Before starting Eliquis treatment, be sure your doctor knows whether youre using any testosterone products. Plavix, or clopidogrel bisulfate, keeps platelets from clumping to form blood clots. Vitamin K is anutrientfound in high amounts in spinach, kale, and collard greens. Certain medical conditions and other factors may increase the risk of interactions with Eliquis. If you are between the ages of 18 and 60, take no other medication or have no other medical conditions, side effects you are more likely to experience include: Note: In general, seniors or children, people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications are more at risk of developing a wider range of side effects. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Do benzodiazepines increase complications after total knee arthroplasty? Saturated fats, most of which come from animal-based products, should be limited to less than 7 percent of total calories. Eliquis may also increase your risk of bleeding from a minor fall or bump on the head. Apixaban Oral Food Interactions Apixaban Oral Common Brand (s): Eliquis : apixaban View Free Coupon Should I avoid certain foods while taking Apixaban Oral? Tablets may be crushed and mixed with water or apple juice/sauce to make swallowing easier. Yes. I've been reading a lot and it's been hard to figure out a answer. E.R. A medical professional has reviewed this article. If you have questions about drug interactions that may affect you, talk with your doctor or pharmacist. Let them know if you drink alcohol or take cannabis. What is the latest research on the form of cancer Jimmy Carter has? Hypertension, or high blood pressure, can almost double your chances of developing AFib (26). The phase IV clinical study analyzes what interactions people who take Cranberry and Eliquis have. This content does not have an English version. Mayo Clinic does not endorse companies or products. It does not constitute medical advice. 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. Accessed April 18, 2022. All rights reserved. My mom was told that she has NO food restrictions while on eliquis. https://www.nhs.uk/medicines/apixaban/who-can-and-cannot-take-apixaban/, https://www.medicalnewstoday.com/articles/eliquis, https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/202155s000lbl.pdf, https://www.webmd.com/drugs/2/drug-163073/eliquis-oral/details/list-interaction-food, https://www.pfizer.co.uk/products/prescription-medicines/eliquis. Reducing sodium in your diet can help you: Many processed and frozen foods use a lot of salt as a preservative and flavoring agent. Copyright 1996-2023 Drugs.com. The inflammation might affect your vagus nerve. We comply with the HONcode standard for trustworthy health information. Skip foods that are fried or covered in butter or sugar. (For details about Eliquis dosage, see this article.) If it is almost time for your next dose, skip the missed dose and take your next dose at the regular time. Its possible that grapefruit and grapefruit juice may interact with Eliquis. Low potassium levels may increase your risk of arrhythmia (41). Foods high in vitamin K can counteract the blood-thinning effects of warfarin (Coumadin). If we combine this information with your protected Its likely that less healthy sources of polyunsaturated fats, like corn oil and soybean oil, have different effects on AFib risk than healthy sources of polyunsaturated fats like salmon and sardines. Foods like butter, cheese, and red meat have high amounts of saturated fat. Guidelines suggest avoiding the use of Eliquis in people who are obese (BMI >40kg/m2 or weight of 120kg or more) because there is a lack of research investigating the use of the drug in this population. Your doctor may require you to undertake extra monitoring when switching to or from Eliquis. This can in turn reduce your risk of developing heart disease, stroke, and other conditions. I had a DVT and PE in the last month, and when I was in the hospital I was put on a Heart healthy diet with no salt. Gastrointestinal side effects such as constipation, vomiting, diarrhea, or abdominal pain may also occur. Grapefruit Beware of dangerous medication interactions. increased risk forblood clots if you stop taking Eliquis early, blood clots in your spine with spinal procedures, have ever had an allergic reaction to apixaban or any other medicine, are trying to get pregnant or are already pregnant, have had a recent surgery or spinal injury, have any injuries that are currently bleeding a lot such as a wound, have ever had surgery to replace a heart valve. The risk is greater in those taking other medications that affect blood clotting (such as NSAIDs or aspirin), with a history of traumatic or repeated spinal procedures or a history of spinal deformity or surgery. Eliquis may need to be temporarily discontinued at least 48 hours before surgery that carries a moderate-to-high risk of unacceptable or clinically significant bleeding; 24 hours before surgery with a low risk of bleeding or if bleeding is likely to be noncritical. Before you start treatment with Eliquis, tell your doctor and pharmacist which supplements, herbs, and vitamins you take. ; February 2010. Protein should make up about 15 percent of your total daily calories on the TLC diet. For more information, please visit our page on Eliquis and pregnancy risks. Weight gain. Weigh up the risks versus benefits before considering. On the other hand, a medication that stays in the body too long may build up to potentially dangerous levels. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. One of the goals of the TLC diet is to reduce total cholesterol and low-density lipoprotein, or LDL, while raising high-density lipoprotein, or HDL. If the answer is yes, ask whether you need to eliminate that food from your diet. https://naturalmedicines.therapeuticresearch.com. You may opt-out of email communications at any time by clicking on Limit meat and fish intake to less than 5 ounces per day. In addition to treatments like mediation, surgery, and other procedures, there are certain lifestyle changes, like your diet, that can help manage AFib. Because potassium can interact with certain medications, talk to your doctor before adding more potassium to your diet. However, certain foods and drinks can make warfarin work not as well at preventing blood clots. information and will only use or disclose that information as set forth in our notice of Carbohydrates from sugar, grains and starch should make up 50 to 60 percent of total daily calories per the TLC diet, but half of your carbohydrates should come from whole grains. Reduce your salt and sodium intake. Antidepressants are used to treat depression. This may increase your risk of bleeding. Besides learning about interactions, you may want to find out more about Eliquis. A healthy diet while taking Eliquis should include: Fruits and vegetables In contrast to warfarin (which I assume you've taken before because of the inquiry), Eliquis is not affected by the Vitamin K levels (which are found in dark green leafy vegetables) +0 RI Rita Bowers 24 May 2016 Thrombolytic drugs are used to dissolve blood clots. It is important to avoid foods that can increase your risk of bleeding while taking this medication. If you take prescription medication, ask your doctor or pharmacist whether your medication interacts with grapefruit or other citrus products. Calcium/Vitamin D - what are the contraindications of the calcium and vitamin D combination? Grapefruit you want to avoid all together. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. You can use the study as a second opinion to make health care decisions. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. Is the ketogenic diet right for autoimmune conditions? Today I learned that people are experiencing higher Blood Sugar readings while on this medication. I am new to this site also and I am on same medicine as I had 5 blood clots in my lungs and one in my right leg , it will be one year next month, I am on vitamin D per doctor and have not been told of anything I could not have. A change in your diet, medicine, or dosage may be necessary. Youll find details below. Best food forward: Are algae the future of sustainable nutrition? Dosing is straightforward. They can determine whether to prescribe the drug. Older studies have shown that this chemical can interfere with the effectiveness of antiarrhythmic drugs such as amiodarone (Cordarone) and dofetilide (Tikosyn) (35, 36). The American Heart Association has endorsed the National Heart Lung and Blood Institute's Therapeutic Lifestyle Changes, or TLC, diet for those with heart issues. Learn more. Eating lots of sugary foods constantly may also cause insulin resistance to develop, which significantly increases your chances of developing diabetes (28). Natural Medicines. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. Eliquis (apixaban) does not depend on vitamin K to work like warfarin, so you may continue to eat green vegetables like spinach and broccoli while taking Eliquis. So my plan of action is to eat a heart healthy diet, avoid sugar, and try to include a small amount of cranberry juice daily to help with liver function. U.S. Food and Drug Administration. Eliquis is not known to interact with coffee and green leafy vegetables that are known to contain high levels of vitamin K which can affect a different anticoagulant called warfarin (Coumadin and Jantoven) that needs your body to keep a balance between the amounts of vitamin K and warfarin in your system. For details, see the Drug interactions in depth section above. Thats because salt can elevate your blood pressure (25). What foods and supplements should not be taken with Eliquis apart from grapefruit? Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Vitamin K is a group of fat-soluble vitamins that plays an important role in: Vitamin K is present in products that include: Since many people with AFib are at risk for stroke, theyre prescribed blood thinners to help prevent blood clots. However, other over-the-counter (OTC) pain relievers are known to interact with Eliquis. You should always speak to your doctor regarding the risks and benefits of any treatment. Examples of these include broccoli and, Blood clots can form in many different parts of the body. reducing the risk of blood clots, strokes, and other serious cardiovascular events. 2021; doi:10.3390/nu13093219. It's important to pay attention to what you eat while taking warfarin. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Has anyone had a similar situation or has stopped Eliquis because of a successful ablation? This content does not have an English version. However, certain foods and drinks can make warfarin work not as well at preventing blood clots. Grapefruit and grapefruit juice block this protein from working as it normally does. However, its still important to talk with your doctor or pharmacist before taking any of these products during Eliquis treatment. Diets high in processed foods, such as fast food, and items high in added sugar, like soda and sugary baked goods, have been linked to increased heart disease risk (1, 2). Hidden source of grapefruit in beverages: Potential interaction with immunosuppressant medications. 2005 - 2023 WebMD LLC. NSAIDs can prevent platelets (a type of red blood cell) from clumping together to form blood clots. Bidirectional influences of cranberry on the pharmacokinetics and pharmacodynamics of warfarin with mechanism elucidation. It does not require monitoring, and an antidote, called andexanet alfa, is available if severe bleeding occurs. Taking Eliquis with an SSRI or SNRI can increase the risk of bleeding. Theyll make sure these products do not contain NSAIDs that could interact with Eliquis. Yu CP, et al. In some cases, a factor or condition could prevent your doctor from prescribing Eliquis due to the risk of harm. Eating a healthy diet can optimize your cardiovascular and overall health while taking Eliquis. It's not enough to limit total fat intake alone, however, since different types of fat affect the cardiovascular system in different ways. If you develop a blood clot while taking Eliquis, your doctor can advise you on the right treatment. I am looking for answers NOT to sign up for another website. Aim to limit your sodium intake to less than 2,300 mg per day. In the past, individuals with AFib have been warned to limit vitamin K levels because it could reduce a blood thinners effectiveness. A 2020 study found that quitting alcohol significantly reduced arrhythmia recurrences in regular drinkers with AFib (8). Cardiovascular health: Insomnia linked to greater risk of heart attack. Is it harm to use vitamin B complex and calcium with vitamin D3 in pregnancy. In fact, regular caffeine consumption may even reduce your risk for AFib (10). Over the years, experts have debated how caffeine affects people with AFib. (n.d.). 2005-2023 Healthline Media a Red Ventures Company. For example, numerous citrus-flavored soft drinks contain grapefruit juice or grapefruit extract. Accessed April 18, 2022. It is important to avoid foods and drinks that can increase your risk of bleeding while taking this medication. Therefore, its possible that taking Eliquis with testosterone could make Eliquis less effective than usual. Taking Eliquis with NSAIDs can increase the risk of bleeding. Heres a chart of drugs that can interact with Eliquis. Eliquis is also used in the treatment of DVT and pulmonary embolism (PE) (where blood clots lodge in the lungs), and to lower the risk of recurrent DVT and PE. What are opioids and why are they dangerous? Accessed Oct. 24, 2018. Theyre often used to treat pain and inflammation. Available for Android and iOS devices. A 2019 study found that men who reported drinking 1 to 3 cups of coffee per day were actually at a lower risk for AFib (13). If your potassium level is high, your physician may adjust the dose of your . Here are some NSAIDs that may interact with Eliquis: Steps you or your doctor may take. AFib can increase a persons risk for stroke and heart failure, both of which can be fatal if not treated quickly and effectively. Get your Eliquis medication for only $49 per month. Can poor sleep impact your weight loss goals? From cardio fitness to Afib history, here are a number of ways an Apple Watch can help you keep a closer eye on your heart health. Hope this helps! information submitted for this request. Eliquis is used for this purpose after youve already taken Eliquis or another anticoagulant drug for at least 6 months to treat DVT or PE. Eliquis Food Interactions Eliquis Should I avoid certain foods while taking Eliquis? Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. For people with at least two of the following: aged at least 80 years, body weight 60kg or lower, serum creatinine at least 1.5 mg/dL, then the dosage is 2.5mg twice daily. When given to prevent DVTs from forming after hip or knee replacement surgery the dosage is 2.5mg twice a day starting 12 to 24 hours after surgery. This is a question to be addressed to the physician who prescribed Eliquis, or to a trusted pharmacist. Note: Cannabis is illegal at a federal level, but is legal in many states to varying degrees. It appears this site might not be worth the effort. inhibiting the activity of certain clotting proteins. Learn How Genetics Make Some Fans of Fear, Dr. Whyte's Book: Take Control of Your Cancer Risk, How Breast Cancer Changed My Life and Me, Health News and Information, Delivered to Your Inbox, List Apixaban Oral side effects by likelihood and severity. Cannabis (marijuana) and cannabis products, such as cannabidiol (CBD), have not been specifically reported to interact with Eliquis. Be sure to talk with your doctor about medication and food interactions. Yes, you can take Eliquis with other medications. Used to reduce the risk of stroke and blood clot formation in people with nonvalvular Atrial Fibrillation (AF). 2013;48:489. By blocking the action, Eliquis makes your blood less likely to clot or helps prevent a blood clot you currently have from getting larger. Using anticoagulants, such as Eliquis may increase the risk of bleeding in the fetus and neonate. As with other medications, Eliquis can interact with food and certain other drugs. Squibb & Sons, L.L.C. Dole out single portions of your favorite snacks instead. 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. Some products that contain caffeine include: For years, it was standard to recommend that people with AFib avoid caffeine. Before taking any OTC products with Eliquis, talk with your doctor or pharmacist. EMD is a significant predictor of AFib (33, 34). the unsubscribe link in the e-mail. This content does not have an Arabic version. https://www.uptodate.com/contents/search. Contact your doctor if you experience an injury or have bleeding that will not stop. Eliquis (apixaban) tablets, for oral use. coq10, vitamin c, vitamins, grapefruit, collagen, food, omega-3, calcium, supplement, eliquis, d3. While taking Eliquis, it's important to maintain a healthy diet and lifestyle. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. To keep vitamin K intake consistent, avoid changing the amounts of vitamin K-rich foods or drinks you have from day to day or week to week. You can ask them about other treatments that may be better choices for you. Keep your portions small and avoid eating out of containers. If you have active bleeding, doctors typically will not prescribe Eliquis. She's been doing fine with turmeric and is so happy that she can eat anything. Australian researchers found that individuals with obesity who experienced a 10% weight loss could reduce or reverse the natural progression of AFib (23). Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Avoid grapefruit unless MD instructs otherwise. Auten AA, et al. How do you qualify for free eliquis? Do not take two doses of Eliquis at the same time. Potassium is important for cardiac health because it allows muscles to work efficiently. Certain foods are particularly beneficial for the health of the cardiovascular system and may help improve heart functioning (37). You should always consult your doctor or another healthcare professional before taking any medication. To learn more, see Certain antidepressant drugs in the Drug interactions in depth section below. Warfarin diet: What foods should I avoid? Tell all healthcare providers that you are taking Eliquis. It is important to avoid foods such as grapefruit and other medications that can increase your risk of bleeding while taking this medication. This increases your risk of bleeding. There is a problem with Doctors may not prescribe Eliquis with these medications. To make sure its safe for you, tell your healthcare professional if you: It is important to tell your doctor about all other medications you are taking, including over-the-counter drugs, vitamins, and herbal supplements, as they may interact with Eliquis. How long till my Vitamin D supplements make me feel better? Some research has shown that diets high in saturated and trans fats may be associated with an increased risk of AFib and other cardiovascular conditions (20, 21). Before you start treatment with Eliquis, tell your doctor and pharmacist which prescription, over-the-counter, and other medications you take. Mayo Clinic, Rochester, Minn. Oct. 2018. Yes, you can take Eliquis with other medications. This can make it harder for the heart to pump blood out to, Eliquis is an anticoagulant medication that lowers the risk of dangerous blood clots forming in your heart due to atrial fibrillation, the most common. If you have questions about drug interactions that may affect you, ask your doctor or pharmacist. Some foods can negatively affect your heart health and have been shown to increase the risk of heart complications, like AFib, as well as heart disease. But high blood glucose levels, which is a symptom of diabetes, may be a factor. Here's why and what you should be looking for. Alcohol may increase the risk of stomach bleeding with Eliquis. Click here for an email preview. Note: Before you start treatment with Eliquis, its important to tell your doctor if these contraindications apply to you. By sharing this information with them, you may help prevent possible interactions. The phase IV clinical study analyzes what interactions people who take Eliquis and Ginger have. They can also lead to other negative health outcomes like weight gain, diabetes, cognitive decline, and certain cancers (3). National Institutes of Health Office of Dietary Supplements. See more questions and expert . Eat five to nine servings of fruit and vegetables each day that are prepared with little or no added fat, sodium and sugar. Book - Ending the Crisis: Mayo Clinic's Guide to Opioid Addiction and Safe Opioid Use. Except grapefruit. Blood-thinning foods, drinks, and supplements, Treatment and home management for blood clots. Eliquis may interact with two classes of antidepressants: Interaction result. Eliquis is usually dosed twice daily. Having obesity and high blood pressure can increase your risk for AFib, so its important to eat a well-balanced diet. Heart failure: Could a low sodium diet sometimes do more harm than good? Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Theyre also loaded with sugar and other chemicals that can stimulate the cardiac system (15). Also, add at least 5 to 10 grams of soluble fiber and at least 2 grams of plant sterols and stanols per day to your diet. A medication that's broken down too quickly won't have time to work. Before you take Eliquis, be sure to talk with your doctor about your health history. Is it safe to eat grapefruit while taking a statin? Grapefruit juice contains a powerful chemical called naringenin (33). Except grapefruit. Grapefruit mostly impacts blood-thinning medications such as Apixaban (Eliquis), Rivaroxaban (Xarelto), Clopidogrel (Plavix) and Ticagrelor (Brilinta). Temple NJ, et al., eds. No matter which blood-thinning medication you use, there will always be an increased risk of bleeding problems, but Have you just picked up your Eliquis medication from the drug store? Theyll make sure these medications are safe to take with Eliquis. The drug helps stop new blood clots from forming in your veins. Eliquis is used to help prevent or treat blood clots in certain situations. Choose nuts, beans and soy proteins such as tofu and miso as heart-healthy meat substitutes. Pulmonary embolism can lead to complications such as right heart failure and recurrent blood clots. You can take Eliquis (apixaban) with or without food. SSRIs and SNRIs affect chemicals in the body called serotonin and norepinephrine. A single copy of these materials may be reprinted for noncommercial personal use only. If you have AFib, you may want to avoid energy drinks, but a cup of coffee is probably fine. If your doctor determines that its safe for you to take an NSAID with Eliquis, tell them right away if you have symptoms of bleeding. 21-24: Certain blood thinners. You can also help prevent interactions with Eliquis by taking it exactly as your doctor prescribes. An example of a healthy breakfast would be unsweetened oatmeal with berries, almonds, chia seeds, and a dollop of low-fat Greek yogurt. Eliquis may also interact with other medications used to treat atrial fibrillation (Afib) or DVT/PE. Plant-based diets may reduce many traditional risks factors associated with AFib, like having hypertension, hyperthyroidism, obesity, and diabetes (40). But multiple clinical studies have failed to show any link between caffeine intake and AFib episodes (9, 10). This process can increase your risk of bleeding. They can advise you on whether theres a safe amount to drink while taking Eliquis. The good news is, if you havent had the healthiest diet in the past, theres still time to turn things around. While binge drinking is especially harmful, studies indicate that even moderate alcohol consumption can be a risk factor for AFib (6). All rights reserved. However, other studies have linked diets high in omega-3 polyunsaturated fats with a lower risk of AFib. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Examples include whole-wheat pasta, brown rice and whole wheat bread. Should I avoid certain foods while taking Fexofenadine HCL? I hope this might help someone. Excellent ways to address excess weight and improve overall heart health, include: Studies show that sodium intake can increase your chances of developing AFib (24). Still, you should follow the specific recommendations of your doctor or registered dietitian. If you miss a dose of Eliquis, take it as soon as you remember. This means that drinking alcohol while taking Eliquis could increase . Also seek urgent medical help with any symptoms of a stroke (such as sudden dizziness, headache or loss of vision; difficulty with speech or slurring of your words, one-sided facial drooping) or signs of a blood clot (sudden, severe shortness of breath; pain, heat or swelling in a limb). The effect on blood clotting factors happens within a few hours of taking a single dose of Eliquis. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Eliquis only for the indication prescribed. Atrial Fibrillation and Strokes: What's the Risk if You Take Eliquis? If you have had an allergic reaction to Eliquis or any of its ingredients, your doctor will likely not prescribe Eliquis. information highlighted below and resubmit the form. If you're taking a blood thinner and eating kiwi fruit, the addition of the fruit may cause your blood to be too thin, which can be serious if you cut yourself and cannot stop the bleeding. In addition to eating certain foods, particular nutrients and minerals may help lower your risk for AFib. 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. In two different studies, researchers found that individuals with untreated celiac disease had prolonged atrial electromechanical delay (EMD) (32). Metoprolol Tartrate : Should I avoid certain foods while taking Metoprolol Tartrate? To reduce your risk of AFib episodes, consider adopting a Mediterranean or plant-based diet. Anti-platelet drugs work best when used with heart-healthy lifestyle changes such as regular exercise and a balanced diet, according to the American Heart Association. More high-quality research is needed to determine how polyunsaturated fats affect AFib risk. This process can increase your risk of bleeding. She had heard of the interaction between grapefruit and certain medications and wondered if this had caused her nose bleed. When Eliquis is taken with an SSRI or SNRI, your risk of bleeding can increase further. Heres a closer look at certain drug interactions of Eliquis. Taking Eliquis with a thrombolytic can increase the risk of bleeding. A healthy diet can help with underlying health conditions, such as high blood pressure, high cholesterol, and obesity. Its important to talk with your doctor before taking Eliquis with Xanax. Keep in mind that this chart does not include all drugs that may interact with Eliquis. Problems arise because chemicals in the fruit can interfere with the enzymes that break down (metabolize) the medication in your digestive system. Numerous studies have shown that a Mediterranean diet (a diet high in fish, olive oil, fruits, vegetables, whole grains, and nuts) may help reduce the risk of AFib (38).
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