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Blood works, help with results interpretation, advices for pct and so on

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  1. #121
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    I think you need to speak with Basic about that.

  2. #122
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    Sir, unfortunately I can't open your attachments, please send as photo again

    1. What about glycose level?
    2. I need to see E2 level
    3. Also I need to see relation between HDL and LDL to give you more competent advice, but with out test I can say that you need statins (rosuvastatin) start with 10mg ED (first effects you can see after 2 week) statin can help you to reduce LDL level also you need q10 - 300mg ED with statin. To increase HDL you need neacin (500-3000mg ED) and metformin (but I recommend star just with statin and see how it will work on you)
    4) I need to see ALT and AST - but now you can add methionine ED 500mg before meals (3-4 times day), or better SAMe 800mg ED. Tudca also good!
    5) yes it can be problem with low iron, becouse when you are on cycle AAS increase erythropoiesis
    6) What about SHBG? To low? This is normal when you have anabolics om your cycle.
    Quote Originally Posted by maddoger View Post
    Got the blood work, after 5 weeks of 250mg of sust E3D and 50mg of TBol ED. Main question how to fix values that are too high/low ?
    1. Noticed that Insulin is low ? why it could be ? Used HGH 2UI Mon-Fri and off on weekends, but had a month of break and started 4 days before the test.
    2. Estradiol wasn't using AI for 6-7 days before the test, but was taking zinc ED. Should I start 0.25mg E2D ? I stopped because I felt ok, and had joints pain from AI, strong pain from 0.5mg and more or less ok from 0.25mg E2-3 days
    3. How to increase HDL and decrease LDL ? Was taking a lot of fish oil and started Vit D recently
    4. ALT is high, how to fix ? started TUDCA and milk thiste
    5. What is MCV and MCH ? how to fix ? Read that it may be related to low iron, lately I was mainly eating fish...
    6. SHBG should I worry about it at all ?

    Thanks in advance !
    Attachment 34759
    Attachment 34760
    Attachment 34761
    Attachment 34762

  3. #123
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    Now I see, Sir) Ok let's see what we got

  4. #124
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    1)Your transaminases mostly in normal grade (
    considering you use orals) just add 500mg methionine or 400mg SAMe (all this you can buy in iherb). Don't worry your liver is normal!
    2) MCV and MCH also typical situation. Don't worry and don't need to add iron or some other stuff.
    3) lipid panel not so bad as I thought. I recommend you add omega-3 6 gramms ED + pumpkin seed oil 3 caps (NOW FOOD)+ statin 10mg ED+q10 300mg ED + niacin 500mg (NOW FOOD) all this will normalize your lipid panel with 90% probability
    4)E2 - yes, you can add anastrazole 1 mg E4d (2 times week)
    5)SHBG - normal

  5. #125
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    Quote Originally Posted by Pharmacom Helper View Post
    1)Your transaminases mostly in normal grade (
    considering you use orals) just add 500mg methionine or 400mg SAMe (all this you can buy in iherb). Don't worry your liver is normal!
    2) MCV and MCH also typical situation. Don't worry and don't need to add iron or some other stuff.
    3) lipid panel not so bad as I thought. I recommend you add omega-3 6 gramms ED + pumpkin seed oil 3 caps (NOW FOOD)+ statin 10mg ED+q10 300mg ED + niacin 500mg (NOW FOOD) all this will normalize your lipid panel with 90% probability
    4)E2 - yes, you can add anastrazole 1 mg E4d (2 times week)
    5)SHBG - normal
    Thanks or the reply !

    1. I already added cycle support + TUDCA + milk thistle, is it good enough ? is methionine/SAMe is better ?
    2. Added iron already, I guess it won't hurt ?
    3. Added Vit D, fish Oil, but don't have statin.
    4. Ended up 0.5mg of AI E2D, with HCG don't feel side-effects from it

  6. #126
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    Quote Originally Posted by maddoger View Post
    Thanks or the reply !

    1. I already added cycle support + TUDCA + milk thistle, is it good enough ? is methionine/SAMe is better ?
    2. Added iron already, I guess it won't hurt ?
    3. Added Vit D, fish Oil, but don't have statin.
    4. Ended up 0.5mg of AI E2D, with HCG don't feel side-effects from it
    1)
    All of these supplements work differently.
    The European Milk Thistle (if it has active silymarins) is anti-inflammatory and antioxidant but it is a debated on how much it actually helps the liver; there is some evidence (See https://www.ncbi.nlm.nih.gov/pubmed/11735632) and I have also read it is supposed to increase bile flow (I do not if this claim is true).

    Methionine and SAMe are methylation donors.

    This is how the liver detoxes many things – via methylation (I do not currently see anything in your stack for this).
    SAMe is the central player in liver biochemistry. It does two crucial things: It methylates, and it transforms itself into the liver's most vital substance, glutathione.
    NOTE the TMG/BEtain I already recommended is closely related to SAMe. When homocysteine is converted into methionine within the body, a by-product of this conversion is S-adenosylmethionine (SAMe). Homocysteine is amino acid, which has been linked to the development of atherosclerosis, coronary artery disease and stroke. A study in The Journal of the American Medical Association (JAMA) showed that those with high homocysteine levels had a 3.4 times greater risk of a heart attack than those with low homocysteine levels.

    Conventional medical journals such as JAMA have recommended vitamin supplements such as folic acid as safe methods of lowering homocysteine. A more effective nutrient to lower homocysteine is trimethylglycine (TMG). TMG converts homocysteine into methionine and, in the process, produces S-adenosylmethionine (SAMe). Unlike the synthetic SAMe drug available from Europe, TMG is inexpensive and is readily available as a dietary supplement.

    NAC should always be added for liver health (and general health; I even buy it for my mother) -- it is the precursor for endogenous glutathione production.

    So you should still add SAMe (or related compound such as TMG) AND NAC in addition to what you are taking because you are not addressing those pathways and functions.

    2)
    Too much iron is not good -- so if it is not needed then adding too much is not good (but no big deal in the very short term). However, your blood work does show POTENTIAL deficiency (we can not make a conclusion without ferritin data); but the plan is already to get Ferritin tested next bloodwork and then we will know for sure.

    3)
    The Jarrow Citrus Bergamot I recommended will do thesame thing as a statin but without as many of the negative side effects.
    Also, add the Niacin as myself and "Pharmacom Helper" have suggested.
    The Citrus bergamot will greatly help with lowering LDL and the Niacin will help raise HDL.
    Either way, if you use a statin or bergamot, you must addCoQ10 because the hmg-coa reductase pathway will be inhibited.
    I also listed many additional lipid support supplements -- I guarantee if you add them in addition to Citrus Bergamot, your lipids will improve.
    Last edited by RThoads; 07-03-2018 at 11:36 AM.

  7. #127
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    RT , and pharmacom helper ... you guys have been nothing short of awesome with all your advice and info. They don’t go without appreciation...
    hope your week is going well.

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    Thank you guys for all your reaponses. Super helpful ! I just received another order and got free 50tabs of stanozolol. Does it make sense to stack them to the last month of Tbol + sust cycle? Like 40-50mg of tbol and 20mg of stanozolol ED. Thanks

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    Quote Originally Posted by maddoger View Post
    Thank you guys for all your reaponses. Super helpful ! I just received another order and got free 50tabs of stanozolol. Does it make sense to stack them to the last month of Tbol + sust cycle? Like 40-50mg of tbol and 20mg of stanozolol ED. Thanks
    Not so big reason to add stan during this cycle, just keep it for some later cutting cycles.

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    Quote Originally Posted by Pharmacom Helper View Post
    Boldenone able to reduce E2 by him self. So if your last AI dose reduced E2 level to the middle of refs, you don't need to change dose. How much testo you used in your previous cycles? Actually, I think that this rule incorrect! Most of BB fans don't need more than 400-600mg testo per week, other part of ASS in cycle can easily been more that testo dosages. But in case with boldenone you must have some experience becouse as we know boldenone can reduce E2 be him self. So we need to find a middle balance between testo and boldenone doses which more perfect directly for you, in some cases you don't need AI at all, I have many guys who like this stack, becouse they don't need to use AI. Start with testo and bold, after 2-3 weeks when you will be already know what going on with your E2 level on this testo and bold dosages, and after that add tren 150-200mg per week more than enough. As a result of our choice you will have : testo 300-450 mg, bold 600-900mg and tren 100-150mg per week. PCT 1 wk 1tab caber once, 100mg clomid ED, 20 mg farestos ED 2 wk 100mg clomid ED, 20mg farestos ED 3 wk blood test LH/FSH/E2/prolactin/testo total If we see that HHG system was turned on for about 20-40%, so we reduse clomid dose to 50mg ED, farestos dose the same. If we see high E2 level (to top of refs) we add AI (anastrazole) 4 wk clomid 50mg ED 5 wk clomid 50mg E4D 6 wk clomid once 8-10wk blood test mostly the same. But don't forget that PCT it's not just HHG recovering, you also need recover other systems.
    Hi Pharmacom Helper, in one of your posts for this cycle you mentioned to keep on hand caber and farestone. When should I check my prolactin levels ? Week 2 after starting tren or later ? Is farestone for PCT or I may need it on cycle ? Since tren will show up as estrogen, how can I know that my estro is within the normal range, or tren won't affect it levels ? Thanks !

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    Quote Originally Posted by maddoger View Post
    Hi Pharmacom Helper, in one of your posts for this cycle you mentioned to keep on hand caber and farestone. When should I check my prolactin levels ? Week 2 after starting tren or later ? Is farestone for PCT or I may need it on cycle ? Since tren will show up as estrogen, how can I know that my estro is within the normal range, or tren won't affect it levels ? Thanks !
    Hello Sir, yes - I remember this. You should check your prolactin level after 15-20 days adding tren +- . About tren - yes it will show uncorrect E2 level. Here we have 3 options - 1) Start you cycle with testo only, for example you whant use mix 6 - 2 ml wk, this is 400mg testo E weekly. So you can start just with testo E 400mg weekly and from the begining add anastrazole 1mg (1tab) E2D for 14 days after that do blood test for E2 level, and if you see that E2 level in normal refs. So you can switch to mix 6 and use same anastrazole dosage.

    2) You have experience about how your aromatase has shown activity and you know if you use for example 400mg testo wk you need 2-3mg of anastrazole. And you can start with tren right on the cycle begining.

    3) You can find correct anastrazole dosage by the emperical knowlege. What ester and how much testo you will use on your cycle?

    About farestone, you can use on pct and during cycle for protect against E2 high level side effects, specifially against gyno.

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    Quote Originally Posted by Pharmacom Helper View Post
    Hello Sir, yes - I remember this. You should check your prolactin level after 15-20 days adding tren +- . About tren - yes it will show uncorrect E2 level. Here we have 3 options - 1) Start you cycle with testo only, for example you whant use mix 6 - 2 ml wk, this is 400mg testo E weekly. So you can start just with testo E 400mg weekly and from the begining add anastrazole 1mg (1tab) E2D for 14 days after that do blood test for E2 level, and if you see that E2 level in normal refs. So you can switch to mix 6 and use same anastrazole dosage.

    2) You have experience about how your aromatase has shown activity and you know if you use for example 400mg testo wk you need 2-3mg of anastrazole. And you can start with tren right on the cycle begining.

    3) You can find correct anastrazole dosage by the emperical knowlege. What ester and how much testo you will use on your cycle?

    About farestone, you can use on pct and during cycle for protect against E2 high level side effects, specifially against gyno.
    Makes sense ! Thanks for you responses ! A few more questions if you don't mind.
    1. This time I want to do a 6 weeks bridge between cycles, instead of PCT. The goal is to let kidneys, liver and receptors rest. Afaik, it's called cruise and blast protocol. What's the correct way of doing it ? My initial plan was to pin 80-100mg of test E E3D in order to keep my test levels around 700-900. Do I have to continue to use HCG during the bridge, or my body will produce some little amounts of testosterone and my balls won't shrink completely ? I read that you have to do some breaks with HCG, like use it for a month and rest for a week.
    2. I read a lot about aromasin is much safer, less side-effects and is not affecting your lipids as arimidex. Is it true ? how to estimate the correct amount of aromasin ?
    3. Why HCG is elevating estrogen levels ?

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    Quote Originally Posted by maddoger View Post
    Makes sense ! Thanks for you responses ! A few more questions if you don't mind.
    1. This time I want to do a 6 weeks bridge between cycles, instead of PCT. The goal is to let kidneys, liver and receptors rest. Afaik, it's called cruise and blast protocol. What's the correct way of doing it ? My initial plan was to pin 80-100mg of test E E3D in order to keep my test levels around 700-900. Do I have to continue to use HCG during the bridge, or my body will produce some little amounts of testosterone and my balls won't shrink completely ? I read that you have to do some breaks with HCG, like use it for a month and rest for a week.
    2. I read a lot about aromasin is much safer, less side-effects and is not affecting your lipids as arimidex. Is it true ? how to estimate the correct amount of aromasin ?
    3. Why HCG is elevating estrogen levels ?
    Hello sir)
    1) 100 testo E E3(4)D more than enough.
    I recommend you to add HCG 500 IU E3(4)D during your bridge and 1000IU weekly during your cycle. About HCG breaks - yes you can do some breaks like 3/1 or like you wrote.
    2)I don't use aromasin in my practice, I use anastrazole (arimidex) or in some serious cases letrozole, about atherogenic side effects after arimidex using it does not matter when you use AAS which are much more atherogenic than anastrazole, anyway do you use just AAS or with IA, I recommend to all thing about adding statins during cycles.

    3) HCG mimicry of LH effects to leydig cells, which produs testosterone in your gonads. so HCG raise testo level and aromatasa, raising E2 level, that why HCG indirectly can raise E2 level, but this is working when you are not on cycle.

  14. #134
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    Quote Originally Posted by RThoads View Post
    It is difficult to say for sure why the insulin level is low or if it is a problem without also knowing a few things:
    First, what was your blood glucose value at the time of the test (maybe I missed it but I do not see a glucose result).
    Second, where you fasted and if so for how long?

    If your blood glucose was low, and also you had no other stimulation to the pancreatic beta cells then, then that could be a reason for low insulin levels. In such a case it may be desirable to have low insulin. But if you had normal (or really even worse if you had HIGH) blood glucose level and at the same time had this low insulin level, it could be a sign of problems with releasing insulin.

    GH, at high dosages may cause insulin resistance, but that is different than low insulin; resistance means even in the presence of insulin your blood sugar would be higher than it should given the same conditions.

    At the extremes, these are the two different types of diabetes:
    Type-1 is where your pancreas does not produce insulin (very low insulin) and as such you can not process blood glucose etc.
    Type-2 is where you are insulin resistant and your cells (liver, muscle etc) requires more and more higher levels of insulin (you are resistant to its effects) to take in blood glucose (pancreas cannot keep up) and as a result blood glucose is very high.

    The amount of GH you stated would not be severe enough to cause a problem.
    In the rare event you have one of these medical condition, you would need additional testing to know for sure; I recommend you get a home glucometer at simply monitor your morning fasted blood sugar levels as well as check how you respond to carb meals.



    Yes, E2 is a little bit high (I would not like to see it above 40).
    You do need some AI with that E2 so high.
    But 0.5mg sounds like it was too harsh.
    Try the 0.25mg AI that you mentioned.
    This is assuming your AI is arimidex. If it is aromasin let me know.



    Your LDL is not “good” but it is not as “bad” as it looks.
    It is actually 148 mg/dL.



    This is because the typical estimate on bloodwork in the USA use the Friedewald equation which assumes high triglycerides; the typical American estimate is NOT accurate when triglycerides are below 100.
    References:
    https://jamanetwork.com/journals/jam...rticle/1779534
    and
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3634287/

    I agree that your HDL needs to rise.

    Make sure your fish oil is a high quality brand such as Omegalyze.
    I also like NOW food DHA500. Take to two servings of Omegalyze each day (one serving per meal) and then at the other meals take one NOW dha500 cap.

    I recommend the following supplements to raise your HDL:
    Fish oil serving at each meal as mentioned above.
    Jarrow Citrus Bergamot (start at two caps a day – one in the am, and one in the pm – then adjust based on the next blood work).
    NOW Psyllium husk powder (take a one table spoon 15 mins before a meal, twice a day).
    LEF Niacin (you want a high quality, plain old nicotinic acid) work up to 2.5g a day all at once late in the evening (it will cause strong flushing effect but should also relax you once flushing passes so I take pre-bed). Niacin, take 500mg the first day until you can tolerate the “flush” then up to 1000mg, then 1500mg etc etc and finally when you can handle 2.5g a day it wil start to raise HDL over the course of about 3 months treatment.

    Optional additions (but the entire stack really helped me take my LDL from 170s-190s down to about 60s-70s and I have seen the same remarkable results in clients).
    Olive leaf extract twice a day.
    Policosinol may also help and I take 20mg twice a day.
    Berberine HCl ~500-600mg twice a day with a meal (if you have carbs, have it with your two highest carbs meals).

    Diet: if you are eating a lot of carbs (especially simple carbs and sugars) remove those from your diet.
    Lifestyle: make sure to add some cardio, lower overall stress, and get PLENTY of high quality sleep.

    NOTE: red yeast rice will NOT help at all.
    https://www.msn.com/en-us/health/hea...ses/ar-BBD5b7U
    and
    https://nccih.nih.gov/health/redyeastrice

    Vit-D is low, but you mentioned you are starting to supplement with it; good, 5000iu ED but make sure to take in the AM as it may inhibit natural melatonin release.



    It is not alarmingly high but yes, it is elevated and good to fix this asap – maybe just a little high from hard training and the oral.

    Obviously, do NOT drink alcohol or use any NSAIDs while on cycle (in general too if you want a healthier life); do not do any other req drugs or things that tax your liver.

    Supplements that will help:
    NOW food NAC (take 3 a day – morning, afternoon, evening).
    Liv52
    LEF European Milk Thistle (only a high quality and correct type of milk thistle will help).
    TUDCA (start with just 250mg twice a day – it should be enough for your levels with the rest of these other supplements).
    TMG/Betain (a couple grams a day – you might already be taking it as its in many workout products)

    Optional additions:
    SAMe
    Methionine
    Jarrow Broccomax
    LEF Super bio Curcumin (everyone should just be taking this one already for general health)



    MCV is the mean corpuscular volume (average size of red blood cells).
    MCH is the mean corpuscular hemoglobin (average amount hemoglobin, the protein that hold the heme molecules, in red blood cells). Heme is the actual coordination complex of Iron and the macrocylic porphyrin molecule that carries the Iron.

    Low MCV means red blood cells are too small. This condition is called microcytic anemia.
    Low MCH value typically indicates the presence of iron deficiency anemia. (reference = https://www.healthline.com/health/mch and https://www.healthline.com/health/rbc-indices )

    You may be anemic. I strongly suggest the follow-up testing linked below (private MD labs “Anemia Profile Advanced”) so we can see your ferritin levels and some other factors:
    https://www.privatemdlabs.com/lab_te...12&search=#681



    I would not worry about it. Most of the time guys are trying to lower it.
    I do not even know of a way to raise it or any reasons to do so.



    You’re welcome.
    I put some time into this reply so I hope it helps.

    Maybe “Pharmacom Helper” will have some additional opinions and advice.
    got a new blood work after a month of the old
    one. Included iron deficiency test and others. Looks like I have some iron deficiency ? LDL is alarming, but ALT and estadiol improved a lot. Any thoughts ? Thanks !
    https://ibb.co/c8vmgy
    https://ibb.co/eZkmgy
    https://ibb.co/dJ8iTd
    https://ibb.co/k0DiTd
    https://ibb.co/bP0V8d
    https://ibb.co/hwZCMy

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    Quote Originally Posted by maddoger View Post
    got a new blood work after a month of the old
    one. Included iron deficiency test and others. Looks like I have some iron deficiency ? LDL is alarming, but ALT and estadiol improved a lot. Any thoughts ? Thanks !
    https://ibb.co/c8vmgy
    https://ibb.co/eZkmgy
    https://ibb.co/dJ8iTd
    https://ibb.co/k0DiTd
    https://ibb.co/bP0V8d
    https://ibb.co/hwZCMy
    I am confused and unable to make a confident conclusion regarding the iron/anemia potential situation.
    Please, continue to look into possibilities and also if I think of something I will comment again.


    Ferritin is HIGH so I do not believe you are iron deficient. I have never seen a ferritin value that high.
    But I do see some issues on the CBC -- the low Heme and high RDW may be signs you are deficient in other nutrients vital to healthy blood cell production. I will start with a good multi with bio-active methylated B9 and B12 (methylfolate and methylcobalimin).
    Controlled labs Orange triad (I use just 4 a day, not 6) as a multi:
    https://www.amazon.com/Controlled-La...s=orange+triad
    and add to that LEF methylfolate (1 a day):
    https://www.amazon.com/Life-Extensio...s=methylfolate
    If you do not orally absorb B12 (lack of intrinsic factor or some other reasons) you may add methylcobalimin sub lingual (1 half a sublingual tab daily):
    https://www.amazon.com/Life-Extensio...life+extension



    LDL does not appear alarming and is easy to improve so do not worry.
    Lipids can be improved using the protocol I listed previously (have you been dedicated with you Jarrow Bergamot, Omeglyze, Niacin etc. ??? and if so, how long have you been on the daily regimen? ).
    I will assume you have implemented the advice and protocol already using the info I listed, so I will up the dosage and now implement the optional items as required items -- lets retest lipids after 8 to 12 weeks on the new dosages.

    For lipids take the following each day (do not miss a day or dosage or we will not know if it is helping or if there is some other issue):

    Jarrow Brand Citrus Bergamot - Take 1 three times a day with meal (morning, afternoon, evening).
    https://www.amazon.com/Jarrow-Formul...mg+60+capsules
    Life Extension Foundation Niacin -- work up to 2.5 to 3g a daily , taken all at once, one time a day in the evening:
    https://www.amazon.com/Life-Extensio...eywords=Niacin
    Pipingrock Ovile LEaf extract take 1 in the am and 1 in the PM:
    https://www.pipingrock.com/olive-lea...6&_slang=en-US
    Pipingrock Policosinol 1 am and 1 pm:
    https://www.pipingrock.com/policosan...6&_slang=en-US
    NOW psyllium husk one table spoon 15 to 30 mins before a meal twice a day (am/pm):
    https://www.amazon.com/NOW-Psyllium-...um+husk+powder
    Pipingrock Berberine 1 in the am and 1 pm:
    https://www.pipingrock.com/herb-prod...6&_slang=en-US

    Of course there may be other thing you can add but lets start with this -- this is the exact protocol I have given clients and witnessed 50+ point drops in LDL (even had one guy drop over 100 points).

    Please keep in mind that your fear regarding LDL is heavily influenced by big pharma marketing and a corporate agenda to push prescriptions; ​inflammation, nutrient deficiencies, gyphosate and other toxins are the root causes of heart disease -- cholesterol issues are a response to the issue not the issue itself (please watch all these video and feel free to continue to search and read more in your own reaearch about this topic as it is the same cause with most blood pressure meds, depression/anxiety meds, and prescriptions in general -- if these drugs cured anything then we would not see the issue persist):










    Last edited by RThoads; 07-23-2018 at 04:31 PM.

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