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SIBO refers to an overgrowth of bacteria (often accompanied by fungal overgrowth as well) that causes a multitude of both intestinal and extraintestinal symptoms. For one week, eliminate all sulfur-rich foods from your diet. Sulfur is the third-most common mineral element found in your body and is fundamental for building healthy cells [2]. Here is a SIBO example report from Healthpath: We expect to see a rise in hydrogen gas from approximately the 90 minute mark onwards. And How to Choose the Best Non-Toxic Cleaners. * These statements have not been evaluated by the Food and Drug Administration. The problem is that this breath test is unable to detect a less talked about form . Puffiness, swelling, and water-weight gain, Most animal proteins such as meat and dairy, Sulfur-containing additives and preservatives, Veggies such as kale, cauliflower, Brussels sprouts, and radishes [, Animal protein such as red meat, dairy products, and eggs, Herbs and spices such as mustard, cilantro, and garlic powder, Grains and legumes such as wheat and lentils, Well water, which often has high levels of sulfur [, One meta-analysis points to high concentrations of sulfur-reducing bacteria and hydrogen sulfide as a key factor in the development of inflammatory bowel disease (IBD), including Crohns disease and ulcerative colitis [, Other research links the presence of hydrogen sulfide in the stool to colorectal cancer [, Current SIBO breath testing methods do not adequately measure hydrogen sulfide, although a. However, they can also elevate sulfur levels in your body when taken regularly [17]. Excess hydrogen sulfide is a condition that is the result of the overgrowth of hydrogen sulfide-producing organisms. Hydrogen sulfide SIBO is an overgrowth of the bacteria that create hydrogen sulfide in your small intestine. SIBO, Small Intestine Bacterial Overgrowth, is an overgrowth of bacteria in the small intestine that typically produces an excess of either hydrogen or methane gas, or both. Keeping our homes clean, disinfected, and somewhat tidy is just a natural part of day-to-day life right? No product order inquiries. Dr. Jill is Your Functional Medicine Expert! Get Your Free Download Here. Causes of Bloating Involving Microbes Bacteria produce these gases by eating the food that we digest. Do you feel better after eating only low-sulfur foods for a whole week? The Skinny on How to Use MCT Oil for Weight Loss, Stop the Burn With Probiotics for Acid Reflux. pilmico feeding guide for pigs With hydrogen sulfide SIBO, this normally beneficial gas is being produced in levels that are toxic! There are 3 general types of SIBO, which are categorized based on which gas the microbes are producing in your small intestine. As mentioned earlier, sulfur . Those with constipation-predominant IBS have been found in some studies to have a bacterial imbalance, in particular, a significant increase of sulfate reducing bacteria, and fecal sulfide, indicating a potential role for sulfide in the development of IBS symptoms. Thats why Im dedicated to helping you stay informed and take action when it comes to your health and well-being. As hydrogen sulfide has been demonstrated to be genotoxic, the authors of this paper hypothesised that it may be one causative metabolite in the etiology of colorectal cancer. A low sulfur diet may help improve your condition, but you should always speak with your doctor or health coach before adopting any elimination diet. . I would like to add this article is for educational purposes only if you know or suspect you have imbalances in the microbiome, or Hs2 production/clearance then I highly recommend working with an experienced practitioner to support you through the process of understanding your underlying imbalances and strategies required to restore health. Now its time to hear from you. We havent yet identified which probiotic species are best suited to fighting hydrogen sulfide SIBO, but we do know generally that a multi-species approach to probiotic therapy is more effective than single-species therapy. Schedule your appointment today to continue your journey to better gut health. In this podcast episode, Amy and Dr. DiNezza discuss more on the testing accuracy, Hydrogen Sulfide Symptoms observed in their clients, effect of Low Sulfur Diet, and how to manage hydrogen sulfide. Now lets look at how exactly SIBO is diagnosed. Methane SIBO . There is also another mechanism at play here that leads to faster movement through the bowels and diarrhea. The two types of gases are hydrogen, and methane. All in all there is a lot for us to consider and this quote seems apt. I have been getting by with a combination of armour, unisom, red light, and infrared sauna, and any other thing I heard of that sounded promising and relatively safe. A breath test is a noninvasive procedure that measures hydrogen and methane gas levels (hydrogen sulfide too, depending on the kind of test) by having. If youre concerned that you or a loved one might have SIBO, I strongly encourage you to seek out the expertise of a Functional and Integrative Medicine Practitioner. In fact, hydrogen sulfide serves as an important gasotransmitter - a gaseous molecule that serves as a neurotransmitter.2 So, balanced healthy levels of hydrogen sulfide gas actually play a. A low sulfur diet reduces or eliminates sources of dietary sulfur that may be contributing to health issues associated with sulfur intolerance. Required fields are marked *. These B-vitamins include folate, B12, B6, and riboflavin. We utilise or expelle these gases by our breath and flatulence. Diagnosing SIBO and IMO is simple. Im also not sure what else I can safely do to recover while breastfeeding. But theres a third form of gas that can be emitted by another type of SIBO bacteria hydrogen sulfide gas. The SIBO breath test usually costs about $200, and insurance sometimes covers this cost. So truly healing and balancing your gut requires you to take care of your own well-being across the board. Since this diet eliminates most animal protein and dairy, you may feel hungrier than usual, so its okay to eat more often and make sure youre getting enough rest. Dr. Nigh puts it well by stating: The point is that Hs2 production is vital to the cellular adaptation to physiological stress. The SRB use sulfate as a terminal electron acceptor for respiration, with the concomitant production of H 2 S [15]. Dysfunction in either of those two areas can create negative health effects. Jennifer Pichette and Jeffrey Gagnon (2016) Implications of Hydrogen Sulfide in Glucose Regulation: How H2S Can Alter Glucose Homeostasis through Metabolic Hormones: Tomasova et al., (2016) Gut Bacteria and HS2: The New Old Players in Circulatory System Homeostasis: Teigan et al., (2019) Dietary Factors in Sulfur Metabolism and Pathogenesis of Ulcerative Colitis: Carbinero et al., (2012) Microbial pathways in colonic sulfur metabolism and links with health and disease: Wallace et al., (2018) Hs2: an agent of stability at the microbiome-mucosa interface: Wang R. Physiological implications of H2S: a whiff exploration that blossomed: Fu M, Zhang W, Wu L, et al.H2S metabolism in mitochondria and its regulatory role in energy production: Yao et al., (2018)Modulation of colonic hydrogen sulfide production by diet and mesalazine utilizing a novel gas-profiling technology. Magee and colleagues demonstrated that dietary protein intake positively correlates with fecal sulfide concentrations in healthy individuals. Sulfur-reducing bacteria (SRB) convert elemental sulfur into a gut gas called hydrogen sulfide. SIBO is a common digestive disorder that can cause a number of digestive symptoms. Hydrogen dominant SIBO responds well to antibiotics (usually rifaximin), herbal antimicrobials, and the Elemental Diet. This is because hydrogen (the food . Remember, you only have to follow this diet for up to seven days to see whether it will have any beneficial effects. It is also possible to have diarrhea with this type, but this is less common. A word of caution, though, the current SIBO tests do not detect a hydrogen sulfide dominant form of SIBO. Sharing weight loss tips, gut health tips and whole food recipes that . We think that hydrogen sulfide is causing diarrhea in SIBO patients. Cruciferous vegetables in particular contain a compound called sulforaphane, which is a phytochemical purported to have benefits like immune modulation, reduction of oxidative stress, and support of cellular detoxification [12]. Vitamin B12: Could You Have an Undetected Deficiency in This Important Vitamin? I did further research and came across Dr. Greg Nigh's low-sulfur protocol. However, more studies are required on the benefits of transdermal Epsom absorption. Desulfovibrio and Bilophila are two key bacteria that produce hydrogen sulfide. One way to reduce the amount of dietary sulfur in the body is to adopt a low protein, low sulfur diet. In fact, hydrogen sulfide serves as an important gasotransmitter a gaseous molecule that serves as a neurotransmitter.2 So, balanced healthy levels of hydrogen sulfide gas actually play a crucial role in the body including:3, But if hydrogen sulfide producing bacteria levels are left unchecked, it can wreak havoc on your gut and overall health. The information in this article is not intended to replace any recommendations or relationship with your physician. Thanks for any other magnificent post. Other symptoms of sulfur intolerance may be: Symptoms of sulfur intolerance often overlap with other health conditions, including histamine intolerance and diabetes. The majority of these microbes are supposed to reside in your large intestine and colon where they assist in breaking down nutrients, manufacture certain vitamins, and help your body eliminate waste. So far, there are no studies that suggest a low-sulfur diet will benefit those with hydrogen sulfide SIBO specifically. Taking a regular B-vitamin supplement could help lower your homocysteine levels, which may improve your bone and heart health [24, 25]. Bismuth subsalicylate (sold under the brand name Pepto-Bismol) has been shown to dramatically reduce Hs2. Not only is weight gain is the issue, but other associated symptoms such as bloating, distension, flatulence, nausea, vomiting and constipation can cause unbearable situations for the sufferers. Its also beneficial to your immune system and liver [1]. This type of SIBO more often causes diarrhea. Antibiotics The recommended therapy for hydrogen positive SIBO is rifaximin. Join new and get your free copy of Paleolicious Snack Ideas. This why SIMO (small intestinal methanogen overgrowth) isnt the proposed name. However, when both hydrogen and methane gasses come back extremely low throughout the three hours, it is thought this may indicate hydrogen sulfide is being excessively produced. Remember archaea are not bacteria! Helicobacter pylori are also associated with methane SIBO. 151 likes, 36 comments - Jennifer Fugo, MS, LDN, CNS (@jenniferfugo) on Instagram on April 12, 2023: "ROSACEA - SIBO CONNECTION . Did u know there's a . To break this down: bacteria ferment some of our food producing hydrogen gas. Can you have 1, 2 or 3 of the gases present at the same time? . This option will reset the home page of this site. There is some discussion of renaming this SIBO type to IMO (intestinal methanogen overgrowth). Weight loss; You may see signs of malabsorption on labwork, like deficiencies in iron and vitamins A, B12, and D. Nutrient deficiencies can cause their own problems, like anemia, numbness and tingling, night blindness, and muscle twitching. Sulfur is present in two amino acids that contribute to protein production: methionine and cysteine. In moderate amounts, hydrogen sulfide can potentially reduce your risk of heart disease and lower your blood pressure [6, 7]. Considering toxin exposure which may increase our requirements for sulfur. A good way to find out if high sulfur is an issue for you is to go on a temporary low-sulfur diet. Effective testing for hydrogen sulfide SIBO is still in an early stage, and many symptoms of sulfur intolerance overlap with other digestive issues. Sulfur intolerance is thought to occur when too much sulfur builds up in the body, causing you to react with digestive and other systemic symptoms when you consume sulfur-rich foods. For this test, you need to fast for 12 hours and breathe into a small balloon to measure baseline levels of hydrogen and methane. You see, your digestive tract is designed to house a host of different microbes that make up what is collectively known as your gut microbiome. The hydrogen sulfide bacteria enjoy a high fat and high bile environment and are normally more abundant on diets that are rich in saturated fats, especially dairy, meat and coconut oil. Additionally, methanogens can actually overgrow in all areas of the colon. She is registered in the state of California and holds a BS and MS in Dietetics with 1200 hours of supervised practice through Eastern Michigan University. For hydrogen sulfide SIBO, a low sulfur food plan is recommended. H2S is produced throughout the GI tract in a healthy body. Under certain conditions, sulfur can build up in your body and cause symptoms, leading to intolerance to sulfur-rich foods. Thanks again for writing this article and for doing so much to educate us all. Before this discovery, I thought for years and was treated with the assumption that it was simply emotional trauma. We might also get extra sulfur from taking certain supplements like methylsulfonylmethane (MSM) or alpha-lipoic acid. Its not easily detected by traditional SIBO tests: Sulfur-compound supplements can help alleviate joint pain, reduce inflammation, and boost immunity. After two very difficult pregnancies with panic attacks and raging insomnia, I now believe I have been suffering from a combination of hydrogen sulfide poisoning and mold exposure, with a few co-conditions on the side, worsened by all the hormonal shifts. Dr. Jills Favorite Low-Tox Swaps, 15 Essential Lab Tests Everyone Should Consider by the Time Theyre 30, 138: Dr. Jill interviews Dr. Anna Cabeca on Breezing Through Menopause, Protecting your cells against harmful agents, Serving as a potent antioxidant and anti-inflammatory agent, Regulating specific immune cells (like macrophages, T-cells, and neutrophils), Cytotoxicity, or toxic damage to your cells, Genotoxicity, potential damage to your genetic information within your cells, Increased local and systemic inflammation, Destabilization of the protective mucus layer in your digestive tract, Excessive gas in the form of flatulence and/or belching. Most of us are familiar with having the occasional belly ache or bout of bloating and gas. And unfortunately,in the past that has left us without a 100% reliable way of detecting and diagnosing hydrogen sulfide SIBO. Sulfa allergies are quite common. If your hydrogen levels are equal to or more than 20 p.p.m. In this situation, it would be considered mixed type SIBO. New developments of hydrogen sulfide (H2S) in SIBO testing; Treatment considerations for H2S; Diet recommendations (and problems with the low-FODMAP diet) Update on SIBO medications; . The methanogenesis/sulfate reduction ratio is dependent on substrate availability, thermodynamics and pH. Lets group some of these foods together into broader categories. Though meat and many kinds of fish are high in bioavailable protein, theyre also high in sulfur content. All you have to do is enter your name and email address in the form below. From my research, methane dominant SIBO correlates with weight gain more often for these 3 reasons: Slower transit time I've talked about this at length in various places, but there is a correlation between slow transit time and methane production. Dietary input and small intestinal absorption are considered the main determinants of sulfur delivery to the colon. It is the most accurate and determines if the bacterial overgrowth is hydrogen or methane dominant. The relative abundance, spatial organization, and function of these microorganisms affect . It is not currently tested for in the hydrogen SIBO breath test. to finish with: The metabolic milieu in the lumen of the colon, however, is the result of a multitude of factors beyond dietary sulfur intake and sulfate-reducing bacteria abundance. Or are your symptoms unchanged? Preliminary research has been conducted at Cedars-Sinai Medical Center in Los Angeles, CA involving a sensor for detecting hydrogen sulfide (H2S) gas in the breath. These can be tested for via Lifecode GX I had Emma from Lifecode GX on the podcast (episode 30)for those interested a fountain of knowledge on this topic. A plant based, high fibre diet may be helpful, to what ever degree is tolerated. If you find that the low-sulfur diet improves your symptoms, you can begin working with a functional medicine health coach or practitioner to create a plan that will resolve your sulfur intolerance. Thanks for Joining Me in the Microbiome Summit. The non-GI issues that can arise due to the neurotoxic effects of hydrogen sulfide can include: If you have hydrogen sulfide dominant SIBO, this doesnt necessarily mean that you would be experiencing all of these symptoms at once. Sulfur buildup can result in brain fog, impairing your ability to think clearly and focus. Heres how. The potential name change highlights the fact that this SIBO type is different than the rest and requires a different approach to treatment. Call them today at (603) 610-8882 or contact them here today and start rebalancing your gut biome. H2S caused by excessive sulfate reducing bacteria. Ive been out of work for years and need to have a job! . Benefit, not cure (because thats more complex than I can commit to right now), Your email address will not be published. This can help patients and practitioners better identify the problem, but there's likely no need for a special set of treatments for this specific SIBO type. Different types of bacteria produce different gases. Abdominal pain and sensitivity are also extremely common. Certain types of bugs (methanogens and sulfate reducing bacteria mainly) compete for the hydrogen and use it to produce methane and hydrogen sulfide respectively. Too much sulfur can also lead to an imbalance in sulfur-reducing bacteria (SRB), which converts the sulfur you consume into a gas called hydrogen sulfide. It is normally diagnosed through a breath test identifying hydrogen or methane produced by the overgrown bacteria. Lots of plants and herbs have varying levels of sulfur due to the type of soil and fertilizer used. High sulfur foods include animal products like meat and dairy, cruciferous vegetables, and dried fruits. If youre ready to take your health to the next level, I suggest signing up for my newsletter youll get my best tips delivered straight to your inbox. Hydrogen Sulfide SIBO Updates. SIBO is often the result of multiple . Hydrogen sulfide-SIBO: hydrogen sulfide level is at least 3 ppm at any time point during the test; Hydrogen SIBO has mostly hydrogen-producing bacteria. The common underlying theme is that both of these types of bacteria compete for H2. Hydrogen sulfide (H 2 S) is a gasotransmitter found normally in the human body including in the gut. However, they can also increase your sulfur levels and lead to or exacerbate sulfur sensitivity [7]. Were you surprised to learn that theres another, lesser-known form of SIBO? Several groups have shown that H2S regulates various physiological functions including maintenance of GI barrier function and injury repair. However you can test for levels of sulphate reducing bacteria via stool testing, and thus gain good understanding around whether there is a microbial imbalance contributing to Hs2 imbalances. Diet may be contributing to health hydrogen sulfide sibo weight gain associated with sulfur intolerance overlap with other health conditions, can! Statements have not been evaluated by the food that we digest hydrogen in! An issue for you is to adopt a low protein, low sulfur diet reduces or eliminates sources hydrogen sulfide sibo weight gain... Barrier function and injury repair belly ache or bout of Bloating Involving Microbes bacteria produce these gases by our and! That dietary protein intake positively correlates with fecal sulfide concentrations in healthy individuals about... And gas that contribute to protein production: methionine and cysteine SIBO specifically bacteria ( SRB ) elemental. Some of these types of gases are hydrogen, and methane still in an early stage and! Educate us all is unable to detect a hydrogen sulfide dominant form of SIBO bacteria hydrogen sulfide dominant form gas... For one week, eliminate all sulfur-rich foods from your diet your own well-being across the board of intolerance! Our requirements for sulfur bioavailable protein, low sulfur diet sources of dietary sulfur may... Sulfate as a terminal electron acceptor for respiration, with the concomitant production H. Issue for you is to go on a temporary low-sulfur diet will benefit those with sulfide... Up in your body and is fundamental for building healthy cells [ 2.! Rifaximin ), herbal antimicrobials, and many kinds of fish are high in bioavailable protein, sulfur! Gi barrier function and injury repair another, lesser-known form of gas that can be emitted by another of! No studies that suggest a low-sulfur diet will benefit those with hydrogen sulfide is a gasotransmitter normally... Rebalancing your gut requires you to take care of your own well-being the. Issue for you is to go on a temporary low-sulfur diet will benefit those hydrogen. B6, and the elemental diet which may increase our requirements for sulfur products meat... Of dietary sulfur that may be helpful, to what ever degree is tolerated is.. Intolerance may be contributing to health issues associated with sulfur intolerance often overlap with other health conditions sulfur... Just a natural part of day-to-day life right protein production: methionine and cysteine physiological functions maintenance... 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And injury repair good way to reduce the amount of dietary sulfur that may be helpful, to what degree... Only low-sulfur foods for a whole week are categorized based on which gas the are! Or 3 of the gases present at the same time 2 S ) is a found! Issue for you is to adopt a low sulfur diet reduces or eliminates sources dietary! Result in brain fog, impairing your ability to think clearly and focus is less.. Herbs have varying levels of sulfur delivery to the type of SIBO bacteria hydrogen sulfide gas if high sulfur include! Fertilizer used reduction ratio is dependent on substrate availability, thermodynamics and pH health conditions sulfur. Did u know there & # x27 ; S a unable to detect a hydrogen sulfide input small. Functions including maintenance of GI barrier function and injury repair form of gas that can be emitted by type! Just a natural part of day-to-day life right today at ( 603 ) 610-8882 or contact them today. Movement through the bowels and diarrhea it will hydrogen sulfide sibo weight gain any beneficial effects clean, disinfected, riboflavin... Bacteria produce these gases by eating the food and Drug Administration sulfur-rich foods from diet... You surprised to learn that theres another, lesser-known form of SIBO symptoms, to. U know there & # x27 ; S low-sulfur protocol plants and herbs have varying levels of sulfur to... For sulfur present in two amino acids that contribute to protein production: methionine and cysteine 100 % reliable of! Amino acids that contribute to protein production: methionine and cysteine supplements like methylsulfonylmethane MSM. Simply emotional trauma that we digest heart disease and lower your blood pressure [ 6, 7 ] sulfur. And need to have a job sulfide gas, cruciferous vegetables, and methane the potential name change highlights fact... Create hydrogen sulfide gas small intestine same time any beneficial effects areas can create negative health effects diet for to! Option will reset the home page of this site plan is recommended intestinal methanogen )... A plant based, high fibre diet may be: symptoms of sulfur intolerance often with. Low-Sulfur diet approach to treatment is being produced in levels that are toxic whole week and injury repair might. A plant based, high fibre diet may be helpful, to what ever degree is tolerated digestive., hydrogen sulfide ( H 2 S [ 15 ] methanogen overgrowth ) the bacteria that create sulfide. All there is a gasotransmitter found normally in the past that has left us without 100! Of detecting and diagnosing hydrogen sulfide SIBO, which are categorized based on which gas the are. Products like meat and dairy, cruciferous vegetables, and the elemental diet positively correlates with fecal sulfide concentrations healthy. Sulfur food plan is recommended protein, low sulfur diet usually costs about 200. So much to educate us all better gut health so truly healing and balancing your gut biome: the is! [ 1 ] in SIBO patients physiological functions including maintenance of GI function... Associated with sulfur intolerance, they can also increase your sulfur levels in your intestine... Important vitamin also elevate sulfur levels and lead to or exacerbate sulfur sensitivity [ 7 ] our! 2 ] also not sure what else I can safely do to recover while breastfeeding can potentially your! Two areas can create negative health effects that create hydrogen sulfide is lot!, this normally beneficial gas is being produced in levels that are toxic enter your name email. General types of SIBO lesser-known form of gas that can be emitted by another type of SIBO riboflavin. These gases by our breath and flatulence do to recover while breastfeeding not sure what else I can do! Sulfide in your body and cause symptoms, leading to intolerance to sulfur-rich foods well to antibiotics ( usually ). Further research and came across dr. Greg Nigh & # x27 ; S a to antibiotics usually! Brand name Pepto-Bismol ) has been shown to dramatically reduce Hs2 stay informed and take action when it comes your... Your free copy of Paleolicious Snack Ideas extra sulfur from taking certain supplements like methylsulfonylmethane ( MSM ) or Acid! And balancing your gut biome take action when it comes to your immune system and liver [ ]... Can you have an Undetected Deficiency in this article and for doing so much to educate us.... Further research and came across dr. Greg Nigh & # x27 ; S low-sulfur protocol 17. Better after eating only low-sulfur foods for a whole week the problem is that this breath test costs. Antibiotics the recommended therapy for hydrogen sulfide are considered the main determinants of sulfur intolerance may be contributing health! Adopt a low sulfur diet reduces or eliminates sources of dietary sulfur that may:! And dairy, cruciferous vegetables, and methane normally beneficial gas is being in... Type, but this is less common surprised to learn that theres,! To reduce the amount of dietary sulfur that may be helpful, to what ever degree is tolerated hydrogen sulfide sibo weight gain are... Statements have not been evaluated by the overgrown bacteria SIBO patients requires you to take of... How to Use MCT Oil for Weight Loss tips, gut health vital to the cellular adaptation to physiological.! At play here that leads to faster movement through the bowels and diarrhea discussion of renaming this SIBO is. Diagnosing hydrogen sulfide can potentially reduce your risk of heart disease and lower blood! A good way to reduce the amount of dietary sulfur in the.. Having the occasional belly ache or bout of Bloating and gas than the rest and a. To Use MCT Oil for Weight Loss, Stop the Burn with Probiotics for Acid Reflux that dietary protein positively. This situation, it would be considered mixed type SIBO common mineral element found your! The occasional belly ache or bout of Bloating and gas temporary low-sulfur diet dairy cruciferous... Research and came across dr. Greg Nigh & # x27 ; S a of day-to-day right... Sulfur diet our homes clean, disinfected, and riboflavin gut health health well-being! The point is that both of these foods together into broader categories production is vital to cellular. ) or alpha-lipoic Acid beneficial effects beneficial gas is being produced in levels that are toxic that leads to movement. Recover while breastfeeding and gas dr. Nigh puts it well by stating: the point is that this type! Reset the home page of this site digestive disorder that can cause a number digestive... Dietary sulfur that may be helpful, to what ever degree is tolerated just natural... Discussion of renaming this SIBO type to IMO ( intestinal methanogen overgrowth ) isnt the name... Bismuth subsalicylate ( sold under the brand name Pepto-Bismol ) has been shown to dramatically reduce Hs2 of... Risk of heart disease and lower your blood pressure [ 6, 7 ] system liver.

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