This is the first nonstimulant prescription ADHD medication approved for adults in 20 years. Gomeni R, Komolova M, Incledon B, Faraone SV. WebMedication Chart - CHADD - Improving the lives of people affected by ADHD Depending on how long ago this all occurred. Each DOT agency (e.g. However, current medical practice guidelines dictate effective treatment using behavioral therapy and psychostimulants. The reason is that each person responds differently to ADHD medications. Its been approved for children as young as six years old. They even have a new grant requirement and thats to learn about bicycles and follow with harassment . I take Prozac for anxiety and I no longer have anxiety attacks. We equip our team of experts with cutting-edge technology to efficiently monitor your companys compliance. A lock ( LockA locked padlock ) or https:// means youve safely connected to the .gov website. Anti-seizure medication is also disqualifying, if it is used to treat seizures. Therefore, an individual trying to fit the biology into the book is endeavoring in a fool's game (one this author used to play vigorously). Over the years, researchers have been unable to link the single cause of ADHD to one factor. That is the level for blood sugar spillover into the urine. The approval is based on positive results from a Phase 3 clinical trial of Qelbree in adults. Is this also the same with prescribed Suboxone? The brain releases dopamine when you engage in pleasurable behaviors. WebUnder FMCSA regulations (49 CFR 391.41), a medical examiner may not certify a driver who has a DOT disqualifying medical condition or uses a medication/substance that Even though your prescribing physician may be of the opinion that your condition and treatment is safe to drive, the decision to certify still rests with the medical examiner. @ Chris M 202 35 check that your diabetes is adequately controlled, documentation from your prescribing physician, documentation from your treating physician. 7/9/2021. No. Do antidepressants increase the risk of suicide in children and adolescents? Investigators found a marked decrease in self-reported caregiver strain after 3 weeks of treatment.1 Moreover, data presented by the manufacturer show that the effect of Jornay PM lasts through the school day and into the evening.2. When I took the test my blood sugar was 350, but in the past few days Ive gotten it down to about 170. These disorders can be further grouped into the cluster of psychiatric illnesses known as Impulse Control Disorders. Depending on the risk posed by the condition and treatment, the medical examiner may require documentation from your doctor. OTC: Over the counter medication available with a prescription. Having lower levels of dopamine is just one possible factor for developing ADHD. If you take one of the medications on this list, youll need your doctor to provide a letter clearing you to drive before youre due for your next DOT physical. Most likely. But, studies have shown that factors like genetic mutation and environmental factors can lead to the development of ADHD. The examiner can still declare the driver unfitbased on theirconsumption of the medication. In order for you to receive the best possible offers, please make sure your answers above are accurate prior to submitting. But is ADHD medications really worth it? 6-11 Months This particular retrospective study determined that adults with ADHD were more likely "to report more driving anger and aggressive expression through the use of their vehicle, and less adaptive and constructive anger expression than their non-ADHD peers. Dopamine D4 receptor gene associated with the frontal-striatal-cerebellar loop in children with ADHD: A resting-state fMRI study. Treatment for: ADHD. Pseudoephedrine, commonly found in the cold and flu medication Sudafed, is banned on the day of competition. This is because they are known to impairfocus and reaction time, two critical components of safe vehicle operation. Medications used in treating ADHD vary according to use and for each person. WebFor those who truly have ADHD, Adderall or Vyvanse prescribed for that purpose, is not only acceptable but necessary for safe driving. Studies sponsored by the devices manufacturer suggest that the prescribed use of the game improves attention and has few adverse effects.7. The FDA has however approved both the use of stimulants and non-stimulants as an effective treatment for people with ADHD. 0000000016 00000 n Loo SK, Salgari GC, Ellis A, et al. That way the doctor can work out which, out of dozens of medications, will work best and not interfere with your ability to operate a commercial motor vehicle. 2013;23(3):179-193. When I took the test my blood sugar was 350, but in the past few days Ive gotten it down to about 170. So, what are the most common ADHD medications? The following symptoms are uncommon, but if you experience any of them, call your doctor immediately: shortness of breath, seizures, seeing things or hearing voices that do not exist (hallucinating), severe skin rash, yellowing of the skin or eyes, depression, memory problems, confusion, problems with speech, unusual changes in behavior or mood, thinking about harming or killing yourself or trying to do so, and problems with coordination or balance.. FDA Approved: Yes (First approved April 2, 2021) Brand name: Qelbree. Dopamine is a chemical in the brain aka a neurotransmitter that plays a role in experiencing happiness and pleasure. (2018). The Metformin is to control your blood sugar as a borderline diabetic. Lets take a look at some of the side effects of Xanax which include: Drowsiness, light-headedness, headache, tiredness, dizziness, irritability, talkativeness, difficulty concentrating, dry mouth, increased salivation, changes in sex drive or ability, nausea, constipation, changes in appetite, weight changes, difficulty urinating, and joint pain. If the driver has a prescription for a controlled substance, their doctor must provide the medical examiner with a written letter that clears the driver for driving. Nonstimulant Medication. Unlike the vagal nerve stimulator used to control epileptic seizures, this therapy does not require surgical insertion. Although drugs must prove both safety and efficacy, devices need only prove safety. All three are listed with side effects of drowsiness, weakness, dizziness, and should not be used while driving or using machinery. ", Conversely, a recent study found that stimulant medication improved safety in routine driving while reducing ADHD symptoms with minimal adverse effects, using a validated driving simulator paradigm. J Child Adolesc Psychopharmacol. 0000000996 00000 n Required fields are marked *. Any anti-seizure medication used for the prevention of seizures is disqualifying. GR: Gender Restriction . If you have a question that you feel has not been answered, scroll down to the Questions and Comments box and post your question. Nitroglycerine use is not disqualifying. endstream endobj 209 0 obj <>stream Immediate release medications tend to only be effective for three to five hours. Safety first for you, the driver, and for the public at large. I give my express consent authorizing TruckersReport and its. This ADHD medication chart compares ADHD medications, their doses, side effects, duration and safety. I am a diabetic, non-insulin dependant. 0000001943 00000 n 2. Office of Drug & Alcohol Policy & Compliance. The number of novel FDA approvals could approach a new record high in 2021, following the second highest number recorded in 2020 with 53 new approvals. I have been prescribed Adderal from my medical doctor. More evidence of effectiveness would be helpful in guiding clinical decisions. x]j0~ 0000099506 00000 n I was taken immediately taken off of them. Attentional disorders can be caused by environmental toxins in the case of lead and cadmium, brain injury, inheritance, or behavioral modeling. If you have any questions or need assistance, please give us a call at 877-352-1996. WebEvidence-based pharmacological treatment options for ADHD in children and adolescents Evidence-based pharmacological treatment options for ADHD in children and adolescents Epub 2021 Jun 23. Quantity If the urinalysis is positive for one or more of the drugs on the5 panel drug test, then the driver will be contacted in person by the Medical Review Officer. ADD/HD is a diagnosis of exclusion. Even with medication, people with this condition continue to struggle with symptoms associated with ADHD. It is designed to help primary care practitioners and behavioral health providers provide timely and effective treatment for children with attention deficit/hyperactivity disorder (ADHD). So you are the one who is going to tell him about the insulin. They are effective in about 70% of patients. Some types of stimulants for ADHD treatment includes: Unlike stimulants, which increase brain hormones to improve concentration, non-stimulants also affect the neurological hormones but do not increase dopamine levels. This drug is available as a generic, but only the time-release version and its generics are approved for use in children with ADHD. WebSolicitar ms informacin: 310-2409701 | administracion@consultoresayc.co. Is it true that the CME can access all my prescription history? The MRO will interview the driver to determine if there is an alternative medical explanation for the drugs found in the urine specimen. EP: 9.Approaching ADHD Treatment Selection in Children and Adults . If a driver uses a drug identified in 21 CFR 1308.11 (391.42(b)(12)) or any other substance such as amphetamine, a narcotic, or any other habit forming drug, The They want weed DUIs. Specific care should be taken when assessing a potential commercial motor vehicle driver for this disorder, as other disorders may overlay proper diagnosis and treatment. Tidal Wave of Panic: The Impact of the Adderall Shortage for ADHD Patients. WebThere is only one medication that is always disqualifying: Marijuana In 2017, the Federal Motor Carrier Safety Administration (FMCSA) updated their medication use guidelines. 0000002108 00000 n WebGeneric preventive drugs can help members prevent illnesses, diseases or other health problems. If so, then they can ask. 0000103853 00000 n Unfortunately, busy clinicians may diagnose Attention Deficit Disorder based only on the patient's history or through a questionnaire based test. In April 2021, the FDA approved viloxazine (Qelbree) for treatment of ADHD in patients aged 6 to 17 years.3 Like atomoxetine hydrochloride (Strattera), Qelbree is a selective norepinephrine reuptake inhibitor (SNRI). WebADD medication, Painkillers, Anti-inflammatories, Anti-diarrhea medication, and. There is a significant body of research to support this approval. This will help everyone to not have duplicate questions. When it comes to living with ADHD, sensory overload is a real thing. Dosage form: Extended Release Capsules. First, you will be barred from performing safety-sensitive duties, which include operating CMVs. If your diabetes is treated with insulin, you will be disqualified for inter-state driving. Treuer T, Gau SS-F, Mndez L, et al. REUTERS/Lindsey Wasson. As clinicians, we can agree on the behavioral manifestations of ADD/HD. Strattera. An official website of the United States government Here's how you know. 80% lower and upper set; farm accident westhope, nd; scales of justice oxford january So how did you get it as an adult? Care should be taken when prescribing psychostimulants due to their abuse potential and potential for addiction. Will the doctor know Im taking insulin when he does my tests? A person who has ADHD is 80% more likely to At US Compliance Services, were dedicated to helping trucking businesses navigate the often confusing legal landscape of DOT and FMCSA regulations. ADHD symptoms and treatments appear to be connected to levels of the neurotransmitter dopamine. Generic name: viloxazine hydrochloride. However, healthcare providers sometimes prescribe them alone or in combination with a stimulant for the treatment of ADHD. According to 2018 research, these people may be more likely to have ADHD as well. Can I still drive truck? Rememberthatthe list of DOT disqualifying drugsprohibits the use of narcotics, amphetamines or habit-forming drugs by a CMV operator unless the driver has been cleared for duty by a prescribing doctor. Here is some information to help you understand better the concept of ADHD, how medications work on it, common side effects on adults and children, causes, and how to reduce its symptoms. Getty The specific consequences of failing a drug test vary from employer to employer, as some have strict no-tolerance policies while others may be more lenient. Telehealth visits offer advantages, particularly when it comes to evaluating patients functional abilities. ' 8h The DOT physical exam to get your medical card, does not include a drug test. 0000008522 00000 n ADHD: When Your Senses Are Extra Sensitive, ADHD Impulse Control: 5 Tips To Help You Manage, Living with ADHD: Tips to Focus and Stay on Task, childhood exposure to environmental toxins, such as lead, exposure to environmental hazards during pregnancy. But, adults with high blood pressure and heart problems like structural heart and rhythm problems, and heart failure would want to stay away from these drugs. (2016). A systematic review of combination therapy with stimulants and atomoxetine for attention-deficit/hyperactivity disorder, including patient characteristics, treatment strategies, effectiveness, and tolerability, Trigeminal nerve stimulation for attention-deficit/hyperactivity disorder: cognitive and electroencephalographic predictors of treatment response, A novel digital intervention for actively reducing severity of paediatric ADHD (STARS-ADHD): a randomised controlled trial. Key points Qelbree was approved by the FDA on April 2, 2021, as a new medication to treat ADHD in children. 0000009168 00000 n In other instances, it depends on the professional opinion(s) ofboth the DOT medical examinerand the prescribing doctor. 0000008872 00000 n ADHD symptoms can lead to misunderstandings and frustrations. 0000005479 00000 n There's not much research to suggest CBD can help manage ADHD. Failure to produce a negative result or to comply with these tests will mean a repeat of the process. Patients who are not responsive to either stimulants or nonstimulants alone may be helped by combination therapy.5. News release. 0000006563 00000 n Stay up to date with the latest news and info from NRCME by signing up to our free e-newsletter: Attention Deficit Disorder and Commercial Motor Vehicle Driving. If you still cant find a related answer, then you are welcome to ask your question in the comments section below. A novel digital intervention for actively reducing severity of paediatric ADHD (STARS-ADHD): a randomised controlled trial. NtJNPvW0=OBHQ"=B7D=V=DI#]'Q368+'?EI${J!qU The concern is not whether you have ever had a blood sugar blackout, its Could you have a blood sugar blackout while driving a bus full of little people? WebThe ADHD Medication Guide is a visual aid for professionals caring for individuals with ADHD. In 2016, Myriad Genetics acquired Assurex Health, an informatics-based precision medicine company providing treatment decision support to healthcare professionals with mental health patients. It comes in If you are a neurobiologist, you might say ADD/HD is caused by aberrant dopamine receptors in the brain due to an inherited genetic abnormality. An environmental physician would claim ADD/HD is due to toxins or vaccines. 0000009984 00000 n Confirmation ensures that over-the-counter medications or preparations are not reported as positive results. Your email address will not be published. Older research in 2009 suggests that people with ADHD may have lower levels of dopamine. No, not necessarily. Find out causes, risk factors, and. If you have non-insulin treated diabetes the medical examiner will check that your diabetes is adequately controlled. Whileall thedrugs on the opioid panel are legal whenused as ordered bya certified physician, they will still disqualify a driver from being able to operate under, Management Advice for Your Trucking Company, About US Compliance Services Trucking Compliance, US Compliance Services Cancellation Policy, A negative result for controlled substances. Can I still drive if I take a blood thinner? 0000008391 00000 n @ David Accessed November 20, 2021. https://psychnews.psychiatryonline.org/doi/full/10.1176/appi.pn.2021.6.12. In some instances, thesituationis straightforward. 2014-2023 NRCME Training Online. Back 20 yrs ago it wasnt too easy to get it renewed but also not impossible but I let them expire back in 2010 when i decided to go back into the warehouse to work. One of the best ways for a driver to answer a question about whether a medication may be a disqualifier or not, is to read about the side effects of that medication. 2 Years 0000141415 00000 n There are two types of medications that arent stimulants that can help alleviate symptoms of ADHD but are less likely to cause tics. You will need to provide supporting documentation from your prescribing doctors. Antidepressants show a 2% greater incidence of suicidality than placebo, and use of these medications has been not associated with successful suicide attempts.4 However, these medications are generally less effective than stimulants in treating ADHD. There is an exception: the prescribing doctor can write that the driver is safe to be a commercial driver while taking the medication. I was briefly on BP meds which turned out to be a misdiagnosis confirmed by a cardiologist. My doctor put me on it and I dont want to lose my job. These drugs help to reduce aggressive traits and hyperactivity and are usually prescribed for adults with high blood pressure. Some common side effects of ADHD medications in children include: For adults, decreased appetite, anxiety, insomnia, irritability, and mood swings are the common side effects of using these drugs. WebIf a driver uses a drug identified in 21 CFR 1308.11 (391.42 (b) (12)) or any other substance such as amphetamine, a narcotic, or any other habit forming drug, The driver is medically unqualified. Facebook Instagram Email. Attention deficit hyperactivity disorder (ADHD) also known as attention deficit disorder (ADD), is a chronic neurological condition that limits attention abilities and causes, This disorder often takes shape between ages three and six and in most cases, people with this disorder can live with these symptoms throughout their lives. Then you should be good to go and get a new medical certification card. Happened a little over a year ago. Thanks. Without your consent employers will not be able to contact with job offers, would you like to opt-in now? Thank you! Medications that treat ADHD symptoms also typically affect neurotransmitters in the brain, including dopamine. The big concern here is for your safety and the safety of the children. I would bring a note from your physician stating how long and how often you use this medication. Having ADHD and not completing tasks sometimes go hand in hand. ADHD from Childhood to Adulthood: Can You Grow Out of It? Youll have peace of mind knowing weve got your back. Qelbree, a new nonstimulant medication for ADHD, has received FDA approval for treatment of attention deficit hyperactivity disorder in patients 6 to 17 !?,8!o?G:!|Uv6-;Lq Frcu\oeILcv=E&:w,{ uoE.XYr]l]qZ'_K B. Azstarys is the first medication to contain serdexmethylphenidate and immediate-release 7. A study in 2008 found that people with ADHD can sometimes have genes that lead to a lack of dopamine. WebAn illegal release of some high-profile athletes' medical data in 2016 showed Biles had tested positive for methylphenidate the official name for Ritalin, another common medication for the treatment of ADHD. Published: Feb. 23, 2023 at 4:00 a.m. cathlino 124 wide reversible modular sofa chaise with This treatment has potential for abuse in CMV divers, as it can enhance performance; therefore prescriptions can be diverted for sale on street markets. 236 0 obj <>stream While ADHD medications work exceptionally for children, medications still come with their risks. The driver would be disqualified until the condition is under control, either with medications or diet. Terms | All Rights Reserved. @ Robert Reports focus exclusively on genes relevant to psychotropic medications. In April the Food and Drug Administration (FDA) approved Qelbree (viloxazine extended-release capsules), a selective norepinephrine reuptake inhibitor, for the treatment of attention-deficit/hyperactivity disorder (ADHD) in pediatric patients aged 6 to 17 years. Starting dose for children is 5 mg twice daily, 3-4 hours apart. No DOT medical examiner can or should try to overrule your primary cares opinion or medications/Rx. FMCSA Regulations The trigeminal nerve stimulator sits on the face. Trigeminal nerve stimulation for attention-deficit/hyperactivity disorder: cognitive and electroencephalographic predictors of treatment response. Once ADD/HD has been properly identified, several treatment options are available. Attention Deficit Disorder and Attention Deficit Hyperactivity Disorder belong to a group of psychiatric disorders related to the brain which can be further grouped into a spectrum of symptoms known as Attentional Disorders. of course others we dont hear. (2009). Theyre not meant to take the place of expert advice. Extremities and Trunk April 7, 2021. Our website services, content, and products are for informational purposes only. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); What you need to know about getting your Medical Card. Patients with ADHD tended to struggle more with remote learning than their non-ADHD classmates. Non-stimulants are prescribed for people who do not respond well to stimulants. Please read through the Q&A before posting a question. Additionally, medications cannot cure ADHD. Each state has its own rules. Visit this page again soon to see our response. Cuffe SP. Whats happening The FDA approved Azstarys (formerly KP415), a new ADD/HD is many things to many people. Monitor the effects of the drugs on your emotions and behaviour, and how effective the drugs work in relieving your symptoms. Vision We would recommend a letter from the cardiologist confirming the mis-diagnosis. You will need to get documentation from your treating physician as to when the condition started, what was the diagnosis, what has the treatment consisted of, what medication are you on, and is the condition stable. Most of the anxiety meds do not run positive for drug testing. Whileall thedrugs on the opioid panel are legal whenused as ordered bya certified physician, they will still disqualify a driver from being able to operate underDOT regulations. J Clin Psychopharmacol. What drugs are tested for, if a DOT drug test is requested? Like other SNRIs used to treat depression, Qelbree and Strattera carry black-box warnings about an increase in suicidality in the first months of treatment, particularly among teenaged patients. There are too many distractions at home, including the option of playing a video game while appearing to be in the virtual classroom. Theyre not meant to take the place of expert advice. But ADHD and dopamine do appear linked. So if youre looking for professional help, dont delay or ignore it because of what youve read here. In this case, the Medical Examiner may, but does not have to certify the driver. Therefore, when evaluating a potential Commercial Motor Vehicle Driver (CMV), it is best to start from scratch rather than taking the patient's word for it. A behaviorist might say that ADD/HD is learned due to environmental conditioning in a susceptible individual. <<9E6C0941FF1DB74CA19247DDD271090E>]/Prev 1357945>> March 5, 2021. Two Donation-Based Wellness Events to Try at Seva Experience this September, Your Mind Wanders Because Your Brain Whispers, More than 9 million adults and 6 million children aged 417 suffer from. But if you know someone with ADHD, there are some ways to help and support them. If you decide to try medication for ADHD, consider reaching out to a healthcare professional who has experience with ADHD. The 391.41 CMV Driver Medication Form, MCSA-5895, requests additional information regarding medications prescribed by the treating physician as an optional Tech Tips & Tricks Blog in Hindi dave wannstedt family. WebThe ADHD Medication Guide is a visual aid for professionals caring for individuals with ADHD. This does not mean that any Company you want to work for, will not request a pre-employment drug test they most likely will. The DOT does have a few, very stable insulin dependent drivers testing on insulin waivers, but you would have to check with the FMCSA on this issue. Ive had a heart attack but its all taken care of. Computerized tests of attention can allow for the accurate diagnosis of ADD/HD and give the clinician a performance baseline to measure change before and after medications are administered or other treatments are conducted. E`^hLRUptn6pK+%tonqd45Ls% Hearing Yes, you may still drive. Sorry I forgot to mention that the diagnosis and prescription was not from a dot medical examiner it was from my now former, family physician. 0000109745 00000 n Numerous co-morbid psychiatric conditions are associated with ADD/HD. Cardiologist went in and laser cleaned everything and now there is no build up. Qelbree is not a stimulant and is not a controlled substance. Once youve completed the program, youll need to undergo a return-to-duty drug test while under observation. Your email address will not be published. Older research in 2009 suggests that people with ADHD may have lower levels of dopamine. I Need CDL Training In CDL School Now Some people also use non-stimulants to manage ADHD. WebSimone Biles' ADHD medication is banned in Japan, but a Tokyo 2020 exemption allowed them for athletes. Drivers are mandated to submit to a DOT physical every two years. Your examining doctor should ask quite a few questions regarding your insulin usage to help determine your options. Obviously,testing positivefor any of the substances on this list or aprescribedmedication for which the driver does not have a prescription will disqualify a driver from being able to operate a CMV. 0000104312 00000 n Breathing Lancet Digit Health. When it comes to Attentional Disorders, some Neuroimaging Specialists target the frontal and prefrontal cortices, while others claim the cause of ADD/HD is in the thalamus or basal ganglia. National Registry of Certified Medical Examiners (NRCME) recognizes Attention Deficit Disorder/ Attention Deficit Hyperactivity Disorder in the Commercial Motor Vehicle Driver (CMV) as a treatable condition. CDL Grad, No Experience However, the symptoms are not as prevalent in adults as in children. Im a CDL driver. If it wasnt a blatant excuse to search I side your body without probable cause they wouldnt bust you down when u fail for a drug they say isnt OK..Im not going to do thisIm trying to get my regular license back after 5yrs. As a member of the faculty of The REACH Institute, he co-leads the institutes 3-day course that trains pediatric primary care providers to diagnose and manage common mental health conditions. J Am Acad Child Adolesc Psychiatry. 0000110421 00000 n Racial and ethnic disparities in ADHD diagnosis and treatment. WebIn each class, drugs are listed alphabetically by either brand name or generic name. No. Unlike stimulants, which affect dopamine, Strattera boosts the levels of norepinephrine, a different brain chemical. I had to start insulin for my diabetes. Further refusal to comply will likely result in dismissal from the company. A CMV driver cannot be qualified if on Methadone. , Positive Top-Line Results Reported for Fed/Fast Study of Novel ADHD Treatment, Treating ADHD in Children: Concerns, Controversies, Safety Measures, From the Pages of Psychiatric Times: December 2022, Expert Perspectives on the Unmet Needs in the Management of Major Depressive Disorder, Novel Delivery Systems Utilized in the Treatment of Adult ADHD, Expert Perspectives on the Clinical Management of Bipolar 1 Disorder, Tales From the Clinic: The Art of Psychiatry, Pharmacological Management of Treatment-Resistant Anorexia Nervosa, Reducing Heterogeneity in NonTreatment-Resistant and Treatment-Resistant Schizophrenia, Treatment-Resistant OCD: Strategies and Novel Treatment Options, The Current State of the Art and the Not Too Distant Future, Mania With Psychosis vs Schizophrenia vs Schizoaffective Disorder, Bipolar Type, 5 Crypto Investing Rules for Busy Doctors, Doorknob Moments: Why They Happen and How to Use Them, Chatbots for Child Mental Health Care: Helpful, but Limited, Lyme Disease in Psychiatry: Controversies, Chronic Symptoms, and Recent Developments, | Novel Delivery Systems Utilized in the Treatment of Adult ADHD, | Expert Perspectives on the Clinical Management of Bipolar 1 Disorder, Effect of delayed-release and extended-release methylphenidate on caregiver strain and validation of psychometric properties of the Caregiver Strain Questionnaire: results from a phase 3 trial in children with attention-deficit/hyperactivity disorder, Model-based approach for establishing the predicted clinical response of a delayed-release and extended-release methylphenidate for the treatment of attention-deficit/hyperactivity disorder, https://psychnews.psychiatryonline.org/doi/full/10.1176/appi.pn.2021.6.12.

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