Guest guest Posted May 30, 2006 Report Share Posted May 30, 2006 HI All, I am new to this group and trying to learn what I can do to treat my CFS and get on with my life. My big beef is the crashing after a small amount of exertion. When that happens, I do have the brain fog, extreme fatigue and the FM symptoms. After being here a month or so I have realized that CFS/FM COULD be caused by: Lyme (but the tests for that are iffy, there is no agreement on whether they are flawed or even if Lyme is the problem in CFS! Or this COULD be caused by a bacteria infection; or this COULD be caused by a viral infection; or it COULD be genetics; or it COULD heavy metals, or it COULD BE BITOXINS, ETC, ETC, ETC. On top of that there is no consensus on how to chelate metals in the best and safest way! HAS ANYONE GOTTEN WELL?????? HOW????? WITHOUT ENDING UP IN THE POOR HOUSE??? Janet in San Diego Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2006 Report Share Posted May 30, 2006 HI Janet, I wrote a few days ago that starting taking Fibro AMJ daytime formula has helped me getting rid of the brainfog. I also feel less fatigue and my headaches are easy to cope with now. I also sleep better. There also is a night time formula but I have not taken that yet. So far no one has responded to my email. Chiara _____ From: [mailto: ] On Behalf Of alwaysacutie2u Sent: Tuesday, May 30, 2006 3:29 PM Subject: Dazed & Confused! All treatments HI All, I am new to this group and trying to learn what I can do to treat my CFS and get on with my life. My big beef is the crashing after a small amount of exertion. When that happens, I do have the brain fog, extreme fatigue and the FM symptoms. After being here a month or so I have realized that CFS/FM COULD be caused by: Lyme (but the tests for that are iffy, there is no agreement on whether they are flawed or even if Lyme is the problem in CFS! Or this COULD be caused by a bacteria infection; or this COULD be caused by a viral infection; or it COULD be genetics; or it COULD heavy metals, or it COULD BE BITOXINS, ETC, ETC, ETC. On top of that there is no consensus on how to chelate metals in the best and safest way! HAS ANYONE GOTTEN WELL?????? HOW????? WITHOUT ENDING UP IN THE POOR HOUSE??? Janet in San Diego 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 May 30, 2006 Report Share Posted May 30, 2006 On May 30, 2006, at 12:29 PM, alwaysacutie2u wrote: > HI All, > > I am new to this group and trying to learn what I can do to treat my > CFS and get on with my life. My big beef is the crashing after a > small amount of exertion. When that happens, I do have the brain > fog, extreme fatigue and the FM symptoms. This is called " post-exertional malaise, " and is considered to be the single signature, defining symptom of CFS. I've had CFS/ME for over 20 years. It was a slow slide from very active and functional to spending several years mostly in bed, and now to about an 80% recovery. And, while most of the rest of my symptoms are gone or controlled, this is the one that continues to dog me. When (if) this one ever goes away, I'll know I'm really healed. The biggest challenge for me -- and one of the real milestones toward recovery -- was learning to pace myself. In the early years, I'd use my rare " good " days to rev up to fourth gear and try to get a lot done -- and then be angry and surprised when I'd find myself thrown back to bed for a week as a result of overdoing. Crashing is, in and of itself, damaging and harmful. It's overloading your body to the point where the disease flares up and gets the upper hand. Each flare-up raises your risk that something important -- your brain, heart, endocrine system, adrenals, etc. -- will take a permanent or long-term hit. Living on a push-and-crash cycle is a great way to ensure that you will be sicker in the future than you've been in the past. Avoiding crashes is one of the big keys to getting well (or, at least, not getting sicker). I finally figured out that, rather than zapping back between fourth gear and a dead stop, it was much better to putter along at a more even speed in first or second gear. It wasn't life in the fast lane, but I could pretty consistently get at least a few essential things done each day. Life became a lot more reliable and manageable when I recognized and accepted my limits, learned to watch for the first signs of tiredness, and respected those signs enough to stop exerting and get off my feet the moment I felt them. As soon as I stopped pushing, I stopped crashing. Over time, I worked out where the edges of my energy bubble were, and rationed my resources carefully so I never pushed beyond them. For example, if I wanted to have a big day -- Christmas with the family, or a day of shopping -- I'd be careful to eat and rest up well beforehand, arrange the event itself for minimum stress (staying off my feet, ensuring I'd have adequate support, food and water, etc.), and then plan to take it very easy for a couple days after. This really forced me to prioritize my life, and figure out who and what I wanted to give my limited resources to -- never a bad thing. I pruned and weeded out activities, people, and events that didn't feed me, and carefully budgeted my little pittance of energy for those that did. Rather than feeling frustrated and tired, I started to feel balanced and in control. It was a much smaller life -- but it was a happier one, because I could start making commitments and being useful again, and got to be more fully present for the things that really did matter to me. The funny thing was: My recovery really began when I finally learned to pace myself this way. The more I rested, and the more conscientiously I avoided putting myself in situations that were likely to push me until I crashed, the higher my baseline energy level rose. It took several months before I noticed it; but, by and by, I found that I'd up-shifted from second gear to third, and could sustain that speed fairly reliably. These days (with a big boost from glutathione supplementation, which expanded the bubble hugely), I actually do have a fourth gear, which I can sustain for 3-4 days a week, 3-4 months at a time, before needing to rest. And even then, the rest isn't really a full-on crash. It's just downshifting back to second for a while to allow the system to recover. By the way, everybody: I finished my first semester of grad school on May 8, and got my final grades yesterday. I took two classes (six units in all). I got an A in one course, and an A- in the other. More importantly, I actually survived a busy semester that included travel and big projects (plus a whole lot of unexpected and highly stressful excitement from both my kids' schools in late April-early May) -- without wiping out. As you can imagine, I've been keeping things very restful and quiet in the two weeks since school ended. But two weeks is proving to be about all the recovery time I need. Summer beckons...and on June 21, I'm off to Greece with my son. Two years ago, I couldn't have imagined 14 days of international travel without my husband for backup; but now, I think I'm up to it. Sara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2006 Report Share Posted May 30, 2006 Hi Sara: Just wanted to congratulate you on your new accomplishments and to thank you for your most encouraging post. I wasn't the person that you were answering but her post certainly reflected my feelings and frustration. It was very timely indeed. Best Regards, Teena On Tue, 30 May 2006 13:46:19 -0700 Mercuria <mercuria@...> writes: > > On May 30, 2006, at 12:29 PM, alwaysacutie2u wrote: > > > HI All, > > > > I am new to this group and trying to learn what I can do to treat > my > > CFS and get on with my life. My big beef is the crashing after a > > small amount of exertion. When that happens, I do have the brain > > fog, extreme fatigue and the FM symptoms. > > This is called " post-exertional malaise, " and is considered to be > the > single signature, defining symptom of CFS. > > I've had CFS/ME for over 20 years. It was a slow slide from very > active and functional to spending several years mostly in bed, and > now to about an 80% recovery. > > And, while most of the rest of my symptoms are gone or controlled, > this is the one that continues to dog me. When (if) this one ever > goes away, I'll know I'm really healed. > > The biggest challenge for me -- and one of the real milestones > toward > recovery -- was learning to pace myself. In the early years, I'd use > > my rare " good " days to rev up to fourth gear and try to get a lot > done -- and then be angry and surprised when I'd find myself thrown > > back to bed for a week as a result of overdoing. > > Crashing is, in and of itself, damaging and harmful. It's > overloading > your body to the point where the disease flares up and gets the > upper > hand. Each flare-up raises your risk that something important -- > your brain, heart, endocrine system, adrenals, etc. -- will take a > permanent or long-term hit. Living on a push-and-crash cycle is a > great way to ensure that you will be sicker in the future than > you've > been in the past. Avoiding crashes is one of the big keys to getting > > well (or, at least, not getting sicker). > > I finally figured out that, rather than zapping back between fourth > > gear and a dead stop, it was much better to putter along at a more > even speed in first or second gear. It wasn't life in the fast lane, > > but I could pretty consistently get at least a few essential things > > done each day. Life became a lot more reliable and manageable when I > > recognized and accepted my limits, learned to watch for the first > signs of tiredness, and respected those signs enough to stop > exerting > and get off my feet the moment I felt them. As soon as I stopped > pushing, I stopped crashing. > > Over time, I worked out where the edges of my energy bubble were, > and > rationed my resources carefully so I never pushed beyond them. For > example, if I wanted to have a big day -- Christmas with the family, > > or a day of shopping -- I'd be careful to eat and rest up well > beforehand, arrange the event itself for minimum stress (staying off > > my feet, ensuring I'd have adequate support, food and water, etc.), > > and then plan to take it very easy for a couple days after. This > really forced me to prioritize my life, and figure out who and what > I > wanted to give my limited resources to -- never a bad thing. I > pruned > and weeded out activities, people, and events that didn't feed me, > and carefully budgeted my little pittance of energy for those that > did. Rather than feeling frustrated and tired, I started to feel > balanced and in control. It was a much smaller life -- but it was a > > happier one, because I could start making commitments and being > useful again, and got to be more fully present for the things that > really did matter to me. > > The funny thing was: My recovery really began when I finally > learned > to pace myself this way. The more I rested, and the more > conscientiously I avoided putting myself in situations that were > likely to push me until I crashed, the higher my baseline energy > level rose. It took several months before I noticed it; but, by and > > by, I found that I'd up-shifted from second gear to third, and could > > sustain that speed fairly reliably. These days (with a big boost > from > glutathione supplementation, which expanded the bubble hugely), I > actually do have a fourth gear, which I can sustain for 3-4 days a > week, 3-4 months at a time, before needing to rest. And even then, > the rest isn't really a full-on crash. It's just downshifting back > to > second for a while to allow the system to recover. > > By the way, everybody: I finished my first semester of grad school > on > May 8, and got my final grades yesterday. I took two classes (six > units in all). I got an A in one course, and an A- in the other. > More > importantly, I actually survived a busy semester that included > travel > and big projects (plus a whole lot of unexpected and highly > stressful > excitement from both my kids' schools in late April-early May) -- > without wiping out. > > As you can imagine, I've been keeping things very restful and quiet > > in the two weeks since school ended. But two weeks is proving to be > > about all the recovery time I need. Summer beckons...and on June 21, > > I'm off to Greece with my son. Two years ago, I couldn't have > imagined 14 days of international travel without my husband for > backup; but now, I think I'm up to it. > > Sara > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2006 Report Share Posted May 30, 2006 HI Sara, Thank you for your reply back. My bubble is so very small. I have already gotten to the pacing part. What tests did you decide to run??? What has helped you the most besides the glutathione??? I think I remember you have not detoxed metals yet. Is that right??? Thank you in advance, Janet in San Diego rudedog89@... wrote: Hi Sara: Just wanted to congratulate you on your new accomplishments and to thank you for your most encouraging post. I wasn't the person that you were answering but her post certainly reflected my feelings and frustration. It was very timely indeed. Best Regards, Teena On Tue, 30 May 2006 13:46:19 -0700 Mercuria <mercuria@...> writes: > > On May 30, 2006, at 12:29 PM, alwaysacutie2u wrote: > > > HI All, > > > > I am new to this group and trying to learn what I can do to treat > my > > CFS and get on with my life. My big beef is the crashing after a > > small amount of exertion. When that happens, I do have the brain > > fog, extreme fatigue and the FM symptoms. > > This is called " post-exertional malaise, " and is considered to be > the > single signature, defining symptom of CFS. > > I've had CFS/ME for over 20 years. It was a slow slide from very > active and functional to spending several years mostly in bed, and > now to about an 80% recovery. > > And, while most of the rest of my symptoms are gone or controlled, > this is the one that continues to dog me. When (if) this one ever > goes away, I'll know I'm really healed. > > The biggest challenge for me -- and one of the real milestones > toward > recovery -- was learning to pace myself. In the early years, I'd use > > my rare " good " days to rev up to fourth gear and try to get a lot > done -- and then be angry and surprised when I'd find myself thrown > > back to bed for a week as a result of overdoing. > > Crashing is, in and of itself, damaging and harmful. It's > overloading > your body to the point where the disease flares up and gets the > upper > hand. Each flare-up raises your risk that something important -- > your brain, heart, endocrine system, adrenals, etc. -- will take a > permanent or long-term hit. Living on a push-and-crash cycle is a > great way to ensure that you will be sicker in the future than > you've > been in the past. Avoiding crashes is one of the big keys to getting > > well (or, at least, not getting sicker). > > I finally figured out that, rather than zapping back between fourth > > gear and a dead stop, it was much better to putter along at a more > even speed in first or second gear. It wasn't life in the fast lane, > > but I could pretty consistently get at least a few essential things > > done each day. Life became a lot more reliable and manageable when I > > recognized and accepted my limits, learned to watch for the first > signs of tiredness, and respected those signs enough to stop > exerting > and get off my feet the moment I felt them. As soon as I stopped > pushing, I stopped crashing. > > Over time, I worked out where the edges of my energy bubble were, > and > rationed my resources carefully so I never pushed beyond them. For > example, if I wanted to have a big day -- Christmas with the family, > > or a day of shopping -- I'd be careful to eat and rest up well > beforehand, arrange the event itself for minimum stress (staying off > > my feet, ensuring I'd have adequate support, food and water, etc.), > > and then plan to take it very easy for a couple days after. This > really forced me to prioritize my life, and figure out who and what > I > wanted to give my limited resources to -- never a bad thing. I > pruned > and weeded out activities, people, and events that didn't feed me, > and carefully budgeted my little pittance of energy for those that > did. Rather than feeling frustrated and tired, I started to feel > balanced and in control. It was a much smaller life -- but it was a > > happier one, because I could start making commitments and being > useful again, and got to be more fully present for the things that > really did matter to me. > > The funny thing was: My recovery really began when I finally > learned > to pace myself this way. The more I rested, and the more > conscientiously I avoided putting myself in situations that were > likely to push me until I crashed, the higher my baseline energy > level rose. It took several months before I noticed it; but, by and > > by, I found that I'd up-shifted from second gear to third, and could > > sustain that speed fairly reliably. These days (with a big boost > from > glutathione supplementation, which expanded the bubble hugely), I > actually do have a fourth gear, which I can sustain for 3-4 days a > week, 3-4 months at a time, before needing to rest. And even then, > the rest isn't really a full-on crash. It's just downshifting back > to > second for a while to allow the system to recover. > > By the way, everybody: I finished my first semester of grad school > on > May 8, and got my final grades yesterday. I took two classes (six > units in all). I got an A in one course, and an A- in the other. > More > importantly, I actually survived a busy semester that included > travel > and big projects (plus a whole lot of unexpected and highly > stressful > excitement from both my kids' schools in late April-early May) -- > without wiping out. > > As you can imagine, I've been keeping things very restful and quiet > > in the two weeks since school ended. But two weeks is proving to be > > about all the recovery time I need. Summer beckons...and on June 21, > > I'm off to Greece with my son. Two years ago, I couldn't have > imagined 14 days of international travel without my husband for > backup; but now, I think I'm up to it. > > Sara > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2006 Report Share Posted May 30, 2006 On May 30, 2006, at 7:51 PM, Janet s wrote: > Thank you for your reply back. My bubble is so very small. I have > already gotten to the pacing part. I found that respecting its size, and arranging it so that I could live comfortably within it (including doing things that made it as sweet and welcoming and " homey " as possible), was an incredibly healing step. I fought the illness for years -- my capacity for denial is apparently infinite. Once I gave up and accepted that this WAS my life -- and may, in fact, be all the life I ever get -- then I could let go of the denial and grief, and start embracing that life and learning to live it well. And the better I learned to live within that cozy bubble, the bigger it got. Weird, but true. > What tests did you decide to run??? What has helped you the most > besides the glutathione??? > > I think I remember you have not detoxed metals yet. Is that right??? Not formally, but I've been on large daily doses of NAC for over five years, and am now building glutathione three different ways. Somewhere in there, chelation happens (I hope). Unlike most people here, tests haven't been a huge part of the story for me so far. It's only been in the past year that I've been working with doctors who had the first clue about which ones to run. Before that, they usually ran the wrong tests, or ran the right ones and then grossly misinterpreted them. Because of this, most of my gains over the past eight years have been based on much a more pragmatic tango of trial-and-error. I did a lot of this on my own, because even the most well-meaning doctors generally knew even less than I did (and that wasn't much) about CFS. I'm working with a doctor now who has ordered a basic mercury blood level test, along with mycoplasma, CMV, borrellia, babesia, and so on -- in other words, after 20 years, I'm finally getting the basic infection panel all CFS patients should have on Day One. They were ordered in early April, but school intervened until now. We'll see where that goes. What helped me most? 1. Sleep apnea diagnosis and treatment 2. Soy allergy discovery and treatment (with NAC and diet) 3. Thyroid/DHEA 4. B12/Glutathione injections 5. Bioidentical HRT 6. Magnesium/B6 supplementation There are a handful of supplements I wouldn't try to do without, including ProBoost, CLA, Enada, L-carnitine, ALA, and probably a few others I can't remember now. Sara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2006 Report Share Posted June 4, 2006 > > > I'm working with a doctor now who has ordered a basic mercury blood > level test, along with mycoplasma, CMV, borrellia, babesia, and so on > -- in other words, after 20 years, I'm finally getting the basic > infection panel all CFS patients should have on Day One. They were > ordered in early April, but school intervened until now. We'll see > where that goes. > > ***Hi Sara - Were you able to get these tests done at BC Biomedical or did you have to go to your local hospital to get the blood drawn? I'm going in to see my doctor tomorrow and whenever I bring up testing that she isn't familiar with, she always wants to know if the local labs will do the tests? When it comes to CFS she is absolutely clueless! Take care. Bernie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2006 Report Share Posted June 5, 2006 ***Hi Sara - Were you able to get these tests done at BC Biomedical or > did you have to go to your local hospital to get the blood drawn? I'm > going in to see my doctor tomorrow and whenever I bring up testing that > she isn't familiar with, she always wants to know if the local labs > will do the tests? When it comes to CFS she is absolutely clueless! I'm getting them done at the local lab in my doctor's office building. The only thing they can't handle on their own is the IgeneX (which I'm still debating -- see previous note). But I've got Dr. Dunne's lab request for a Western Blot, IgeneX's own forms with their drawing and shipping instructions, the willingness to pay for it out of pocket, and a plan to drive down to the US and ship the blood myself the day after the draw is done. So all they really need to do is read the form an fill an SST tube for me to take home. I'll take it from there. The thing I've noticed about BC doctors is that they're pretty supportive of a lot of experimental stuff as long as they don't have to try to justify it to BC Care. I hate having to pay out-of-pocket; but for things that aren't on the formulary, it's sometimes the only way to get what you need. And even so, it sure beats having to pay for *everything*, like I did in the States, where most of the best CFS docs don't even take insurance. Having all the basics covered makes the exotic stuff, like IgeneX, easier to afford. As for clueless doctors: I printed out all 114 pages of the Canadian Criteria, put it in a report cover, and had my GP put it in my file. He admitted on day one that he didn't know much about ME, but he's bright and curious, so he read the whole thing, and that became the basis of our working relationship. Over the last two years, he's come to trust that I'm on the level; and I support that trust by not asking him for things I can't back up with good documentation. We seem to have come to a place of mutual respect. He dug up Dr. Dunne for me, and helped me reverse- engineer my FFC glutathione shot and get it made up locally -- so I'm pretty happy with him, on the whole. Sara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2006 Report Share Posted June 5, 2006 > > I'm getting them done at the local lab in my doctor's office building. > > The thing I've noticed about BC doctors is that they're pretty supportive of a lot of > experimental stuff as long as they don't have to try to justify it to BC Care. ***Hi Sara - Thanks! I go again to my doctor in two weeks time so I'll take in a list of tests I would like to get done. I haven't had any luck finding doctors here that are supportive of experimental stuff :-( They usually give me a list of reasons why they aren't interested in pursuing it any further. I had one doctor, everytime I brought up the subject of CFS, she would pick up my file and walk out the room. I fired her real quick!! Take care. Bernie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2006 Report Share Posted June 5, 2006 On Jun 5, 2006, at 8:59 PM, bernieanneca wrote: > > > > > > I'm getting them done at the local lab in my doctor's office > building. > > > The thing I've noticed about BC doctors is that they're pretty > supportive of a lot of > > experimental stuff as long as they don't have to try to justify it > to BC Care. > > ***Hi Sara - Thanks! I go again to my doctor in two weeks time so > I'll take in a list of tests I would like to get done. > > I haven't had any luck finding doctors here that are supportive of > experimental stuff :-( They usually give me a list of reasons why > they aren't interested in pursuing it any further. I had one doctor, > everytime I brought up the subject of CFS, she would pick up my file > and walk out the room. I fired her real quick!! After 20+ years, I don't mess around with new doctors any more. It's out there in the first five minutes of the first visit. " I have ME. How familiar are you with this disease? " " Not very " is not an automatic disqualifier. In fact, it's the usual answer. So I go on. " This has been a huge health issue for over 20 years for me -- and believe me, I wish I knew more about it, too. Is this something you're open to working with me about? " If they hedge, or look at the walls, or otherwise act evasive, I finish my immediate business, leave, and don't come back. You don't have to know anything; but you do need to believe the disease exists, and be open to learning a thing or two about it in order to treat me. If they indicate that much openness, I say, " Great! Is it OK if I bring you some stuff to read, so we'll have some common understandings to work from? " If they say yes, I'll bring the Canadian Case Guidelines on my next visit. At that point, I'll also go into my various medications, and some history. If we're all good after that, I figure I've got a doctor I can work with. Life is too short to waste on doctors who don't want me around. Sara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2006 Report Share Posted June 6, 2006 Janet, I have gotten very well. If you want to know more contact me off list. Unfortunately, in my opinion, most people are barking up the wrong tree with regards to this disease. They need to look at the big picture - not just the analytical here but the synergetic. peace, paul doyon > > HI All, > > I am new to this group and trying to learn what I can do to treat my > CFS and get on with my life. My big beef is the crashing after a > small amount of exertion. When that happens, I do have the brain > fog, extreme fatigue and the FM symptoms. > > After being here a month or so I have realized that CFS/FM COULD be > caused by: Lyme (but the tests for that are iffy, there is no > agreement on whether they are flawed or even if Lyme is the problem > in CFS! Or this COULD be caused by a bacteria infection; or this > COULD be caused by a viral infection; or it COULD be genetics; or it > COULD heavy metals, or it COULD BE BITOXINS, ETC, ETC, ETC. > > On top of that there is no consensus on how to chelate metals in the > best and safest way! > > HAS ANYONE GOTTEN WELL?????? HOW????? WITHOUT ENDING UP IN THE POOR > HOUSE??? > > Janet > in San Diego > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 7, 2006 Report Share Posted June 7, 2006 Hi , I am so glad you have gotten well. How did you go about it??? What really did it for you??? Janet in San Diego Doyon <prd34@...> wrote: Janet, I have gotten very well. If you want to know more contact me off list. Unfortunately, in my opinion, most people are barking up the wrong tree with regards to this disease. They need to look at the big picture - not just the analytical here but the synergetic. peace, paul doyon > > HI All, > > I am new to this group and trying to learn what I can do to treat my > CFS and get on with my life. My big beef is the crashing after a > small amount of exertion. When that happens, I do have the brain > fog, extreme fatigue and the FM symptoms. > > After being here a month or so I have realized that CFS/FM COULD be > caused by: Lyme (but the tests for that are iffy, there is no > agreement on whether they are flawed or even if Lyme is the problem > in CFS! Or this COULD be caused by a bacteria infection; or this > COULD be caused by a viral infection; or it COULD be genetics; or it > COULD heavy metals, or it COULD BE BITOXINS, ETC, ETC, ETC. > > On top of that there is no consensus on how to chelate metals in the > best and safest way! > > HAS ANYONE GOTTEN WELL?????? HOW????? WITHOUT ENDING UP IN THE POOR > HOUSE??? > > Janet > in San Diego > Quote Link to comment Share on other sites More sharing options...
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