These changes should be adopted for the long term as symptoms will likely return if old diet and lifestyle habits resume. Accessibility Constant spit bubbles around mouth. For that reason, I prefer them seperate. I'm impatient and impulsive, so keen to get the pill cutter out and have 25mcg at bedtime and see how it goes. I start with indigestion because it is perhaps the earliest and most direct impact of dysbiosis. The more narrow, processed, and high in sugar your food choices are, the more your digestive system is skewed to process these foods. If acidity is too low, these muscles do not contract with sufficient pressure and will allow stomach contents to flow backward into the throat, Normally, the stomach, its mucosal lining, and your anti-reflux barriers are more than a match for this highly corrosive environment. I got my blood tested. However, few data are available to differentiate whether these complications resul [Skip to Navigation] The first three anti-reflux / digestive mechanisms are the lower esophageal sphincter (LES), diaphragmatic sphincter and pyloric sphincter. I have literally lost 10 lbs in a week from severe acid reflux. EVERYTHING! Its treated with a medication called levothyroxine that replaces. (even when I brush my teeth) When I get up in the morning I do the Neti pot and I usually spit up phlegm for an hour or hour and half.Read more , Hi Annette, Sorry for the delayed response. Here are 10 common signs and symptoms of hypothyroidism, or low thyroid, Researchers dont fully understand the connection between GERD and anxiety, but they believe anxiety and stress can trigger or worsen symptoms related, Hashimotos thyroiditis is an autoimmune condition that can cause hypothyroidism. Silent Reflux Diet. You might also have to take supplements after thyroidectomy to balance your calcium levels. Supraesophageal Reflux The most common silent reflux symptoms are hoarseness, chronic cough, throat-clearing, post-nasal drip, sinusitis, sore or burning throat, difficulty swallowing, shortness of breath, snoring, sleep apnea, bad breath, tooth decay, asthma, and COPD. He just wanted to take my levels first then figure some things out. So now I am experiencing shortness of breath (or trouble getting deep breaths), IBS-like symptoms, and now loss of appetite. Normally, the stomach, its mucosal lining, and your anti-reflux barriers are more than a match for this highly corrosive environment. It alone conveys 80-90% of the bodys sensory information concerning the state of the bodys organs. Background: The purpose of this study was to evaluate the clinical usefulness of routine oral calcium and vitamin D supplements in the prevention of hypocalcemia after total thyroidectomy. Many are surprised by this as they were only aware of the highly advertised foam barrier that it purports. For this reason, it is quite often that Small Intestinal Bacteria Overgrowth (SIBO) or Irritable Bowel Syndrome (IBS) often accompany low stomach acid. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Wow, thank you for the thorough and well presented resource on LPR!! Constant coughing or clearing the throat. Ever since I started taking them, I experienced diarrhoea, throat burning, chest pain, back pain, felt like Im choking at times, throat pain. government site. The aim of this study was to investigate whether LPR could play a role in the persistence of some LNS after total thyroidectomy (TT). Even found that I could resume drinking milk (something I had avoided for several years prior). Any advice? For instance, the human body alone is incapable of regulating estrogen levels, an essential hormone for womens health. A 2004 study found that dietary fiber is protective against reflux. The pyloric sphincter is responsible for emptying stomach contents into the lower intestines once sufficiently digested. Silent reflux is different to vomiting because reflux or spilling is effortless, while vomiting is forceful. ThisRead more . Also, if needed, I put together a guide with the steps I took to resolve my silent reflux: https://theacidrefluxguy.com/transition, hi Don, a few years ago I hurt my back at work and to keep working and get through the pain I began taking ibuprofen. I didn't want to take meds for reflux because I think mine is mechanical, rather than excess acid . Scerrino G, Salamone G, Corigliano A, Richiusa P, Proclam MP, Radellini S, Cocorullo G, Orlando G, Melfa G, Paladino NC. My guess is this is acid reflux or GERD, even though I have never really had any issues with this in the past. My website server to have had a glitch that held email notifications for the past week. 6. Anything suggestions, similar experiences. I have all of the symptoms of awful digestion and reflux. It is not impacting my ability to run or exercise in other ways, but it is very annoying. Ultimately damage to the stomach lining (known as leaky gut) can allow for food particles, and harmful pathogens to enter the blood stream. Really, I cant thank you enough for your help! November 1, 2019. For acid reflux and gerd, I take Tums if I feel any discomfort, stay away from spicy food after 6pm, and use a wedge pillow. One should not eat for 2 or 3 hours before bedtime; it is advisable not to lie down right after eating. Do you have any specific questions that I can help with? I have had this problem for over 2 years, I eat pretty healthy I would say. Hi Eliza, Yes you are right. Now I have all these other symptoms ones youRead more , Hi Don, Im happy to have come across your website. I have sliding hiatal hernia and have symptoms like yours! can grow out of proportion in your stomach. Our website services, content, and products are for informational purposes only. ThyCa: Thyroid Cancer Survivors' Association, Inc. In this section we will touch on both. After TT, RAI - I wasn't ready for more tests. How long did it take you to heal using the supplements? When he told me this it made sense to me.! Dear Don, Many thanks for you prompt reply. In February I had a full thyroidectomy due to the fact that I had an enlarged goiter and problems with nodules. We wanted to get off this heart med because i felt horrible. I am in the process of seeing a therapist to deal with my anxiety, while dealing with acid reflux. Hope you are back to normal soon! This box-plot graphic shows that the UES pressure values decrease significantly in the immediate postoperative period and recover in the long-term control. Hi Don, thanks for the valuable information. Eat small meals and chew well . My symptoms got much worse last spring and I started the round of specialists appointments (Read more , Hi Linda, You are describing classic symptoms of silent reflux (no heartburn, misdiagnosis as asthma, mucus). This might seem surprising at first, but think of it this way: We like to think the only portion of our body that is exposed to the outside world is our skin. Feb 27, 2023 at 2:33 PM. Not everyone has this immediate a response. If the diagnosis is hypothyroidism, they can prescribe the proper treatment. Thank you Don, I do already take probiotics (have been for around 2 months) but it does not seem to be helping any of my symptoms. Good to hear you are starting to feel better. Unable to load your collection due to an error, Unable to load your delegates due to an error. Is There a Connection Between GERD and Anxiety? Thank you so much Don. This was 2 months ago, they prescribed a beta blocker, metoprolol. I noticed my voice issues were resolved entirely within two weeks, but as you can imagine there are a lot of variables at play and everyones results are unique to them. L- Glutamine was very helpful for me too . Let's face it, its incredibly difficult to know what you can and cant eat as it sometimes feels like everything triggers symptoms. In 3 days of taking the medicines, I am not really seeing anyRead more , Hi Roselle, The globus (feeling of a lump in your throat) and back or chest pain are common symptoms of LPR so it could be. co-operation and communication between trees via fungal networks, How I Cured My Silent Reflux | The Counterintuitive Path to Healing Acid Reflux, GERD, and Silent Reflux (LPR), 2 square meters which pales in comparison to the estimated 30 square meters, Interview with Dr Cedrick, Holistic Pharmacist, https://theacidrefluxguy.com/SilentRefluxQuiz. Thank you for your comments and great to hear youre already feeling a bit better. etc. Now, with your understanding of the root causes and long term side effects of reflux, I hope you are in a better position to judge the potential efficacy of the potential treatments that you try, before you spend time and money on them. I haven't mentioned to my gi doc about my tsh being out of whack. Ive taken medication for silent reflux and the normal acid reflux and it didnt work. Hope you are able to find healing soon , Don, I just wanted to thank you for putting this information out here for all of us! This is where I think my body started losing it. Reflux happens when the two bands of muscle at the top and bottom of your oesophagus weaken or relax and allow acid from the stomach to shoot upwards towards your throat. As with any symbiotic relationship, neither party is altruistic! That said, if you determine your nose starts running backward intoRead more , Hi Don, I feel like I needed to find this article so bad! That is the worst for me. Hi Don, My symptoms started this past February at work after eating some dark chocolate at lunch with carbonated mineral water over the proceeding months things continued to get worse where now every time I eat I have to clear my throat of mucus/cough up mucus/blow my nose. undefined will no longer be visible to you including posts, replies, and photos. The results were normal. Over the month while i was on the beta blocker i was told to stop the thyroid meds for about a week and a half cause i was obviously being overmedicated earn i started them back up i'd have breakthroughs of tachycardia. This is very persistent, like every 4 or 5 breaths I feel like I'm breathing through a straw and struggle to get a deep breath, and it is not better or worse based on diet. So Hello my name is Sherre. The thyroid and the gut. Yeah, I was a mess. However, doctors are treating me for high stomach acidity and of course, medications doesnt help! When in low numbers, these microbes are often harmless and can even be beneficial (more than 50% of people, in fact, have H Pylori). No heartburn that I know of. When I start this regimen do I immediately stop taking my acid reflux pills? I felt like something was stock in my throat . It should be taken seriously by all clinicians. For some reason, I didnt see a notification of your comments. In using the supplements you suggest, I feel my digestive tract has improved already. Symptoms of LPR. Might be worth a try. Sphincters are a common design pattern in the body and exist as a ring shaped muscle that controls the passage of solids, liquids, and gases. Furthermore, my doctor essentially said my options were a lifetime prescription or throat cancer, as surgical technology still does not offer a long time solution. Ive also stopped wearing my retainer, but my voice is still sore, hoarse and other things. I had problems controlling my symptoms until I started drinking alkaline water. Lastly, I want to briefly cover the three categories of risk factors that you should be aware of. My endocrinologist did decide to do a chest CT since I had cancer in my lungs back in 2008. Why do you say "reflux" - which is stomach acid. If I had a dollar for every time I heard the word Gaviscon from one of you I could easily cover the cost of maintaining this website! For some reason I didnt receive a notification of your comment on the site. First step is to improve low vitamin levels to optimal as this frequently improves conversion of Ft4 . I also take probiotics. Allergy medications and H2 blockers have not worked. I got the flu back in December then started having all of these symptoms. After not getting proper sleep for the past two months (drainage and coughing at night, which I assumed was allergy related) I made an appointment with my ENT. So got the surgery, went great, beautiful scar. Follow me on Instagram for daily tips and subscribe to The Reflux Cyclepodcast on YouTube or your favorite podcasting app. The thirty-six patients prospectively recruited according to selection criteria (thyroid volume 60 ml, benign disease, age 18-65 years, previous neck surgery, thyroiditis, pre- or postoperative vocal cord palsy) underwent voice (VIS) and swallowing (SIS) impairment scores, esophageal manometry and pH monitoring once again. Elevate the head of your bed. Recently stinging in fingers, constantly clearing my throat and constantly feeling of chest pain. Im so excited to try this supplement regimen. I told him to take me off of the levoxyl, put me back on synthroid. Regarding your throat, it sounds as though you are experiencing globus, which can often be a swelling of the tissues surrounding your lower esophageal sphincter. Don't lay down at least three hours after eating .Try to sleep on your right side . Ive never had the typical reflux symptoms. As you can imagine, when these biota are imbalanced it can lead to a number of physical and neurological disorders. Throat clearing and a sense of mucous build up. Hi Tara, If your sphincters are open you may feel the effects of additional acidity from the ACV as it contains acetic acid. Normally, this fermentation process should occur in the colon where it can be expressed through the anus. Thank you for all of this information. But you may want to ignore my advice since I don't have GERD and don't tolerate caffeine (or theobromine either - carob is caffeine-free but not stimulant-free, spouse jokes I was a dog in a prior life as theobromine is apparently even more toxic than caffeine for dogs)! She never even heard of LPR. As you have indicated, it can be hard to tell if your post nasal drip is bacterial, viral, or due to silent reflux. Works for me. 7. Sadly, people are lulled into believing these medicines are helping them because they neutralize the uncomfortable / painful acids that escape into the throat. I havent been able toRead more , Hi Jay, No problem. I trying the wipeout diet, but look like LPR still problem. and transmitted securely. "A" Blood types have generally digestion problems due to low stomach acid . Laryngopharyngeal reflux, also referred to as 'silent reflux' is a condition in which the stomach acids travel up the food pipe and into the throat. There are several different disorders that can occur when the thyroid produces too many or too few hormones. 2020 Nov;25(11):1921-1927. doi: 10.1007/s10147-020-01748-0. Im currently on medication, and I have not bought the supplements yet. Depends on the possible causes of the difficulty swallowing (related to nerve damage or appearing after uncomplicated thyroidectomy), different types of diagnostic procedures could be used to study patient discomfort, as well as intraoperative nerve monitoring, fiber optic laryngoscopy, endoscopy, pH monitoring, esophageal . One promising approach is making dietary changes. Conventional. The .gov means its official. This time, I didnt have bloating or excessive burping but more of the throat symptoms such as a lump sensation on the throat, and sometimes it feels like theres something poking my throat and I will occasionally get upper back pain too. Hi Don, Thank you for your dedication and for shining light and hope on this misunderstood, and often misdiagnosed, disease. If over-the-counter remedies (nasal spray, mucinex, allergy meds) don't help you should see your PCP to help make sure it's not an infection and order an Xray if needed. Symptoms of GORD: A baby arching their back and turning their head. The reflux finding score (RFS) and reflux symptom index (RSI) were investigated one day before surgery and two, four, six, and twelve months after surgery. I am so grateful to you! Apple cider vinegar contains acetic acid, so your body is likely responding in the manner notes above. This is important so that you are able to avoid falling back into the reflux cycle after you may have healed: These are by no means an exhaustive list, and I go into more detail on these topics in my book, as well as ways each can affect the bodys ability to keep stomach contents contained, efficiently digest, and affect movement of food contents along the digestive tract. What we have since learned is a third and equally important component of this connection called the microbiome. I do have an issue with drinking alkaline water or taking acid suppressers including Gaviscon as they contribute to the reflux cycle (bacterial overgrowth, poor sphincter function, malabsorption, etc..). Hi Ally, Apologies for the delayed response. IRead more , Hi Sophie, Elimination diet alone is often not enough to eliminate symptoms for a few reasons including 1) residual triggers that may not have been identified (triggers can at times have a delayed reaction of a day or more) 2) persistence of inflammatory / leaky gut issues 3) persistence of dysbiosis that has not yet been corrected, and more. Endocrine. Drink less alcohol, especially before bedtime, since alcohol makes reflux worse. Muscle Problems (aches, cramps, spasms, numbness, Nail and skin symptoms (itch, inflammation, psoriasis), Osteopenia and osteoporosis (low bone density), Avoid common and and identify your personal trigger foods, Add naturally fermented foods to your diet (for probiotics), Add high fiber foods to your diet (prebiotics) to rebalance your gut, Take b12 and magnesium supplements (if you are deficient), Take apple cider vinegar capsules (not liquid as it is corrosive) for prebiotics and to kill harmful pathogens, Use digestive enzymes with meals to improve digestion, Take betaine hydrochloride with pepsins with meals to restore acidity and sphincter function, Avoid risk factors to avoid re-entering the reflux cycle. Results: I refused to have another biopsy in 2016 so I opted to have my thyroid removed. I guess it was the mucus! I dont have an issue with an alkaline diet (avoiding acidic foods) as a means to avoiding the activation of pepsins. This can happen to someone even if they are not aware of any heartburn and is sometimes called silent reflux, atypical reflux or laryngopharyngeal reflux. The thyroid is a butterfly-shaped gland located in the neck. This option may be indicated if a thyroid nodule is small and localized to one side of the . But I am reluctant to start themRead more . Amazingly 70-80% of your immune cells are found in your gut. Hi Don, I have been trying some eliminations for the past 3-4 months (no caffeine, chocolate, citrus, high-fat, citrus, onion/garlic etc) alongside other restrictions such as the Acid Watcher diet, low histamine etc, but have had no improvements in my symptoms which I believe to be LPR (post nasal drip, sinus headaches, hoarseness and heartburn) do you think it is unusual to not see any relief from removing these normal triggers? Background: Spirits and One way your microbiome aids your bodys immune system is by helping to efficiently digest foods and prepare them for movement down the digestive tract. Hi Georgie, It is awful that these seemingly harmless drugs like ibuprofen and other anti-inflammatories can lead to inflammatory conditions like gastritis. If I have yet to do so, then take advantage of the daily tips available on these sites! Once my thyroid meds where raised my symptoms resolved with the acid reflux . I found that supplementing digestive enzymes prior to a meal is very helpful too . But have a burning throat that bothering me since a month now. The most common and feared complications of total thyroidectomy are vocal cord paralyses and hypocalcemia. Papillary and follicular thyroid cancer (differentiated). I read your article and I was wondering if you recommend these products for singers? Hi Don, last month I had a course of antibiotics for ear infection. It has been eleven months or so since I took my last ppi medication and nine months since I recovered. Diff.) I switched from drinking pop/milk/other beverages with meals to solely water about two years ago and drink pretty much only tap water throughout the day. The burbling may be your bodies attempt to distribute low stomach acid to properly digest your food. J Clin Med. If have bolded several that I personally dealt with for years, not realizing they were associated with reflux. silent reflux after thyroidectomywellesley, ma baby store. I am sitting with a prescription of PPIs from the doc. Make sure the salt is dissolved completely in the water. This is often related to proton pump inhibitor therapy. I feel terrible. My endo has just adjusted my dose of synthroid because I was too hyper. I havent been the same since. I suffered with GERD for more than 15 years and LPR for the six months preceding my recovery. Let me provide you a shortcut to a few resources. Hi Karen, Thank you so much for the kind words. Digestive enzymes come in many forms. Would love to know how they react with each other. I am happy to hear you have weaned yourself off of these terrible medications. The RFS scores increased significantly after thyroidectomy and decreased to the preoperative level 12 months after surgery. I cant speak to how they react with each other so much as describe how each work. All consecutive patients operated on at our institution for thyroid and parathyroid pathologies from 2005 to 2013 were reviewed for vocal cord paresis. Vocal cord paresis was defined based on postoperative fiberoptic laryngoscopy. If you would like to take it, you can find it here: https://theacidrefluxguy.com/SilentRefluxQuiz. I certainly hope you get some relief soon. In addition keeping a more alkaline diet is very HELPFUL with gerd acid reflux and any digestive problem . Try to chew on 2 tablets of DGL 20 minutes prior to meal . How is your acid reflux to this very day? I was prescribed PPIs and ant-acids for immediate relief but these have not been really working for me either. This is still the case if you dilute it or drink it with a straw. silent reflux after thyroidectomy . I see that you suggest apple cider vinegar supplements but this vinegar makes my phlegm act up so what do I do? If that is the case for you, it could be that your does of HCl is not right. They dolittle-to-nothing to resolve reflux because they fail to address the actual root causesof the disease. I pray you find relief soon. FOIA Hiccups. I also take low dose steroids for an autoimmune disease I have. Sometimes short of breath, Hi Don as the road to recovery begins, I presume how my throat/voice recovers and how my digestive tract and acidity levels recover are two different recovery speeds? Doc says I also have chronic gastritisSo I have been taking omeprazole since then and changed my diet , but recently I have have too much burping it can go on forRead more . Everthing I drink or eat I have to spit up all this phlegm. I felt a lump in my throat and I went for a few endoscopies (not fun) just to rule out anything serious . In fact, the disease tends to escalate in severity and frequency over time. Fermented foods are a great supplement to your recovery. Was doing good in the winter my weight was up to 164, they upped my synthroid dose. From that point out, I was perfect. Its possible to have GERD without esophagitis, or inflammation of the esophagus. If you still have that variety you might compare the active ingredients of that brand vs the one I took (essential enzymes). How did you found out you have low stomach acidity? Another important function of your microbiome is to improve immune function. I am taking Dexilant for the LPR Reflux due to the fact that I have the mucus in the throat, sometimes its hard to swallow certain foods and medication. I am a life sufferer of depression but I just switched medications after my thyroidectomy because I thought I was having a nervous breakdown. Causes. A thyroidectomy is the surgical removal of all (total thyroidectomy) or part (partial thyroidectomy) of your thyroid gland the butterfly-shaped organ in your neck. As you may know, the neuron is the fundamental unit of the brain and is responsible for interpreting sensory input and sending motor commands to the body. After 7 days I finally ate my first meal tonight. There are many symptoms of Silent Reflux and patients may have several or just one. This is such a strange disease and it manifests in so many unique ways. Have your symptoms gotten better? What I have had is bits and pieces of information to assist but never a real concrete plan for healing. Hi Mariyln, So sorry to hear what you have been going through in recent weeks. I actually wrote a whole section on this in my book that will be releasing shortly. Once your thyroid is removed you are placed on thyroid medication. Hi Amy, Sorry for the delayed response. It can be difficult to detect as individuals often do not get the symptoms of heartburn or indigestion, but it is commonly associated with chronic throat clearing, voice change and globus . Your doctor can help you find ways to relieve your acid reflux, without affecting your thyroid function further. Discover the causes, how its diagnosed, its effect on pregnancy, and more. It is necessary for digestion, to kill harmful pathogens in support of your immune system, and to support healthy balance of gut bacteria. If you are meeting with a gastro, you might get some advice from him or her on your plans! Gastroenterologists dealing with such disease processes should be familiar with performance and interpretation of diagnostic and therapeutic procedures. Luckily, I already knew walking into his office, that it was from acid reflux. Both of these medications contain the same active ingredient which is known as T4 or thyroxine. The first, and perhaps most obvious is the fact that reduced stomach acid impairs digestive efficiency which leads to indigestion. This will run horizontally along the natural lines of the skin in your neck. This has been ongoing for me for almost 5 months and can't believe that it's mild. Don had a question regarding the source natural essential enzymes, hcl betain both which I started 3 days ago, in the morning I tend to have a muffin, banana, and chamomile tea, I am noticing the past 2 days that I get stomach cramps/hot feeling with them in the morning. LPR is caused by stomach acid that bubbles up into the throat. Around that time, I started experiencing some IBS like symptoms that I attributed to stress. Thyroidectomy is the main surgical treatment for thyroid cancer and is a treatment option for certain thyroid conditions, including: Hi Annette, I took the medications during dinner and was able to skip my medicine the next morning. I list the supplements that I used on my resources page. It is well documented that long term use leads to several vitamin deficiencies, namely vitamin b12, magnesium, and calcium. When you feel burning try to take a few sips of water to sooth your esophagus . It includes thyroid cancer history, overmedicated, to heart medication, now hypothyroid and still heart problems. After 18-24 months, both VIS and SIS recovered (respectively: p=0,022; p=0,0001); UES pressure increased (p=0,0001) nearing the preoperative values. After that, I was able to getRead more . Let us know how it goes , Hi Donthank you for so much insightful information. Weight Gain and Asthenia Following Thyroidectomy: Current Knowledge from Literature Review. You are very welcome. For now, we will explore a few of the more significant side effects of this this bacterial imbalance, also known as dysbiosis. It is found in the front lower part of your neck. The length of the operation is determined by whether one or both lobes are removed, and by the complexity of the operation. In my research I have encountered alternative accounts as to the source of silent reflux. I blame the remaining neuropraxia (nerve injury without nerve death) that also damaged my voice and my swallowing for almost a year. Stay off all acid foods for now like coffee , chocolate , tomatoes , lemons . Holland & Barrett MultiDigestive Enzyme 90 TabletsHolland & Barrett Apple CiderRead more . For some reason I didnt receive a notification. So sorry to hear about your experiences. This has to do with the protective mechanisms and how much they can protect us before we actually develop symptoms in our stomach area. Changes in Swallowing Symptoms and Esophageal Motility After Thyroid Surgery: A Prospective Cohort Study. I am 30 years old and I have been taking acid reflux tablets on and off since 2007. Short of breath, spacey, tired, insomnia, lost of appetite (caused by heart meds, i was barely eating for almost 3 weeks), low blood sugar (I'm pretty sure from other symptoms), low blood pressure when i take a shower (could be from heart meds also), Acid reflux (could be from heart meds). I never got rid of the throat clearing, but figured I would have to live with it. They can test you for this condition. Laryngopharyngeal Reflux(LPR). In this post we will cover the following topics: var app_5feb672a69722300166feb74;(function(d, t){var s=d.createElement(t),options={"appId":"5feb672a69722300166feb74","width":"800","height":"800","async":true,"host":"quiz.tryinteract.com", "footer":"show"};s.src='https://i.tryinteract.com/embed/app.js';s.onload=s.onreadystatechange=function(){var rs=this.readyState;if(rs)if(rs!='complete')if(rs!='loaded')return;try{app_5feb672a69722300166feb74=new InteractApp();app_5feb672a69722300166feb74.initialize(options);app_5feb672a69722300166feb74.display();}catch(e){}};var scr=d.getElementsByTagName(t)[0],par=scr.parentNode;par.insertBefore(s,scr);})(document,'script'); As the name suggests there are some differences between silent reflux, acid reflux, and GERD.
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