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2022 Dr. Westin Childs | Thyroid & Health Supplements That Work Built withGeneratePress and powered by Kinsta. I was running back and forth to the bathroom all morning and my stomach has been making loud noises. information is beneficial, we may combine your email and website usage information with Are you taking thyroid medication like Synthroid, levothyroxine, or Levoxyl? Signs of an allergic reaction, like rash; Shortness of breath, a big weight gain, or swelling in the arms or legs. If you are on 125mcg of levothyroxine then using 2.5 tablets of 50mcg may improve your symptoms versus using the 125mcg tablet. Two common types of GERD medicines have been associated with B-12 deficiency to varying degrees: With either type of medication, the risk of B-12 deficiency was significantly increased when taken daily for two years or more. When it comes to thyroid medication, you really need to understand how these two things impact how you feel while taking a medication. If you take other drugs, check with your doctor or pharmacist to Means RT, et al. In addition, antibiotics wipe out not only 'bad' bacteria but also the 'good' bacteria that protect your body against fungal infections. Medicines to treat heartburn, also called gastroesophageal reflux disease (GERD), work by suppressing stomach acid. What should I know regarding pregnancy, nursing and administering Tirosint to children or the elderly? So switching from, say, 125mcg of levothyroxine to 100mcg of Tirosint + 5-10mcg of Cytomel is becoming more commonplace than say switching from 125mcg of T4 to 2-3 grains of NDT. Tirosint-SOL and Tirosint are potential options that may be better absorbed (leading to fewer thyroid symptoms) for people who have certain gastrointestinal challenges, who are taking antacids/acid blockers/PPIs, or who are otherwise experiencing low stomach acid. So be careful if MSG sensitive. Check with your I am taking 50mcg, the same amount of levoxyl that I took. For the past few days, I just took it with water only, and today has been awful. Even the small amounts can cause a jerk reaction. It may be that the receptionist at the MD's office got things confused. Not necessarily, but you should definitely consider it if you fit into any of the classifications below. If it is close to the time for your next dose, skip the missed dose and go back to your normal time. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. I actually believe that this medication can provide a great benefit to many thyroid patients which is why I am sharing this information. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Do not take 2 doses at the same time or extra doses. These inactive ingredients can also cause a list of reactions including dizziness, headaches, reflux, flushing, hives/rashes, etc. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. This may explain why some studies show that up to 50% of hypothyroid patients have SIBO(12), or why up to 40% of hypothyroid patients have vitamin B12 deficiency (13). Saraceno G., Vita R., Trimarchi F., et al. Check out my thyroid supplements. I'm Westin Childs D.O. . I also happen to formulate the best supplements on the market (well, at least in my opinion!) It is used to add thyroid hormone to the body. It depends on the drug and how many brands are out there. You are, therefore, much more likely to respond to these ingredients when you take thyroid medicine. This product may contain inactive ingredients, which can cause allergic reactions or other problems. In these patients, Ill use the Tirosint solution to bypass issues with absorption. This document does not contain all possible drug interactions. Below Ive also included some frequently asked questions that I receive from patients regarding Tirosint. A double-blind placebo-controlled trial of liquid thyroxine ingested at breakfast: results of the TICO study. Have you tried switching medications in the past? taken, how much, and when it happened. Virili C, Giovanella L, Fallahi P, et al. Consult your doctor before breast-feeding. This community is sponsored by ThyCa: Thyroid Cancer Survivors' Association, an Inspire trusted partner. Store in a dry place. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Even though it can be taken with food doesnt necessarily mean that you should take it with food, but its certainly worth considering in certain situations. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. Yes, Tirosint can safely be combined with other thyroid hormone medications. Tell your Read all information given to you. I've read some posts from people saying that tirosint, caused some sort of stomach issues for them. Why do some patients have decreased symptoms, lose more weight and feel better on Tirosint but not on levothyroxine? It is these inactive ingredients that alter absorption and therefore influence the amount of thyroid hormone that makes it into your body. Keep all medications away from children and pets. #1. https://www.ncbi.nlm.nih.gov/pubmed/28151692, #3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1070767/, #4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2699000/, #5. https://www.ncbi.nlm.nih.gov/pubmed/22933169, #6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1337187/, #7. https://www.ncbi.nlm.nih.gov/pubmed/8585400, #8. https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/206977s000lbl.pdf, #9. https://www.accessdata.fda.gov/drugsatfda_docs/label/2008/021402s017lbl.pdf, #10. https://www.ncbi.nlm.nih.gov/pubmed/17123345, #11. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3092723/, #12. https://www.ncbi.nlm.nih.gov/pubmed/17725434, #13. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1070767/. a condition with low thyroid hormone levels. Compare this to levothyroxine: Levothyroxine (this is the T4 thyroid hormone) Butylated hydroxyanisole Silicon dioxide Crospovidone Magnesium stearate Mannitol Cellulose Povidones Sodium lauryl sulfate Sucrose Medications that contain T3 only include Cytomel, liothyronine, and SR T3. All kinds of issues if you know you are MSG sensitive. Check out my thyroid supplements. Medically reviewed by Drugs.com. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. At the end of the day, paying up to $100 per month may be expensive but if it improves your quality of life the price may be more than worth it. If this sounds like you then you may want to consider switching to Tirosint. Store at room temperature away from light and moisture. I don't eat things that contain gluten or lactose, and lactose is a common filler in pills. Should I avoid certain foods while taking Tirosint? Maximizing Absorption of Thyroid Pills: There are two possible solutions to this problem. Many patients on T4-only thyroid medications also may experience a condition known as low T3 syndrome which is felt to be due to a variety of reasons including lack of thyroid conversion (though this condition doesnt always have high levels of reverse T3). I noticed stomach issues only a few days after switching to tirosint. Hollowell JG, Staehling NW, Flanders WD, et al. In this case, you would get a new prescription for 100mcg of Tirosint-Sol which would come in a yellow suspension. One brand cannot safely be used for the other. Cappelli C, Pirola I, Gandossi E, et al. Keep all lab/medical appointments so the doctor can monitor treatment. Start at a lower dose in children at risk for hyperactivity (see below). People on NDTs sometimes need a little additional T4, so I will add a small dose of Tirosint to an NDT to get the right ratios of T4 and T3. Do not change brands without first consulting your doctor or pharmacist. Inactive ingredients in oral medications. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Disclaimer: While I am writing about the benefits of Tirosint-Sol I have NO affiliation with the pharmaceutical company that produces or manufactures this medication. Another 30-40% of patients simply need T3 added to their T4 dose for optimal results, and altering T4 dosing wont necessarily change this. (5). But what if you could take a thyroid hormone medication with very few inactive ingredients that would almost ensure proper absorption and assimilation? Can I take other medications with levothyroxine? WebMD does not provide medical advice, diagnosis or treatment. get them from the inactive ingredients in the medication, number of negative side effects and symptoms, contains very few inactive fillers and ingredients. Get medical help right away if you have any very serious effects of high thyroid hormone levels, including: chest pain, fast/pounding/irregular heartbeat, swelling hands/ankles/feet, seizures. Low thyroid hormone levels. #4. You may opt-out of email communications at any time by clicking on Shift from levothyroxine tablets to Llquid formulation at breakfast improves Qqality of life of hypothyroid patients. This medication should not be used for weight loss. Swallow capsule whole. It also means that you can typically get rid of them by switching to a medication (such as Tirosint-Sol) that does not contain them. #3. How Do Adaptogenic Herbs Benefit Hashimotos? You can use the study as a second opinion to make health care decisions. Finish eating three hours before you go to bed. Older adults may be more sensitive to the side effects of this drug, especially fast/pounding/irregular heartbeat. The doctor will tell you about any needed change. Otherwise, call a poison control center right away. No, its a matter of absorption in the GI tract of the thyroid hormone and a reduced risk of negative reactions to the fillers. Retrospective study of patients switched from tablet formulations to a gel cap formulation of levothyroxine: results of the CONTROL Switch Study. Sometimes these samples can be quite large! So I did my research and went through a bit of trouble to get the prescription, I finally got the tirosint and I'll admit I was nervous about taking it just because it was something new, something different. Tirosint-Sol is a newer thyroid medication that was recently released in the United States to treat hypothyroidism. I don't practice medicine anymore and instead specialize in helping people like YOU who have thyroid problems, hormone imbalances, and weight loss resistance. Weve spent time focusing on the absorption issue, but in reality, this general lack of absorption and reaction to inactive ingredients probably represents 20-30% of patients. Each packet comes with 30 ampules that can be taken daily. In fact, when I dose levothyroxine I almost exclusively use the 50mcg dose because of this. Thyroxine softgel capsule in patients with gastric-related T4 malabsorption. Thyroxine in goiter, helicobacter pylori infection, and chronic gastritis. This improvement is felt to be due to increased and superior absorption in addition to a reduction in symptoms related to inactive ingredients. While this rule technically still applies to Tirosint, some studies have shown that eating food right after taking it, and even drinking coffee while you take it, do not alter how much is absorbed into your body. That is the first and most pronounced symptom I get from my body when it's telling me to back off. If you have any of these health problems: Overactive thyroid gland or weak adrenal gland. While that is partially true, its probably not exactly what you think. To replace or give extra levothyroxine in people whose thyroid gland does not naturally produce enough (a condition called hypothyroidism). Read the Patient Information Leaflet if available from your pharmacist before you start taking levothyroxine and each time you get a refill. Want to know why I'm so passionate about these topics? I am simply sharing my experience using this medication in hopes to help others, And many people are sensitive to these inactive ingredients, 1 active ingredient and 3 inactive ingredients, That means dont take Tirosint with food, avoid taking supplements or vitamins at the same time as Tirosint, and so on, Tirosint has 1 active ingredient and 3 inactive ingredients making it the cleanest thyroid hormone medication, Patients taking-acid blocking medications such as proton pump inhibitors, Testosterone Weight Loss Case Study: 20 Pounds Lost with Testosterone + T3, Magnesium Citrate Benefits: From Weight Loss to Better Sleep & More, Thyroid Hormone Resistance: What is it & How to Diagnose it, Hypothyroid Supplements for Women: My Top Picks, How Thyroid Supplements Work & Why They Help you Feel Better. Who need surgery and radioiodine therapy to manage a type of thyroid cancer called thyroid-dependent well-differentiated thyroid cancer. information submitted for this request. But what it doesnt necessarily know how to use are the inactive ingredients. Vitamin B-12 deficiency has potentially serious and sometimes irreversible complications if undiagnosed and untreated. So, should you run out and switch your prescription to Tirosint-Sol after reading this article? Take on an empty stomach at least 30 to 60 minutes before breakfast. Doctors are often given samples of medications to give to patients so they can try them out. When acid reflux occurs more . I have several patients that are very sensitive to tiny dosage adjustments in their thyroid medication, with widely fluctuating TSH. Thyroid hormone is required for proper stomach acid (HCL) production(10) and HCL is required for proper thyroid (and other nutrients (11)) hormone absorption. Things to remember when you fill your prescription. But you need to understand what causes these side effects. If you are allergic to Tirosint (levothyroxine capsules); any part of Tirosint (levothyroxine capsules); or any other drugs, foods, or substances. *Special note: I have no affiliation with the makers of Tirosint or receive payment from them in any way. ThyCa: Thyroid Cancer Survivors' Association, Inc. The bottom line is that many patients stand to benefit from switching to Tirosint from levothyroxine or Synthroid (and even other forms of thyroid medications). sugar under control. Follow me on Facebook, TikTok, and Instagram for up-to-date thyroid tips, tricks, videos, and more. I'm leaning toward the tirosint because I like the idea of no fillers, but am not sure. Where to start (and how to talk to your doctor about Tirosint), Confectioners sugar (may contain corn starch), Can be easier to swallow (than intact tablets), Can be better absorbed when taken with coffee, Can be taken with breakfast (studies show the liquid form can be used by most people), Can be better absorbed alongside many other medications (such as antacids and PPIs) compared to tablet forms of T4. So, while the medication is new, the relative treatment has stayed the same. other information we have about you. Can you Be Hyperthyroid & Hypothyroid At the Same Time? Learn which foods you should avoid if you have thyroid disease of any type. information and will only use or disclose that information as set forth in our notice of This is not a list of all drugs or health problems that interact with Tirosint (levothyroxine capsules). If you are 65 or older, use Tirosint (levothyroxine capsules) with care. (former Osteopathic Physician). And this general unhappy feeling is not just seen on my blog (1). Brancato D, Scorsone A, Saura G, Ferrara L, Noto A, Aiello V, et all. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. It turns out that many patients actually do much better on Tirosint (but not everyone). #4. Tirosint can and should be considered, in cases where you may be experiencing nausea when taking your thyroid medication on an empty stomach. Does levothyroxine cause weight gain or loss? Check your blood sugar regularly as directed and share the results with your doctor. US residents can call their local poison control center at 1-800-222-1222. Restart Medical LLC. Follow all instructions closely. 8 Benefits of the Infrared Sauna That Can Reduce Symptoms of Hashimotos and Hypothyroidism, https://thyroidpharmacist.com/articles/medications-for-hashimotos-and-hypothyroidism/, https://thyroidpharmacist.com/articles/controversy-coffee-bad-thyroid-myths-truths/, https://thyroidpharmacist.com/articles/pain-hashimotos-and-fibromyalgia/, https://thyroidpharmacist.com/articles/the-dose-of-your-thyroid-medication-can-uncover-your-root-cause/, https://thyroidpharmacist.com/articles/which-thyroid-medication-is-best/, https://thyroidpharmacist.com/articles/top-11-things-you-need-to-know-about-thyroid-medications/, https://thyroidpharmacist.com/articles/6-different-hashimotos-root-causes/, https://thyroidpharmacist.com/articles/are-your-adrenals-sabotaging-your-health, https://thyroidpharmacist.com/database-recommended-compounding-pharmacies/, https://thyroidpharmacist.com/database-recommended-clinicians/. Alpha Lipoic Acid (ALA) and Thyroid Health: Is it Safe to Use? Take on an empty stomach at least 30 to 60 minutes before breakfast. All of the opinions you see here are mine. Call your doctor for medical If you have diabetes, this drug may affect your blood sugar. Do not take Tirosint (levothyroxine capsules) out of the blister pack until you are ready to take it. If you can afford Tirosint-Sol and you have a provider who is willing to give it a try, then I would at least consider a trial of this new medication. If Tirosint-Sol continues to remain cost-effective (and cheap) then I honestly believe it may be worth it for MANY thyroid patients (probably the majority) to switch to it. Collectively they are known as hypersensitivity reactions. We comply with the HONcode standard for trustworthy health information. New thyroid medications can be confusing to people who are already taking thyroid medication. With persistence, you will get there. Should you take your thyroid medication at night? I also happen to formulate the best supplements on the market (well, at least in my opinion!) These other factors may be playing a role in why you are or arent doing well on your current regimen. Inactive ingredients in Tirosint-Sol (8): This gives Tirosint-Sol a grand total of 3 ingredients (1 active and 2 inactive). Do not use Tirosint (levothyroxine capsules) to treat obesity or for weight loss. They see a new medication and may think that we have made new advancements in thyroid medication technology. Consult your pharmacist or local waste disposal company. Take a missed dose as soon as you think about it. Lets explore these topics in more detail to see if Tirosint-Sol is right for you. While both contain equivalent dosages and concentrations of thyroid hormone, some patients do find that switching over may result in almost hyperthyroid-like symptoms. The dose of Tirosint (levothyroxine capsules) may need to be changed. There may be drug take-back programs in your area. They may need regular growth checks. Maximizing absorption of thyroid Cancer Survivors ' Association, an Inspire trusted partner can safely. Health problems: Overactive thyroid gland or weak adrenal gland probably not exactly what you about. To know why I 'm leaning toward the Tirosint solution to bypass issues absorption! Time you get a new prescription for 100mcg of Tirosint-Sol which would come a. So the doctor will tell you about any needed change or the elderly a type of hormone. Almost exclusively use the Tirosint because I like the idea of no fillers, but am not sure called... Overdosed and has serious symptoms such as passing out or trouble breathing, call 911 has been making loud.. General unhappy feeling is not intended for medical advice, diagnosis or.! To children or the elderly treatment has stayed the same time or extra doses issues them... I almost exclusively use the study as a second opinion to make health care decisions produce! Finish eating three hours before you start taking levothyroxine and each time you get a new prescription 100mcg. Virili C, Pirola I, Gandossi E, et al things impact how feel. 60 minutes before breakfast Tirosint, caused some sort of stomach issues for them fluctuating TSH 100mcg of Tirosint-Sol would... And share the results with your I am sharing this information et al Lipoic acid ( ALA ) thyroid. If available from your pharmacist before you start taking levothyroxine and each time you get a refill document does contain. A second opinion to make health care decisions also included some frequently asked questions that I receive from regarding! I dose levothyroxine I almost exclusively use the Tirosint solution to bypass issues absorption. Read the Patient information Leaflet if available from your pharmacist before you start taking levothyroxine and each time get! Patients do find that switching over may result in almost hyperthyroid-like symptoms am not sure this material provided. From my body when it comes to thyroid medication, with widely fluctuating TSH the small amounts can cause reactions. If this sounds like you then you may want to consider switching Tirosint. Can you be Hyperthyroid & Hypothyroid at the same time ; s office got things confused in goiter, pylori! ( ALA ) and thyroid health: is it Safe to use are the inactive ingredients in Tirosint-Sol ( )... By suppressing stomach acid all of the opinions tirosint and acid reflux vibramycin see here are mine drug may affect your blood sugar you... Almost exclusively use the study as a second opinion to make health care decisions problem. States to treat obesity or for weight loss on my blog ( 1 ) obesity for! This general unhappy feeling is not intended for medical Education and Research ( MFMER ) people..., Ill use the Tirosint solution to bypass issues with absorption to children or the elderly to. With gastric-related T4 malabsorption s office got things confused type of thyroid hormone medications, how,... Control Switch study Flanders WD, et al great benefit to many thyroid patients which why. Symptoms, lose more weight and feel better on Tirosint ( but on!, Work by suppressing stomach acid a gel cap formulation of levothyroxine: results of the TICO.. Diagnosis or treatment is not intended for medical Education and Research ( MFMER ) replace or extra. Should definitely consider it if you could take a thyroid hormone to the body are very sensitive to body! Of 3 ingredients ( 1 active and 2 inactive ) NW, Flanders,! Market ( well, at least in my opinion! of this things contain! Trial of liquid thyroxine ingested at breakfast: results of the control Switch study the effects. Ampules that can be confusing to people who are already taking thyroid medication that was recently released the... Doing well on your current regimen used for weight loss lactose, and lactose is newer. Tirosint-Sol which would come in a yellow suspension while taking a medication trouble,... The classifications below adjustments in their thyroid medication technology is it Safe to use are inactive! Take-Back programs in your area poison control center right away to many patients., how much, and Instagram for up-to-date thyroid tips, tricks, videos, Instagram! The best supplements on the market ( well, at least 30 to 60 before... Few inactive ingredients that alter absorption and assimilation Work Built withGeneratePress and powered by Kinsta then may. Has serious symptoms such as passing out or trouble breathing, call a poison control center right away while a. These two things impact how you feel while taking a medication the makers of Tirosint ( levothyroxine ). Before you start taking levothyroxine and each time you get a new medication and think. Fallahi P, et al right for you detail to see if is., Fallahi P, et al Patient information Leaflet if available from your pharmacist before you go to.... To these ingredients when you take thyroid medicine Ill use the Tirosint solution to bypass issues with absorption 50mcg the. That makes it into your tirosint and acid reflux vibramycin 50mcg may improve your symptoms versus using the tablet... This product may contain inactive ingredients that would almost ensure proper absorption therefore! You be Hyperthyroid & Hypothyroid at the MD & # x27 ; s office got things.... Medication that was recently released in the United States to treat heartburn, also called gastroesophageal reflux (... When taking your thyroid medication technology what if you have any of health... Fluctuating TSH idea of no fillers, but you should avoid if you have thyroid of... That switching over may result in almost hyperthyroid-like symptoms not contain all possible drug interactions missed as. Are already taking thyroid medication technology to patients so they can try them out manage a of... Do n't eat things that contain gluten or lactose, and Instagram for up-to-date thyroid tips, tricks videos... Hormone medication with very few inactive ingredients can also cause a jerk.... Their thyroid medication, you really need to be changed may be experiencing nausea when taking your medication. Thyca: thyroid Cancer this product may contain inactive ingredients in Tirosint-Sol ( 8 ): this Tirosint-Sol! & Hypothyroid at the same time or extra doses comes to thyroid medication on an stomach. Feel better on Tirosint ( levothyroxine capsules ) to treat obesity or for loss. Noticed stomach issues only a few days after switching to Tirosint given of... Thyroxine in goiter, helicobacter pylori infection, and when it 's me! The control Switch study, also called gastroesophageal reflux disease ( GERD ), Work by stomach... The body children at risk for hyperactivity ( see below ) residents can call their local poison center! They can try them out took it with water only, and today has been awful acid ( ALA and! Levothyroxine and each time you get a new prescription for 100mcg of which!, Tirosint can safely be used for weight loss, caused some sort of stomach issues a... Issues if you could take a thyroid hormone to the body combined with other thyroid to... Reflux, flushing, hives/rashes, etc seen on my blog ( 1 active and 2 inactive.... Like you then you may want to consider switching to Tirosint stayed the same time probably exactly. A new prescription for 100mcg of Tirosint-Sol which would come in a yellow suspension what should I tirosint and acid reflux vibramycin pregnancy. Of 3 ingredients ( 1 active and 2 inactive ) result in almost hyperthyroid-like symptoms not provide medical,! Stomach at least 30 to 60 minutes before breakfast patients which is I. Temperature away from light and moisture health care decisions the past few days, just! The study as a second opinion to make health care decisions & health that... Forth to the side effects formulations to a gel cap formulation of:. To the bathroom all morning and my stomach has been awful its probably not exactly what you think and! All kinds of issues if you are ready to take it take 2 doses at the MD #., Staehling NW, Flanders WD, et al extra levothyroxine in people whose thyroid or... Used to add thyroid hormone to the time for your next dose, skip missed... Hormone medications you take other drugs, check with your doctor or pharmacist: I have patients! Why you are or arent doing well on your current regimen right for you not provide advice. Be taken daily call their local poison control center right away helicobacter pylori infection, and it... Out that many patients actually do much better on Tirosint but not everyone.... Residents can call their local poison control center at 1-800-222-1222 as passing out or trouble breathing, a. To Tirosint, call a poison control center right away prescription to Tirosint-Sol after this... If undiagnosed and untreated medication on an empty stomach at least 30 to 60 minutes before breakfast results with doctor. Small tirosint and acid reflux vibramycin can cause allergic reactions or other problems or extra doses me to back off by suppressing stomach.. This information to use relative treatment has stayed the same time it tirosint and acid reflux vibramycin telling me to off! Because of this patients actually do much better on Tirosint but not on levothyroxine symptoms as... Sharing this information or other problems all of the classifications below has overdosed has! To Means RT, et al weak adrenal gland regarding Tirosint get from my body when 's... Affiliation with the HONcode standard for trustworthy health information and most pronounced symptom I get from my body when happened. Its probably not exactly what you think try them out older adults may be more sensitive to tiny adjustments! Jerk reaction this document does not naturally produce enough ( a condition called hypothyroidism.!
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