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Pre-workout smoothie recipe

 

Not sure what to eat pre-workout? Gear up for a solid workout with this banana protein smoothie recipe.

 

The glass: Banana smoothie made with slow-releasing protein

The rules: Use casein in place of the more common whey as it digests slowly, delivering a consistent supply of amino acids during a workout according to dietitian Dr McMillan. Include carbohydrate to increase available energy and enable maximum intensity.

The foods: Banana supplies ready energy to facilitate maximum intensity while natural yoghurt and skim milk provide protein and carbs. Honey is essentially sugar, so give it a miss if you find the fruit flavour sweet enough.

What you'll need:

  • 1 ripe banana
  • 1 cup your choice of milk
  • 1 cup plain natural yoghurt
  • 1 tbsp honey
  • 1 tsp of ground cinnamon

Looking for more smoothie recipes? Try this super green smoothie today.

 

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14 Celebrity Moms Get Real About Breastfeeding

Photo: Getty Images

Photo: Getty Images

In their breastfeeding selfies, celebrities always look so joyful and serene. But the reality, as always, is more complicated. Many famous moms deal with the same issues as non-famous nursing moms, from the logistics of round-the-clock pumping to the judgmental stares of strangers. Here’s what 14 stars have said about breastfeeding their little ones—the good, the bad, and the painful.

On nursing in public

“It took us a little back because people actually looked at us in a shameful [way], and we were like, ‘Oh my God,’ because it’s so not a sexual act. It didn’t matter to me what other people thought. That’s what I chose to do, but I think it’s unfortunate that people are so hard on women who choose to do it and do it in public. In the States and in our culture, we sexualize the breast so much that there’s an aspect of it that people just don’t know how to wrap their head around the idea of showing your breast in public. But I respect the opinions on both sides. If it’s not for you, don’t look.”
—Mila Kunis, Vanity Fair, July 2016

On not caring what anyone thinks

“The only time he cries is if he’s hungry. We all have nipples. I don’t care who I offend; my baby wants to eat. If I can’t get a cover over me quick enough, so be it.”
—Selma Blair, People, March 2012

On the joy of feeding your baby, however you do it

Instagram Photo

“#JamesKnight is now 8 months old! These are the moments a mother lives for. Breastfeeding should not be a taboo- and bottle feeding should not be judged-it’s ALL fun for the whole family:)”
—Jaime King, Instagram, June 2014

RELATED: 4 Things New Moms Don’t Need to Feel Guilty About, According to an Ob-Gyn

On the fact that nursing is not always easy

“I’m breast-feeding now so thats a really wonderful experience—challenging, but wonderful.”
—Hilary Duff, Us Weekly, April 2012

On the anxiety it can trigger

“Breastfeed if you can but don’t worry, [formula milk] Aptamil’s just as good. I mean, I loved it, all I wanted to do was breastfeed and then I couldn’t and then I felt like, ‘If I was in the jungle now back in the day, my kid would be dead because my milk’s gone.’ It’s not funny that’s how some of us think.”
—Adele, at a concert in London, 2016

On getting bitten

“As a new mom, I was determined to … nurse as long as possible, but when her teeth came in she started biting me. I talked to other moms, my doctor, and a lactation consultant in search of a solution, but nothing helped. I even tried hand-expressing my milk directly into her mouth, in a desperate hope that I could nurse without letting her little piranha teeth anywhere near me, but in the end, I decided it was time to wean.”
—Ali Landry, People, 2012

On the unfair stigma

“Wait! I don’t get it. No disrespect to Kim but… people are offended by my breastfeeding selfies & are fine with her (amazing) booty cover?
—Alyssa Milano, Twitter, November 2014

On the emotional aspect

“All I ever heard was everyone bitch about it—nobody ever said, ‘You are not going to believe how emotional this is.’”
—Jennifer Garner, Allure, 2007

RELATED: Chrissy Teigen Breastfeeds Her Baby Luna in Her Latest Glam Selfie

On the realities of pumping

“My new backstage beauty routine: #pumpit #pumpumpitup”
—Kristen Bell, Twitter, June 2013

On the full-time commitment

“I’m, like, driving down the road, pumping.”
—Blake Lively, Allure, April 2015

On how tough it is to stop

“I was breast-feeding my son 13 months, and I plan to do the same with my daughter. [Nursing] is addictive. It’s hard when the day comes when you have to stop.”
—Penélope Cruz, Allure, December 2013

On feeling pressure to stop

“I think I stopped early because my sisters were like ‘OK, it’s time, it’s time. I did 14 months…. I miss it, I loved it.”
—Kourtney Kardashian, Today, 2011

RELATED: 5 Myths and Facts About Sagging Breasts

 On not setting a deadline

“I breastfeed and I’ll be breast-feeding until my son is finished and he weans.”
—Alanis Morissette, The Billy Bush Show, May 2012

On how normal nursing can feel

“Breast-feeding is the most natural thing. I don’t know, now it feels like Otis should always be on my breast.”
—Olivia Wilde, Glamour, September 2014




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Why This Fitness Blogger Is Saying #ScrewTheScale

“Screw the scale,” reads the caption of fitness blogger Kelsey Wells’s viral Instagram post. Earlier this week the founder of My Sweat Life and avid practitioner of Kayla Itsines’s Bikini Body Guide (BBG) posted three side-by-side photos of her body at different weights to remind her 312,000 followers that the number on the scale doesn’t mean much.

The first photo was taken when Wells began the BBG program. “I was 8 weeks post partum and 145 lbs,” she says in the caption. In the second photo, she is down to 122 pounds, her original goal and the number at which she could fit into her “skinniest jeans.” In the third and most recent selfie (about 21 months after she took up the BBG program), Wells appears as sculpted as ever, with a defined core and toned arms. The kicker? She’s gained 18 pounds since she reached her goal weight.

“I have gone up two pant sizes and as a matter of fact I ripped those skinny jeans wide open just the other week trying to pull them up over my knees,” Wells explains in her caption. The blogger also notes that although there’s only a 5-pound difference between her starting weight and current weight, her body composition has changed completely. At 140 pounds, she has more muscle mass and less body fat than ever before.

RELATED: 5 Things the Scale Won’t Tell You

Instagram Photo

The BBGer’s bottom line: Health is measured by strength, ability, and endurancenot a number. Wells writes, “Last week when I stepped on the scale, I say SCREW. YOU. And I think you should probably say the same to your scale too.” Mic drop.




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Full body resistance band workout

Give your whole body a strength and cardio workout in one with Ashley Azevedo's resistance band workout.

The workout

Circuit training simply means performing exercises back to back with little to no rest in between. Its elevator pitch is maximum perks in minimum time. Due to the fast-paced nature of circuit training, it elevates heart rate and couples cardio and strength training.

Even if you’re solely a weights girl, resistance bands are a great way to keep your body guessing and prevent plateaus. The resistance, reps and number of circuits can all be varied to meet your goals and fitness level.

What you need to do

Consider the list a sequence, not an a la carte menu. Perform a set (10 to 15 reps) of the first exercise and move immediately to the second exercise. Perform one set and move immediately to the third exercise and so on. Keep rests as short as possible. After you complete one full circuit, rest for about 60 seconds and start again. Available time and current fitness level will determine how many cycles you do, but aim for one to five.

(Fit tip: Don’t try to do too much too soon. It’s false economy.) Make sure you warm up the muscles you’ll use before any workout and cool down and stretch out afterwards to avoid injury and consult your doctor before starting any new training regimen.

Targets: Biceps, Delts

 

curl-press-1.jpg

Perks: This compound movement allows multiple muscle groups to be worked with one exercise, making it time efficient and adding to the difficulty of your workout. Sculpt the arms with this two-in-one exercise.

Move: Stand with both feet on top of the band, about hip-width apart.

(Fit Tip: You can control how easy or hard the exercise is by where you stand on the band to create more or less tension.) Start with both arms straight and begin to curl the arms up and towards the chest. Keep your elbows locked at your side. Once you get to the top of your curl, rotate your arms outward and turn your hands so palms are facing away. Press straight up, pause at the top, lower back down and repeat.

Words and workout by Ashley Azevedo.

Photography by James Patrick.

 


 

 

Upright row

 

upright-row-1.jpg

 

Targets: Delts, Biceps, Traps

Perks: sculpts shapely shoulders

Move: Stand with both feet on top of the band, about hip-width apart and criss-cross the bands in each hand to create an ‘X’. Start with your arms down, palms/handles on top of thighs and a slight bend in your elbows. Keep the handles close to your body and pull them straight up towards your chest. Come up until your arms are parallel with the floor, pause for a second at the top, lower back down, and repeat.

 

(Fit Tip: Be sure that your elbows do not come up higher than 90 degrees, as this puts added strain on the rotator cuff.)

Words and workout by Ashley Azevedo.

Photography by James Patrick.

 

 


 

 

 

Bent over row

 

bent-over-3.jpg

 

Targets: Lats, Rear Delts, Erector Spinae

Perks: Builds a strong, toned back and reinforces proper hip flexion. The bent-over row requires flexion at the hips and not the waist. This is often a strange and difficult position to get into for a beginner, but with practice and constant form checks the position will become second nature. (Fit Tip: Try to work out next to a mirror so you can see your form with every rep and ensure that proper form is being used throughout the entire workout.)

Move: Keep the bands in the same position as the upright row, but hinge your upper body forward at the hips to about a 45-degree angle. Start with your arms hanging down. Keep your elbows tucked close to your body as you pull the band back towards your waist. Pause at the top, lower the arms back down and repeat.

Words and workout by Ashley Azevedo.

Photography by James Patrick.

 

 


 

 

Glute kick-back

 

kickback2.jpg

 

 

Targets: Glutes, Hamstrings, Core

Perks: Tightens, strengthens and sculpts the backside.

Move: Starting on all fours, place the resistance band under one foot and hold one handle in each hand. Slowly kick back the foot that has the resistance band. Pause at the top and lower the leg back almost to starting position (but don’t drop the knee all the way back to the floor) and repeat.

 

Words and workout by Ashley Azevedo.

Photography by James Patrick.

 

 


 

 

Band squat

 

band-squat.jpg

 

 

Targets: Quads, Hamstrings, Glutes, Core

Perks: Squats are a compound exercise (using multiple muscle groups) that sculpt the legs and help shape the butt.

Move: Stand on your band with your feet about hip-width apart. (Fit Tip: The width of your stance can vary; find what is most comfortable for you. A wide stance works best for some while others find hip-width most comfortable.) Keep your head and chest up as you lower into a squat position. Return to a standing position and repeat.

Words and workout by Ashley Azevedo.

Photography by James Patrick.

 

 


 

 

One arm overhead tricep extension

 

band-squat.jpg

 

 

Targets: Triceps

Perks: Isolates, strengthens and tones the triceps (goodbye, wings!) 

Move: You’ll only need to grab one handle for this exercise, so step on the band at your desired tension level and let the other handle just stay on the floor. Start with your handle arm straight up overhead. Slowly bend your elbow, bringing the handle down towards your head and your arm into a 90-degree angle. Push up to the start position, pause at the top and repeat the lowering movement.

Words and workout by Ashley Azevedo.

Photography by James Patrick.

 

 

 


 

 

Tricep pushdowns

tricepushdown.jpg

 

 

Targets: Triceps

Perks: Allows you to isolate, strengthen and tone the triceps.

Move: Find something sturdy and stable to loop your band around and grab one handle in each hand. Keep a slight bend in your knees and start with your arms in a 90-degree angle. Keep your elbows at your side as you push the handle down until your arms are straight (but don’t lock your elbows). Your forearm should be the only part of your body moving with this exercise – make sure you keep the upper arm steady against your side. Pause for a second at the bottom and repeat.

Words and workout by Ashley Azevedo.

Photography by James Patrick.

 

 

 


 

 

Chest flys

chestlfys.jpg

 

 

Targets: Pecs

Perks: Strengthens and tones the chest muscles (and improves hugging technique)! 

Move: Loop your band around a sturdy and stable object. Step one foot out in front of you and grab a handle in each hand, with your arms at chest level. Bring the bands forward so that your arms are straight (but don’t lock your elbows). Slowly return to the start position and repeat. The fly movement is similar to the movement you use when hugging someone.

 

 

Words and workout by Ashley Azevedo.

Photography by James Patrick.

 

Check out these top 14 exercises for toned arms. 

 

 



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Resistance band bent over row

Focus on your back muscles with this bent over row workout.

Targets: Lats, Rear Delts, Erector Spinae

Perks: Builds a strong, toned back and reinforces proper hip flexion. The bent-over row requires flexion at the hips and not the waist. This is often a strange and difficult position to get into for a beginner, but with practice and constant form checks the position will become second nature. (Fit Tip: Try to work out next to a mirror so you can see your form with every rep and ensure that proper form is being used throughout the entire workout.)

Move: Keep the bands in the same position as the upright row, but hinge your upper body forward at the hips to about a 45-degree angle. Start with your arms hanging down. Keep your elbows tucked close to your body as you pull the band back towards your waist. Pause at the top, lower the arms back down and repeat.

Words and workout by Ashley Azevedo.

Photography by James Patrick.

Check out these top 14 exercises for toned arms. 

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Resistance band upright row

 

Target your delts, biceps and traps with this upright row. All you need is a resistance band.

Perks: Sculpts shapely shoulders.

Move: Stand with both feet on top of the band, about hip-width apart and criss-cross the bands in each hand to create an ‘X’. Start with your arms down, palms/handles on top of thighs and a slight bend in your elbows. Keep the handles close to your body and pull them straight up towards your chest. Come up until your arms are parallel with the floor, pause for a second at the top, lower back down, and repeat.

(Fit Tip: Be sure that your elbows do not come up higher than 90 degrees, as this puts added strain on the rotator cuff.)

Words and workout by Ashley Azevedo.

Photography by James Patrick.

Check out these top 14 exercises for toned arms. 

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Resistance band curl to press

 

Sculpt your biceps with this resistance band workout. 

Targets: Biceps, Delts

Perks: This compound movement allows multiple muscle groups to be worked with one exercise, making it time efficient and adding to the difficulty of your workout. Sculpt the arms with this two-in-one exercise.

Move: Stand with both feet on top of the band, about hip-width apart.

(Fit Tip: You can control how easy or hard the exercise is by where you stand on the band to create more or less tension.) Start with both arms straight and begin to curl the arms up and towards the chest. Keep your elbows locked at your side. Once you get to the top of your curl, rotate your arms outward and turn your hands so palms are facing away. Press straight up, pause at the top, lower back down and repeat.

Words and workout by Ashley Azevedo.

Photography by James Patrick.

Check out these top 14 exercises for toned arms. 

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Some Brain Cancer Patients Have Radiation Options: Study

By Steven Reinberg
HealthDay Reporter

TUESDAY, July 26, 2016 (HealthDay News) — For some brain cancer patients, pinpoint radiation of tumors, known as stereotactic radiosurgery, appears to do less damage to mental abilities than whole brain radiation, a new study finds.

Neither technique cures cancer that has spread to the brain, but both temporarily stop tumors from growing and equally extend survival, researchers said.

Stereotactic radiosurgery is nonsurgical radiation that precisely targets tumor areas. When just a few lesions exist, this directed type of radiation appears to provide a better quality of life by not altering short-term memory and thinking skills, the study found.

“We now have a better understanding of the toxicity of whole brain radiation, and we know that the toxicity of whole brain radiation is worse for patients than the recurrence of their cancer,” said lead researcher Dr. Paul Brown, from the department of radiation oncology at the Mayo Clinic in Rochester, Minn.

“With the results of this trial, we expect that practice will change and we will be reserving whole brain radiation for later in the patient’s disease course — for salvage treatment or end-stage palliative care,” he said.

Almost one-third of cancer patients develop metastatic lesions — cancer that has spread — in the brain, according to background notes with the study.

Whole brain radiation therapy is effective at shrinking visible metastases and keeping microscopic tumor deposits from being able to grow, said Dr. Jonathan Knisely, chief of the radiosurgery and stereotactic program at Northwell Health in New Hyde Park, N.Y.

Stereotactic radiosurgery, on the other, is “directed only at the visible metastases,” he explained.

“This study confirms that when choosing between the competing strategies the best choice is radiosurgery, the treatment that does not give any significant radiation dose to normal brain cells,” Knisely said.

However, the patients in this study had just one to three lesions, and the results might not apply to other cases, cancer specialists said.

For the study, Brown and colleagues randomly assigned 213 patients, average age 61, to stereotactic radiosurgery alone or stereotactic radiosurgery plus whole brain radiation.

The researchers tested patients’ mental abilities at the start of the study and again three months after treatment. They also looked at quality of life, functional independence, long-term mental status and overall survival.

At three months, Brown’s team found that patients treated with stereotactic radiosurgery alone had less mental decline than patients treated with stereotactic radiosurgery and whole brain radiation. Also, those treated with stereotactic radiosurgery alone had a better quality of life, Brown said.

Moreover, no significant difference in independence was seen at three months between the two patient groups.

In addition, average survival for those treated with pinpoint radiation was 10 months versus seven months for those in the combination treatment group.

Among patients who survived 12 months or longer, those treated with pinpoint radiation also had less mental decline than those who received both treatments, the researchers found.

The report was published July 26 in the Journal of the American Medical Association.

In the past, whole brain radiation was the only option, said Dr. Carey Anders, an assistant professor of medicine in the division of hematology and oncology at the University of North Carolina in Chapel Hill.

And even now, if a patient has many tumors or large tumors, whole brain radiation is still preferable, she said.

However, for a few small tumors, stereotactic radiosurgery may be the preferred choice “as long as a patient understands that their rate of progression may be higher without whole brain radiation, but it would not come at a cost of worse survival,” Anders said.

The decision comes down to the risks patients are willing to take at a very precarious time, said Anders, co-author of an accompanying journal editorial.

“I found some of my patients are very concerned about developing a new brain metastasis and would prefer to move forward with whole brain radiation therapy. I have other patients who are extremely concerned about the effect of whole brain radiation on their cognition and would prefer to avoid whole brain radiation therapy at all costs,” Anders said.

She welcomed the new results. “I think this study presents more solid guidance for patients concerned about cognitive function and allows them to make a decision that best meets their individual fears and needs,” she added.

More information

For more on brain cancer, visit the American Cancer Society.





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FDA Bolsters Warnings About Class of Antibiotics

TUESDAY, July 26, 2016 (HealthDay News) — The U.S. Food and Drug Administration announced Tuesday that it’s strengthening label warnings on a class of antibiotics called fluoroquinolones because the drugs can lead to disabling side effects, including long-term nerve damage and ruptured tendons.

The agency also cautioned that these bacteria-fighting drugs — including levofloxacin (Levaquin) and ciprofloxacin (Cipro) — shouldn’t be prescribed for sinusitis, chronic bronchitis or simple urinary tract infections unless no other treatments options exist.

“Fluoroquinolones have risks and benefits that should be considered very carefully,” Dr. Edward Cox said in an FDA news release. He’s director of the Office of Antimicrobial Products at the FDA’s Center for Drug Evaluation and Research.

“It’s important that both health care providers and patients are aware of both the risks and benefits of fluoroquinolones and make an informed decision about their use,” Cox said.

A safety review revealed that potentially permanent side effects involving tendons, muscles, joints, nerves and the central nervous system can occur hours or weeks after exposure to fluoroquinolone pills or injections. Also, two or more serious side effects can occur together, the FDA said.

Because of this, the FDA recommends reserving these antibiotics for serious bacterial infections, such as anthrax, plague and bacterial pneumonia.

In these cases, “the benefits of fluoroquinolones outweigh the risks and it is appropriate for them to remain available as a therapeutic option,” the agency said.

Besides Cipro and Levaquin, other fluoroquinolones include moxifloxacin (Avelox), ofloxacin (Floxin) and gemifloxacin (Factive).

The new labeling action will include an updated boxed warning and revisions to the Warnings and Precautions section of the label. Also, a medication guide that patients receive describes the safety issues tied to these drugs, the agency said.

The FDA has reported concerns about fluoroquinolones since 2008. At that time, it added a boxed warning because of increased risk of tendinitis and tendon rupture.

Almost three years later, the FDA warned that the drugs could worsen symptoms of the neuromuscular disease myasthenia gravis. The potential for serious nerve damage (irreversible peripheral neuropathy) was detailed in 2013.

Finally, last year an FDA advisory committee said uncomplicated sinus, urinary and bronchial infections should be treated with other options.

More information

The U.S. Centers for Disease Control and Prevention explains how to treat a urinary tract infection.





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2 in 10 Alzheimer’s Cases May Be Misdiagnosed

By Steven Reinberg
HealthDay Reporter

TUESDAY, July 26, 2016 (HealthDay News) — Alzheimer’s disease is often misdiagnosed, possibly causing undue stress for those who don’t have the disease but are told they do, and delays in treatment for others, two new studies reveal.

Although no cure or effective treatment for Alzheimer’s disease exists, a correct diagnosis is essential because some drugs can delay its progress and help preserve quality of life for as long as possible. An early diagnosis also gives patients time to plan for their end-of-life care, experts say.

“There are drugs that are beneficial for at least a short amount of time that can be given at a very early stage and possibly boost memory,” said Dean Hartley, director of science initiatives, medical and scientific relations at the Alzheimer’s Association.

“Planning your care and finances is extremely important,” he said. “With a correct diagnosis people can also be put into a clinical trial to see if new drugs will work.”

The diagnosis of Alzheimer’s disease is made based on symptoms. No blood test or imaging test is currently available to diagnose the disease with 100 percent accuracy, which is why misdiagnoses occur. In addition, Alzheimer’s is a much more complex disease than once thought, making a correct diagnosis even harder. However, progress is being made in finding better ways to diagnose the disease, Hartley said.

In the first study, a team of researchers from the Mayo Clinic in Jacksonville, Fla., led by Melissa Murray, found that men may be misdiagnosed more often.

One reason may be that men in the study seemed to develop Alzheimer’s at a younger age than women and had a more aggressive form of the disease. Men tended to develop Alzheimer’s in their 60s, while women developed it in their 70s, 80s and 90s, said Murray, an assistant professor of neuroscience.

Men also seemed to have Alzheimer’s in different areas of the brain than women. This may account for the misdiagnosis among men, because their symptoms can be different than those of women, Murray said. She said men’s symptoms may be behavioral, or there may be language difficulty or motor problems instead of the memory problems usually associated with Alzheimer’s.

“Age and sex interact,” Murray said.

This study included information from the State of Florida brain bank. The researchers examined more than 1,600 brains of people who had Alzheimer’s. The people had ranged in age from 37 to 102.

Diagnosis is important so people can take care of financial planning and end-of-life wishes, Murray suggested.

In the second study, researchers from the Keenan Research Center for Biomedical Science at St. Michael’s Hospital in Toronto, Canada, looked at inconsistencies between clinical and autopsy diagnoses in more than 1,000 people listed in the National Alzheimer’s Coordinating Center database.

“Even with all the latest diagnostic methods, the discrepancy between the clinical diagnosis of Alzheimer’s disease and the pathological diagnosis is about 20 percent,” said senior researcher adjunct scientist Dr. David Munoz.

Munoz and his colleagues found that 78 percent of the patients had a correct diagnosis in the clinic, which was later confirmed in an autopsy of the brain. However, nearly 11 percent of those diagnosed with Alzheimer’s in the clinic didn’t have the disease. And, another nearly 11 percent who weren’t diagnosed with Alzheimer’s actually had the disease.

Those falsely diagnosed with Alzheimer’s had other conditions that accounted for their symptoms, including Lewy body dementia, brain atrophy and other types of dementia, the researchers found.

People whose Alzheimer’s diagnosis was missed also may have had other types of dementia, such as Parkinson’s disease dementia, vascular dementia or Lewy body dementia, the study authors reported.

The results of both studies were scheduled for presentation July 26 at the Alzheimer’s Association International Conference, in Toronto. Findings from meetings are generally considered preliminary until published in a peer-reviewed journal.

More information

For more about Alzheimer’s disease, visit the Alzheimer’s Association.





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