Masanumasik paricharya of garbhini- a critical review

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Journal name: World Journal of Pharmaceutical Research
Original article title: Masanumasik paricharya of garbhini- a critical review
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Author:

Dr. Sagar Subhash Ambekar and Dr. Jagruti Vidyadhar Rode- Ambekar


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Masanumasik paricharya of garbhini- a critical review

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr202211-25137

Copyright (license): WJPR: All rights reserved


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Summary of article contents:

Introduction

The importance of women in society is underscored by Pandit Jawaharlal Nehru’s assertion that their empowerment influences the progress of families, villages, and nations. Among the pivotal moments in a woman's life is pregnancy, a period that demands significant health support and care. Despite being fundamental members of families, women's health, particularly during pregnancy, receives insufficient attention. Pregnancy is characterized by various physical changes for both the mother and the developing fetus, leading to the necessity of proper health care and awareness during this critical time. This review outlines the Ayurvedic recommendations for maintaining the health of pregnant women (garbhini) throughout their pregnancy, emphasizing diet and regimen that benefit both the mother and the fetus.

Importance of Antenatal Care

Antenatal care plays a crucial role in decreasing maternal mortality rates and ensuring the health of both mother and child. It is essential for expecting mothers to receive proper health care and monitoring throughout their pregnancy. The review highlights that high rates of cesarean sections, both in high-income and low-income countries, indicate an urgent need for addressing maternal care challenges. Ensuring a positive outcome of pregnancy requires timely and appropriate antenatal care practices. The Ayurvedic tradition emphasizes that proper dietary habits and regimens have a substantial impact on maternal health and fetal development, reinforcing the need for adequate support and regular check-ups during this period.

Month-wise Dietary Recommendations

The Ayurvedic classics provide month-specific dietary guidelines for pregnant women, termed "Masanumasik Paricharya." For example, in the first month, women are advised to consume non-medicated cold milk to support nourishment while avoiding potential nausea. In the second and third months, the inclusion of medicated milk is emphasized, as it is crucial for cellular mass formation and fetal growth. Each month has specific dietary focuses, where the intake of particular foods is believed to stabilize and nurture both the mother and the developing fetus. By following these month-wise dietary guidelines, a pregnant woman can enhance her well-being and the health of her growing child.

Benefits of the Regimen

The Ayurvedic regimen prescribed for pregnant women is designed not only to nourish the mother but also to promote the healthy development of the fetus. Charaka notes that adhering to a specific dietary plan leads to a healthy mother capable of delivering a strong child with enhanced vitality. The benefits include improved physical condition, ease during labor, and a lower risk of complications during delivery. The review highlights that a well-nourished pregnant woman experiences softening of the skin and a more favorable emotional state, which ultimately contributes to a smoother childbirth experience. The cumulative impact of following these prescribed regimes supports the idea that both maternal and fetal health are interdependent.

Conclusion

In conclusion, the Masanumasik Paricharya provides invaluable insights into the importance of dietary and regimen practices during pregnancy as per Ayurvedic teachings. As highlighted, the physical and emotional well-being of pregnant women is crucial for their health and that of their babies. Effective antenatal care and adherence to Ayurvedic guidelines can significantly improve the outcomes of pregnancies, reducing risks and enhancing the health of both mothers and their children. The review effectively emphasizes the need for society, healthcare providers, and families to prioritize the health of women, especially during the significant transitional phase of pregnancy.

FAQ section (important questions/answers):

What is the significance of antenatal care during pregnancy?

Antenatal care is crucial for reducing maternal and fetal complications. It ensures proper monitoring and support for mothers, helping to lower the maternal mortality rate and improve birth outcomes.

What dietary recommendations are made for the first month of pregnancy?

In the first month, a pregnant woman should consume non-medicated cold milk in adequate quantities. Sushrutacharya also suggests taking madhur, sheeta, and drava aahar to support fetal mass formation.

How does the diet impact fetal development in pregnancy?

The diet provides essential nutrients for the mother's health and the child's growth. A balanced diet helps in the formation of healthy tissues, ensures proper hydration, and supports successful delivery.

What is advised during the eighth month of pregnancy?

During the eighth month, basti is recommended to maintain vata levels. This regimen aids in the natural delivery process and promotes the healthy expulsion of feces and urine.

What are the benefits of following the monthly regimen during pregnancy?

Following the prescribed monthly regimen leads to a healthy mother and baby. It enhances maternal strength, achieves easy delivery, and ensures the child has good health and vitality.

What specific foods are recommended for the fifth month of pregnancy?

In the fifth month, ghee prepared from butter along with similar foods from the fourth month is recommended to support the mother's health and promote fetal development.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Masanumasik paricharya of garbhini- a critical review”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Sarpis (Sarpi, Sarpish):
Sarpis refers to clarified butter (ghee) used in various Ayurvedic preparations. It is prized for its digestive, nourishing, and health-promoting qualities, often incorporated in pregnant women’s diets to enhance nutrition and support fetal development.

2) Basti:
Basti is an Ayurvedic therapy involving the administration of medicated oils or herbal decoctions through the rectum. This treatment is used to cleanse the colon and address imbalances in the doshas, particularly Vata. In pregnancy, specific bastis are recommended to facilitate a healthy delivery and support maternal health.

3) Milk:
Milk is considered a complete and highly nutritious food, rich in proteins, fats, vitamins, and minerals. In the context of pregnancy, it is emphasized for its role in nourishing the mother and developing fetus. Ayurvedic texts advocate for the consumption of milk in various forms to support health during pregnancy.

4) Family:
In the context of health, particularly women's health, family plays a crucial role in support and care. A woman's health, especially during pregnancy, significantly impacts the family's well-being. The family's involvement is vital to ensure the pregnant woman receives the necessary care, nutrition, and emotional support during this critical time.

5) Vata:
Vata is one of the three primary doshas in Ayurvedic medicine, representing air and space elements. It governs movement and circulation in the body. In pregnancy, maintaining the balance of Vata is crucial for ensuring smooth physiological processes and a healthy environment for fetal development, facilitating normal labor and delivery.

6) Garbhini:
Garbhini refers to a pregnant woman in Ayurvedic texts, emphasizing her unique physical and emotional needs. Proper care and regimen for the garbhini are crucial to promote her health and the health of the fetus. The texts prescribe specific diets and therapies to ensure a safe pregnancy and delivery.

7) Madhura:
Madhura means 'sweet' in Sanskrit and is often associated with substances that have a sweet taste, which are considered beneficial in promoting health and vigor. In pregnancy, the consumption of madhura dravyas (sweet substances) is emphasized for nourishment and as a source of energy for both the mother and the fetus.

8) Rasa (Rasha):
Rasa translates to 'taste' but also signifies essence or flavor in Ayurvedic medicine. It is a fundamental concept related to the nutritional properties of food. In pregnancy, the right rasas are crucial for ensuring proper nourishment for the mother and developing fetus, affecting overall health and vitality.

9) Diet:
In Ayurveda, diet plays a fundamental role in maintaining health. The regimen outlined for pregnant women emphasizes particular foods and meals that are believed to promote healthy fetal development and maternal well-being, thereby influencing labor outcomes and recovery post-delivery through a balanced diet.

10) Rice (Rce):
Rice is a staple food in many cultures, including India, and is considered nourishing and easy to digest. In the context of pregnancy, consuming rice is recommended due to its carbohydrate content, providing essential energy. Different types of rice dishes are prescribed for the pregnant woman based on her dietary needs.

11) Anuvasanabasti (Anuvasana-basti):
Anuvasana-basti refers to a specific type of basti therapy involving the administration of oil or medicated ghee via the rectum. It is utilized to nourish and strengthen the body, particularly useful in the last stages of pregnancy, ensuring smooth labor and addressing any Vata imbalances.

12) Anuvasana:
Anuvasana, derived from Anuvasana-basti, focuses on the therapeutic benefits of oil-based enemas. This technique is vital in Ayurvedic practices for detoxification, nourishment, and balance restoration in the body, especially during pregnancy to support the overall health of the mother and fetus.

13) Aushadhi (Ausadhi, Ausadhin, Aushadhin):
Aushadhi denotes herbal medicines or antidotes in Ayurvedic practices. During pregnancy, aushadhi refers to specific herbs recommended for their health benefits. These herbs can help alleviate common pregnancy issues such as nausea or edema, promoting overall wellness and a healthy pregnancy.

14) Siddham:
Siddham refers to substances that have been perfected or accomplished through specific processes in Ayurveda. Siddham signifies quality, safety, and efficacy of the preparations made for pregnant women to enhance their benefits, ensuring maternal and fetal health during pregnancy and labor.

15) Siddha:
Siddha means 'established' or 'accomplished' in Ayurvedic terminology. In the context of healthcare, siddha refers to potent formulations or practices that have proven effectiveness over time. This is particularly important in crafting regimes for pregnant women to support their unique physiological conditions.

16) Madhu:
Madhu translates to 'honey' and is regarded highly in Ayurveda for its medicinal properties. Nutritionally beneficial, madhu is used in various preparations for pregnant women, serving as a natural sweetener that provides energy and helps to alleviate certain digestive issues during pregnancy.

17) Drava:
Drava means 'liquid' or 'flowing' and in Ayurvedic context, denotes substances that maintain hydration and nourishment. Liquid foods are essential, especially in pregnancy, to ensure adequate fluid intake and assist in digestion, vital for the mother and developing fetus.

18) Drug:
A drug in Ayurveda may refer to any medicinal substance derived from plants or herbs. For pregnant women, the choice and administration of drugs must be carefully considered to avoid adverse effects on both the mother and the fetus, ensuring safety throughout pregnancy.

19) Vayu:
Vayu translates to 'wind' and is one of the vital energies in Ayurveda, impacting bodily movements and functions. Its balance is essential during pregnancy; disturbances can lead to complications. Careful management of Vayu through diet and therapies is mandatory for healthy fetal development and smooth labor.

20) Food:
Food encompasses all substances consumed for nourishment. In the Ayurvedic perspective, the quality, type, and preparation of food are crucial, particularly in pregnancy. Proper food choices can influence maternal health, fetal development, and the ease of labor, highlighting the significance of well-planned diets.

21) Meat:
Meat is often included in Ayurvedic regimens, especially for pregnant women, as a source of protein. It is prescribed in certain forms to help in fetal development and provide essential nutrients needed during pregnancy, contributing to a balanced diet when consumed appropriately.

22) Meat soup:
Meat soup is a nourishing preparation recommended in Ayurveda, particularly for pregnant women. It provides essential proteins, fats, and minerals crucial for fetal growth and development, offering a palatable way to meet dietary needs and support overall pregnancy health.

23) Atibala:
Atibala is an Ayurvedic herb recognized for its strength-enhancing properties. It is used in pregnancy-related regimens to boost vitality and endurance. Its inclusion helps mothers maintain energy levels and supports overall health during the demanding periods of pregnancy and childbirth.

24) Dravya:
Dravya denotes the ingredients or substances in Ayurvedic practices, particularly those used for medicinal formulations. Proper selection of dravya is essential in crafting dietary regimens for pregnant women, ensuring they receive necessary nutrients for health and wellbeing.

25) Animal:
The term animal often pertains to the source of meat or animal-derived products utilized in Ayurveda. In the framework of pregnancy, specific animal preparations are included in diets to fulfill nutritional needs, thereby supporting maternal and fetal health.

26) Labour (Labor):
Labour refers to the process of childbirth, an important transition for both the mother and the infant. Ayurvedic texts emphasize practices and diets that can facilitate a smooth labor experience, reduce complications, and promote recovery after childbirth.

27) Bala:
Bala, meaning 'strength' or 'power', is associated with vitality in Ayurveda. The aim is to enhance the health and stamina of pregnant women through dietary and therapeutic practices to ensure they are able to successfully carry the pregnancy to term and recover post-delivery.

28) Curd:
Curds, also known as yogurt, provide probiotics and are recommended in Ayurveda for digestive health and hydration. They have cooling properties that help manage excess heat, sweltering digestion during pregnancy, and are beneficial in providing nourishment for both mother and fetus.

29) Soup:
Soup, particularly made with nourishing ingredients such as meat or legumes, plays a significant role in Ayurvedic diets. For pregnant women, soups provide hydration and nutrients in an easily digestible form, helping to maintain energy levels and support fetal growth.

30) Life:
Life embodies the essence of vitality and existence. In Ayurveda, ensuring the health and longevity of both mother and child during pregnancy is paramount, as the health of the family lineage depends on the health of the new life emerging from the pregnancy.

31) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalyatantra is an Ayurvedic branch focusing on surgical techniques and treatments. Knowledge from Shalyatantra is essential during childbirth, as it provides insights into safe delivery practices, ensuring the welfare of both the mother and the baby during the labor process.

32) Madhurarasa (Madhura-rasa):
Madhura-rasa refers to substances or foods with a sweet taste, which are considered beneficial according to Ayurveda. They are prescribed during pregnancy to ensure adequate energy and nourishment for the mother and fetus, enhancing vitality and overall health.

33) Developing:
Developing signifies the growth and maturation processes occurring in the fetus throughout pregnancy. Understanding the stages of fetal development is crucial for ensuring that the mother's dietary and lifestyle choices effectively support healthy growth and reduce complications during childbirth.

34) Gokshura (Go-kshura, Goksura):
Gokshura is an Ayurvedic herb known for its benefits in promoting urinary health and has diuretic properties. In pregnancy, it is recommended to manage potential edema and hypertension, ensuring that the mother's health is maintained while also supporting the fetus's wellbeing.

35) Pregnant:
Pregnant refers to the state of carrying developing offspring, a critical time requiring specific care and nutrition. The health of a pregnant woman greatly influences the baby's development, thus adhering to dietary guidelines and Ayurvedic practices is vital for both maternal and fetal health.

36) Harita:
Harita is an Ayurvedic term often associated with greenery or herbs. It signifies the importance of natural remedies and plant-based diets in promoting health and wellness, particularly during pregnancy, where the right herbal support is crucial for the wellbeing of both the mother and the child.

37) Shukra (Sukra):
Shukra denotes reproductive fluid or essence in Ayurveda, crucial in the context of conception and pregnancy. Maintaining a healthy balance of Shukra is significant for women trying to conceive, as well as during pregnancy, influencing the overall reproductive health.

38) Purna:
Purna meaning 'full' or 'complete' symbolizes the holistic approach of Ayurveda in nurturing health. For pregnant women, achieving Purna involves careful attention to balancing diet, lifestyle, and health practices to support a healthy pregnancy and a happy delivery.

39) Taila (Thaila):
Taila, or oil, is used extensively in Ayurvedic medicine for its nourishing and therapeutic properties. During pregnancy, the application of specific oils can promote relaxation and ease discomfort, while also helping maintain healthy skin and preparing the body for labor.

40) Mastu (Mashtu):
Mastu refers to buttermilk, a digestive health staple in Ayurveda. It provides beneficial probiotics and hydration, and it is recommended during pregnancy to support digestive function and taste, which can alleviate nausea and promote overall health and nourishment.

41) Aksha (Aksa):
Aksha signifies a small quantity in Ayurvedic context often used in reference to measuring ingredients accurately for dietary recommendations. This precise measurement ensures pregnant women receive the right balance of nutrients essential for their health and fetal development.

42) Sagar (Sagár):
Sagar, meaning 'ocean', often symbolizes vastness and depth in various contexts. In the context of vişionary health, Sagar may represent nourishment and expansion, suggesting that the dietary recommendations aim to create abundance and well-being for both the pregnant mother and her developing child.

43) Patil:
Patil is a surname, likely belonging to one of the authors mentioned in the text. It represents the individuals contributing to the knowledge and practices discussed. In Ayurveda, practitioners' insights are fundamental in disseminating effective health advice and therapeutic traditions.

44) Payas (Paya, Payash):
Paya refers to a traditional dish made from meat and bones, often consumed for its nutritional value. In Ayurveda, it is recommended for pregnant women due to its richness in collagen and minerals, supporting health, energy levels, and fetal development throughout pregnancy.

45) Aahar:
Aahar encompasses all aspects of food and nutrition. In Ayurveda, Aahar is pivotal in maintaining health, particularly during pregnancy, where specific food choices are essential for promoting optimal health and fetal growth, emphasizing the need for balanced, nourishing diets.

46) Picu:
Pichu refers to a therapeutic practice involving the application of oil-soaked cotton or cloth to certain body areas. In pregnancy, Pichu is utilized to ensure warmth, nourishment, and comfort to the pelvic region, supporting labor and easing discomfort associated with pregnancy.

47) Shatapushpa (Satapuspa, Shata-pushpa):
Shatapushpa refers to a medicinal herb used in Ayurvedic practices, known for its beneficial effects on digestion and women's health. It's used in pregnancy-related therapies to alleviate issues like nausea and support overall wellbeing and vitality for the mother and child.

48) Yashtimadhu (Yashti-madhu, Yastimadhu):
Yashtimadhu, or licorice root, is recognized in Ayurveda for its soothing properties. It's used in pregnancy preparations to help alleviate gastrointestinal discomfort and enhance overall health, ensuring pregnant women receive comfort and nutrition necessary for their wellbeing.

49) Madhupushpa (Madhupuspa, Madhu-pushpa):
Madhupushpa signifies a flowering plant known for its sweet blossoms, often included in Ayurvedic formulations for their nutritious properties. During pregnancy, it enhances diets and remedies aimed at improving maternal health and supporting fetal development through its beneficial compounds.

50) Snehabasti (Sneha-basti):
Sneha-basti incorporates oily medicated enemas in Ayurveda, used to nourish and balance bodily doshas. In the context of pregnancy, they are employed to maintain Vata balance, support digestion, and prepare the body for labor, promoting a smoother delivery process.

51) Accumulation (Accumulating, Accumulate):
Accumulated refers to the buildup of substances within the body. In Ayurveda, managing accumulated doshas is vital, especially in pregnancy, where proper detoxification ensures optimal health for both mother and fetus, reducing the risk of complications during childbirth.

52) Observation:
Observation is crucial in Ayurveda to monitor health changes. In pregnancy, healthcare practitioners must vigilantly observe dietary choices, physical symptoms, and maternal wellbeing to provide tailored advice and interventions that ensure a healthy pregnancy and safe labor outcomes.

53) Mamsarasa (Mamsa-rasa):
Mamsa-rasa refers to the essence of meat, valued for its protein and nourishment. In Ayurvedic practice, meat soups or broths are frequently recommended for pregnant women to support a balanced diet rich in necessary nutrients for fetal development and maternal health.

54) Shaliparni (Saliparni, Shali-parni):
Shaliparni is an Ayurvedic herb noted for its therapeutic benefits regarding health, especially in promoting strength and vitality. It is often recommended in dietary regimens for pregnant women to reinforce energy and wellbeing during critical stages of pregnancy.

55) Discussion:
Discussion in this context relates to the examination and discourse around the prescribed practices, dietary regimens, and overall approaches to care for pregnant women. Engaging in discussion helps optimize understanding and effective communication regarding maternal and fetal health.

56) Asthapana:
Asthapana refers to a particular type of basti or enema in Ayurveda used for detoxification and therapeutic purposes. Its use during pregnancy helps manage Vata imbalances, cleanse the gastrointestinal tract, and prepares the body for natural labor processes.

57) Shashtika (Sastika):
Shashtika refers to a type of rice used in Ayurveda during various preparations for its nourishing qualities. It is frequently included in diets for pregnant women for its digestibility and to provide necessary nutrients for fetal development and maternal health.

58) Parushaka (Parusaka):
Parushaka is a type of food or ingredient mentioned in Ayurvedic texts, valued for its specific properties. Proper understanding of Parushaka helps integrate a variety of foods in pregnancy diets ensuring balance and nutritional adequacy for both mother and fetus.

59) Vagbhata:
Vagbhata is one of the eminent ancient Ayurvedic scholars whose teachings greatly contribute to the understanding of health and medicine. His contributions emphasize practical approaches to pregnant women, focusing on safe delivery methods and nurturing the health of mothers and babies.

60) Jabalpur:
Jabalpur is a city in India, and identifying it in the document likely indicates the location of one of the authors' affiliations. The cultural and geographical context plays a role in the Ayurvedic practices and dietary customs followed in that region.

61) Vomiting:
Vomiting is a common symptom experienced during pregnancy, often caused by hormonal changes. In Ayurveda, dietary management strategies are implemented to alleviate nausea and vomiting, ensuring the pregnant woman receives proper nutrition without discomfort, facilitating overall health.

62) Samgraha (Sangraha):
Sangraha refers to the collection or compendium of Ayurvedic knowledge. In discussing treatments and practices for pregnant women, the idea of Sangraha emphasizes the importance of accumulating and sharing knowledge to enhance maternal care and promote effective health regimens.

63) Vitiation (Vitiated):
Vitiated refers to an imbalance or disruption in the doshas, which can lead to various health issues. Maintaining balance is critical in pregnancy, as vitiated doshas can result in complications affecting both the mother and the fetus, necessitating careful dietary and lifestyle alignment.

64) Jangala (Jamgala):
Jangala refers to arid or wild regions, indicating the potential sources of specific herbs and foodstuff with medicinal properties. Understanding Jangala resources aids in suggesting appropriate dietary elements beneficial for pregnant women from those geographic backgrounds.

65) Prasava:
Prasava means 'delivery' or 'childbirth' in Ayurveda and refers to the physiological process of labor. Ayurvedic texts focus on practices, diets, and therapies that facilitate a healthy Prasava experience, ensuring suitable conditions for safe childbirth.

66) Avastha:
Avastha refers to a state or condition of the body. In pregnancy, understanding the Avastha of the mother is essential to apply suitable interventions and ensure optimal health and wellness for both mother and child throughout the stages of pregnancy.

67) Anupana:
Anupana refers to substances taken along with medicines or meals to enhance their effectiveness and facilitate assimilation. In pregnancy, specific Anupanas are prescribed to help mothers absorb nutrients better, promoting health and ensuring safe development of the fetus.

68) Kashaya (Kasaya):
Kashaya refers to an astringent taste found in certain herbs and medicines. In Ayurvedic practice, Kashaya herbs are used in pregnancy to manage specific issues such as nausea or constipation, providing a balanced approach to maternal health.

69) Village:
Village signifies community, often characterized by traditional lifestyles and health practices, including Ayurvedic medicine. In pregnancy, the support from the village community is essential, as cultural practices and shared knowledge help promote maternal and child health.

70) Quality:
Quality refers to the attributes or characteristics of food and medicines, essential in Ayurvedic philosophy. High-quality components are crucial in formulating regimens for pregnant women, ensuring that the nutrients provided are effective for health enhancement and fetal development.

71) Kukshi (Kuksi):
Kukshi denotes the abdominal region in Ayurveda, particularly relating to the fetal development and the physical condition of a pregnant woman. Preserving the health of Kukshi is paramount during pregnancy to ensure the wellbeing of both the mother and the developing fetus.

72) Kshira (Ksira):
Kshira translates to 'milk' in Sanskrit and is fundamental in Ayurvedic diets, especially for pregnant women. Its nourishing qualities make it essential for supporting maternal health and fostering optimal growth and development of the fetus during pregnancy.

73) Garbha:
Garbha means 'pregnancy' or 'fetus' in Sanskrit. Its importance is emphasized in Ayurvedic literature where appropriate care, nutrition, and therapies are prescribed to ensure the health of the Garbha and facilitate a safe delivery process.

74) Yavagu:
Yavagu signifies a kind of rice gruel or porridge in Ayurveda, often recommended for its easy digestibility and nourishing properties. It is particularly useful during pregnancy, providing essential nutrients in a form that is gentle on the digestive system.

75) Stanya:
Stanya refers to breast milk in Ayurveda, highlighting its significance for nourishing the infant after birth. The health of the mother during pregnancy plays a crucial role in the quality and quantity of Stanya, sustaining the newborn's growth and wellbeing.

[Note: The above list is limited to 75. Total glossary definitions available: 100]

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