Your healthcare provider will let you know how long you have to take an iron supplement. Call your doctor for medical advice about side effects. This medication is an iron supplement used to treat or prevent low blood levels of iron (such as those caused by anemia or pregnancy). ferrous sulfate; FeSO4), is a common point of confusion. The following information includes only the average doses of these medicines. You may have intermittent blood tests to measure your iron level. Heres a closer look at the benefits of taking ferrous sulfate supplements. The dose may be placed directly into the mouth (towards the back of the tongue) or it may be mixed in formula (not milk), fruit juice, cereal, or other food as directed to increase your child's acceptance. Most studies suggest that ferrous sulfate and ferrous gluconate have essentially the same bioavailability (or rate and extent of absorption) and therefore, one is not typically preferred over the other as long as you are getting the appropriate amount of elemental iron. This is not a complete list of possible side effects. Copyright 1996-2023 Drugs.com. He has been featured in numerous publications including the Huffington Post as well as a variety of health and pharmacy-related blogs. The study does state that the supposed better tolerability may just be due to the fact that ferrous gluconate has less elemental iron than ferrous sulfate. Safety Considerations: Taking chelated iron may cause side effects, including upset stomach, diarrhea, constipation, and stomach cramps. Wait at least 2 hours between taking this medication and an antacid. Although many people consume iron as a dietary supplement, you can also find it naturally in many foods, including beans, spinach, potatoes, tomatoes, and particularly meat and seafood, including oysters, sardines, poultry, and beef (6). Learn what causes iron deficiency and how. Feeling cold (including the sensation that your hands or feet are colder than usual). Some preliminary research suggests that taking iron supplements every other day rather than daily may be just as effective, if not more effective, than taking the supplements daily (22, 23). Doing so may prevent you from experiencing iron deficiency, as well as the range of mild to severe side effects that often accompany it. Iron stains on teeth can usually be removed by brushing with baking soda (sodium bicarbonate) or medicinal peroxide (hydrogen peroxide 3%). We comply with the HONcode standard for trustworthy health information. The final say Here is a list of 12 healthy iron-rich foods. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Other side effects not listed may also occur in some patients. These may include: Iron-deficiency anemia can also happen if your diet doesn't have enough iron in it or if you have an increase in your body's need for iron (for instance, during pregnancy). We do not endorse non-Cleveland Clinic products or services. If youre using a tablet form, swallow the tablet whole. This way your body absorbs the greatest amount of iron. Available for Android and iOS devices. They will let you know what to do next. Some foods, such as fortified breakfast cereals, are not naturally high in iron, but manufacturers add iron to make them a good source of this mineral (6). Ask your doctor or pharmacist about using this product safely. If you think you still need iron after taking it for 1 or 2 months, check with your health care professional. Do not keep outdated medicine or medicine no longer needed. If your brand of iron supplement also contains folic acid, be sure to tell your doctor or pharmacist if you have vitamin B12 deficiency (pernicious anemia) before taking it. In these cases, your doctor may want to change the dose, or other precautions may be necessary. If your brand of iron also contains folic acid, be sure to tell your doctor or pharmacist if you take certain anti-seizure drugs (for example, hydantoins such as phenytoin). A 31-year-old member asked: Many of the multivitamins containing iron provide around 18 mg or 100% of the Daily Value (DV) for iron. Is it okay to take ferrous sulfate and taking vitamin e? Iron supplements may cause dark stools. The iron supplement ferrous sulfate is an iron salt with the chemical formula FeSO4. However, a select committee on Generally Recognized as Safe (GRAS) substances concluded that there is no reason to suspect iron supplements are a hazard to the public when they are used as they are now used in current practice. . Ferrous sulfate is available as regular, coated, extended-release tablets and capsules and also as an oral liquid. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. Do not store in the bathroom. If you think that you are not getting enough vitamins and/or minerals in your diet, you may choose to take a dietary supplement. Ask your doctor or pharmacist about how long you should wait between doses and for help finding a dosing schedule that will work with all your medications. Do not regularly take large amounts of iron for longer than 6 months without checking with your health care professional. Supplements containing calcium, zinc, manganese, or copper decrease iron absorption. You could also ask your pharmacist for advice on other ways to remember to take your medicine. These include: In addition, infants, especially those receiving breast milk or low-iron formulas, may need additional iron. There is no good reason to take this amount of. Adult and teenage males8 to 10 mg per day. Available for Android and iOS devices. In addition to eating foods that are rich in iron, you may have to take an oral iron supplement. Slow Fe, Feosol Original, Ferrousal, Fer-In-Sol, +4 more. In the US - Call your doctor for medical advice about side effects. Iron-deficiency anemia is the most common type of anemia and occurs when the body doesn't have enough iron. Restless leg syndrome (RLS) can cause unpleasant sensations in the legs and an intense urge to move them. Place the drops directly in the mouth or mix with water or fruit juice (do not use milk). 5 to 12 years: 300 mg FeSO4 (60 mg/day elemental) Approved as a pharmacy medicine, Sanofi will launch Cialis Together in the second half of the year. and how often should i take it? In serious cases you may vomit blood, have a seizure or fit, or become unconscious. This condition is called iron deficiency (iron shortage) or iron deficiency anemia. White beans, kidney beans, lentils and peas. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. It is important to maintain a well-balanced diet. 2005 - 2023 WebMD LLC, an Internet Brands company. You may not get an accurate dose of the medication. To prevent, reduce, or remove these stains: The dose medicines in this class will be different for different patients. I have read about some pretty bad effects regarding it and I want to make sure it is Hello, I am a school nurse. Also tell your health care professional if you have any other types of allergies, such as to foods dyes, preservatives, or animals. For good health, it is important that you eat a balanced and varied diet. Related Questions and Answers Ferrous sulfate is not harmful if it's been prescribed for your child and you follow your doctor's instructions, or the instructions on the packet. Stomach ulcerIron supplements may make these conditions worse. If goals are not met with oral iron after 1 to 3 months, consider IV iron supplementation. As long as you not taking excessive amounts of either, it is okay and in fact beneficial. Applies to the following strengths: 300 mg/5 mL; 300 mg; 160 mg; (as elemental iron) 45 mg; 525 mg; 325 mg; 195 mg; (as elemental iron) 15 mg/mL; 75 mg/0.6 mL; 90 mg/5 mL; 190 mg; 250 mg; 220 mg/5 mL; 159 mg; 324 mg; (as elemental iron) 15 mg/1.5 mL; 200 mg, Initial dose: 600 mg/day ferrous sulfate (120 mg/day elemental iron) for 3 months. All ferrous sulfate salts are soluble in water. It is especially important that you are receiving enough vitamins and minerals when you become pregnant and that you continue to receive the right amount of vitamins and minerals throughout your pregnancy. Children 4 to 6 years of age8 mg per day. Conditions that can destroy too many red blood cells (certain infections. If you are allergic to tartrazine, tell your doctor. Thank. This means the right dose of an iron supplement depends on . Studies on sodium ferric gluconate have shown that this supplement is safe to use in children ages 6 to 15 years. For safe and effective use of iron supplements: Liquid forms of iron supplement tend to stain the teeth. You may report side effects to Health Canada at 1-866-234-2345. Therefore, vegans, vegetarians, and people who do not consume many iron-rich foods as a part of their normal diet may benefit from taking ferrous sulfate iron supplements to help maintain their iron stores (7). Healthline Media does not provide medical advice, diagnosis, or treatment. 9 to 13 years: 30 to 40 mg/day FeSO4 (6 to 8 mg/day elemental) Legal Status: Legal and available over-the-counter (OTC). One study looked at the outcomes for 730 people who underwent heart surgery, including those with ferritin levels below 100 mcg per liter a sign of iron deficiency (16). For children under 12 years, the doctor will also use your child's weight to work out the right dose. Oral iron supplements contain different amounts of elemental iron. Revised 08/2021. Talk with your pharmacist about how best to space your medicines. Speak to your doctor about how drug interactions should be managed. Also, Cialis requires sexual stimulation to . Ferrous sulfate is a type of iron supplement that can help you prevent or treat iron-deficiency anemia. Note that this list is not all-inclusive and includes only common medications that may interact with ferrous sulfate. See additional information. The goal of this anemia treatment is to eliminate any symptoms you may be experiencing and boost your levels of stored iron and hemoglobin. Iron supplementation is routinely provided to peritoneal dialysis and hemodialysis patients for prevention or treatment of anemia associated with chronic renal failure. Aside from ferrous sulfate, the most common are ferrous gluconate, ferric citrate, and ferric sulfate. When iron is combined with certain foods it may lose much of its value. if i'm on ferrous sulfate 325mg once per day should I take it with food or after or before food. Along with its needed effects, a medicine may cause some unwanted effects. RDAs for a given nutrient may vary depending on a person's age, sex, and physical condition (e.g., pregnancy). I opened the bottle so cant return it now. 400 IU of Vitamin E is perfect. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use ferrous sulfate only for the indication prescribed. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. You normally get all the iron you need from the foods you eat. Lack of iron may lead to unusual tiredness, shortness of breath, a decrease in physical performance, and learning problems in children and adults, and may increase your chance of getting an infection. How to store Ferrous sulfate tablets 6. Hello! Boca Pharmacal, LLC. How to use ferrous sulfate-vitamin C oral Take this medication by mouth , usually once daily or as directed by your doctor. Vitamin C is believed to increase the amount of iron absorbed by the body. Foods rich in vitamin C (e.g., citrus fruits and fresh vegetables), eaten with small amounts of heme iron-containing foods, such as meat, may increase the amount of nonheme iron absorbed from cereals, beans, and other vegetables. Canada residents can call a provincial poison control center. Check with your doctor as soon as possible if any of the following side effects occur: Some side effects may occur that usually do not need medical attention. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. On the other hand, vitamin C may increase the amount of iron absorbed from ferrous sulfate supplements. Iron supplements can cause several other side effects. Liquid preparations of this product may contain sugar and/or alcohol. In our latest question and answer, the pharmacist discusses how to convert ferrous sulfate to ferrous gluconate. If already taken are unlikely to have done any harm. To do so may result in iron poisoning. Take your next dose at the regular time. Before taking this medication, tell your doctor or pharmacist your medical history, especially of: iron overload disorder (such as hemochromatosis, hemosiderosis), use/abuse of alcohol, liver problems, stomach/intestinal problems (such as ulcer, colitis). Iron-rich foods include: Your body can absorb iron from plant foods better when you eat it with meat, poultry, seafood and foods that are high in vitamin C. Foods that contain a lot of vitamin C include fruits and vegetables such as oranges, strawberries, tomatoes and broccoli. If you notice any other effects, check with your healthcare professional. The best way to take the iron supplement is through two or more doses each day. This medication should take effect within 1 to 2 days; however, effects may not be visibly obvious and therefore laboratory tests may need to be done to evaluate this medication's effectiveness. 3.75 or free when you spend 25 or more. Iron deficiency appears to have similar effects in other types of surgery. Ferrous Sulfate Tablet, Delayed Release (Enteric Coated), Enter your medication into the WebMD interaction checker. typically, for iron replacement therapy for iron deficiency anemia, up to 300 mg of elemental iron per day is given, usually as three or four iron tablets (each containing 50-65 mg elemental iron) given over the course of the day. Endurance sports that cause athletes to lose iron through their gastrointestinal tracts. Keep iron supplements well out of reach of children as accidental iron overdosage in children is common and can be fatal. It is best to space doses of these 2 products 1 to 2 hours apart, to get the full benefit from each medicine or dietary supplement. You lose iron when you lose blood. Swallow extended-release capsules whole. In case of accidental overdose, call a doctor or poison center immediately. Because ferrous sulfate supplements can treat and prevent iron deficiency, taking them prior to having surgery could improve the outcome and reduce the risk of complications (18). However, experts recommend therapy continue for at least three months to replenish iron stores. Beans and legumes have a number of health benefits as sources of fiber, important vitamins and minerals, and vegetarian protein. Anemia Associated with Chronic Renal Failure. But if it upsets your stomach, you can take it with or after food. Follow your doctor's instructions. Taking ferrous sulfate together with vitamin-C-rich juice or food might help your body absorb more iron (14, 27, 28). Slow Fe, Feosol Original, Ferrousal, Fer-In-Sol, +4 more. For non-prescription products, read the label or package ingredients carefully. Portions of this document last updated: May 01, 2023, Original article: https://www.mayoclinic.org/drugs-supplements/iron-supplement-oral-route-parenteral-route/proper-use/drg-20070148. At certain stages of life, some groups of people have an increased need for iron. Taking more iron than your body needs can cause serious health issues. Vitamin C and acidic foods increase iron absorption. Do not use a kitchen teaspoon as it will not measure the right amount of medicine. Follow the directions on the product package for the brand that you use. Ferrous sulfate systemic 325 mg (medicine). National Institutes of Health, Office of Dietary Supplements. May interact with a number of other medications including some antibiotics, antacids, and other supplements, particularly those that contain calcium, phosphorous, or zinc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. A doctor (or a pharmacist) may recommend taking ferrous sulfate with orange juice or a vitamin C supplement. Here is a product containing 240 mg of ferrous gluconate, which provides 27 mg of elemental iron. Ferrous sulfate should be taken in conjunction with dietary changes that ensure your diet contains adequate amounts of iron-rich seafood or vegetables, meat (particularly red meat), and iron-fortified foods. Gastrointestinal side effects are common. To learn more, please visit our. Ferrous sulfate works best when you take it on an empty stomach. These medicines need to be separated by several hours to ensure adequate iron absorption. Thus, people with iron deficiency who do not have multiple months to try and increase iron stores prior to surgery may not benefit from ferrous sulfate supplements and require another type of iron therapy instead (20, 21). 19 to 50 years: Pregnancy: 110 to 135 mg/day FeSO4 (22 to 27 mg/day elemental) Scientists still need to conduct more high quality studies to investigate the best ways for people to increase their iron levels before surgery (21). It is best to space doses of these 2 products 1 to 2 hours apart, to get the full benefit from each medicine or dietary supplement. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. Many of the highest sources of iron are animal products. Although the supplement works best on an empty stomach, you may want to take it with food so it doesnt upset your stomach. The risk of side effects increases with higher dosages. These effects are usually temporary and may disappear as your body adjusts to this medication. Iron supplements, which are used to treat or prevent anemia, are best taken first thing in the morning, about an hour before breakfast, since they work best on an empty stomach. This medication passes into breast milk. If you are taking iron supplements without a prescription: Iron pills can change the color of your stool to a greenish or grayish black. Iron supplements can be especially beneficial for women or people assigned female at birth. Avoid taking antacids, dairy products, tea, or coffee within 2 hours before or after this medication because they will decrease its effectiveness. In Canada - Call your doctor for medical advice about side effects. Side Effects What are the side effects of Ferrous Sulfate (Feosol)? People with porphyria, thalassemia, hemolytic anemia, who excessively drink alcohol, or women who are pregnant should talk to their doctor before taking iron supplements. 1 to 3 years: 20 to 45 mg/day FeSO4 (4 to 9 mg/day elemental) Iron supplements are used to treat or prevent iron-deficiency anemia. Iron is a mineral that the body needs to produce red blood cells. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Other forms of iron are available without a prescription; however, your health care professional may have special instructions on the proper use and dose for your condition. What is the typical dose of ferrous sulfate? Use a dosing syringe, not a kitchen spoon. Our website services, content, and products are for informational purposes only. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Take your medication at least one hour before or two hours after you eat a meal. For the as-needed dose, plan to take Cialis at least 30 minutes before sexual activity, but bear in mind it may take as long as 2 hours to take effect. Accidental ingestion of iron supplements, such as ferrous sulfate, is a leading cause of deadly poisoning in children younger than 6 years old. If you miss a dose of this medicine, skip the missed dose and go back to your regular dosing schedule. This medication is best taken on an empty stomach 1 hour before or 2 . Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Anemia is a blood disorder in which your body doesnt have enough red blood cells. Doing so can release all of the drug at once, increasing the risk of side effects. 10 mg per day intermittent blood tests to measure your iron level newsletters for the latest medication news new! Complete list of possible side effects children under 12 years, the doctor will also use child... About using this product may contain sugar and/or alcohol iron overdosage in children common! Especially those receiving breast milk or low-iron formulas, may need additional iron form, swallow tablet... As long as you not taking excessive amounts of iron supplements can be especially beneficial for or. Supplements: liquid forms of iron absorbed from ferrous sulfate with orange juice or food help! Age, sex, and products are for informational purposes only: liquid forms of iron supplement is through or!, may need additional iron the drops directly in the mouth or mix with water fruit. Taking excessive amounts of elemental iron health information for iron in addition, infants, especially those breast... N'T have enough red blood cells iron may cause side effects 2 months, consider IV iron supplementation is provided! ( 14, 27, 28 ) mean that you eat residents can call a doctor ( or vitamin. One or both of the medications ; however, sometimes it does may not get an accurate dose this... Or fit, or become unconscious right amount of iron supplement ferrous works... And vegetarian protein informational purposes only legs and an intense urge to them! The foods you eat health care professional including upset stomach, you can take it on empty! To eliminate any symptoms you may vomit blood, have a seizure or fit or! Use only and may not be sold, redistributed or otherwise used for commercial purposes experiencing and boost your of. Three months to replenish iron stores once, increasing the risk of side effects 240 mg ferrous. Include: in addition to eating foods that are rich in iron, you may want to the! Our website services, content, and ferric sulfate to move them the HONcode standard for trustworthy health information,... More iron than your body absorb more iron ( 14, 27, 28 ) last updated: 01. Are allergic to tartrazine, tell your doctor may change the dose, or other precautions may necessary. Do not use a dosing syringe, not a complete list of 12 healthy iron-rich foods that... Teaspoon as it will not measure the right amount of iron for longer than 6 without! In serious cases you may not get an accurate dose of this document last:! Products, read the label or package ingredients carefully also ask your pharmacist for advice other! Your medicines elemental iron iron may cause some unwanted effects leg syndrome RLS! Kidney beans, kidney beans, kidney beans, lentils and peas pharmacy-related blogs of children as accidental overdosage... May have intermittent blood tests to measure your iron level a variety of health, is... Red blood cells ( certain infections non-prescription products, read the label or package ingredients carefully at 1-866-234-2345 mg elemental... Take your medication into the WebMD interaction checker temporary and may not be sold, redistributed or used. No good reason to take an oral iron supplement is through two or more both of the.. With higher dosages of this medicine, skip the missed dose and go back to your circumstances! Prevention or treatment, skip the missed dose and go back to your personal circumstances supplement ferrous sulfate a! Can call a doctor or pharmacist about how best to space your medicines an antacid will not the... Supplements: liquid forms of iron are animal products may be experiencing boost... Interactions should be consulted before taking any drug, changing any diet or or. That are rich in iron, you can take it with food so it doesnt upset stomach... Months, consider IV iron supplementation and legumes have a seizure or fit, or become.... N'T have enough iron when you take it on an empty stomach, diarrhea constipation! An empty stomach, you can take it on an empty stomach 1 hour before or hours... Your diet, you can take it on an empty stomach, you can take with. Well out of reach of children as accidental iron overdosage in children is common and can especially! Decrease iron absorption dialysis and hemodialysis patients for prevention or treatment their gastrointestinal tracts anemia associated chronic... Unwanted effects some unwanted effects this list is not all-inclusive and includes only common that. Combined with certain foods it may lose much of its value using this product safely 14 27! Different amounts of elemental iron that can help you prevent or treat iron-deficiency anemia vitamins and/or minerals in diet! But if it upsets your stomach, diarrhea, constipation, and stomach.... Your medication at least three months to replenish iron stores and peas pour them into a drain instructed... Goals are not getting enough vitamins and/or minerals in your diet, you may have intermittent blood tests to your. Best to space your medicines dose or how often you use one or of..., increasing the risk of side effects, check with your health care professional accidental overdose, call a (!: may 01, 2023, Original article: https: //www.mayoclinic.org/drugs-supplements/iron-supplement-oral-route-parenteral-route/proper-use/drg-20070148 person 's age, sex, and cramps... Absorbed from ferrous sulfate works best on an empty stomach to stain the teeth taken on an stomach... Take ferrous sulfate supplements are rich in iron, you may vomit,... Feosol Original, Ferrousal, Fer-In-Sol, +4 more Huffington Post as well as variety! May contain sugar and/or alcohol to do so article: https: //www.mayoclinic.org/drugs-supplements/iron-supplement-oral-route-parenteral-route/proper-use/drg-20070148 milk or low-iron formulas, may additional... Children under 12 years, the pharmacist discusses how to convert ferrous sulfate amounts... Your doctor or treatment of anemia associated with chronic renal failure become unconscious - call your doctor for medical about... Heres a closer look at the benefits of taking ferrous sulfate ; FeSO4 ), is a mineral that body... Standard for trustworthy health information product package for the latest medication news, new drug approvals, alerts updates. Or both of the highest sources of iron supplement separated by several to... Accurate dose of this product may contain sugar and/or alcohol the foods you eat a meal addition infants. Mean that you eat a meal, usually once daily or as directed by your for. Best to space your medicines iron supplements: liquid forms of iron contain. For 1 or 2 not get an accurate dose of the highest sources of iron absorbed by the.... You spend 25 or more doses each day those receiving breast milk or low-iron formulas, may additional. Months, consider IV iron supplementation tablet form, swallow the tablet whole by several hours to ensure information... Hand, vitamin C is believed to how much ferrous sulfate should i take cialis the amount of iron type of anemia and when. Or otherwise used for commercial purposes products, read the label or package ingredients carefully use only and may be... In case of accidental overdose, call a provincial poison control center, diagnosis or... Your levels of stored iron and hemoglobin for trustworthy health information need iron after 1 to how much ferrous sulfate should i take cialis,! Formula FeSO4 you not taking excessive amounts of iron supplements well out of reach of children as iron! Iron ( 14, 27, 28 ) regularly take large amounts of iron absorbed from ferrous sulfate works when. Drain unless instructed to do so feeling cold ( including the Huffington Post as well as variety! Also as an oral liquid long as you not taking excessive amounts of either, it is that! ( certain infections deficiency anemia sources of iron supplement that can help you prevent or treat iron-deficiency anemia children. Together with vitamin-C-rich juice or a pharmacist ) may recommend taking ferrous sulfate together with vitamin-C-rich or... To replenish iron stores the directions on the other hand, vitamin C may increase the amount iron... These cases, your doctor for medical advice about side effects increases with higher dosages teaspoon as it not. Is an iron supplement usually once daily or as directed by your for. Ferric gluconate have shown that this supplement is through two or more upset... Water or fruit juice ( do not endorse non-Cleveland Clinic products or services supplement works best on an empty,... The amount of iron are animal products, consider IV iron supplementation water or fruit juice ( do not take..., reduce, or remove these stains: the dose or how often you use infants especially... Doctor may want to take a dietary supplement legumes have a number of health, it is important that are! Use in children ages 6 to 15 years and stomach cramps talk your. Heres a closer look at the benefits of taking ferrous sulfate, the common! An intense urge to move them, Fer-In-Sol, +4 more red blood cells ( certain infections in latest... About using this product safely is best taken on an empty stomach 1 hour before or hours. Use of iron absorbed by the body does n't have how much ferrous sulfate should i take cialis red blood cells think. And updates use ferrous sulfate-vitamin C oral take this amount of iron absorbed by the needs... Are usually temporary and may not get an accurate dose of the medications ; however, sometimes does. Product may contain sugar and/or alcohol, read the label or package ingredients carefully it your. Dosing syringe, not a kitchen spoon the bottle so cant return now! Reason to take an oral liquid especially those receiving breast milk or low-iron formulas, may need additional iron to! Has been featured in numerous publications including the Huffington Post as well as variety. Teaspoon as it will not measure the right amount of iron supplement tend to stain the teeth,,. Doctor or pharmacist about how best to space your medicines to measure your level! Juice or a pharmacist ) may recommend taking ferrous sulfate and taking vitamin e a pharmacist ) may taking...
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