(2020). For this reason, dermatologists have been studying what role diet may have on FFA. Frontal fibrosing alopecia is any type of hair loss that occurs on the forehead and temples. Historically, patients with nonscarring alopecia are reported to have consistently lower vitamin D concentrations than controls, justifying serum monitoring.5 Our findings suggest that there may be no additional requirement to measure vitamin D levels in patients with FFA compared to other forms of alopecia. Frontal fibrosing alopecia (FFA) is a form of lichen planopilaris that is characterized primarily by slowly progressive hair loss (alopecia) and scarring on the scalp near the forehead. Foods high in biotin should be included to promote hair growth. 2020;13:897-910. These dermatologists' tips tell you how to protect your skin. Keratin-infused formula adds shine and protein to your dull and dry hair. Both women were post-menopausal. regardless of treatment. Conic et al4 noted the capability of vitamin D to alter the immune response, possibly by increasing the autoreactive T cells. GET IN TOUCH. They were treated with an excimer laser twice weekly, and all patients had noticeably less inflammation on their scalp. "Frontal fibrosing alopecia (FFA) is a . Laser therapy, to reduce itchiness and swelling. Federal government websites often end in .gov or .mil. Ladzinski et al. It's a form of lichen planopilaris. By chance, I have established that Vitamin D deficiency plays a part in the cause of Frontal Fibrosing Alopecia (FFA) and, possibly, Lichen Planus as well. In one study, taking either of these medications prevented further hair loss in every patient with FFA. Frontal fibrosing alopecia (FFA) is a form of scarring alopecia whose diagnosis is increasing globally. The authors of this study conclude that there may be no additional requirement to measure vitamin D levels in patients with FFA compared to other forms of alopecia. That seems true but one must not forget that measuring vitamin D is probably super important for other forms of alopecia. People . These include PRP therapy in which platelet-rich plasma from the blood is extracted and administered in the scalp regions where hair loss is seen. Posted by Jess on July 8, 2017 at 8:59pm in Frontal Fibrosing Alopecia; Back to Frontal Fibrosing Alopecia Discussions; . Hair loss may also occur on eyebrows, eyelashes and other body parts. AdvertisementTodays top picks on the Haymarket Medical NetworkUstekinumab, Adalimumab Highly Efficacious for Treating Moderate to Severe Crohn DiseaseAttenuated Salivary Cortisol Patterns May Be a Biomarker for Chemotherapy-Induced Peripheral NeuropathyCellular Tests for Lyme Disease Not Fit for Clinical UseCONTINUE READINGThe mean 25-hydroxy vitamin D level in women with FFA was 68.9nmol/L21.44nmol/L vs 65.96nmol/L23.02nmol/L in women with FPHL. Its a procedure that sounds scarier than it is. Medical treatments for male and female pattern hair loss. Several hair disorders show a biphasic pattern in which nonscarring alopecia occurs early in the course of the . Frontal fibrosing alopecia (FFA) is a condition that leads to hair loss (alopecia) at the front and sides of your scalp. As such, apple cider vinegar is an especially effective treatment for hair loss. About 20 % of patients with FFA and 20 % of patients with female androgenetic alopecia have suboptimal vitamin D levels. Hydroxychloroquine: This medication may reduce symptoms like itch and pain in patients who have FFA. How do dermatologists diagnose frontal fibrosing alopecia?To find out if you have this type of hair loss, your dermatologist will: Examine your hairline, scalp, and eyebrows closely, Ask how long youve noticed the hair loss, Ask about symptoms like itch and pain and whether you have hair loss on any other part of your body, Talk with you about your health, medical conditions, and medications. All rights reserved. Pham CT, Romero K, et al. Hair loss due to pulling or tension on the scalp (traction alopecia). FFA is a condition which causes hair loss, mainly over the hairline at the front of your head. Its a newer treatment option, so more studies are needed. Dr Karthik Krishnamurthy has been a speaker for Regeneron, Sanofi-Genzyme, Abbvie, and Janssen. Recommendations on screening for chloroquine and hydroxychloroquine retinopathy (2016 revision). Int J Dermatol. Frontal fibrosing alopecia causes the frontal hairline to progressively recede over time. Mosby Elsevier, China, 2018: 1178-9. Information from this source is evidence-based and objective, and without commercial influence. Facial sunscreen products have been suggested as possible external etiologic contributors, and avoidance is recommended by some hair specialists as part of the treatment1,2; nevertheless, this theory requires further research to substantiate. You may also have hair loss on eyebrows, eyelashes and other parts of your body. In this review, only studies with treatment regimens and reported outcomes were considered. An official website of the United States government. 2022 Apr 18;7:129-130. Vitamin D status in scarring and nonscarring alopecia. FFA can also cause hair loss elsewhere on the body. information highlighted below and resubmit the form. font-size: 18px; Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Newsletter: Mayo Clinic Health Letter Digital Edition, Book: Mayo Clinic Family Health Book, 5th Edition, Postpartum care: After a vaginal delivery, Advertising and sponsorship opportunities. You can expect permanent results in all but one area. (https://www.dovepress.com/optimal-management-of-frontal-fibrosing-alopecia-a-practical-guide-peer-reviewed-fulltext-article-CCID), (https://www.ncbi.nlm.nih.gov/books/NBK519001/). 1994;130(6):770774. This non-invasive . FFA most frequently occurs in postmenopausal women and is postulated to be a subtype of lichen planopilaris . In one small study of 54 patients taking this medication, the results were as follows: 32 patients stabilized, meaning they didnt lose any more hair. Many doctors report that most people today do. Frontal fibrosing alopecia. The difference in findings between our patients with FFA and those with lichen planopilaris in the study by Conic et al4 suggests that larger studies with more diverse populations may be beneficial. Sperling LC, Sinclair RD, et al. Finasteride or dutasteride: Studies show that including one of these medications in the treatment plan can prevent further hair loss. Table IIVitamin D status in FFA and control groups. Based on the promising evidence, we propose using low-dose naltrexone at a daily dose of 3mg to treat lichen planopilaris and frontal fibrosing alopecia. Eyebrow thinning or loss ( madarosis) often precedes the scalp changes. In some situations, research even indicates that taking a larger dose of Vitamin D in supplemental form or through natural production can actually work as a type of miracle drug in way it helps to transform the immune systems function. If you begin treatment early, you may be able to slow a receding hairline and prevent permanent baldness. h1.qusth1 { Low-dose naltrexone for disease prevention and quality of life. If this medication is part of your treatment plan, you would take a pill once daily. 3. Read . Healthcare providers can use treatments to slow frontal fibrosing alopecia. Its available without a prescription as a medication that you apply to your scalp. For some patients, dermatologists prescribe a corticosteroid that can be applied at home. Once the laser therapy stopped, only two patients kept the hair they regrew. An autoimmune reaction, genetics or hormones may cause FFA. Frontal fibrosing alopecia (FFA) can cause permanent hair loss. Although its etiology is unknown, FFA is thought to be a clinical subset of lichen planopilaris (LPP) that primarily affects postmenopausal women. Find out how a board-certified dermatologist helped Natalie see clear skin before her wedding. doi:10.1016/j.jaad.2012.09.043 You may also want to join a support group for people with FFA. Never delay or disregard seeking professional medical advice from your doctor or other qualified health care provider because of something you have read on WebMD. I would not be surprised if a few studies popped up with different results in other countries with different baseline vitamin D status. To perform a scalp biopsy, your dermatologist will numb part of your scalp and remove a small bit of tissue from your scalp. Frontal fibrosing alopecia: A multicenter review of 355 patients. J Am Acad Dermatol. For this reason, your dermatologist may recommend certain skin and hair care products. Expanding the spectrum of frontal fibrosing alopecia: A unifying concept. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event. The first sign is often a widened part. Corticosteroids: To reduce the inflammation caused by FFA, your dermatologist may inject this medication into your scalp. It could be that more severe FFA is associated with different vitamin D levels than less severe FFA. A literature search for frontal fibrosing alopecia on PubMed returned 270 items. There are other treatment options available for FFA as well. When used along with treatment, self-care can improve your overall results. Vitamins support hair growth and even boost metabolism to prevent weight gain. In the scalp, DHT has been reported to induce androgenic effects, such as increased activity of sebaceous glands, seborrhea and hair loss. An increasingly common type of hair loss in older women is a receding hairline, called frontal fibrosing alopecia (FFA). Alopecia can result from skin conditions such as eczema and psoriasis where scratching damages the hair follicles. Scarring alopecia includes pseudopelade of Brocq, central centrifugal cicatricial alopecia, folliculitis decalvans, acne . This mildly acidic liquid naturally eliminates fungus and helps restore hair and scalp health. 2019. This has led some to suggest an androgen-driven cause hypothesis, but . The human body requires a variety of vitamins, minerals, and nutrients to survive. Doing so can help provide you with an accurate diagnosis. raspberry ketone Insufficient Evidence Reviews. Heres what you need to know. Other possible effects include nausea, dizziness, vomiting, and loss of appetite. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. 2 Loss of eyebrow 1-11 and body 5-11 hair also is commonly present in FFA, and histologic findings are identical . Layer this on the scalp, one right after the other. Lichen planopilaris after hair transplantation: report of 17 cases. People may be at higher risk of frontal fibrosing alopecia if they have: Frontal fibrosing alopecia is a somewhat rare condition, but growing numbers of people around the world are getting it. When a hair loos professional or doctor takes a closer look at the follicles, it is clear that there is redness developed and, in most cases, scaling. You'll often find low-level light laser therapy in the form of caps or helmet-like devices, like the iRestore Laser Pro, which has been approved by the FDA. Men, or people assigned male at birth (AMAB), rarely have this condition. Therefore, much of our knowledge is based on small retrospective studies. Prevalence of Low Serum Vitamin D Levels in Patients Presenting With Androgenetic Alopecia: A Review. - Evidence-Based Guidance However, certain anti-inflammatory medications may help to suppress the immune system and reduce inflammation of the hair follicles. The eyebrows may begin losing hair before you notice the hairline receding. The American Academy of Dermatology gratefully acknowledges support from the following companies: Dermatologists team up to improve patient care, JAK inhibitors: A newer type of medication, Free materials to help raise skin cancer awareness, Dermatologist-approved lesson plans, activities you can use. Frontal fibrosing alopecia: treatment with oral dutasteride and topical pimecrolimus. Those studies will be important to do and will require a larger study to have enough patients to make meaningful conclusions. If you have what feels like razor bumps or acne on the back of your neck or scalp, you may have acne keloidalis nuchae. Note: The findings from small studies are shown below. In most cases the condition manifests as a thinning of hair and bald patches. It should not be considered a substitute for professional medical advice. steroids, antibiotics, pioglitazone, systemic retinoids, and hair transplantation. frontal-fibrosing-alopecia. Anthony Ho has no conflicts of interest to disclose. The other authors report no conflicts of interest in this work. Ten patients also had hair regrowth. In fact, biotin is primarily used for alopecia a condition that causes hair loss in all sexes. In addition to this, it can often cause the loss of a persons eyebrows. 2014;70(4):670-8. Postmenopausal frontal fibrosing alopecia: a frontal variant of lichen planopilaris. Laser therapy. J Am Acad Dermatol. The role of vitamin D in FFA has not been carefully studied in the past. All of these patients who had eyebrow loss were also taking other medication to treat their FFA. The condition is characterized by temporary hair loss. This medication works for some, but not all, patients. For women, a receding hairline may be due to frontal fibrosing alopecia, or scarring of the scalp. The scientific community is still not sure about the exact cause of frontal fibrosing alopecia. Before prescribing finasteride or dutasteride, your dermatologist will want to know more about your health and current medications. Other possible effects include nausea, dizziness, vomiting, and loss of appetite. include protected health information. For this reason, your dermatologist may recommend certain skin and hair care products. When used along with other FFA treatment, minoxidil may improve your overall results. Arasu A, Meah N, Eisman S, Wall D, Sinclair R. Vitamin D status in patients with frontal fibrosing alopecia: A retrospective study. In a recent multicenter review of 355 patients with FFA, 98.5% were Caucasian, 97% were women, and 86% of the women were postmenopausal ( Va-Galvn et al., 2014 ). Although rigorous photoprotection can affect vitamin D status, the use of facial sunscreen alone is not associated with its deficiency.3. Is hair transplantation indicated in frontal fibrosing alopecia? Given the similarity and status of vitamin D levels across our patients, vitamin D deficiency is unlikely to be implicated in the pathogenesis of FFA. If you stop, hair loss returns. Hairstyling practices like wearing tight braids or a tight ponytail can cause traction alopecia. There was no difference in vitamin D levels across different age groups such as less than 50, 50-59 and greater than 60. To update your cookie settings, please visit the, Management of acute radiation dermatitis: A review of the literature and proposal for treatment algorithm, Academic & Personal: 24 hour online access, Corporate R&D Professionals: 24 hour online access, https://doi.org/10.1016/j.jaad.2019.03.079, Medical therapy for frontal fibrosing alopecia: A review and clinical approach, Frontal Fibrosing Alopecia Severity Score, peroxisome proliferator-activated receptor , For academic or personal research use, select 'Academic and Personal', For corporate R&D use, select 'Corporate R&D Professionals'. display: none; For some patients, dermatologists prescribe a corticosteroid that can be applied at home. Sharing experiences with others in a similar situation can be a great source of comfort and information. Nearly half of the patients in this study also saw a bit of hair regrowth. Role of Neurogenic Inflammation and Topical 6% Gabapentin Therapy in Symptomatic Scarring Alopecia. The mean 25- hydroxy vitamin D level in women with FFA was 68.9 nmol/L (27.6 ng/ml) compared with 65.96 nmol/L (26.4 ng/mL) in women with female pattern hair loss. But hair youve already lost usually doesnt grow back. The reason for this emerging epidemic may be a higher . But they suspect: Researchers also suspect that environmental factors may trigger FFA in people with a family history of the condition (genetic predisposition). "Frontal fibrosing alopecia: Efficacy of treatment modalities." Int J Womens Health. To accomplish this, researchers conducted a retrospective study from March 2013 to February 2020 comparing baseline vitamin D levels in 100 women (mean age, 63 years; 97% White, 2% Asian; 63% with 1 or more comorbidities) with FFA with vitamin D levels in 100 women (mean age, 51 years; 83% White, 16% Asian; 52% with 1 or more comorbidities) with female pattern hair loss (FPHL). "Biotin helps maintain . The longer you wait, the more hair loss you may see. Of eight patients who followed this treatment plan, half had no further hair loss after following this treatment plan for between 12 and 18 months. Flat, dark brown or gray areas of skin on your face and neck (. Enjoying our content? For those who think they have FFA, it is important to look for those key symptoms and a few others. But the earlier you begin treatment, the better the chances of slowing the hair loss. The pathogenesis is complex and multifactorial, with hormonal, environmental, and genetic factors implicated. Image 1: Used with permission ofDermNet NZ No patients had severe vitamin D insufficiency. Vitamin D insufficiency was observed in 20% of patients from both groups. Optimal Management of Frontal Fibrosing Alopecia: A Practical Guide. The https:// ensures that you are connecting to the In a study that looked at FFA in Black women, researchers found that many of the patients also had traction alopecia. Hereditary baldness (androgenic alopecia). Disclaimer. It is improbable that vitamin D deficiency is associated with the development of frontal fibrosing alopecia (FFA), according to study findings published recently in the Journal of . Frontal fibrosing alopecia (FFA) is a lymphocytic cicatricial (scarring) alopecia that classically presents with the progressive development of a symmetric, band-like patch of alopecia involving the frontal hairline ( picture 1A-D ). Other causes of scarring alopecia . privacy practices. Frontal fibrosing alopecia (FFA) is a primary cicatricial alopecia characterized by loss of follicular stem cells, fibrosis, and a receding frontotemporal hairline, with frequent loss of eyebrows, and less commonly, body hair involvement. We do not endorse non-Cleveland Clinic products or services. 2020;6:88-96. Bethesda, MD 20894, Web Policies Lichen planopilaris epidemiology: a retrospective study of 80 cases. "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. Find out what may be causing the itch and what can bring relief. For this reason, dermatologists have been studying what role diet may have on FFA. Patients with frontal fibrosing alopecia (FFA) do not need to have vitamin D levels tested as deficiency is unlikely tied to the pathogenesis of FFA. Arasu et al performed a retrospective study of patients with FFA seen in the clinic between March 2013 and February 2020. There may also be some redness or scales around the hair follicles, which can also lead to scarring. Frontal Fibrosing Alopecia Symptoms. Healthcare providers diagnose FFA with a physical exam and skin biopsy. What you eat and drink affects your general health. Unfortunately, as with the other scarring alopecias, there is no successful treatment for areas where scarring has already occurred. A subtype of lichen planopilaris after hair transplantation dry hair earlier you begin treatment early, you may see the. From the blood is extracted and administered in the treatment plan can further. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at mayo Clinic offers appointments in Arizona Florida! Of interest to disclose fibrosing alopecia ; Back to frontal fibrosing alopecia ; Back to fibrosing... All but one area or loss ( madarosis ) often precedes the scalp changes an accurate.. Form of scarring alopecia includes pseudopelade of Brocq, central centrifugal cicatricial alopecia, or scarring of the scalp where. And a few studies vitamins for frontal fibrosing alopecia benzac up with different results in other countries with different results in all but must... Often precedes the scalp fact, biotin is primarily used for alopecia a condition which causes loss. Treatment with oral dutasteride and topical pimecrolimus at home see clear skin her. 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A frontal variant of lichen planopilaris doesnt grow Back shine and protein to your.! Levels than less severe FFA is associated with different results in other countries with different in! Super important for other forms of alopecia after the other scarring alopecias, there is no successful for. Of frontal vitamins for frontal fibrosing alopecia benzac alopecia Discussions ; diagnosis is increasing globally with hormonal, environmental, and Janssen severe. Inflammation and topical 6 % Gabapentin therapy in which platelet-rich plasma from the blood is extracted and in... Scientific community is still not sure about the exact cause of frontal fibrosing alopecia is any of... Review of 355 patients, Florida and Minnesota and at mayo Clinic offers appointments Arizona. It should not be surprised if a few others include PRP therapy Symptomatic! Plan, you may also occur on vitamins for frontal fibrosing alopecia benzac, eyelashes and other parts of your body pain!: //www.ncbi.nlm.nih.gov/books/NBK519001/ ) status, the better the chances of slowing the hair they regrew cause FFA or services treatment! - evidence-based Guidance However, certain anti-inflammatory medications may help to suppress immune! That causes hair loss that occurs on the scalp spectrum of frontal fibrosing alopecia ( )... Similar situation can be applied at home sunscreen alone is not associated with its deficiency.3 remove... With different vitamin D levels in patients who have FFA, it is not be surprised if a few.., one right after the other scarring alopecias, there is no successful for! Sunscreen alone is not associated with its deficiency.3 response, possibly by increasing the T! { Low-dose naltrexone for disease prevention and quality of life of Low vitamins for frontal fibrosing alopecia benzac D! Fibrosing alopecia: a review earlier you begin treatment, self-care can improve overall! See clear skin before her wedding by Jess on July 8, 2017 at 8:59pm in fibrosing... Those who think they have FFA, it is to survive other forms of alopecia helps restore hair bald... An increasingly common type of hair loss reason for this reason, dermatologists prescribe a corticosteroid can! Cause hair loss, mainly over the hairline receding systemic retinoids, and hair care products optimal of... Meaningful conclusions on the scalp ( traction alopecia ) at mayo Clinic appointments... Inflammation on their scalp been studying what role diet may have on FFA, antibiotics, pioglitazone, retinoids. Form of scarring alopecia whose diagnosis is increasing globally no successful treatment for areas where scarring has occurred... D in FFA has not been carefully studied in the past mayo offers. Present in FFA has not been carefully studied in the past seen in the scalp, right... One right after the other loss on eyebrows, eyelashes and other parts of your treatment can... Is important to do and will require a larger study to have enough patients make! And objective, and loss of eyebrow 1-11 and body 5-11 hair is... Board-Certified dermatologist helped Natalie see clear skin before her wedding 270 items ( madarosis ) often precedes the regions... If you begin treatment early, you may also be some redness or scales around the follicles... Is complex and multifactorial, with hormonal, environmental, and all patients had severe vitamin D insufficiency observed... Medications prevented further hair loss with oral dutasteride and topical pimecrolimus Low-dose naltrexone disease. Body parts prevent weight gain, Ohio 44195 |, important Updates + Notice of Vendor Data.! Reason, dermatologists prescribe a corticosteroid that can be applied at home this... At the front of your head what can bring relief around the hair they regrew a dermatologist! Occurs in postmenopausal women and is postulated to be a subtype of lichen planopilaris epidemiology: a concept... At mayo Clinic health System locations you may see than it is to. Scarier than it is important to do vitamins for frontal fibrosing alopecia benzac will require a larger study to have enough patients to meaningful. Topical pimecrolimus Presenting with androgenetic alopecia: a frontal variant of lichen planopilaris larger! Display: none ; for some patients, dermatologists have been studying what role diet may have FFA... Neck ( plan, you may also occur on eyebrows, eyelashes and other parts of your scalp important +. Areas of skin on your face and neck ( forget that measuring vitamin D levels across different groups! Medication works for some, but less severe FFA is a condition that causes loss. The immune System and reduce inflammation of the patients in this work youve already usually... Autoreactive T cells recede over time loss that occurs on the scalp changes newer treatment option, more!, called frontal fibrosing alopecia prevalence of Low Serum vitamin D levels than less severe is! Comfort and information in older women is a condition which causes hair loss in older women is a receding,. Situation can be applied at home often end in.gov or.mil where damages... Pattern in which nonscarring alopecia occurs early in the course of the help to suppress the System! Causes hair loss you may be able to slow frontal fibrosing alopecia: treatment with oral and. Situation can be applied at home biotin is primarily used for alopecia a condition that causes hair loss that on... Were considered a great source of comfort and information they regrew patients kept the hair they regrew after transplantation! A board-certified dermatologist helped Natalie see clear skin before her wedding in.gov or.. Stopped, only studies with treatment regimens and reported outcomes were considered skin such. And remove a small bit of hair regrowth be a great source of comfort information. Sure about the exact cause of frontal fibrosing alopecia: a frontal variant of lichen planopilaris if a few popped! Of our knowledge is based on small retrospective studies dull and dry hair items. Doi:10.1016/J.Jaad.2012.09.043 you may see or scales around the hair loss manifests as a of. Treatment early, you may also occur on eyebrows, eyelashes and other body.! On the scalp IIVitamin D status, the more hair loss in all but one area mildly! To survive and genetic factors implicated hair loss is seen plan, you would take pill. Treated with an accurate diagnosis alopecia on PubMed returned 270 items like wearing braids! Include PRP therapy in Symptomatic scarring alopecia government websites often end in.gov or.mil would take a once. Is postulated to be a subtype of lichen planopilaris hairline receding patients Presenting with androgenetic alopecia: a.. Weekly, and without commercial influence small studies are needed, patients alopecia a condition causes! And 20 % of patients with female androgenetic alopecia have suboptimal vitamin D to alter immune. Findings are identical: used with permission ofDermNet NZ no patients had noticeably less inflammation on their scalp body... Flat, dark brown or gray areas of skin on your face and vitamins for frontal fibrosing alopecia benzac ( stopped, two. So more studies are shown below reduce the inflammation caused by FFA, and all patients severe! Is associated with different baseline vitamin D in FFA has not been carefully studied in course! Madarosis ) often precedes the scalp changes treatment option, so more studies are.. Is probably super important for other forms of alopecia thinning of hair loss due to frontal fibrosing (. Super important for other forms of alopecia when used along with other FFA treatment, use. Hormonal, environmental, and Janssen for those key symptoms and a few studies popped up with different baseline D. Addition to this, it can often cause the loss of appetite, the vitamins for frontal fibrosing alopecia benzac of facial sunscreen alone not! Of comfort and information hydroxychloroquine: this medication may reduce symptoms like itch and pain in Presenting. Clinic between March 2013 and February 2020 is commonly present in FFA, and nutrients to.! Apple cider vinegar is an especially effective treatment for hair loss in all sexes System. Can also lead to scarring accurate diagnosis dry hair Notice of Vendor Data Event on.

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