trials to determine its efficacy. With this much overlap, it is no surprise that 60-90% of children with bipolar disorder are also diagnosed with ADHD. He was diagnosed with ADHD, oppositional defiant disorder, and separation anxiety disorder. This is a study by Frazier. And gabapentin’s cousin pregabalin (Lyrica) was tested for benzo withdrawal in a controlled trial of 106 patients. It appears to peak in adolescents. There were 28 outpatient children and adolescents with bipolar disorder with a mean age of 10 years, mostly male. As bipolar disorder in and of itself already takes a toll on the brain’s capacity, eliminating the effects of drug use becomes an absolute necessity for health and wellbeing to be possible. Bipolar/ADD continuity • Bipolar disorder associates with ADHD – In children with BP, rates of co‐morbid ADHD ranges from 11% to 98% • Arnold LE, et al., Bipolar Disord. Types of Bipolar Disorder The American Psychiatric Association (APA) conceptualizes bipolar disorder into several different diagnostic categories based on the frequency or severity of the mania in the disorder. Learn vocabulary, terms, and more with flashcards, games, and other study tools. An important component of understanding the ADHD-Bipolar Disorder connection is in understanding the statistics: ADHD affects 3% – 5% of children while Bipolar Disorder affects around 1% of adults and is much rarer in young children. In recent years, it's become a controversial diagnosis. As a result, these kids may be given any number of psychiatric labels: "ADHD," "Depressed," "Oppositional Defiant Disorder," "Obsessive-Compulsive Disorder," or "Separation Anxiety Disorder." 1. Instead, the problem is that energy drinks significantly affect sleep. Atypical antipsychotics are a common and effective treatment for bipolar mania. Stimulants and atomoxetine (ATX) are effective treatments for ADHD, but their use in adults with comorbid BD (ADHD-BD) has not been extensively studied and may be problematic. Parents who suspect that their child has bipolar disorder should find a child psychiatrist or psychologist who can evaluate the child. Studies suggest that substance abuse in persons with bipolar disorder have lifetime prevalence rates as high as 60% with reports of cocaine abuse as high as 30%. the anathematization of stimulants in bipolar disorder is an example of ideology over anal-ysis, as the author put it. This is the third reported case of the use of stimulants for catatonia occurring in mood disorders and only the second that documents its use in bipolar disorder. In some presentations, one's mood can shift very quickly between mania, anger, irritability, and/or … Introduction. Drs Ghaemi and Strakowski discuss eight controversies surrounding the diagnosis and management of bipolar disorder. In children of parents with major depression, bipolar disorder, or schizophrenia, stimulant use may come with a … Alcohol is used to lower inhibitions and leads to poor decision-making. The use of certain substances, especially stimulants such as cocaine or methamphet-amine, may cause symptoms that mimic, or are similar to, those of bipolar disorder. In addition, lithium appears to reduce the risk of suicide in patients with bipolar disorder [ 2-4 ], and may possibly have other benefits, such as reducing the risk of developing neurocognitive disorder [ 5 ]. Figuring out whether it is a medication side effect or bipolar disorder is of immense importance, because although recent studies suggest that stimulants might benefit some bipolar … Adderall Bipolar Addiction. This is a problem with someone with bipolar disorder, whose rest can be so crucial to their mental health. In this podcast, we look back on his legacy, beginning in the early 1970’s when Dr. Akiskal reshaped … Central nervous system (CNS) stimulants may induce a mixed/manic episode in patients with bipolar disorder. Some evidence indicates that bipolar depression may be more responsive to dopaminergic agents, suggesting that adjunctive stimulant medication may be an effective treatment for bipolar depression as well as for medication‐induced sedation. 4 stimulant treatment in bipolar disorder 41 wingo, ghaemi demographic and clinical characteristics of 137 bd subjects with versus without prior stimulant treatment characteristics no stimulant prior stimulant mean difference# treatment treatment (95% ci) or (n 103)a (n 34)a or*(95% ci) age, mean sd (years) 39.3 12.6 37.4 12.8 1.94 ( 3.0, 6.9)# Stimulant use did not appear to worsen mania, but it did improve ADHD symptoms in children with hyperactivity and bipolar disorders. AU - Nolen, W.A. In a recent chart-review study ( Journal Watch Psychiatry Oct 6 2004 ), pediatric patients with bipolar disorder and attention deficit hyperactivity disorder had poor outcomes after treatment with mood stabilizers. CO-BD is associated with a variety of precursors and comorbidities that have been inadequately studied, so treatment remains obscure. Risk for emerging bipolar disorder, variants, and symptoms in children with attention deficit hyperactivity disorder, now grown up. Bipolar adolescents with a history of stimulant treatment were non-signiÞcantly younger Central Stimulants May Reduce Suicide Risk in Adults With Bipolar Disorder and ADHD. These symptoms resolved after 2 months. Bipolar disorder is a mood disorder in which a person experiences drastic mood swings — from feeling elated, energetic, and risky to feeling sad and disinterested. [Epub ahead of print]). 2 Bipolar Disorder type I is experienced by more than … It appears to peak in adolescents. Everyone reacts differently to medications. How To Manage Your ADHD And Build A Successful Career. Stimulants are felt to be ineffective in the treatment of bipolar disorder and may actually induce mania in some children (Giedd, 2000; Schapiro, 2005). Three of the eight (38%) trained raters with good diagnostic and symptom bipolar adolescents diagnosed with substance use reliability (kappa= 0.94) who were blind to prior disorders had been treated with stimulants. However, we diagnose mania even if a patient has one episode of mania because studies have revealed that these patients will invariably develop more episodes of mood disorder … It was a retrospective chart review. ADHD and the Misuse of Prescription Stimulants: Implications for Treatment Decisions. Treatment with stimulants alleviated his attentional symptoms for a time. A person with bipolar disorder can sometimes speak in a rapid and disorganized way, especially during a manic phase. Untreated bipolar disorder can lead to hospitalization, drug abuse, accidents, or suicide. However, if ADHD coexists with bipolar disorder, the addition of a stimulant as adjunct therapy can be useful after mood stabilization has occurred (Lansford, 2005; Pavuluri et al, 2002). During the high times, the person is in a manic or hypomanic state. Bipolar disorder is characterized by severe shifts in mood and energy levels.. CO-BD is associated... | … As soon as his ideas entered the mainstream, he moved on to the next controversy, and on January 20th 2021 he moved on from this life. But here’s the thing—substance abuse actually WORSENS bipolar disorder: Marijuana can trigger manic episodes 2016 Oct 3:appiajp201616040467. Substance abuse, some prescribed medications and medical condition can lead to or precipitate symptoms of bipolar disorder, e.g. If you have more than one condition (called co-occurring disorders), be sure to get a treatment plan that works for you. Context: I am diagnosed with all three these disorders. 2011;13:509‐521. Start studying Nursing 2B: Neuro - Bipolar Meds and CNS stimulants. The diagnosis of stimulant use disorder can be given to someone who has a pattern of problematic use of amphetamine, cocaine, or other stimulants except caffeine or nicotine, leading to at least two of the following problems within a 12 month period: Taking more stimulants than intended. The current study provides some limited data concerning the usefulness of add-on stimulants in resistant bipolar depression. Data Extraction: Data on the efficacy of stimulants and stimulant alternatives as treatment augmentation for unipolar and bipolar depression were extracted. Accordingly, because central nervous system stimulants are more effective and have a long record of safety and efficacy, it is prudent to reserve atomoxetine for patients who are unresponsive to or intolerant of the stimulants. bipolar disorder. Elmaadawi AZ 1, Jensen PS 1, Arnold LE 1, Molina BS 1, Hechtman L 1, Abikoff HB 1, Hinshaw SP 1, Newcorn JH 1, Greenhill LL 1, Swanson JM 1, Galanter CA 1.

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