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#21 kat73

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Posted 05 November 2016 - 02:56 PM

I hope you will get no harsh words here.  We are all rooting for you!  Keep us posted every step of the way, OK?  (Well, all right, not EVERY step of the way . . . !)


Dx July 2009 on routine physical.  WBC 94.  Started Gleevec 400 mg Sept 2009.  MMR at 2yrs.  Side effects (malaise, depression/anxiety, fatigue, nausea, periorbital edema) never improved.  Kidney issues developed because of Gleevec.  Switched to Sprycel 70 mg in Aug 2011.  Above side effects disappeared or improved.  Have been MR3.5 - 4.5 ever since.  Two untreated pleural effusions followed by one treated by stopping Sprycel Jan 2017.  After 9 weeks, PCR showed loss of MMR; re-started Sprycel at 50 mg and in 3 months was back to <0.01% IS.  Pleural effusion returned within a couple of months, same as before (moderate, left side only).  Stopped Sprycel 50 mg for 12 weeks; pleural effusion resolved.  At about a monthoff the drug, PCR was 0.03; at 11 weeks it was 2.06 - lost CCyR? Have returned to 50 mg Sprycel for 3 weeks, intending to reduce to 20 mg going forward.


#22 VickiW

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Posted 05 November 2016 - 03:24 PM

Mine too!!!  I know exactly what you mean.  (Not the baby thing, a little old for that, hehehe) I too did not make my decision lightly.  I had badgered my onc for his blessing for over a year then last fall he went to the "big" conference and met first hand with those on the forefront of TFR and the new protocols etc.  The next time he met with me, he gave his blessing IF I did it within a clinical trial.  We worked for months but that couldn't be worked out because of distance, requirements, etc.  Long story short, new information, study results, protocols,,,,,and he finally relented and said the decision was mine.  That's when the twinge of "what the &^%$ are you doing?" and I almost backed away but then I remembered my own words about being the poster child for trying and about how would we know if no one tried and this being my way to "pay it forward" for all the brave souls that did the first TKI trials that got me to this point.  I don't want to hear all the negative stuff either.  I am fortunate actually that no one near me really understood (or asked too many questions) so there has just been mostly silence and that's the way I like it.  I hit some negative reactions on another thread but I think this is definitely our safe place.  :wub:

 

Nothing but good thoughts and prayers for you, and your other half, from me!!!  What courage!  And what an amazing ride you both are in for!  By this time next year I am expecting to see lots of beautiful baby pics!  In the mean time, if I can do anything to help, listen, whatever, I'm here, as I am certain lots of others are.  :)


Dxd 2007

started on Gleevec switched to Sprycel 100mg in 2009

PCRU since 2011

20mg Sprycel every other day since Dec. 2014

Began TFR 4-18-16


#23 gerry

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Posted 05 November 2016 - 04:14 PM

Hi frogiegirl,
Good luck with the cessasation and pregnancy. Fingers crossed you fall straight away.

#24 Gail's

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Posted 05 November 2016 - 11:08 PM

Great news Vicki and Jessica. I'm looking forward to the new baby, so yes, keep us posted on your progress!

And one last thought, I think it's horrible that people stay away from this site due to criticism of their chosen course. Everyone has the right to choose or refuse treatments or make a choice in between. The black and white thinking is not helpful and our unique voice or choice should be celebrated, not put down. We are here for support.
Diagnosed 1/15/15
FISH 92%
BMB 9:22 translocation
1/19/15 began 400 mg gleevec
1/22/15 bcr 37.2 IS
2/6/15 bcr 12.5 IS
3/26/15 bcr 10.3 IS
6/29/15 bcr 7.5 IS
9/24/15 bcr 0.8 IS
1/4/16 bcr 0.3 IS
Started 100 mg dasatinib, mutation analysis negative
4/20/16 bcr 0.03 IS
8/8/16 bcr 0.007 IS
12/6/16 bcr 0.002 IS
Lowered dasatinib to 70 mg
4/10/17 bcr 0.001 IS
Lowered dasatinib to 50 mg
7/5/17 bcr 0.004 IS
8/10/17 bcr 0.001. Stopped TKI in prep for September surgery.
9/10/17 bcr 0.006
10/10/17 bcr 0.088

#25 Melanie

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Posted 05 November 2016 - 11:37 PM

Congratulations VickiW on your cessation! Very happy for you and it's great that you have an oncologist who cares so much! What a blessing and comfort that must be to you!

Frogiegirl, so excited for you to be moving forward with your baby plans. Praying your world is filled with only positive people and attitudes! Hope you keep us updated on your journey!
Dx - 05/2011; PCR: 15.04; Fish: 87% Slow responder due to pancytopenia. Current - Bosulif - Nov: 2012, Mar 2016 lowered to 300 mg. 07/16 back to 400 mg. Clinical trial drug, Promacta, Feb 2013, for low Platelets.
CyCR - Aug 2014, Positive for 1 chromosome Sep 2015. PCR: 12.77 in Oct, 2012 to 0.04 (MDA) in Mar, 2016. 4/2016 - 0.126 (Local lab (IS); 05/2016 - 0.195 (local); 6/2016 - 0.07 (MDA); 7/2016 - 0.03 (local) 9/13/2016 - 0.16 (MDA); 9/26/2016 - 0.31 (MDA); 11/2016 - 0.012 (local); 01/2017 - 0.24 (MDA); 04/2017 - 0.09 (MDA); Cytogenetics show der(1:7)(q10;p10)7 chromosome mutation. Repeat of Sep 2015. PCR - 6/2017- 0.035 (local); 10/2017- 0.02 (MDA)

#26 VickiW

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Posted 06 November 2016 - 11:40 AM

Thank you Gail and Melanie  :wub:

It really does mean a lot to have a "safe" place to share my journey.  Not just for those on "my" side of this fence of course!  I am also eager to hear from everyone about where they are and what they've learned (good and bad) and hopefully I will be able to help someone else.  I was initially very excited to share my decision and actually a bit blindsided by the reaction but now I think I understand.  I didn't before or I would have been more sensitive and a bit less "enthusiastic".

 

 And for Trey, yes, I really do understand the odds and really do get that a "forever" remission may not be in my future. You would have to know me and my history to "get" why I am able to see how I could be one that beats the odds.  (I've done it already, more than once).  I appreciate you being the "ying" to my "yang".  The balance of showing both sides truly is important.  I did my own due diligence independently (did I mention my veterinary background?) but others may be turning here for answers to their science based questions.  Sometimes I forget that.  


Dxd 2007

started on Gleevec switched to Sprycel 100mg in 2009

PCRU since 2011

20mg Sprycel every other day since Dec. 2014

Began TFR 4-18-16


#27 SUE

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Posted 06 November 2016 - 10:21 PM

Best of luck, VickiW and Frogiegirl.  

 

Sue


Dx  April 2013, FISH 62,  BMB not enough for PCR test; put on Gleevec 400;

 August 2013, FISH 8.7;

Oct 2013, FISH 5.6

Stopped Gleevec Nov 2013 for 6 weeks due to terrible side effects; Jan 2014 started Sprycel 50mg;

Feb, 2014 PCR  6.8

May,2014  PCR   .149

Aug, 2014 PCR    .015

Nov. 2014 PCRU

March, 2016  went down to 40mg Sprycel

Oct. 2016   stopped Sprycel for a couple weeks due to concern about shortness of breath.  Echo showed mild PAH.

Nov 1 2016  resumed Sprycel 20 mg daily 

Dec 2016  PCRU

March 2017  PCR 0.020

May 2017     PCRU

Sept  2017   PCRU

Dec    2017  PCRU

 


#28 jjg

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Posted 06 November 2016 - 11:53 PM

Good luck VickiW and Frogiegirl.

Frogiegirl don't forget to enjoy the drug free time, everything else is outside your control. I'll be thinking of you and hoping to hear news (good news hopefully but feel free to share the not as good).


Dx Dec 2010 @37

2x IVF egg collection

Glivec 600 & 800mg

PCRU March 2012

Unsuccessful pregnancy attempt - relapsed, 3 months interferon (intron A), bad side effects from interferon

Nilotinib 600mg Oct 2012

PCRU April 2013, 2 years MR4.5 mostly PCRU with a few blips

April 2015 stopped again for pregnancy attempt (donor egg), pregnant first transfer, 0.110 at 10wks, 2.1 at 14wks, 4.2 at 16wks, started interferon, slow dose increase to 25MIU per wk, at full dose PCR< 1 for remainder of pregnancy

Healthy baby girl Jan 2016, breastfed one month

Nilotinib 600mg Feb 2016

MMR May 2016

PCRU Feb 2017


#29 Frogiegirl

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Posted 07 November 2016 - 09:23 PM

Thanks for all the support! To say I'm scared, nervous, and excited is an understatement:) I was hoping sir Trey would have two cents to put in, any advice for me moving forward maybe? We will be doing cbc and bcr_abl monthly. Oh and iron free prenatals. The iron is not kind to me;) I also think I will start Journaling to keep track of everything, maybe it would help a mom to be in the future with cml? Thoughts?

Diagnosed Oct 2013 Started 600mg of Tasigna  on Nov 4th. Lowered dose a few months later to 300mg due to side affects stayed here declining PCR until March 2015 small jump from 0.0072 to 0.0083 scarred my doc into full dose of Tasigna again 600mg(been miserable since) but reached PCRU 06/15/2015(next test) and have been there ever since. Hoping to have another little one. I have the support of my doc to go off anytime, just scared to jump. might go two years PCRU but he said it wont make much of a difference. I just figured I could possibly go into a trial while preggers if I got the two years behind me.

Nov 8th 2017 went off Tasigna

Dec 1st PCRU off TKI

Jan 5th PCR Detected .0625

Feb 1st PCR Detected .7815

Added 8-6 grams Curcumin daily in Feb

March 3rd PCR Detected 3.2646 YIKES!

 stopped trying for baby after February reading. will start new TKI march 16th 2017 (Sprycel)

FYI I'm not done trying for my last little one.


#30 Trey

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Posted 08 November 2016 - 08:42 PM

FG,

As you said earlier, it is a very personal decision.  You weighed the risks and made a decision.  Life is a series of calculated risks.  Don't look back, or else don't do it, one or the other.

 

That was only worth 1 cent.  So I owe you 1 cent.


Edited by Trey, 08 November 2016 - 08:42 PM.


#31 Frogiegirl

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Posted 09 November 2016 - 02:57 AM

I'll take the 1 cent. ...may need it for diapers;)

Diagnosed Oct 2013 Started 600mg of Tasigna  on Nov 4th. Lowered dose a few months later to 300mg due to side affects stayed here declining PCR until March 2015 small jump from 0.0072 to 0.0083 scarred my doc into full dose of Tasigna again 600mg(been miserable since) but reached PCRU 06/15/2015(next test) and have been there ever since. Hoping to have another little one. I have the support of my doc to go off anytime, just scared to jump. might go two years PCRU but he said it wont make much of a difference. I just figured I could possibly go into a trial while preggers if I got the two years behind me.

Nov 8th 2017 went off Tasigna

Dec 1st PCRU off TKI

Jan 5th PCR Detected .0625

Feb 1st PCR Detected .7815

Added 8-6 grams Curcumin daily in Feb

March 3rd PCR Detected 3.2646 YIKES!

 stopped trying for baby after February reading. will start new TKI march 16th 2017 (Sprycel)

FYI I'm not done trying for my last little one.


#32 jjg

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Posted 09 November 2016 - 05:05 AM

FG

I didn't journal, I did think about it though and it could be useful for others. Two reasons why not - for me it would have concentrated the uncertainty and made me more fearful. Secondly once I started interferon and got up to the dose that worked for me I didn't have the energy.

I think that the trick is to make the decision and then believe there was never a choice.


Dx Dec 2010 @37

2x IVF egg collection

Glivec 600 & 800mg

PCRU March 2012

Unsuccessful pregnancy attempt - relapsed, 3 months interferon (intron A), bad side effects from interferon

Nilotinib 600mg Oct 2012

PCRU April 2013, 2 years MR4.5 mostly PCRU with a few blips

April 2015 stopped again for pregnancy attempt (donor egg), pregnant first transfer, 0.110 at 10wks, 2.1 at 14wks, 4.2 at 16wks, started interferon, slow dose increase to 25MIU per wk, at full dose PCR< 1 for remainder of pregnancy

Healthy baby girl Jan 2016, breastfed one month

Nilotinib 600mg Feb 2016

MMR May 2016

PCRU Feb 2017


#33 Frogiegirl

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Posted 09 November 2016 - 10:50 AM

JJG I am trying to remember your stats as far as your response, and when in your pregnancy you had to go on interferon? Oh the lovely fog....I asked my doc at what point do we begin interferon or when will it become an option, he said he has other things he can do, but he told me that if he hasn't made himself clear in the past, that I was his front runner and champion and he believes there is very little risk with me moving forward. I definitely did not come to this decision lightly. I lost a lot of sleep and dealt with high anxiety coming to this life changing decision. I don't see a signature of your journey below your comments and I am super curious :D  And yes once its done there is no choice for me, I keep telling the hubs why couldn't we have an oops so the decision was out of our hands.....


Diagnosed Oct 2013 Started 600mg of Tasigna  on Nov 4th. Lowered dose a few months later to 300mg due to side affects stayed here declining PCR until March 2015 small jump from 0.0072 to 0.0083 scarred my doc into full dose of Tasigna again 600mg(been miserable since) but reached PCRU 06/15/2015(next test) and have been there ever since. Hoping to have another little one. I have the support of my doc to go off anytime, just scared to jump. might go two years PCRU but he said it wont make much of a difference. I just figured I could possibly go into a trial while preggers if I got the two years behind me.

Nov 8th 2017 went off Tasigna

Dec 1st PCRU off TKI

Jan 5th PCR Detected .0625

Feb 1st PCR Detected .7815

Added 8-6 grams Curcumin daily in Feb

March 3rd PCR Detected 3.2646 YIKES!

 stopped trying for baby after February reading. will start new TKI march 16th 2017 (Sprycel)

FYI I'm not done trying for my last little one.


#34 jjg

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Posted 09 November 2016 - 04:13 PM

FG, I moved onto interferon at 16 wks when my PCR was between 1 and 10 (can't remember the exact number). Some people are comfortable with waiting until the wbc rise others start on interferon straight way. There is so much variation.

I should get round to fixing up my signature but generally only get short bursts on the computer due to the 10 month old "side effect" from my time on interferon :-)


Dx Dec 2010 @37

2x IVF egg collection

Glivec 600 & 800mg

PCRU March 2012

Unsuccessful pregnancy attempt - relapsed, 3 months interferon (intron A), bad side effects from interferon

Nilotinib 600mg Oct 2012

PCRU April 2013, 2 years MR4.5 mostly PCRU with a few blips

April 2015 stopped again for pregnancy attempt (donor egg), pregnant first transfer, 0.110 at 10wks, 2.1 at 14wks, 4.2 at 16wks, started interferon, slow dose increase to 25MIU per wk, at full dose PCR< 1 for remainder of pregnancy

Healthy baby girl Jan 2016, breastfed one month

Nilotinib 600mg Feb 2016

MMR May 2016

PCRU Feb 2017


#35 Frogiegirl

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Posted 09 November 2016 - 04:36 PM

Jjg were you pcru before being preggers? If so how long? Yep little ones definitely take up time. ...in a good way;)

Diagnosed Oct 2013 Started 600mg of Tasigna  on Nov 4th. Lowered dose a few months later to 300mg due to side affects stayed here declining PCR until March 2015 small jump from 0.0072 to 0.0083 scarred my doc into full dose of Tasigna again 600mg(been miserable since) but reached PCRU 06/15/2015(next test) and have been there ever since. Hoping to have another little one. I have the support of my doc to go off anytime, just scared to jump. might go two years PCRU but he said it wont make much of a difference. I just figured I could possibly go into a trial while preggers if I got the two years behind me.

Nov 8th 2017 went off Tasigna

Dec 1st PCRU off TKI

Jan 5th PCR Detected .0625

Feb 1st PCR Detected .7815

Added 8-6 grams Curcumin daily in Feb

March 3rd PCR Detected 3.2646 YIKES!

 stopped trying for baby after February reading. will start new TKI march 16th 2017 (Sprycel)

FYI I'm not done trying for my last little one.


#36 jjg

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Posted 10 November 2016 - 04:58 PM

I was PCRU for 2 years (-10days) before stopping but then the PCR the day I stopped came back at 0.002 so we know I had been sitting just below detectable that whole time. The PCRs take 3 weeks here so I had already had the embryo transfer before the result came back and then my hematologist sat on the result without telling me until after we got the positive pregnancy test. Given what we know from the stop trials we probably would still have gone ahead if we had seen the 0.002 before I got pregnant.


Dx Dec 2010 @37

2x IVF egg collection

Glivec 600 & 800mg

PCRU March 2012

Unsuccessful pregnancy attempt - relapsed, 3 months interferon (intron A), bad side effects from interferon

Nilotinib 600mg Oct 2012

PCRU April 2013, 2 years MR4.5 mostly PCRU with a few blips

April 2015 stopped again for pregnancy attempt (donor egg), pregnant first transfer, 0.110 at 10wks, 2.1 at 14wks, 4.2 at 16wks, started interferon, slow dose increase to 25MIU per wk, at full dose PCR< 1 for remainder of pregnancy

Healthy baby girl Jan 2016, breastfed one month

Nilotinib 600mg Feb 2016

MMR May 2016

PCRU Feb 2017


#37 Frogiegirl

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Posted 10 November 2016 - 05:18 PM

Jjg that's stressful :( were you on gleevec or a second Gen tki? Uhhggg I hope this works!

Diagnosed Oct 2013 Started 600mg of Tasigna  on Nov 4th. Lowered dose a few months later to 300mg due to side affects stayed here declining PCR until March 2015 small jump from 0.0072 to 0.0083 scarred my doc into full dose of Tasigna again 600mg(been miserable since) but reached PCRU 06/15/2015(next test) and have been there ever since. Hoping to have another little one. I have the support of my doc to go off anytime, just scared to jump. might go two years PCRU but he said it wont make much of a difference. I just figured I could possibly go into a trial while preggers if I got the two years behind me.

Nov 8th 2017 went off Tasigna

Dec 1st PCRU off TKI

Jan 5th PCR Detected .0625

Feb 1st PCR Detected .7815

Added 8-6 grams Curcumin daily in Feb

March 3rd PCR Detected 3.2646 YIKES!

 stopped trying for baby after February reading. will start new TKI march 16th 2017 (Sprycel)

FYI I'm not done trying for my last little one.


#38 jjg

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Posted 11 November 2016 - 05:33 AM

Tasigna

The just detected didn't stress me much because some people in the stop trials bounce around a bit and actually the test 6 weeks later was PCRU again as hoped. However, the test at 12 weeks was 0.11. This wasn't a major stress because I had confidence that interferon would keep us safe if I could tolerate enough of it (I'd already been on it before). I was super bummed that that I would have to do the interferon.


Dx Dec 2010 @37

2x IVF egg collection

Glivec 600 & 800mg

PCRU March 2012

Unsuccessful pregnancy attempt - relapsed, 3 months interferon (intron A), bad side effects from interferon

Nilotinib 600mg Oct 2012

PCRU April 2013, 2 years MR4.5 mostly PCRU with a few blips

April 2015 stopped again for pregnancy attempt (donor egg), pregnant first transfer, 0.110 at 10wks, 2.1 at 14wks, 4.2 at 16wks, started interferon, slow dose increase to 25MIU per wk, at full dose PCR< 1 for remainder of pregnancy

Healthy baby girl Jan 2016, breastfed one month

Nilotinib 600mg Feb 2016

MMR May 2016

PCRU Feb 2017


#39 SandyG353

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Posted 11 November 2016 - 05:15 PM

Congratulations Vicky.  Knoppi,, I am wondering why your oncologist said that if you were in the cessation trial and the numbers came back he would put you on sprycel.  Most of the people that didn't succeed in the cessation trial, who were on Gleevec, were put back on Gleevec.  In New Jersey there was a cessation trial that was started 2 years ago which my daughter's oncologist told her about.  However, it was far from where she lives and works, and she didn't want to leave the oncologist.   She has been on Gleevec for 7 and a half years and reached total molecular remission in 6- l9 months after starting Gleevec. Her oncologist  is going to take her blood this month; and if the numbers are the same, he will have her stop the Gleevec , and he will monitor her monthly.  He feels that she is a good candidate and did say that she has a 50% chance of succeeding.  He gave her a test which showed that she would not be resistant to Gleevec if the numbers came back up, but said that should that happen he will double her doseage of Gleevec. She feels confident about this.  She is a single parent with a 9 year old son and does not fear any major problems with stopping the Gleevec.  I will keep all of you informed.  I have mentioned about issues that she had like swollen lymph nodes and a cyst needing aspiration.  Both were aspirated and found to be of no problem so she will go forward with the cessation  of Gleevec.  She is not in a trial.  Her oncologist has been reading all of the information regarding the cessation and is choosing to have her stop and continue as his patient.



#40 Buzzm1

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Posted 11 November 2016 - 05:45 PM

if the numbers came back up, but said that should that happen he will double her doseage of Gleevec. 

Get a second opinion ... what is the justification, or precedent, for doubling the dosage? Makes no sense. 

 

For clarification, you are saying that after she stops Gleevec, should her numbers come back up (lose MMR), he will put her on Gleevec 800mg ... is this correct?


For the benefit of yourself and others please add your CML history into your Signature

 

02/2010 Gleevec 400mg

2011 Two weakly positives, PCRU, weakly positive

2012 PCRU, PCRU, PCRU, PCRU

2013 PCRU, PCRU, PCRU, weakly positive

2014 PCRU, PCRU, PCRU, PCRU (12/07 began dose reduction w/each continuing PCRU)

2015 300, 250, 200, 150

2016 100, 50/100, 100, 10/17 TFR

2017 01/17 TFR, 04/18 TFR, 07/18 TFR 0.0012, 08/29 TFR 0.001, 10/17 TFR 0.000

2018 01/16 TFR 0.0004 ... next quarterly PCR 04/17

 

At the earliest opportunity, and whenever possible, lower your TKI dosage; TKIs are toxic drugs and the less we take longterm the better off we are going to be ... this is especially true for older adults.  

 

In hindsight I should have started my dosage reduction two years earlier; it might have helped minimize some of the longterm cumulative toxic effects of TKIs that I am beset with.  

 

longterm side-effects Peripheral Artery Disease - legs (it's a bitch); continuing shoulder problems, right elbow inflammation.   GFR and creatinine vastly improved after stopping Gleevec.

 

Cumulative Gleevec dosage estimated at 830 grams

 

Taking Gleevec 400mg an hour after my largest meal of the day helped eliminate the nausea that Gleevec is notorious for.  

 

Trey's CML BlogStopping - The OddsStop Studies - Discussion Forum Cessation Study

Big PhRMA - Medicare Status - Social Security Status - Deficit/Debt





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