When I finally got to see a Neurologist at Shands (Univ of FL, Gainesville) in July 2018, he ran an extensive battery of blood work tests but could find nothing to explain the muscle weakness. National Heart, Lung, and Blood Institute. Accessed Aug. 2, 2021. Some side effects may occur that usually do not need medical attention. That can be deadly. This is when your heart doesnt pump blood as well as it should. Here are some problems linked to AFib to be aware of. A feeling of sudden leg weakness, causing your legs to give out or buckle can be alarming. A pinched nerve in the spine can cause leg weakness and/or numbness. They can help you identify the underlying cause of your condition and develop a treatment plan. You may feel depressed. If we combine this information with your protected If coronary heart disease causes you to get heart failure or have a heart attack, it can make you more likely to get AFib. AFib can happen from any type of problem that changes the way the heart handles electricity. As a result, your heart works harder, is less efficient, and doesnt circulate blood properly throughout your body. This is when your throat muscles repeatedly relax and block your airway while you sleep, making your breathing stop and start. Your weakness is accompanied by sudden, severe pain in your back or leg. I thoughtwhat can it hurt? For example, your right arm may feel weak after bowling. If the tumor presses on a nerve, it can cause numbness or weakness in the arms, legs, or chest. In atrial fibrillation, the heart's two small upper chambers (atria) beat irregularly and too fast, which may increase the risk of stroke, heart failure and other conditions. Journal of the American College of Cardiology: Atrial Fibrillation and Diabetes Mellitus: JACC Review Topic of the Week., Up to Date: Epidemiology of and risk factors for atrial fibrillation, Patient education: Heart failure (The Basics), Patient education: Coronary artery disease (The Basics), Patient education: Hypertrophic cardiomyopathy in adults (The Basics), Patient education: Sleep apnea in adults (Beyond the Basics), Patient education: Hyperthyroidism (overactive thyroid) (The Basics), Patient education: Atrial fibrillation (Beyond the Basics), Patient education: Sinus node dysfunction (The Basics), Patient education: Chronic obstructive pulmonary disease (COPD) (Beyond the Basics), Patient education: Chronic kidney disease (The Basics)., American Heart Association: Who is at Risk for Atrial Fibrillation (AF or AFib)? Symptoms of Heart Valve Disease, Coronary Artery Disease - Coronary Heart Disease, What is Venous Thromboembolism (VTE)? Risk Factor Modification Reduces Atrial Fibrillation., National Heart, Lung, and Blood Institute: Heart Valve Disease., American Lung Association: Emphysema., Mayo Clinic: Congenital heart disease in adults, Obstructive sleep apnea, Atrial fibrillation and managing stress, Sick sinus syndrome. Last medically reviewed on March 20, 2019. Besides weakness in . Thyroid disease is a common diagnosis. The pain may spread to the upper back, arms, neck or ears. Circulation. In a typical heart, a tiny cluster of cells at the sinus node sends out an electrical signal. Sudden leg weakness can be a sign of a serious underlying health issue and should be evaluated by a doctor as soon as possible. Find more COVID-19 testing locations on Maryland.gov. Treatments are informed by the latest research. This can increase the risk of stroke, heart failure and other conditions. red, irritated eyes. Heart failure can be ongoing (chronic), or it may start suddenly (acute). Thats why youre more likely to develop heart failure if you have AFib. If a blood clot is in your arm or leg, youll most likely notice: If there is clotting in your abdomen, you may: If you think you might have a blood clot anywhere in your body, it's serious. Whats more, heart disease thats caused by high blood pressure, called hypertensive heart disease, is the most common underlying health condition in people who have AFib. Did they recommend something to take instead? Other Parkinsons disease symptoms include: Treatment for Parkinsons disease involves a combination of lifestyle changes, medications, and therapies. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. It never occurred to me or my wife that muscle weakness was a possible side effect of Eliquis as that isn't mentioned in the literature accompanying its initial Rx or any refills. Venous thromboembolism can become a chronic condition for some people. Some people dont get symptoms of hyperthyroidism, but the signs can include: This is linked to worse odds of getting AFib, especially if you dont keep your blood sugar in check over the long term. Congestive heart failure is a type of heart failure which requires seeking timely medical attention, although sometimes the two terms are used interchangeably. At Another Johns Hopkins Member Hospital: Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, Radiofrequency Ablation for Atrial Fibrillation, Atrial Fibrillation: Prevention Treatment and Research. See how much you know about abnormal heart rhythm. Your doctor may also call this coronary artery disease. These clots can travel to your brain, become lodged in narrow blood vessels, and cause a stroke. Accessed July 22, 2021. The more severe someones heart failure is, the more likely they might be to get atrial fibrillation. A stroke occurs when a blood vessel that carries blood to your brain becomes blocked. Guillain-Barr syndrome is a rare autoimmune disorder in which your immune system attacks your nerves, causing tingling and weakness that usually begins in the feet and legs. Having one may make you more likely to get the other. Other symptoms include: MS is a lifelong condition that can include periods of relapses of symptoms that are followed by periods of remission, or it can be progressive. This means your kidneys dont filter your blood as well as they used to, and without treatment they could eventually stop working. Medication may be given if a stroke is diagnosed as soon as symptoms arise. You may get some relief by resting. Our website services, content, and products are for informational purposes only. Atrial fibrillation (AFib). Weakness, especially in your arms and thighs Trembling Sweating often Fast or unsteady heartbeats Diabetes This is linked to worse odds of getting AFib, especially if you don't keep your blood. Atrial fibrillation. A-fib increases the risk of stroke, heart failure and other heart-related complications. Your lungs require a steady supply of blood in order to function properly. I am sorry you are having an adverse", "Thank you for sharing this. Keep in mind that serious illnesses, such as diabetes and respiratory diseases cause weakness as well. Do you have a cold or other illness? Your doctor may call this sinus node dysfunction. Its a problem with your hearts electrical system that can bring on dizziness, chest pain, and fainting. In some cases, it may indicate a medical condition that requires emergency care. Bonow RO, et al., eds. Leg weakness can be due to systemic disease, inflammatory conditions, or medication side effects. In addition, many people develop atrial fibrillation as a result of heart problems, such as a heart attack, congestive heart failure, or cardiac surgery. You might find an overall reduced ability to exercise due to the effects of AFib. You will need treatment with medications, radiation, or surgery. How much exercise have you gotten lately? Mayo Clinic is a not-for-profit organization. It may sometimes beat fast, and sometimes slowly. People will often feel tired right after one. Early treatment can reduce the risk of long-term complications. Having your heart beat fast is exhausting. Ferri FF. In atrial fibrillation, the signals in the upper chambers of the heart are chaotic. 2019; doi:10.1371/journal.pone.0213198. Early warning signs of stroke include severe headache and slurred speech. Ascending stairs or walking uphill this can make any movement difficult for a person with this health condition. It is important that you report your symptoms clearly so that your doctor can determine what is causing you to feel weak and so that a plan of action can be put into place so that the weakness is resolved. American Blood Clot Association: Atrial Fibrillation & Blood Clots., StopAFib.org: Stroke Warning Signs., Penn Medicine: If Someone is Having a Stroke: 3 Things To Do and 3 Things Not To Do., Johns Hopkins Medicine: Electrical Cardioversion., National Heart, Lung, and Blood Institute: Catheter Ablation., Heart and Stroke Foundation of Canada: Atrial fibrillation., Harvard Medical School: 7 things you can do to prevent a stroke., Stroke Association: Eat a healthy diet., American Society of Hematology: Blood Clots., Indiana Hemophilia and Thrombosis Center: Signs and Symptoms of Blood Clotting.. Myasthenia gravis (MG) is a neuromuscular disorder that causes weakness in your voluntary skeletal muscles. Read on to find out the effects atrial fibrillation can have on the body. Advertising revenue supports our not-for-profit mission. A spinal lesion or tumor is an abnormal growth of tissue within or surround the spinal cord or column. Accessed Feb. 2, 2021. These can lodge in your brain. Over time, Afib can contribute to heart attack or heart failure. While this condition isnt fatal in itself, it can lead to potentially life-threatening complications. Swelling in the legs, ankles and feet. Weak neck muscles make it hard to hold up your head. These causes can affect the nerves, spine, or brain, leading to leg weakness. Weakness can mean that you are experiencing a general feeling of fatigue. If sick sinus syndrome brings on symptoms, you might have ones like: You might be more likely to have either of these mental health conditions with atrial fibrillation. Atrial fibrillation: Clinical features, mechanisms and management. 2017; doi:10.1016/j.jacc.2017.10.021. Amyotrophic lateral sclerosis (ALS) fact sheet. Connect with thousands of patients and caregivers for support and answers. It turns out that the racing heart, dizziness, and lightheadedness Hills felt are all classic symptoms of atrial fibrillation. This table lists the most common signs and symptoms, explains why they occur and describes how to recognize them. Atrial flutter and atrial fibrillation are types of abnormal heart rhythms. In MS, your immune system attacks the myelin, which is the protective sheath around your nerves. The other type of weakness is a localized decrease in strength. Pinched nerves are often caused by arthritis or spinal inflammation. May I ask if you went off of dairy, gluten and sugar to see if it helped with pain relief because you could no longer take advil or for other health reasons? We learn from each other. High BP usually doesnt bring on symptoms. It usually affects one side of your body. If you do have symptoms, they can include: If you have AFib, you may have symptoms of a stroke without knowing that you have a blood clot. These are warning signs that a stroke may occur in the future. Mayo Clinic research finds AI-enabled ECGs may identify patients at greater risk of stroke, cognitive decline, Sharing Mayo Clinic: 100 miles away his medical team could see the truth about his heart, Mayo Clinic Q&A podcast: Atrial fibrillation treatment improves quality of life for patients. Some of the symptoms are: If you have any symptoms like that, get medical attention right away. Following your doctors recommended treatment plan can help improve your outlook. See your doctor as soon as possible if you experience leg weakness, numbness or tingling, or changes to how you walk. Eat a well-balanced diet thats low in salt, saturated fats, trans fats, and cholesterol. As you see, many conditions may cause you to feel weak if you have a diagnosis of atrial fibrillation. "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. Back pain, which is worse at night or increases with activity, is the most common symptom. 2005-2023 Healthline Media a Red Ventures Company. (2018). Theres no cure, but there are treatments that can relieve symptoms and reduce the duration of the illness. Spinal tumors can be cancerous or noncancerous, and originate in the spine or spinal column or spread there from another site. This can increase the risk of clotting. Exposure to secondhand smoke, even in the womb, can increase a child's risk of developing atrial fibrillation. Weakness and Fatigue. Surgery to remove the tumor, or radiation therapy or chemotherapy to shrink the tumor, can usually resolve leg weakness. If you have Afib, you might experience one or more of the following symptoms. The weakness can spread quickly and eventually paralyze the whole body if not treated right away. An infection may be present. Some experts recommend that everyone with atrial fibrillation get a blood test to check for hyperthyroidism. Losing extra pounds -- possibly just 10% of your body weight -- might make your AFib symptoms less frequent or severe. Catheter ablation: Technical aspects. 2019 AHA/ACC/HRS focused update of the 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society in collaboration with the Society of Thoracic Surgeons. include protected health information. It can cause sudden numbness or weakness in the face, arms, or legs. Guillain-Barr syndrome fact sheet. While it can be managed by treatments, AFib can eventually lead to serious complications. Afib may be detected during a physical examination or during a test for another medical condition. Or find someone who can get emergency medical help for you. (2018). All rights reserved. They can include: If you think you may be having a stroke, call 911 or other emergency number. Our website services, content, and products are for informational purposes only. Learn about the types of strokes and their symptoms, diagnosis, treatment, and prevention. However, A-fib may cause a fast, pounding heartbeat (palpitations), shortness of breath or weakness. Limit your consumption of alcohol and caffeine. It can be caused by injury, infection, and a number of conditions, including diabetes (diabetic neuropathy) and hypothyroidism. Signs of an overactive thyroid gland include, anxiety, palpitations, weight loss, bulging eyes and atrial fibrillation. Notify your health care provider promptly if you have feelings of generalized weakness, or if fluid accumulates in your legs or other parts of your body. health information, we will treat all of that information as protected health Hyperthyroidism is much less common than hypothyroidism. If they break away from there, they'll travel down to the left ventricle. Looking for swelling in your feet or legs to identify heart failure. The longer you wait, the worse the effects of your stroke could be. AFib affects the upper chambers of the heart, called the atria. Stressful situations, panic disorders, and other types of emotional stress . Petryszyn P, et al. At 79 I am otherwise in very good condition (heart, BP, lungs, other organs, and labs within normal range), with the Afib under control. Accessed Aug. 2, 2021. I know this doesn't help you but I am surprised that your physicians never considered Eliquis as a culprit. Its an electrical disorder that causes rapid electrical signals that may reach hundreds of beats per minute. Two types of Weakness If you experience weakness, be sure to give your health care provider a clear description of what is occurring. This process uses energy to make little scars in your heart tissue so that irregular signals do not affect your heart. This prevents oxygen-rich blood from reaching your brain. If the slipped disc compresses a nearby nerve, it can cause pain and numbness along the affected nerve, often down your leg. All rights reserved. However, AFib can be long-lasting even permanent. Heart failure occurs when your heart is unable to pump blood efficiently. Call your doctor for medical advice about side effects. Six weeks ago my Cardiologist dropped me to Eliquis 2.5mg 2x/day following a Watchman consult that declared me a marginal candidate for the procedure due to my only clot/stroke risk factor being my age (79). For example, they may recommend lifestyle changes or medications. Experiencing night sweats (excessive sweating while you sleep), Waking up with an odd sensation in your chest, Having feelings of anxiety when you wake up, Difficulty talking, such as slurred words, Numbnessor weakness in the face, arm or leg, particularly if its only on one side of the body. It had been a long time since they were asked to move that much! You might also get drugs to help your heart beat normally. Its also not uncommon to experience irritability and muscle weakness during previously routine activities. Any thoughts on improvement time frame? Everyday life can be tiring. I have gotten used to Tylenol when I need to take a pain reliever. Doctors often recommend them as a means to avoid radiation and surgical intervention. Other signs and symptoms of stroke include: If you or someone else is having a stroke, call 911 immediately. Following my "Executive Decision" to stop even the low dose Eliquis a week ago, I've noticed a significant improvement in my leg strength. Because the heart is unable to pump blood adequately, patients with AFib often experience swollen feet or hands. Heart failure tends to develop over time. Here are 13 ways to get your energy, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. It can cause sudden numbness or weakness in the face, arms, or legs. Stay away from foods heavy in fat, sugar, and salt. Hospitalist put me on Eliquis, 5mg 2X/day. Infographic: Living with Atrial Fibrillation, Mayo Clinic Minute: Identifying and treating atrial fibrillation. By: Jay Jagannathan, MD, FAANS. Episodes of atrial fibrillation may come and go, or they may be persistent. Parkinsons disease is a neurodegenerative disorder that affects an area of the brain called the substantia nigra. She has a PhD in natural health and is a registered herbalist with the American Herbalists Guild. All rights reserved. In late July 2017 I was admitted for very high heart rate and Afib. Planning to travel with atrial fibrillation? Reddy VY, et al. Its more common than you might think. You may feel weak and dizzy. Guide to atrial fibrillation. 9 Signs of a myxoma include difficulty breathing, chest congestion, atrial fibrillation, weakness, fainting, fevers, and general achiness. Many people with sleep apnea also have AFib. Severe episodes can even lead to temporary loss of consciousness, known as fainting or syncope. Learn about the similarities and differences between these two conditions. All Rights Reserved. Zipes DP, et al., eds. Though high blood pressure is a risk factor for atrial fibrillation, the irregular pumping of the heart can also lead to an unsafe sudden drop in blood pressure or contribute to persistent low blood pressure. . (2016, August 4), What is atrial fibrillation (AFib or AF)? Blessings to you and I pray that you find a solution. (4) He is in the process of getting Humana's OK to replace my "dead" loop recorder with a fresh one and has me on 81mg Aspirin. Nonvalvular atrial fibrillation is one possible type of irregular heart rhythm. At this point, quality of life (the HOPE of being able to improve my leg strength and my ability to walk better by eliminating Eliquis completely) outweighs the minimal risk of clot/stroke. As you grow older, you are more likely to develop sick sinus syndrome. Uncontrolled diabetes is tied to worse AFib symptoms and more hospital visits. You might also notice Afib at night more easily if youre resting or being quiet. But some of the signs are: This is when your heart muscle thickens, making the four chambers inside it smaller. But I really watch how often I do that. The typical heart has four chambers two upper chambers (atria) and two lower chambers (ventricles). Get emergency care if you experience sudden, severe pain in your lower back or leg accompanied by muscle weakness or numbness, or trouble controlling your bladder or bowels, which is a sign of cauda equina syndrome. This causes a fast and irregular heart rhythm. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Bird Flu Deaths Prompt U.S. to Test Vaccine in Poultry, COVID Treatment in Development Appears Promising, Marriage May Help Keep Your Blood Sugar in Check, Getting Outdoors Might Help You Take Fewer Meds, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox, AFib and Pregnancy: What You Need to Know, Pain or tingling in your arms, back, neck, jaw, or belly, Have a fast heartbeat, even while you rest, Chest pain that may get worse when youre active, Fainting or feeling like you might pass out, Chest pain or discomfort that usually gets worse when you take a deep breath or, Weakness, especially in your arms and thighs, Fainting or feeling like youre going to pass out, Trouble breathing that gets worse during exercise, Chest pain, especially during exercise or a stressful time. stanfordhealthcare.org/medical-conditions/blood-heart-circulation/atrial-fibrillation.html, mayoclinic.org/diseases-conditions/atrial-fibrillation/symptoms-causes/syc-20350624, stroke.org/understand-stroke/recognizing-stroke?pagename=SYMP, hrsonline.org/Patient-Resources/Heart-Diseases-Disorders/Atrial-Fibrillation-AFib/Symptoms-of-AFib, heart.org/en/health-topics/atrial-fibrillation/what-are-the-symptoms-of-atrial-fibrillation-afib-or-af, heart.org/HEARTORG/Conditions/Arrhythmia/AboutArrhythmia/Why-Atrial-Fibrillation-AF-or-AFib-Matters_UCM_423776_Article.jsp, Common Medications for Atrial Fibrillation (AFib), Types of Atrial Fibrillation: What You Need to Know, The Complete Guide to Teaching Kids Consent at Every Age. (2016, October). These are not all of the possible side effects of ELIQUIS. If a blood clot in the left upper chamber (left atrium) breaks free from the heart area, it can travel to the brain and cause a stroke. 11th ed. There is a problem with Nighttime Afib can have different symptoms than a daytime episode, because youre at rest. It can affect people of any age, but is more common in women under the age of 40 and men older than 60. the unsubscribe link in the e-mail. If you know that you have atrial fibrillation, you should tell your family and friends about stroke symptoms. Note the time that stroke symptoms started. Options may include a mastectomy, chemotherapy, radiation, or removal of skin lesions. information and will only use or disclose that information as set forth in our notice of Did you inform your physician that you were going off of the medication? No. Atrial Fibrillation and Strokes: What's the Risk if You Take Eliquis? Practicing heart-healthy habits can help lower your risk of complications, including stroke and heart failure. If you have AFib, the most common place your blood clot may travel is your brain. This is important because some treatments only work if the stroke was within a certain time period. Thats one reason why its so important to work closely with your doctor. Medications which are used to treat hyperthyroidism are not always effective. privacy practices. A common symptom of AFib is the sensation that your heart is flopping around inside your chest, or simply beating irregularly, causing palpitations. It could be coming from your latissimus dorsi. Avoid tobacco products and second-hand smoke. I was diagnosed with interstitial cystitis (IC), a painful bladder disorder, when I was 16 and followed a strict recommended diet to keep my pain down. You might find an overall reduced ability to exercise due to the effects of AFib. red skin lesions, often with a purple center. It results in uncoordinated movement of the atria before they return to. In order to obtain a proper diagnosis and treatment, it is essential that you contact your health care provider. Can Atrial Fibrillation Cause an Enlarged Heart? Its important to act quickly if you have any of these warning signs. I added your question to the Heart Rhythm Conditions group as well. Wait for emergency responders to drive you to the hospital. Sleep Apnea and Atrial Fibrillation: How Theyre Connected. Catheter ablation. See how much you know about abnormal heart rhythm. Angina is chest pain caused by a reduced blood supply to the heart. If medication doesnt work, your doctor may recommend a procedure, such as: Electrical cardioversion. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition, Caregiving for someone with atrial fibrillation, Catheter ablation to isolate the pulmonary veins to treat atrial fibrillation. Learn about its causes and home exercises that can help. So its important to know the warning signs of blood clots and strokes if you have AFib. Symptoms of AFib can include fatigue, weakness, and shortness of breath. Healthline Media does not provide medical advice, diagnosis, or treatment. Its possible to have no symptoms of a congenital heart problem, but the signs can include: Obesity refers to a BMI of 30 or higher. WebMD does not provide medical advice, diagnosis or treatment. While I can now walk a mile (albeit standing still to rest every 100-200 yards), legs feel tired BUT NOT THE JELLY-LIKE FEELING OF THE LAST FEW YEARS. But if you do, the warning signs can include: This is a problem with your hearts structure that you were born with. If you are a Mayo Clinic patient, this could Everyone gets tired from time to time, but the fatigue that accompanies a heart condition like Afib is often described as: The fatigue might be long term, or you might feel an intense exhaustion after an Afib attack. If you have a myxoma, you will need to have it removed surgically. (2016, September 13), Another complication of AFib: heart failure, National Heart, Lung, and Blood Institute, How you can avoid the complications of atrial fibrillation, my.clevelandclinic.org/services/heart/disorders/heart-failure/living-with-heart-failure, heart.org/HEARTORG/Conditions/Arrhythmia/AboutArrhythmia/Prevention-Strategies-for-Atrial-Fibrillation-AFib-or-AF_UCM_423784_Article.jsp#.WD8tl5Knbmg, heart.org/HEARTORG/Conditions/Arrhythmia/AboutArrhythmia/Treatment-Guidelines-of-Atrial-Fibrillation-AFib-or-AF_UCM_423779_Article.jsp#.WD8xNJKnbmg, heart.org/HEARTORG/Conditions/Arrhythmia/AboutArrhythmia/What-is-Atrial-Fibrillation-AFib-or-AF_UCM_423748_Article.jsp, nhlbi.nih.gov/health/health-topics/topics/hf/, heart.org/HEARTORG/Conditions/Arrhythmia/AboutArrhythmia/Why-Atrial-Fibrillation-AF-or-AFib-Matters_UCM_423776_Article.jsp, Atrial Fibrillation: Facts, Statistics, and You, Atrial Fibrillation Blood Clots: Symptoms and Prevention, How Smartwatches and Fitness Trackers May Interfere With Pacemakers and Implanted Devices, Atrial Fibrillation (AFib) Found in 1 on 5 Ischemic Stroke Survivors, 5 Apple Watch Features That Can Help You Monitor Your Heart Health. Afib is a type of arrhythmia, or abnormal heart rhythm. Afib dizziness may be mild or severe, and may cause nausea or vomiting. Atrial fibrillation. I Ditched My Restrictive Doctor-Recommended Diet to Live My Life, 13 Fatigue-Fighting Hacks to Supercharge Your Mornings, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, eating a low-salt diet if you have hypertension, difficulty performing physical activities.
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