Guest guest Posted November 21, 2005 Report Share Posted November 21, 2005 Rich, thanks so much for all this information. But it just about brings me to tears to know there is no way at this point to get the merc out of the brain :-( I'm glad good minds are working on it, but its all very depressing when you know you are loaded with merc. Marcia Aposhian 2003 paper on mercury detox Hi, all. I've now had a chance to read the paper by Aposhian on mercury detox that I mentioned previously. I'd like to summarize it here, because I think it bears on much of our recent discussion of mercury detox. Here's the reference: Aposhian, H.V. et al., " Vitamin C, glutathione, or lipoic acid did not decrease brain or kidney mercury in rats exposed to mercury vapor, " Journal of Toxicology: Clinical Toxicology 41.4 (June 2003):339(9). First, a few preliminary comments. The major source of mercury exposure for the general population has been elemental mercury from dental amalgams, and this is well-documented. The work reported in this paper involved this type of mercury, not organic forms such as methylmercury, which comes from eating fish, or ethylmercury, which comes from getting vaccinations with vaccines that contain the preservative thimerosol. Second, this study was done on rats, not humans. It isn't known what the differences may be between rats and humans in regard to absorption and detox of elemental mercury. Obviously, there would be serious ethical issues involved in doing studies of this type on humans, so we will have to settle with studies on rats (or other lab animals) and try to extrapolate to humans. Third, the main target organs for mercury in the body are the kidneys and the brain. This is true in both rats and humans. With those things being understood up front, here's what was done: Young rats were exposed to elemental mercury vapor by inhalation, two hours per day for seven consecutive days. There was also a control group that was exposed only to air. Then there was a seven- day waiting period. Then DMPS, DMSA, glutathione, vitamin C, or lipoic acid, both alone and in combination were administered for seven days. N-acetylcysteine was administered alone. There was also an additional control group that was not treated to remove mercury. Then the rats were killed, and their brain and kidneys were removed and analyzed for mercury. Here are the results: None of the various treatment regimens decreased the mercury content of the brain. That included the DMPS and the DMSA as well as the others. DMPS and DMSA were each effective in decreasing the mercury content of the kidneys, but glutathione, vitamin C and lipoic acid alone had no such activity, nor did they enhance the activity of DMPS or DMSA when used together with either of them. N-acetylcysteine was found not to decrease the mercury content of the kidneys, and it actually increased the mercury content of the brain. What do these results mean, if we assume that they would be the same in humans? I think they mean that although glutathione is effective in conjugating with mercury as it enters the body, and is normally used then to carry mercury out of the body, it is not effective in removing mercury that has become bound in body tissues, including both the kidneys and the brain. Similarly, vitamin C, alpha lipoic acid, and N-acetylcysteine are not effective in removing mercury that has become bound in body tissues, and N-acetylcysteine even appears to move more into the brain. Of those tested, the only agents that were found to be effective in removing mercury bound in tissues were the chelators DMPS and DMSA, and even these were not able to remove mercury from the brain. Presumably, the reason DMPS and DMSA were able to remove mercury from the kidneys while the others were not is that they are true chelators, capable of forming two bonds to mercury ions, and thus exhibit stronger bonding than the bonding to single sulfur atoms, which holds the mercuric ions in the tissue. Presumably, the reason DMPS and DMSA were not able to remove mercury from the brain, while they could do so from the kidneys, was that they could not cross the blood-brain barrier. In light of this study, is there value in building up glutathione levels in the body before using one of the chelating agents, DMPS or DMSA? I still think that the answer is yes. It is known that even though the chelators bind strongly to mercury, they are not perfect bonding agents, and some mercury ions will come loose from them and be redistributed in the body. I think there is value in having the glutathione in place to intercept this released mercury and carry it out, even though this study did not show a statistically significant effect of adding glutathione to either of these agents. I think it should be borne in mind that this study used healthy young rats that presumably had normal glutathione levels to start with. A PWC may not be in this condition, and I suspect that most are not. So I do think that building up glutathione before chelating is a good idea. Can this be done? Apparently it can. In the past, I was concerned that the presence of mercury might prevent the formation of glutathione in the body, since it is known that mercury will block at least three of the enzymes in the glutathione system at high enough concentration. However, there have been a small number of people now who have reported that they were able to build their glutathione even though they had significant amounts of mercury in their bodies. And it may be that others will be able to do it as well, if they take measures to improve the operation of their methylation cycle first, i.e., taurine, methyl B12, perhaps adding folinic acid, perhaps adding TMG or DMG, perhaps adding vitamin B6 or its active form, pyridoxal-5-phosphate. So what about the brain? Are we ever going to be able to get the mercury back out of it? Right now, I don't think anybody has a proven way to do that. Quig told me that he hopes that a combination of alpha lipoic acid and DMSA will eventually do it, but it didn't prove to do it in this short-duration study on rats. I should mention the possibility that PWCs may have leaky blood- brain barriers (as hypothesized a few years ago by Bested et al.), so that maybe the chelating agents could get into the brains of PWCs. I don't think we can rely on this possibility, though. Some of you may remember that a long time ago I suggested the possibility that vitamin B12 in large dosages might be able to methylate mercuric mercury that is bound in the brain and thus facilitate its movement back out of the brain, since methymercury is known to cross the blood-brain barrier easily. Methyl-B12 is the only substance in biological systems that can give a methyl group to a mercuric ion, because it is the only methylator that can donate a negatively charged methyl group (carbanion). This is necessary, because the mercury ion is positively charged, +2, and the stable product, methylmercury ion, has a +1 charge. (Methyl-B12 the same thing that bacteria use to methylate mercury, presumably to protect themselves, but it gets into fish and then causes humans a lot of problems.) Well, anyway, I dusted this idea off and sent it to the guys who are looking for better detoxers for mercury in autistic kids, along with supporting papers showing that the reaction will go nonenzymatically, as well as enzymatically like the bacteria do it, and that giving high-dose B12 to guinea pigs was found to increase their methyl mercury concentrations. That was last week. I'm waiting to find out what they think about it. I think it's a question of whether one could achieve a high enough concentration of methyl-B12 in the brain to pull this off, before it became toxic for some reason. B12 has a pretty low toxicity, though, so maybe it would actually work. Of course, it would be very important to clear the mercury out of the rest of the body using the chelators before one loaded up on methyl B12, or it would move more methylmercury into the brain, as it was found to do in the guinea pigs. That we don't need! The other possibility for dealing with mercury that won't come out is to " neutralize " it in place with selenium. Selenium binds to mercury more strongly than either individual sulfur atoms or chelators that can form two bonds. It has been found that the the mercury and selenium bind together to form little crystallites of the natural mineral tiemannite, which chemically is mercuric selenide, with a one-to-one atomic ratio of mercury to selenium. It apparently isn't known, though, whether these could cause problems over the long term, so no reputable expert is recommending this approach right now, as far as I know. I do think it's something to keep in mind, though, especially if we can't figure out any way to get the mercury out of the brain. I'm going to pursue the methyl- B12 route first, though. Right now I wouldn't recommend that anyone try either of these approaches, because they are unproven and may end up causing more problems than they solve, but I just want you to know that somebody is working on this problem. Rich This list is intended for patients to share personal experiences with each other, not to give medical advice. If you are interested in any treatment discussed here, please consult your doctor. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 21, 2005 Report Share Posted November 21, 2005 Hi Rich, Thank you for your summary of the article. Do you know which are the three enzymes that are influenced and/or damaged by Hg? Thanks for everything, Sue T rvankonynen <richvank@...> wrote: In the past, I was concerned that the presence of mercury might prevent the formation of glutathione in the body, since it is known that mercury will block at least three of the enzymes in the glutathione system at high enough concentration. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 21, 2005 Report Share Posted November 21, 2005 Hi, Sue. Yes, they are glutamate-cysteine ligase (formerly known as gammaglutamylcysteine synthestase), glutathione reductase, and glutathione peroxidase. Those are the ones I know of from reading the research literature. I think there are others in the methylation cycle that are affected as well, as well as others in different parts of the overall body's metabolism. Mercury binds to sulfhydryl groups, which are found in any enzyme or other protein that incorporates cysteine as part of its structure. If, as is often the case, the cysteine residue is located at the catalytic center of the enzyme and is important to its function, then bound mercury can interfere with its operation. Rich > In the past, I was concerned > that the presence of mercury might prevent the formation of > glutathione in the body, since it is known that mercury will block > at least three of the enzymes in the glutathione system at high > enough concentration. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 21, 2005 Report Share Posted November 21, 2005 Hi, Marcia. Yeah, I'm sorry about that, but the game isn't over yet. It might be encouraging to you to know that the whales and other marine mammals, as well as some of the fish and the sea birds are able to store very large quantities of mercury in their bodies as mercuric selenide, and they apparently don't experience toxic effect from the mercury when it's in this form. Fortunately for them, selenium is abundant in their food sources, so they take it in and use it to compensate for the methylmercury that they ingest, also in their food. Do you get the idea that somebody up there who knows his chemistry was looking out for these guys? Otherwise, this seems like a very strange coincidence. Rich > > Rich, > > thanks so much for all this information. But it just about brings me to tears to know there is no way at this point to get the merc out of the brain :-( I'm glad good minds are working on it, but its all very depressing when you know you are loaded with merc. > > Marcia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 21, 2005 Report Share Posted November 21, 2005 > it just about brings me to tears to know there is no way at this > point to get the merc out of the brain :-( Hi Marcia - I have to respond to this. My own experience says there is hope, despite the data of this recent report. As I've said before, my brain fog cleared the day the last (in my case, all) of my mercury amalgams were removed. In the 20 months since then, cognitive function has been slowly returning: * I can crochet and knit again, and am getting better at counted cross-stitch (need cheater marking threads every 10 squares instead of every 5; never needed any before I got sick) * Last month I memorized a Chopin Nocturne (though even short Bach Fugues still won't stick) * I can now occasionally plan and make a real meal (multiple items that I prepare, ready at the same time) * I can do 3 or even more things some days now without getting confused. There's still some cognitive function missing. But it does keep improving - while I was chelating, and since I took a break from chelating. The tests of this report make this seem unlikely if not impossible. But it's happening. On a different note, I've been concerned about your upcoming DMPS challenge, though I know you've been preparing your body well for it. (I didn't prepare for mine at all, not expecting to find a metal problem of any kind.) One thing: Fiber. You probably know it's important that bowel transit time be less than 14 hours. (Some of the mercury will be routed through the colon; anything left there more than 14 hours gets reabsorbed into the body and redistributed.) I didn't try my fiber product first. It stopped everything for 36 hours after the test. No doubt this contributed to my later bad reaction. So I heartily recommend you figure out what type of fiber or whatever you'll use, and try it ahead of time to be sure it will work in *your* body as expected. Good luck! -Lynn K Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 21, 2005 Report Share Posted November 21, 2005 > > Hi, all. > > I've now had a chance to read the paper by Aposhian on mercury detox > that I mentioned previously. I'd like to summarize it here, because > I think it bears on much of our recent discussion of mercury detox. > > Here's the reference: > > Aposhian, H.V. et al., " Vitamin C, glutathione, or lipoic acid did > not decrease brain or kidney mercury in rats exposed to mercury > vapor, " Journal of Toxicology: Clinical Toxicology 41.4 (June > 2003):339(9). > > First, a few preliminary comments. The major source of mercury > exposure for the general population has been elemental mercury from > dental amalgams, and this is well-documented. The work reported in > this paper involved this type of mercury, not organic forms such as > methylmercury, which comes from eating fish, or ethylmercury, which > comes from getting vaccinations with vaccines that contain the > preservative thimerosol. > > Second, this study was done on rats, not humans. It isn't known > what the differences may be between rats and humans in regard to > absorption and detox of elemental mercury. Obviously, there would > be serious ethical issues involved in doing studies of this type on > humans, so we will have to settle with studies on rats (or other lab > animals) and try to extrapolate to humans. > > Third, the main target organs for mercury in the body are the > kidneys and the brain. This is true in both rats and humans. > > With those things being understood up front, here's what was done: > > Young rats were exposed to elemental mercury vapor by inhalation, > two hours per day for seven consecutive days. There was also a > control group that was exposed only to air. Then there was a seven- > day waiting period. Then DMPS, DMSA, glutathione, vitamin C, or > lipoic acid, both alone and in combination were administered for > seven days. N-acetylcysteine was administered alone. There was > also an additional control group that was not treated to remove > mercury. Then the rats were killed, and their brain and kidneys > were removed and analyzed for mercury. > > Here are the results: > > None of the various treatment regimens decreased the mercury content > of the brain. That included the DMPS and the DMSA as well as the > others. > > DMPS and DMSA were each effective in decreasing the mercury content > of the kidneys, but glutathione, vitamin C and lipoic acid alone had > no such activity, nor did they enhance the activity of DMPS or DMSA > when used together with either of them. > > N-acetylcysteine was found not to decrease the mercury content of > the kidneys, and it actually increased the mercury content of the > brain. > > > What do these results mean, if we assume that they would be the same > in humans? I think they mean that although glutathione is effective > in conjugating with mercury as it enters the body, and is normally > used then to carry mercury out of the body, it is not effective in > removing mercury that has become bound in body tissues, including > both the kidneys and the brain. Similarly, vitamin C, alpha lipoic > acid, and N-acetylcysteine are not effective in removing mercury > that has become bound in body tissues, and N-acetylcysteine even > appears to move more into the brain. > > Of those tested, the only agents that were found to be effective in > removing mercury bound in tissues were the chelators DMPS and DMSA, > and even these were not able to remove mercury from the brain. > > Presumably, the reason DMPS and DMSA were able to remove mercury > from the kidneys while the others were not is that they are true > chelators, capable of forming two bonds to mercury ions, and thus > exhibit stronger bonding than the bonding to single sulfur atoms, > which holds the mercuric ions in the tissue. > > Presumably, the reason DMPS and DMSA were not able to remove mercury > from the brain, while they could do so from the kidneys, was that > they could not cross the blood-brain barrier. > > In light of this study, is there value in building up glutathione > levels in the body before using one of the chelating agents, DMPS or > DMSA? I still think that the answer is yes. It is known that even > though the chelators bind strongly to mercury, they are not perfect > bonding agents, and some mercury ions will come loose from them and > be redistributed in the body. I think there is value in having the > glutathione in place to intercept this released mercury and carry it > out, even though this study did not show a statistically significant > effect of adding glutathione to either of these agents. I think it > should be borne in mind that this study used healthy young rats that > presumably had normal glutathione levels to start with. A PWC may > not be in this condition, and I suspect that most are not. So I do > think that building up glutathione before chelating is a good idea. > > Can this be done? Apparently it can. In the past, I was concerned > that the presence of mercury might prevent the formation of > glutathione in the body, since it is known that mercury will block > at least three of the enzymes in the glutathione system at high > enough concentration. However, there have been a small number of > people now who have reported that they were able to build their > glutathione even though they had significant amounts of mercury in > their bodies. And it may be that others will be able to do it as > well, if they take measures to improve the operation of their > methylation cycle first, i.e., taurine, methyl B12, perhaps adding > folinic acid, perhaps adding TMG or DMG, perhaps adding vitamin B6 > or its active form, pyridoxal-5-phosphate. > > So what about the brain? Are we ever going to be able to get the > mercury back out of it? Right now, I don't think anybody has a > proven way to do that. Quig told me that he hopes that a > combination of alpha lipoic acid and DMSA will eventually do it, but > it didn't prove to do it in this short-duration study on rats. > > I should mention the possibility that PWCs may have leaky blood- > brain barriers (as hypothesized a few years ago by Bested et al.), > so that maybe the chelating agents could get into the brains of > PWCs. I don't think we can rely on this possibility, though. > > Some of you may remember that a long time ago I suggested the > possibility that vitamin B12 in large dosages might be able to > methylate mercuric mercury that is bound in the brain and thus > facilitate its movement back out of the brain, since methymercury is > known to cross the blood-brain barrier easily. Methyl-B12 is the > only substance in biological systems that can give a methyl group to > a mercuric ion, because it is the only methylator that can donate a > negatively charged methyl group (carbanion). This is necessary, > because the mercury ion is positively charged, +2, and the stable > product, methylmercury ion, has a +1 charge. (Methyl-B12 the same > thing that bacteria use to methylate mercury, presumably to protect > themselves, but it gets into fish and then causes humans a lot of > problems.) Well, anyway, I dusted this idea off and sent it to the > guys who are looking for better detoxers for mercury in autistic > kids, along with supporting papers showing that the reaction will go > nonenzymatically, as well as enzymatically like the bacteria do it, > and that giving high-dose B12 to guinea pigs was found to increase > their methyl mercury concentrations. That was last week. I'm > waiting to find out what they think about it. I think it's a > question of whether one could achieve a high enough concentration of > methyl-B12 in the brain to pull this off, before it became toxic for > some reason. B12 has a pretty low toxicity, though, so maybe it > would actually work. Of course, it would be very important to clear > the mercury out of the rest of the body using the chelators before > one loaded up on methyl B12, or it would move more methylmercury > into the brain, as it was found to do in the guinea pigs. That we > don't need! > > The other possibility for dealing with mercury that won't come out > is to " neutralize " it in place with selenium. Selenium binds to > mercury more strongly than either individual sulfur atoms or > chelators that can form two bonds. It has been found that the the > mercury and selenium bind together to form little crystallites of > the natural mineral tiemannite, which chemically is mercuric > selenide, with a one-to-one atomic ratio of mercury to selenium. It > apparently isn't known, though, whether these could cause problems > over the long term, so no reputable expert is recommending this > approach right now, as far as I know. I do think it's something to > keep in mind, though, especially if we can't figure out any way to > get the mercury out of the brain. I'm going to pursue the methyl- > B12 route first, though. > > Right now I wouldn't recommend that anyone try either of these > approaches, because they are unproven and may end up causing more > problems than they solve, but I just want you to know that somebody > is working on this problem. > > Rich Thanks so much Rich for this very important information. As you know I used ALA used for nearly a year in rounds but didn't get rid of my mercury problem. However I seem to remember that in the Alternative Medicine Review (2001) they posted a study that showed that ALA did move mercury out of the brain but they had concerns because the author believed there was a real danger of it being redistributed. Do you know about this study, otherwise I might be able to find its details somewhere? BTW I am about 5 days into using NDF, 5 drops x 2 without any problems at all so far but I have to be a bit careful because the stuff I am using is a bit out of date so it might have lost its ability to chelate mercury. Soon I will be onto the new bottle and will drop the dose to start off with in case it is going to mobilise too much mercury. My sauna should be here in a couple of days so looking forward to some sweating too. I am still doing all the supplements from the Sinatra protocol with great benefits, together with the nebulising of the magnesium. Haven't felt so well for many years but can still feel great problems with my legs getting sufficient energy especially now it has turned so much colder here in the UK. They keep going stone, icy, cold even though the rest of me is really warm. If I overdo it the problem is a lot worse. I can definitely say that these supplements do seem to stop a crash because I have really pushed myself physically recently because of circustances outside of my control and although I do get some neuro symptoms they always seem to be gone by the next day. I have also noticed that if I wake with a headache by the time I have eaten and done 15 minutes of nebulising the magnesium often it just goes away instead of turning into a horrible migraine. This is something that has never happened before so I am really encouraged. Best Wishes Pam Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 21, 2005 Report Share Posted November 21, 2005 Hi, Pam. > I am still doing all the supplements from the Sinatra protocol with > great benefits, together with the nebulising of the magnesium. > Haven't felt so well for many years but can still feel great > problems with my legs getting sufficient energy especially now it > has turned so much colder here in the UK. They keep going stone, > icy, cold even though the rest of me is really warm. If I overdo it > the problem is a lot worse. I can definitely say that these > supplements do seem to stop a crash because I have really pushed > myself physically recently because of circustances outside of my > control and although I do get some neuro symptoms they always seem > to be gone by the next day. I have also noticed that if I wake with > a headache by the time I have eaten and done 15 minutes of > nebulising the magnesium often it just goes away instead of turning > into a horrible migraine. This is something that has never happened > before so I am really encouraged. Here's an abstract that might help to explain why you've gotten some of the benefits you have from the magnesium. You might think about trying some taurine and fish oil (make sure it's mercury free!) also: Med Hypotheses. 1996 Dec;47(6):461-6. Magnesium taurate and fish oil for prevention of migraine. McCarty MF. Nutrition 21, San Diego, CA 92109, USA. Although the pathogenesis of migraine is still poorly understood, various clinical investigations, as well as consideration of the characteristic activities of the wide range of drugs known to reduce migraine incidence, suggest that such phenomena as neuronal hyperexcitation, cortical spreading depression, vasospasm, platelet activation and sympathetic hyperactivity often play a part in this syndrome. Increased tissue levels of taurine, as well as increased extracellular magnesium, could be expected to dampen neuronal hyperexcitation, counteract vasospasm, increase tolerance to focal hypoxia and stabilize platelets; taurine may also lessen sympathetic outflow. Thus it is reasonable to speculate that supplemental magnesium taurate will have preventive value in the treatment of migraine. Fish oil, owing to its platelet-stabilizing and antivasospastic actions, may also be useful in this regard, as suggested by a few clinical reports. Although many drugs have value for migraine prophylaxis, the two nutritional measures suggested here may have particular merit owing to the versatility of their actions, their safety and lack of side-effects and their long-term favorable impact on vascular health. Publication Types: * Review * Review, Tutorial PMID: 8961243 [PubMed - indexed for MEDLINE] Take care, MarkM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 21, 2005 Report Share Posted November 21, 2005 I have to respond to this. My own experience says there is hope, despite the data of this recent report. As I've said before, my brain fog cleared the day the last (in my case, all) of my mercury amalgams were removed. Hi Lynn, thanks for sharing that, I'm getting very nervous about all of this, and discouraged with some of the new information. I'm glad to hear about the experience of others! In the 20 months since then, cognitive function has been slowly returning: * I can crochet and knit again, and am getting better at counted cross-stitch (need cheater marking threads every 10 squares instead of every 5; never needed any before I got sick) * Last month I memorized a Chopin Nocturne (though even short Bach Fugues still won't stick) * I can now occasionally plan and make a real meal (multiple items that I prepare, ready at the same time) * I can do 3 or even more things some days now without getting confused. Wow, being able to memorize anything would be wonderful!!! Its been so long since I could do anything like that! Good for you, glad to hear of your progress. There's still some cognitive function missing. But it does keep improving - while I was chelating, and since I took a break from chelating. The tests of this report make this seem unlikely if not impossible. But it's happening. thats encouraging so thanks for sharing. On a different note, I've been concerned about your upcoming DMPS challenge, though I know you've been preparing your body well for it. (I didn't prepare for mine at all, not expecting to find a metal problem of any kind.) yes, I've tried to prepare but it still scares me :-( One thing: Fiber. You probably know it's important that bowel transit time be less than 14 hours. (Some of the mercury will be routed through the colon; anything left there more than 14 hours gets reabsorbed into the body and redistributed.) I didn't try my fiber product first. It stopped everything for 36 hours after the test. No doubt this contributed to my later bad reaction. Oh WOW, that is GOOD to know, thankyou! I will work on that before starting the test then, I had not even thought of that. What about activated charcoal after the urine collection part is done? Wonder if that would help too? So I heartily recommend you figure out what type of fiber or whatever you'll use, and try it ahead of time to be sure it will work in *your* body as expected. I will do that, thanks Lynn, I think you really helped me there! Marcia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 21, 2005 Report Share Posted November 21, 2005 > > Hi, all. > > I've now had a chance to read the paper by Aposhian on mercury detox > that I mentioned previously. Rich, I have lived with CFS since 1975. After my divorce in 2000 and I moved into the trailer, I actually improved and I think not having so much stress helped. However as you know that past two years I have developed neurological problems which have become very bad however an MRI didn't show anything. I returned to Van Horn, Tx today which is where I first started to improve while living in a tent here. I feel better already. Several things you said scared me. Now I only have two fillings and both of those came about the year 2,000. As you know I do take high doses of B-12 and according to what you said, that could move mercury to the brain. I also took the other supplements you mentioned which I think you said could do the same thing. I cannot help but to wonder if these things caused the onset of the neurological problems? I know you are not an MD but I am thinking that I shouldn't continue B- 12 for now and what is you opinion? Maybe I should discontinue all supplements for awhile since I am doing worse instead of better. Bob Quote Link to comment Share on other sites More sharing options...
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