Guest guest Posted November 11, 2006 Report Share Posted November 11, 2006 Diane: I came to the same angry conclusion re: HTN and diet not being reimbursed. Check Nutrition at my site: Nutrition.teach-nology.com Ortiz, RD nrord@... " The bad news is time flies. The good news is you're the pilot. " -- Altshuler, motivational speaker Acupuncture/HTN - FYI http://www.medscape.com/viewarticle/547428?sssdmh=dm1.224007 & src=nldne NEW YORK (Reuters Health) Nov 08 - Standardized or individualized traditional Chinese acupuncture is no better than a sham procedure in reducing blood pressure in hypertensive patients, according to a report in the November issue of Hypertension. Findings from small trials and case studies have suggested a benefit for acupuncture in treating hypertension, lead author Dr. A. Macklin, from the New England Research Institutes in Watertown, Massachusetts, and colleagues note. However, until now, no data from large, randomized trials have been reported. The Stop Hypertension with the Acupuncture Research Program (SHARP) trial involved 192 subjects with untreated blood pressure between 140/90 and 179/109 mmHg. The subjects were randomized to undergo standardized acupuncture at preselected points, individualized traditional Chinese acupuncture, or invasive sham acupuncture (needle puncture at non-acupuncture sites). The subjects underwent 12 or fewer acupuncture sessions over 6 to 8 weeks. Blood pressure was monitored every 2 weeks for 10 weeks and antihypertensives were given if blood pressure exceeded 180/110 mmHg. The average drop in blood pressure from baseline to 10 weeks was comparable in each group, with about a decline of around 3.70 mmHg for systolic pressure and 3.5 mm Hg for diastolic pressure. The authors were unable to find any patient subgroups, based on age, race, gender, baseline blood pressure, or other factors, for which active acupuncture was more effective than sham acupuncture at reducing blood pressure. " The money and effort expended in this trial should save even more wasted money and ineffectual effort, " Dr. Norman M. Kaplan, from the University of Texas at Dallas, comments in a related editorial, in reference to the null findings reported. " Acupuncture is receiving a number of proofs of inadequacy, but it may turn out that science cannot trump 2500 years of Asian tradition. " Hypertension 2006;48:838-845. Check Nutrition at my site: Nutrition.teach-nology.com Ortiz, RD nrord@... " The bad news is time flies. The good news is you're the pilot. " -- Altshuler, motivational speaker Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 11, 2006 Report Share Posted November 11, 2006 Oh, Diane, not at all! I agree that nutrition is as beneficial as most other treatments for many minor ailments, and the ONLY effective treatment for many major ones (no need to list them here, since we all know). Remeber I stated " I don't know what the problem is " ? well, I did not take the time to read the SHARP study, and would definitely be concerned for hypertensives like me (almost uncontrollable and erratic BP at times) if they go to a less ethical accupuncturist and discontinue medications and dietary treatments. I am going to look up the article and discuss with my accupuncturist next time I visit her. The fact does still hold true that any positive change in lifestyle that may improve one's general sense of well being, decrease pressure and anxiety level, and have a calming effect, will help HTN most of the time. I took up Yoga for that reason, and although I'm certain nobody would claim that Yoga is a tx for HTN and decreases it, I gained more control while doing it consistently at least 3 times a week. Learning to breathe properly alone was sufficient to lower my BP a few points, which amazed me. And improving my frame of mind and learning how to relax helped too. Now, I wonder if I can get coverage for Yoga classes? Or maybe for shopping at Nordstroms, bc that sure has a calming effect on me! I call it " retail therapy " . So, thanks for your explanation. I actually groaned with you, but got too carried away with my own experiences. Digna Acupuncture/HTN - FYI http://www.medscape.com/viewarticle/547428?sssdmh=dm1.224007 & src=nldne NEW YORK (Reuters Health) Nov 08 - Standardized or individualized traditional Chinese acupuncture is no better than a sham procedure in reducing blood pressure in hypertensive patients, according to a report in the November issue of Hypertension. Findings from small trials and case studies have suggested a benefit for acupuncture in treating hypertension, lead author Dr. A. Macklin, from the New England Research Institutes in Watertown, Massachusetts, and colleagues note. However, until now, no data from large, randomized trials have been reported. The Stop Hypertension with the Acupuncture Research Program (SHARP) trial involved 192 subjects with untreated blood pressure between 140/90 and 179/109 mmHg. The subjects were randomized to undergo standardized acupuncture at preselected points, individualized traditional Chinese acupuncture, or invasive sham acupuncture (needle puncture at non-acupuncture sites). The subjects underwent 12 or fewer acupuncture sessions over 6 to 8 weeks. Blood pressure was monitored every 2 weeks for 10 weeks and antihypertensives were given if blood pressure exceeded 180/110 mmHg. The average drop in blood pressure from baseline to 10 weeks was comparable in each group, with about a decline of around 3.70 mmHg for systolic pressure and 3.5 mm Hg for diastolic pressure. The authors were unable to find any patient subgroups, based on age, race, gender, baseline blood pressure, or other factors, for which active acupuncture was more effective than sham acupuncture at reducing blood pressure. " The money and effort expended in this trial should save even more wasted money and ineffectual effort, " Dr. Norman M. Kaplan, from the University of Texas at Dallas, comments in a related editorial, in reference to the null findings reported. " Acupuncture is receiving a number of proofs of inadequacy, but it may turn out that science cannot trump 2500 years of Asian tradition. " Hypertension 2006;48:838-845. Check Nutrition at my site: Nutrition.teach-nology.com Ortiz, RD nrord@... " The bad news is time flies. The good news is you're the pilot. " -- Altshuler, motivational speaker Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 11, 2006 Report Share Posted November 11, 2006 Another thought occurred to me, Diane, during the more acute stages of my back pain, my BP was extremely elevated; I was on total bedrest and already listed the meds, and continued with the BP meds. The dr explained to me that pain increases the BP significantly. Could then a parallel be drawn; pain is controlled, BP decreases??? Too far fetched, I think. I do believe that a more agressive effort is needed by all dietetic professionals to obtain insurance coverage for more MNT interventions. Digna Acupuncture/HTN - FYI http://www.medscape.com/viewarticle/547428?sssdmh=dm1.224007 & src=nldne NEW YORK (Reuters Health) Nov 08 - Standardized or individualized traditional Chinese acupuncture is no better than a sham procedure in reducing blood pressure in hypertensive patients, according to a report in the November issue of Hypertension. Findings from small trials and case studies have suggested a benefit for acupuncture in treating hypertension, lead author Dr. A. Macklin, from the New England Research Institutes in Watertown, Massachusetts, and colleagues note. However, until now, no data from large, randomized trials have been reported. The Stop Hypertension with the Acupuncture Research Program (SHARP) trial involved 192 subjects with untreated blood pressure between 140/90 and 179/109 mmHg. The subjects were randomized to undergo standardized acupuncture at preselected points, individualized traditional Chinese acupuncture, or invasive sham acupuncture (needle puncture at non-acupuncture sites). The subjects underwent 12 or fewer acupuncture sessions over 6 to 8 weeks. Blood pressure was monitored every 2 weeks for 10 weeks and antihypertensives were given if blood pressure exceeded 180/110 mmHg. The average drop in blood pressure from baseline to 10 weeks was comparable in each group, with about a decline of around 3.70 mmHg for systolic pressure and 3.5 mm Hg for diastolic pressure. The authors were unable to find any patient subgroups, based on age, race, gender, baseline blood pressure, or other factors, for which active acupuncture was more effective than sham acupuncture at reducing blood pressure. " The money and effort expended in this trial should save even more wasted money and ineffectual effort, " Dr. Norman M. Kaplan, from the University of Texas at Dallas, comments in a related editorial, in reference to the null findings reported. " Acupuncture is receiving a number of proofs of inadequacy, but it may turn out that science cannot trump 2500 years of Asian tradition. " Hypertension 2006;48:838-845. Check Nutrition at my site: Nutrition.teach-nology.com Ortiz, RD nrord@... " The bad news is time flies. The good news is you're the pilot. " -- Altshuler, motivational speaker Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 11, 2006 Report Share Posted November 11, 2006 Digna, That's great that you have had such success and help from accupuncture. Please do not misunderstand my short comment (I realize it was very short without further explanation!) which was regarding accupuncture for HTN in light of the SHARP study, not accupuncture itself. I too consider accupuncture a good thing and have considered it for my own double whiplash injury from 2 car accidents. What I was " groaning " about was the fact that accupuncture is reimbursable for HTN while nutrition is not!!!!! It is a little exasperating to have helped so many clients to reduce HTN with nutrition (not reimbursable by insurance) and then read the results of the SHARP study and realize accupuncture is reimbursable. It was the dietitian in me that also wants " equal due " for good old traditional therapy such as nutrition. I did not mean to come off in any way prejudiced against accupuncture, non-traditional therapy, or Asian, I just wish insurance was not so prejudiced against nutrition. I apologize if it came across sounding prejudiced! Diane Preves, M.S., R.D. N.E.W. LIFE (Nutrition, Exercise, Wellness for LIFE) www.newlifeforhealth.com e-mail: 4newlife@... Acupuncture/HTN - FYI http://www.medscape.com/viewarticle/547428?sssdmh=dm1.224007 & src=nldne NEW YORK (Reuters Health) Nov 08 - Standardized or individualized traditional Chinese acupuncture is no better than a sham procedure in reducing blood pressure in hypertensive patients, according to a report in the November issue of Hypertension. Findings from small trials and case studies have suggested a benefit for acupuncture in treating hypertension, lead author Dr. A. Macklin, from the New England Research Institutes in Watertown, Massachusetts, and colleagues note. However, until now, no data from large, randomized trials have been reported. The Stop Hypertension with the Acupuncture Research Program (SHARP) trial involved 192 subjects with untreated blood pressure between 140/90 and 179/109 mmHg. The subjects were randomized to undergo standardized acupuncture at preselected points, individualized traditional Chinese acupuncture, or invasive sham acupuncture (needle puncture at non-acupuncture sites). The subjects underwent 12 or fewer acupuncture sessions over 6 to 8 weeks. Blood pressure was monitored every 2 weeks for 10 weeks and antihypertensives were given if blood pressure exceeded 180/110 mmHg. The average drop in blood pressure from baseline to 10 weeks was comparable in each group, with about a decline of around 3.70 mmHg for systolic pressure and 3.5 mm Hg for diastolic pressure. The authors were unable to find any patient subgroups, based on age, race, gender, baseline blood pressure, or other factors, for which active acupuncture was more effective than sham acupuncture at reducing blood pressure. " The money and effort expended in this trial should save even more wasted money and ineffectual effort, " Dr. Norman M. Kaplan, from the University of Texas at Dallas, comments in a related editorial, in reference to the null findings reported. " Acupuncture is receiving a number of proofs of inadequacy, but it may turn out that science cannot trump 2500 years of Asian tradition. " Hypertension 2006;48:838-845. Check Nutrition at my site: Nutrition.teach-nology.com Ortiz, RD nrord@... " The bad news is time flies. The good news is you're the pilot. " -- Altshuler, motivational speaker Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 11, 2006 Report Share Posted November 11, 2006 Digna, That's great that you have had such success and help from accupuncture. Please do not misunderstand my short comment (I realize it was very short without further explanation!) which was regarding accupuncture for HTN in light of the SHARP study, not accupuncture itself. I too consider accupuncture a good thing and have considered it for my own double whiplash injury from 2 car accidents. What I was " groaning " about was the fact that accupuncture is reimbursable for HTN while nutrition is not!!!!! It is a little exasperating to have helped so many clients to reduce HTN with nutrition (not reimbursable by insurance) and then read the results of the SHARP study and realize accupuncture is reimbursable. It was the dietitian in me that also wants " equal due " for good old traditional therapy such as nutrition. I did not mean to come off in any way prejudiced against accupuncture, non-traditional therapy, or Asian, I just wish insurance was not so prejudiced against nutrition. I apologize if it came across sounding prejudiced! Diane Preves, M.S., R.D. N.E.W. LIFE (Nutrition, Exercise, Wellness for LIFE) www.newlifeforhealth.com e-mail: 4newlife@... Acupuncture/HTN - FYI http://www.medscape.com/viewarticle/547428?sssdmh=dm1.224007 & src=nldne NEW YORK (Reuters Health) Nov 08 - Standardized or individualized traditional Chinese acupuncture is no better than a sham procedure in reducing blood pressure in hypertensive patients, according to a report in the November issue of Hypertension. Findings from small trials and case studies have suggested a benefit for acupuncture in treating hypertension, lead author Dr. A. Macklin, from the New England Research Institutes in Watertown, Massachusetts, and colleagues note. However, until now, no data from large, randomized trials have been reported. The Stop Hypertension with the Acupuncture Research Program (SHARP) trial involved 192 subjects with untreated blood pressure between 140/90 and 179/109 mmHg. The subjects were randomized to undergo standardized acupuncture at preselected points, individualized traditional Chinese acupuncture, or invasive sham acupuncture (needle puncture at non-acupuncture sites). The subjects underwent 12 or fewer acupuncture sessions over 6 to 8 weeks. Blood pressure was monitored every 2 weeks for 10 weeks and antihypertensives were given if blood pressure exceeded 180/110 mmHg. The average drop in blood pressure from baseline to 10 weeks was comparable in each group, with about a decline of around 3.70 mmHg for systolic pressure and 3.5 mm Hg for diastolic pressure. The authors were unable to find any patient subgroups, based on age, race, gender, baseline blood pressure, or other factors, for which active acupuncture was more effective than sham acupuncture at reducing blood pressure. " The money and effort expended in this trial should save even more wasted money and ineffectual effort, " Dr. Norman M. Kaplan, from the University of Texas at Dallas, comments in a related editorial, in reference to the null findings reported. " Acupuncture is receiving a number of proofs of inadequacy, but it may turn out that science cannot trump 2500 years of Asian tradition. " Hypertension 2006;48:838-845. Check Nutrition at my site: Nutrition.teach-nology.com Ortiz, RD nrord@... " The bad news is time flies. The good news is you're the pilot. " -- Altshuler, motivational speaker Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 12, 2006 Report Share Posted November 12, 2006 Thanks to you too, Digna. Nice to be able to let one another explain the easily-misunderstood and come to a greater understanding. What I take from this is it may be a worthy effort, now realizing there may be reimbursement (widespread?) for accupuncture, to present logically to insurance companies that they missed a step by reimbursing for accupuncture without acknowledging the proven remedy of nutrition, and they need to include nutrition based on the logic that got them to reimburse for accupuncture! Not sure I'm up for the task yet, but I'm going to start by looking into how widespread the reimbursement for accupuncture is as a tx for HTN. Thanks Digna, Diane Acupuncture/HTN - FYI http://www.medscape.com/viewarticle/547428?sssdmh=dm1.224007 & src=nldne NEW YORK (Reuters Health) Nov 08 - Standardized or individualized traditional Chinese acupuncture is no better than a sham procedure in reducing blood pressure in hypertensive patients, according to a report in the November issue of Hypertension. Findings from small trials and case studies have suggested a benefit for acupuncture in treating hypertension, lead author Dr. A. Macklin, from the New England Research Institutes in Watertown, Massachusetts, and colleagues note. However, until now, no data from large, randomized trials have been reported. The Stop Hypertension with the Acupuncture Research Program (SHARP) trial involved 192 subjects with untreated blood pressure between 140/90 and 179/109 mmHg. The subjects were randomized to undergo standardized acupuncture at preselected points, individualized traditional Chinese acupuncture, or invasive sham acupuncture (needle puncture at non-acupuncture sites). The subjects underwent 12 or fewer acupuncture sessions over 6 to 8 weeks. Blood pressure was monitored every 2 weeks for 10 weeks and antihypertensives were given if blood pressure exceeded 180/110 mmHg. The average drop in blood pressure from baseline to 10 weeks was comparable in each group, with about a decline of around 3.70 mmHg for systolic pressure and 3.5 mm Hg for diastolic pressure. The authors were unable to find any patient subgroups, based on age, race, gender, baseline blood pressure, or other factors, for which active acupuncture was more effective than sham acupuncture at reducing blood pressure. " The money and effort expended in this trial should save even more wasted money and ineffectual effort, " Dr. Norman M. Kaplan, from the University of Texas at Dallas, comments in a related editorial, in reference to the null findings reported. " Acupuncture is receiving a number of proofs of inadequacy, but it may turn out that science cannot trump 2500 years of Asian tradition. " Hypertension 2006;48:838-845. Check Nutrition at my site: Nutrition.teach-nology.com Ortiz, RD nrord@... " The bad news is time flies. The good news is you're the pilot. " -- Altshuler, motivational speaker Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 12, 2006 Report Share Posted November 12, 2006 Thanks to you too, Digna. Nice to be able to let one another explain the easily-misunderstood and come to a greater understanding. What I take from this is it may be a worthy effort, now realizing there may be reimbursement (widespread?) for accupuncture, to present logically to insurance companies that they missed a step by reimbursing for accupuncture without acknowledging the proven remedy of nutrition, and they need to include nutrition based on the logic that got them to reimburse for accupuncture! Not sure I'm up for the task yet, but I'm going to start by looking into how widespread the reimbursement for accupuncture is as a tx for HTN. Thanks Digna, Diane Acupuncture/HTN - FYI http://www.medscape.com/viewarticle/547428?sssdmh=dm1.224007 & src=nldne NEW YORK (Reuters Health) Nov 08 - Standardized or individualized traditional Chinese acupuncture is no better than a sham procedure in reducing blood pressure in hypertensive patients, according to a report in the November issue of Hypertension. Findings from small trials and case studies have suggested a benefit for acupuncture in treating hypertension, lead author Dr. A. Macklin, from the New England Research Institutes in Watertown, Massachusetts, and colleagues note. However, until now, no data from large, randomized trials have been reported. The Stop Hypertension with the Acupuncture Research Program (SHARP) trial involved 192 subjects with untreated blood pressure between 140/90 and 179/109 mmHg. The subjects were randomized to undergo standardized acupuncture at preselected points, individualized traditional Chinese acupuncture, or invasive sham acupuncture (needle puncture at non-acupuncture sites). The subjects underwent 12 or fewer acupuncture sessions over 6 to 8 weeks. Blood pressure was monitored every 2 weeks for 10 weeks and antihypertensives were given if blood pressure exceeded 180/110 mmHg. The average drop in blood pressure from baseline to 10 weeks was comparable in each group, with about a decline of around 3.70 mmHg for systolic pressure and 3.5 mm Hg for diastolic pressure. The authors were unable to find any patient subgroups, based on age, race, gender, baseline blood pressure, or other factors, for which active acupuncture was more effective than sham acupuncture at reducing blood pressure. " The money and effort expended in this trial should save even more wasted money and ineffectual effort, " Dr. Norman M. Kaplan, from the University of Texas at Dallas, comments in a related editorial, in reference to the null findings reported. " Acupuncture is receiving a number of proofs of inadequacy, but it may turn out that science cannot trump 2500 years of Asian tradition. " Hypertension 2006;48:838-845. Check Nutrition at my site: Nutrition.teach-nology.com Ortiz, RD nrord@... " The bad news is time flies. The good news is you're the pilot. " -- Altshuler, motivational speaker Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 12, 2006 Report Share Posted November 12, 2006 I agree with you, Diane. The benefits of MNT are proven - I wonder how the accupuncturists accomplished this, bc according to mine, their association is quite weak in the area of obtaining recognition and reimbursement, yet they got this. Digna Acupuncture/HTN - FYI http://www.medscape.com/viewarticle/547428?sssdmh=dm1.224007 & src=nldne NEW YORK (Reuters Health) Nov 08 - Standardized or individualized traditional Chinese acupuncture is no better than a sham procedure in reducing blood pressure in hypertensive patients, according to a report in the November issue of Hypertension. Findings from small trials and case studies have suggested a benefit for acupuncture in treating hypertension, lead author Dr. A. Macklin, from the New England Research Institutes in Watertown, Massachusetts, and colleagues note. However, until now, no data from large, randomized trials have been reported. The Stop Hypertension with the Acupuncture Research Program (SHARP) trial involved 192 subjects with untreated blood pressure between 140/90 and 179/109 mmHg. The subjects were randomized to undergo standardized acupuncture at preselected points, individualized traditional Chinese acupuncture, or invasive sham acupuncture (needle puncture at non-acupuncture sites). The subjects underwent 12 or fewer acupuncture sessions over 6 to 8 weeks. Blood pressure was monitored every 2 weeks for 10 weeks and antihypertensives were given if blood pressure exceeded 180/110 mmHg. The average drop in blood pressure from baseline to 10 weeks was comparable in each group, with about a decline of around 3.70 mmHg for systolic pressure and 3.5 mm Hg for diastolic pressure. The authors were unable to find any patient subgroups, based on age, race, gender, baseline blood pressure, or other factors, for which active acupuncture was more effective than sham acupuncture at reducing blood pressure. " The money and effort expended in this trial should save even more wasted money and ineffectual effort, " Dr. Norman M. Kaplan, from the University of Texas at Dallas, comments in a related editorial, in reference to the null findings reported. " Acupuncture is receiving a number of proofs of inadequacy, but it may turn out that science cannot trump 2500 years of Asian tradition. " Hypertension 2006;48:838-845. Check Nutrition at my site: Nutrition.teach-nology.com Ortiz, RD nrord@... " The bad news is time flies. The good news is you're the pilot. " -- Altshuler, motivational speaker Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 13, 2006 Report Share Posted November 13, 2006 Good point--thanks for sharing that thought, Digna. I have appreciated the discussion--so evidence from the SHARP study suggests no effect of accupuncture on HTN, and from your message that accupuncture may reduce pain-induced HTN. Considering I didn't even know of accupuncture is being promoted as reimbursable for HTN until I saw a sign at my PT's office last week, and now this timely discussion, I now have some more intelligent questions to ask! The conflicting results may boil down to the differences between direct effects and indirect effects, as seems often to be the case (i.e., accupuncture may sometimes reduce HTN indirectly if it is pain-induced HTN and pain is relieved???) We should keep an eye on this trend, especially if it will be helpful for us to note to insurance companies that reimburse accupuncture for HTN that would justify reimbursing for nutrition with more evidence and less conflicting results. I know we don't " look " as medically-oriented as an accupuncturist, but we just have to position ourselves and our " image " as such and keep presenting the reems of science that back up our " medicine " . Diane Acupuncture/HTN - FYI http://www.medscape.com/viewarticle/547428?sssdmh=dm1.224007 & src=nldne NEW YORK (Reuters Health) Nov 08 - Standardized or individualized traditional Chinese acupuncture is no better than a sham procedure in reducing blood pressure in hypertensive patients, according to a report in the November issue of Hypertension. Findings from small trials and case studies have suggested a benefit for acupuncture in treating hypertension, lead author Dr. A. Macklin, from the New England Research Institutes in Watertown, Massachusetts, and colleagues note. However, until now, no data from large, randomized trials have been reported. The Stop Hypertension with the Acupuncture Research Program (SHARP) trial involved 192 subjects with untreated blood pressure between 140/90 and 179/109 mmHg. The subjects were randomized to undergo standardized acupuncture at preselected points, individualized traditional Chinese acupuncture, or invasive sham acupuncture (needle puncture at non-acupuncture sites). The subjects underwent 12 or fewer acupuncture sessions over 6 to 8 weeks. Blood pressure was monitored every 2 weeks for 10 weeks and antihypertensives were given if blood pressure exceeded 180/110 mmHg. The average drop in blood pressure from baseline to 10 weeks was comparable in each group, with about a decline of around 3.70 mmHg for systolic pressure and 3.5 mm Hg for diastolic pressure. The authors were unable to find any patient subgroups, based on age, race, gender, baseline blood pressure, or other factors, for which active acupuncture was more effective than sham acupuncture at reducing blood pressure. " The money and effort expended in this trial should save even more wasted money and ineffectual effort, " Dr. Norman M. Kaplan, from the University of Texas at Dallas, comments in a related editorial, in reference to the null findings reported. " Acupuncture is receiving a number of proofs of inadequacy, but it may turn out that science cannot trump 2500 years of Asian tradition. " Hypertension 2006;48:838-845. Check Nutrition at my site: Nutrition.teach-nology.com Ortiz, RD nrord@... " The bad news is time flies. The good news is you're the pilot. " -- Altshuler, motivational speaker Quote Link to comment Share on other sites More sharing options...
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