Guest guest Posted September 7, 2006 Report Share Posted September 7, 2006 In my opinion, he'd be wasting his money to go there. Better to spend a little more to see a doc who prescribes Armour & HC. He'd spend MORE at this clinic through their supplements & compounded meds. Deborah JD wrote: > Hi Everybody > > A friend of mine in Los Angeles has an appointment to > go to this Holtorf Medical clinic here on Oct. 12th. > > http://www.hormoneandlongevitycenter.com/ > <http://www.hormoneandlongevitycenter.com/> > > I like everything I see on there for him, EXCEPT that > when I called them to ask whether they prescribe > Armour (thinking they probably would since they > prescribe Bio-Id hormones), they said " absolutely not, > that's pig thyroid and we don't use that. The doctor > has his own lab and makes plant bio-id replacements > for the Thyroid hormones and also for Adrenal support > and healing, and that is what we use. " > > Can anyone shed any light on this? The receptionist > wouldn't really go into details about what was in the > plant stuff, so I don't have any more info than that > to give about it. > > Also, she said they do NOT use HC, Delta, or anything > like that - again with the plant bio id stuff made in > their own lab. > > What I'm worried about is that my friend is going to > go in there and get ripped off with spending a lot of > money on these plant things. > > He is so tired and worn out and still has to go to > work every day (window washer in Los Angeles). We are > pretty sure he is adrenally fatigued and hypothyroid > (his mother is too), plus he has hypoglycemia. As a > window washer he just doesn't have a lot of money to > throw around and still be able to afford his rent. And > he is SUCH a nice guy, really decent, hard worker, > does his best, yet so tired and worn out. > > We're waiting now for his test results from ZRT Labs > on his Thyroid, Cortisols x 4. and all his other > hormone stuff too PSA, SHGB, DHEA's, Testosterone, > Progesterone, Estrogens, etc.) > > This Holtorf clinic said that they will take those > tests to look at when he comes in and then decide if > he needs more testing. > > Any info or past experiences with this Dr. Holtorf or > his associates would be much appreciated. The costs > were not bad for that area for a dr. who doesn't take > insurance - $385.00 for the first visit and follow > ups, versus the $475.00-$500.00 for most other drs. in > the L.A. area who do treat with Armour and HC but > don't take insurance. And this clinic has a Nurse > Practitioner, the receptionist told me, who does the > exact same thing as the Drs, but only charges 185.00. > > So that looks good too - but again I'm worried that > their plant bio id stuff for thyroid and adrenals are > not what he needs and he will waste the little money > he has and then be left with nothing and just as sick > as he is now. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2006 Report Share Posted September 7, 2006 Hi Deborah, That's what I was afraid of too. It all looked great until the part about the plant stuff instead of Armour and HC. Thanks, --- Deborah Jacques wrote: > In my opinion, he'd be wasting his money to go > there. Better to spend a > little more to see a doc who prescribes Armour & HC. > He'd spend MORE at > this clinic through their supplements & compounded > meds. > > Deborah > > JD wrote: > > > Hi Everybody > > > > A friend of mine in Los Angeles has an appointment > to > > go to this Holtorf Medical clinic here on Oct. > 12th. > > > > http://www.hormoneandlongevitycenter.com/ > > <http://www.hormoneandlongevitycenter.com/> > > > > I like everything I see on there for him, EXCEPT > that > > when I called them to ask whether they prescribe > > Armour (thinking they probably would since they > > prescribe Bio-Id hormones), they said " absolutely > not, > > that's pig thyroid and we don't use that. The > doctor > > has his own lab and makes plant bio-id > replacements > > for the Thyroid hormones and also for Adrenal > support > > and healing, and that is what we use. " > > > > Can anyone shed any light on this? The > receptionist > > wouldn't really go into details about what was in > the > > plant stuff, so I don't have any more info than > that > > to give about it. > > > > Also, she said they do NOT use HC, Delta, or > anything > > like that - again with the plant bio id stuff made > in > > their own lab. > > > > What I'm worried about is that my friend is going > to > > go in there and get ripped off with spending a lot > of > > money on these plant things. > > > > He is so tired and worn out and still has to go to > > work every day (window washer in Los Angeles). We > are > > pretty sure he is adrenally fatigued and > hypothyroid > > (his mother is too), plus he has hypoglycemia. As > a > > window washer he just doesn't have a lot of money > to > > throw around and still be able to afford his rent. > And > > he is SUCH a nice guy, really decent, hard worker, > > does his best, yet so tired and worn out. > > > > We're waiting now for his test results from ZRT > Labs > > on his Thyroid, Cortisols x 4. and all his other > > hormone stuff too PSA, SHGB, DHEA's, Testosterone, > > Progesterone, Estrogens, etc.) > > > > This Holtorf clinic said that they will take those > > tests to look at when he comes in and then decide > if > > he needs more testing. > > > > Any info or past experiences with this Dr. Holtorf > or > > his associates would be much appreciated. The > costs > > were not bad for that area for a dr. who doesn't > take > > insurance - $385.00 for the first visit and follow > > ups, versus the $475.00-$500.00 for most other > drs. in > > the L.A. area who do treat with Armour and HC but > > don't take insurance. And this clinic has a Nurse > > Practitioner, the receptionist told me, who does > the > > exact same thing as the Drs, but only charges > 185.00. > > > > So that looks good too - but again I'm worried > that > > their plant bio id stuff for thyroid and adrenals > are > > not what he needs and he will waste the little > money > > he has and then be left with nothing and just as > sick > > as he is now. > > > > > > > > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2006 Report Share Posted September 7, 2006 I just moved from LA and have never heard of this place. Is it new? If it ever came across my brain fogged mind, I might have passed based on the fees they charge and the fact that they are mixing their own meds and assumably charging a lot of money for them. I've done the bio id T3 meds from compounding pharmacies, as well as the $ynthroid route. I also doubt that insurance companies would cover much of the fees. I do have a holistic doc in LA I do phone appointments with (I live in the SF Bay Area now) but honestly, I really really really get more helpful and consistent info from these groups. SAMMIE JD wrote: Hi Everybody A friend of mine in Los Angeles has an appointment to go to this Holtorf Medical clinic here on Oct. 12th. http://www.hormoneandlongevitycenter.com/ I like everything I see on there for him, EXCEPT that when I called them to ask whether they prescribe Armour (thinking they probably would since they prescribe Bio-Id hormones), they said " absolutely not, that's pig thyroid and we don't use that. The doctor has his own lab and makes plant bio-id replacements for the Thyroid hormones and also for Adrenal support and healing, and that is what we use. " Can anyone shed any light on this? The receptionist wouldn't really go into details about what was in the plant stuff, so I don't have any more info than that to give about it. Also, she said they do NOT use HC, Delta, or anything like that - again with the plant bio id stuff made in their own lab. What I'm worried about is that my friend is going to go in there and get ripped off with spending a lot of money on these plant things. He is so tired and worn out and still has to go to work every day (window washer in Los Angeles). We are pretty sure he is adrenally fatigued and hypothyroid (his mother is too), plus he has hypoglycemia. As a window washer he just doesn't have a lot of money to throw around and still be able to afford his rent. And he is SUCH a nice guy, really decent, hard worker, does his best, yet so tired and worn out. We're waiting now for his test results from ZRT Labs on his Thyroid, Cortisols x 4. and all his other hormone stuff too PSA, SHGB, DHEA's, Testosterone, Progesterone, Estrogens, etc.) This Holtorf clinic said that they will take those tests to look at when he comes in and then decide if he needs more testing. Any info or past experiences with this Dr. Holtorf or his associates would be much appreciated. The costs were not bad for that area for a dr. who doesn't take insurance - $385.00 for the first visit and follow ups, versus the $475.00-$500.00 for most other drs. in the L.A. area who do treat with Armour and HC but don't take insurance. And this clinic has a Nurse Practitioner, the receptionist told me, who does the exact same thing as the Drs, but only charges 185.00. So that looks good too - but again I'm worried that their plant bio id stuff for thyroid and adrenals are not what he needs and he will waste the little money he has and then be left with nothing and just as sick as he is now. Thanks, __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2006 Report Share Posted September 7, 2006 Hi Sammie, I think that clinic has been there for a while. It's in Torrance. We haven't been looking for a doc until now for my friend, so not really sure how long it's been there. Yes, that's what I'm worried about too, the plant thing in place of Armour and HC being a waste of money and time when he could be getting well instead. Nope, insurance wouldn't cover ANY of that stuff at that clinic. Nor any of the visits there, either. So, we are still trying to find a doc for my friend in the Los Angeles area who is knowledgeable about thyroid/adrenals, prescribes Armour and HC and knows how it all works like the people on these groups do, *AND takes insurance*. That's a tall order. So far we have had no success. All we've been able to find are " alternative " docs who: 1. Don't take insurance 2. Will prescribe Armour, but 3. None who will prescribe HC or Delta or anything like it. 4. Charge $500.00 for initial visit and a bit less for follow ups (except for the clinic I asked about, which has lower initial visit fees and follow ups). Yes, I am VERY happy to have found these groups here on Yahoo and am learning a lot! Thanks --- Sammie Baker wrote: > I just moved from LA and have never heard of this > place. Is it new? If it ever came across my brain > fogged mind, I might have passed based on the fees > they charge and the fact that they are mixing their > own meds and assumably charging a lot of money for > them. I've done the bio id T3 meds from compounding > pharmacies, as well as the $ynthroid route. I also > doubt that insurance companies would cover much of > the fees. I do have a holistic doc in LA I do phone > appointments with (I live in the SF Bay Area now) > but honestly, I really really really get more > helpful and consistent info from these groups. > > > SAMMIE > > > > JD wrote: > Hi Everybody > > A friend of mine in Los Angeles has an appointment > to > go to this Holtorf Medical clinic here on Oct. 12th. > > > http://www.hormoneandlongevitycenter.com/ > > I like everything I see on there for him, EXCEPT > that > when I called them to ask whether they prescribe > Armour (thinking they probably would since they > prescribe Bio-Id hormones), they said " absolutely > not, > that's pig thyroid and we don't use that. The doctor > has his own lab and makes plant bio-id replacements > for the Thyroid hormones and also for Adrenal > support > and healing, and that is what we use. " > > Can anyone shed any light on this? The receptionist > wouldn't really go into details about what was in > the > plant stuff, so I don't have any more info than that > to give about it. > > Also, she said they do NOT use HC, Delta, or > anything > like that - again with the plant bio id stuff made > in > their own lab. > > What I'm worried about is that my friend is going to > go in there and get ripped off with spending a lot > of > money on these plant things. > > He is so tired and worn out and still has to go to > work every day (window washer in Los Angeles). We > are > pretty sure he is adrenally fatigued and hypothyroid > (his mother is too), plus he has hypoglycemia. As a > window washer he just doesn't have a lot of money to > throw around and still be able to afford his rent. > And > he is SUCH a nice guy, really decent, hard worker, > does his best, yet so tired and worn out. > > We're waiting now for his test results from ZRT Labs > on his Thyroid, Cortisols x 4. and all his other > hormone stuff too PSA, SHGB, DHEA's, Testosterone, > Progesterone, Estrogens, etc.) > > This Holtorf clinic said that they will take those > tests to look at when he comes in and then decide if > he needs more testing. > > Any info or past experiences with this Dr. Holtorf > or > his associates would be much appreciated. The costs > were not bad for that area for a dr. who doesn't > take > insurance - $385.00 for the first visit and follow > ups, versus the $475.00-$500.00 for most other drs. > in > the L.A. area who do treat with Armour and HC but > don't take insurance. And this clinic has a Nurse > Practitioner, the receptionist told me, who does the > exact same thing as the Drs, but only charges > 185.00. > > So that looks good too - but again I'm worried that > their plant bio id stuff for thyroid and adrenals > are > not what he needs and he will waste the little money > he has and then be left with nothing and just as > sick > as he is now. > > Thanks, > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2006 Report Share Posted September 7, 2006 Well my holistic doc doesn't take insurance (but some insurances will re-bill and cover some of it). When I had Blue Cross, my insurance would pay a small portion I think. He'll prescribe Armour and HC only after trying Isocort or Licorice Root. The phone appointment is only $65 for a half hour. But seriously, the specific info about dosing and scheduling - what to stress dose and when, he wouldn't be able to tell me. I get that from these groups. Well, he might be able to make suggestions, but 99% of the time I get the correct info here. I'd almost hesitate referring anyone, because even that seems to be a waste of money. He's in Agoura Hills and does Saturday appointments. Pretty soon if these docs dont learn what is really going on and lower the prices, they will become absolete. SAMMIE JD wrote: Hi Sammie, I think that clinic has been there for a while. It's in Torrance. We haven't been looking for a doc until now for my friend, so not really sure how long it's been there. Yes, that's what I'm worried about too, the plant thing in place of Armour and HC being a waste of money and time when he could be getting well instead. Nope, insurance wouldn't cover ANY of that stuff at that clinic. Nor any of the visits there, either. So, we are still trying to find a doc for my friend in the Los Angeles area who is knowledgeable about thyroid/adrenals, prescribes Armour and HC and knows how it all works like the people on these groups do, *AND takes insurance*. That's a tall order. So far we have had no success. All we've been able to find are " alternative " docs who: 1. Don't take insurance 2. Will prescribe Armour, but 3. None who will prescribe HC or Delta or anything like it. 4. Charge $500.00 for initial visit and a bit less for follow ups (except for the clinic I asked about, which has lower initial visit fees and follow ups). Yes, I am VERY happy to have found these groups here on Yahoo and am learning a lot! Thanks --- Sammie Baker wrote: > I just moved from LA and have never heard of this > place. Is it new? If it ever came across my brain > fogged mind, I might have passed based on the fees > they charge and the fact that they are mixing their > own meds and assumably charging a lot of money for > them. I've done the bio id T3 meds from compounding > pharmacies, as well as the $ynthroid route. I also > doubt that insurance companies would cover much of > the fees. I do have a holistic doc in LA I do phone > appointments with (I live in the SF Bay Area now) > but honestly, I really really really get more > helpful and consistent info from these groups. > > > SAMMIE > > > > JD wrote: > Hi Everybody > > A friend of mine in Los Angeles has an appointment > to > go to this Holtorf Medical clinic here on Oct. 12th. > > > http://www.hormoneandlongevitycenter.com/ > > I like everything I see on there for him, EXCEPT > that > when I called them to ask whether they prescribe > Armour (thinking they probably would since they > prescribe Bio-Id hormones), they said " absolutely > not, > that's pig thyroid and we don't use that. The doctor > has his own lab and makes plant bio-id replacements > for the Thyroid hormones and also for Adrenal > support > and healing, and that is what we use. " > > Can anyone shed any light on this? The receptionist > wouldn't really go into details about what was in > the > plant stuff, so I don't have any more info than that > to give about it. > > Also, she said they do NOT use HC, Delta, or > anything > like that - again with the plant bio id stuff made > in > their own lab. > > What I'm worried about is that my friend is going to > go in there and get ripped off with spending a lot > of > money on these plant things. > > He is so tired and worn out and still has to go to > work every day (window washer in Los Angeles). We > are > pretty sure he is adrenally fatigued and hypothyroid > (his mother is too), plus he has hypoglycemia. As a > window washer he just doesn't have a lot of money to > throw around and still be able to afford his rent. > And > he is SUCH a nice guy, really decent, hard worker, > does his best, yet so tired and worn out. > > We're waiting now for his test results from ZRT Labs > on his Thyroid, Cortisols x 4. and all his other > hormone stuff too PSA, SHGB, DHEA's, Testosterone, > Progesterone, Estrogens, etc.) > > This Holtorf clinic said that they will take those > tests to look at when he comes in and then decide if > he needs more testing. > > Any info or past experiences with this Dr. Holtorf > or > his associates would be much appreciated. The costs > were not bad for that area for a dr. who doesn't > take > insurance - $385.00 for the first visit and follow > ups, versus the $475.00-$500.00 for most other drs. > in > the L.A. area who do treat with Armour and HC but > don't take insurance. And this clinic has a Nurse > Practitioner, the receptionist told me, who does the > exact same thing as the Drs, but only charges > 185.00. > > So that looks good too - but again I'm worried that > their plant bio id stuff for thyroid and adrenals > are > not what he needs and he will waste the little money > he has and then be left with nothing and just as > sick > as he is now. > > Thanks, > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2006 Report Share Posted September 7, 2006 Hi Sammie, He just ran across an ND in Pacific Palisades who looks like she might be close to what he is looking for. He was going up to PP to bid on a job there and stopped to pick up some Vitamin C and noticed it was a Compounding Pharmacy, so he stopped to talk to the ND behind the counter. She will prescribe Armour and HC, but the HC only for a few months unfortunately, so if he goes to her he will need to self medicate on that until his adrenals actually heal. She wants to go herbal on the adrenals after a couple of months on the HC, which I think isn't a good idea unless his adrenals are actually healed first. She says its not a good idea to take HC for longer than a couple of months, even at sub-total replacement amounts because she says " it will suppress your adrenals and lower your immune system " . So she isn't QUITE getting it, not quite understanding. And she's so close, too! She did seem willing to learn though, at least. She's a brand-new ND, just finished five years of medical school and just came back from some seminar on adrenal fatigue - so at least she believes it exists anyway. That's a start. I don't know though, if he has the energy to be a guinea pig for her to learn on, but it sure would be nice to get her educated as he heals. Absolutely agree with you 1000% that this is the place to learn about all this. I would be starting the old run around trying to find help from total imbeciles in the medical community if I hadn't learned from these groups over the past couple of months. Thanks! --- Sammie Baker wrote: > Well my holistic doc doesn't take insurance (but > some insurances will re-bill and cover some of it). > When I had Blue Cross, my insurance would pay a > small portion I think. He'll prescribe Armour and > HC only after trying Isocort or Licorice Root. The > phone appointment is only $65 for a half hour. > > But seriously, the specific info about dosing and > scheduling - what to stress dose and when, he > wouldn't be able to tell me. I get that from these > groups. Well, he might be able to make suggestions, > but 99% of the time I get the correct info here. > I'd almost hesitate referring anyone, because even > that seems to be a waste of money. He's in Agoura > Hills and does Saturday appointments. > > Pretty soon if these docs dont learn what is > really going on and lower the prices, they will > become absolete. > > > SAMMIE __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2006 Report Share Posted September 7, 2006 Hi , What is the address of the Compounding Pharmacy in PP? I would like to go there and talk to the ND there. Love, Pamela JD wrote: Hi Sammie, He just ran across an ND in Pacific Palisades who looks like she might be close to what he is looking for. He was going up to PP to bid on a job there and stopped to pick up some Vitamin C and noticed it was a Compounding Pharmacy, so he stopped to talk to the ND behind the counter. She will prescribe Armour and HC, but the HC only for a few months unfortunately, so if he goes to her he will need to self medicate on that until his adrenals actually heal. She wants to go herbal on the adrenals after a couple of months on the HC, which I think isn't a good idea unless his adrenals are actually healed first. She says its not a good idea to take HC for longer than a couple of months, even at sub-total replacement amounts because she says " it will suppress your adrenals and lower your immune system " . So she isn't QUITE getting it, not quite understanding. And she's so close, too! She did seem willing to learn though, at least. She's a brand-new ND, just finished five years of medical school and just came back from some seminar on adrenal fatigue - so at least she believes it exists anyway. That's a start. I don't know though, if he has the energy to be a guinea pig for her to learn on, but it sure would be nice to get her educated as he heals. Absolutely agree with you 1000% that this is the place to learn about all this. I would be starting the old run around trying to find help from total imbeciles in the medical community if I hadn't learned from these groups over the past couple of months. Thanks! --------------------------------- Get your own web address for just $1.99/1st yr. We'll help. Yahoo! Small Business. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2006 Report Share Posted September 7, 2006 I'm not familiar with this clinic, but I am familiar with having a doctor who has their own pharmacy and compounds drugs. I can't say I understand why they would compound thyroid instead of using Armour though. I do take bio-id cortisol, progesterone and testosterone and it is pricey. I would think if money were an issue that it would work out better to use HC and Armour. Linn > Hi Everybody > > A friend of mine in Los Angeles has an appointment to > go to this Holtorf Medical clinic here on Oct. 12th. > > http://www.hormoneandlongevitycenter.com/ > > I like everything I see on there for him, EXCEPT that > when I called them to ask whether they prescribe > Armour (thinking they probably would since they > prescribe Bio-Id hormones), they said " absolutely not, > that's pig thyroid and we don't use that. The doctor > has his own lab and makes plant bio-id replacements > for the Thyroid hormones and also for Adrenal support > and healing, and that is what we use. " > > Can anyone shed any light on this? The receptionist > wouldn't really go into details about what was in the > plant stuff, so I don't have any more info than that > to give about it. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2006 Report Share Posted September 7, 2006 Especially since HC is bioidentical ... Deborah Linn wrote: > I'm not familiar with this clinic, but I am familiar with having a > doctor who has their own pharmacy and compounds drugs. I can't say I > understand why they would compound thyroid instead of using Armour > though. I do take bio-id cortisol, progesterone and testosterone and > it is pricey. I would think if money were an issue that it would > work out better to use HC and Armour. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 8, 2006 Report Share Posted September 8, 2006 Oh great! Hi Pamela. I hope you're going to help her learn more about adrenals, HC, and Armour. She seemed very open minded and willing to learn. She was very sympathetic and thought it was terrible that so many people are going from dr. to dr. and not getting any help. But she is a bit on the sticky side of prescribing HC for more than a few months and thinks it suppresses the adrenals and the immune system, so she needs help with education on that. Her name is Tamara . She is only on duty 2-3 days a week there so it might be a good idea to call first to find out what days she's there (besides Thursday). The name of the pharmacy is: Pharmaca Integrated Pharmacy Address is: 15150 Sunset Blvd in Pacific Palisades Her direct phone line there is Her email is doctamara@... Feel free to mention how you heard of her if you want to, that my friend Josh came in Thursday and was talking with her about adrenals and HC, and Armour. Josh kind of looks like that dark haired Aragorn guy in that movie Lord of the Rings, although his hair was back in a ponytail when he talked to her. So she should remember him, he's a cutie. :-) Please let me know how it goes? She sounds like she would be really great if she could get some good education on HC and how to heal adrenals with it over a longer period of time than just a couple of months. Take care, --- Pamela wrote: > Hi , > > What is the address of the Compounding Pharmacy in > PP? > I would like to go there and talk to the ND there. > > Love, > Pamela __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 8, 2006 Report Share Posted September 8, 2006 Hi Linn, I don't know why they would compound thyroid instead of using Armour, but the receptionist there at that Holtorf Medical clinic was firm about that, she sounded disgusted at the thought of using pig thyroid. Personally, I would rather have the Armour by FAR over whatever herbal thing they have going on there, and that's what I've told my friend Josh out there in L.A. He is agreeing with that too. I think so too, on the prices. Thanks Linn! --- Linn wrote: > I'm not familiar with this clinic, but I am familiar > with having a > doctor who has their own pharmacy and compounds > drugs. I can't say I > understand why they would compound thyroid instead > of using Armour > though. I do take bio-id cortisol, progesterone and > testosterone and > it is pricey. I would think if money were an issue > that it would > work out better to use HC and Armour. > > Linn > > > > > Hi Everybody > > > > A friend of mine in Los Angeles has an appointment > to > > go to this Holtorf Medical clinic here on Oct. > 12th. > > > > http://www.hormoneandlongevitycenter.com/ > > > > I like everything I see on there for him, EXCEPT > that > > when I called them to ask whether they prescribe > > Armour (thinking they probably would since they > > prescribe Bio-Id hormones), they said " absolutely > not, > > that's pig thyroid and we don't use that. The > doctor > > has his own lab and makes plant bio-id > replacements > > for the Thyroid hormones and also for Adrenal > support > > and healing, and that is what we use. " > > > > Can anyone shed any light on this? The > receptionist > > wouldn't really go into details about what was in > the > > plant stuff, so I don't have any more info than > that > > to give about it. __________________________________________________ Quote Link to comment Share on other sites More sharing options...
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