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Ear, Nose, and Throat Disorders
Question #33987
137 days ago
667

Allergies and blocked nose - using Fifatrol - #33987

DJ

I have been using cetrizine and fifatrol for my on and off allergies or any viral/flu from last 5-6 years. This year my seasonal allergies in spring lasted longer than usual and i have been using cetrrizine and fifatrol from almost 3-4 months now. Centrizine stops my sneezing and fifatrol helps in clear nose less mucus and no throat or chest problems. I went to an ENT but they prescribed steroids and allergy tests. Can I continue taking fifatrol and adhoc cetrizine when sneezing starts?

Age: 43
Chronic illnesses: thyroid
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Doctors' responses

Dear DJ Avoid chilled, fermented, dairy and bakery products. Regular exercise. Increase intake of raw vegetables and fruits. Steam inhalation twice a day. Tab. Bresol 2-0-2 Tab. Septillin 2-0-2 Follow up after 1week.

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Start with Yastimadhu churan 1tsp twice daily after food with Water Chyavanprash 2tsp once daily before food with milk Tribhivankirti ras 1-1-1 after food with water Steam inhalation with eucalyptus oil few drops of Ajwain seeds. Do Nasya with Anu tel 2drops in both nostril once daily Do pranayam lom -vilom kapalbhatti bhastrika daily for 5-10mins twice

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HELLO,

From what you’ve shared- sneezing, watery white discharge, blocked/runny nose, throat irritation, worsens seasonally, aggravates by wind and cold head baths- this fits the Ayurvedic condition called PRATHISHYAYA (rhinitis) -Kapha dosha(heaviness, coldness, stickiness) is increased-> leads to excess mucus, nasal blockage, watery discharge -Vata dosha (movement , dryness, instability) is also disturbed-> causing sneezing, irritation, worsening at night and early morning -Ama (toxins/undigested material) may be contributing, making the discharge persistent

So ayurvedic sees this as a vata-kapha imbalance, not just “cold”

TREATMENT GOALS -relieve sympotoms= reduce sneezing, nasal discharge, throat irritation -Balance doshas= pacify vata (irritation, sneezing) and kapha (congestion, mucus) -improve immunity = so you don’t keep catching colds easily -prevent chronicity= avoid sinusitis, allergic rhinits, or asthma tensendices

INTERNAL MEDICATIONS

1) SHITOPALADI + TALISADI CHURNA= 1/2 tsp each with honey twice daily after meals =balances kapha, relieves cough, sneezing, strengthens lungs, good if throat irritation is prominent

2) TRIKATU CHURNA= 1/4 tsp with warm water in morning =dries excess kapha, improves digestion, removes Ama

3) HARIDRA MILK AT NIGHT= anti inflammatory, improves immunity

4) GUDUCHI GHAN VATI= 2 tabs in morning =strengthens immunity, reduces allergic tendencies

DURATION= 2-4 weeks

EXTERNAL TREATMENTS

1) STEAM INHALATION= boil water with tulsi, pudina, or eucalyptus oil twice daily =opens blocked nasal and throat channels, melts mucus

2) SALT-TURMERIC GARGLE= warm water + 1 pinch turmeric + rock salt for 2-3 time daily =reduces swelling, disinfects throat

3) CHEST MASSAGE= use warm sesame oil with a pinch of camphor, rub gently on chest and throat nightly =improves circulation, relieves tightness in. chest

4) NASYA= instill 2 drops of Anu taila in each nostril in morning =clears channels, reduces recurrence

5)OIL PULLING= swish sesame oil in the mouth in morning =removes oral bacterial ,soothes throat

LIFESTYLE AND ROUTINE ADJUSTMENTS -Stay away from AC, direct air, fans at night , and dusty areas -Use humidifier or keep a water bowl in room to reduce dryness -sleep early, avoid day naps, and keep head elevated at night -avoid talking too much if your throat is hurting -do not suppress natural urges (cough sneeze, burp)- they worsen dosha imbalance.

DIET- general guidelines

WHAT TO EAT -light, warm, easily digestible food- khichdi, soups, green moong dal -cooked vegetables with warming spives- ginger, cumin, black pepper -warm water throughout the day (can boil with tulsi or dry ginger) -steamed or sauteed seasonal vegetables -herbal teas= tulsi ginger, cinnamon-clove,fennel-coriander

AVOID -curd, banana, cold drinks, refrigerated foods -fried, oily, junk food -wheat-heavy food if mucus is too sticky -nightshades like potatoes and brinjal if phlegm is severe

YOGA ASANAS -bhujangasana= open lungs -setu bandhasana -marjariasana-bitilasana -matsyasana

PRANAYAM -Anulom Vilom= balances vata and kapha -Bhramari= calms throat and mind -Ujjayi= soothes throat and improves breathing

EFFECTIVE AYURVEDIC HOME REMEDIES

1) TULSI-GINGER-HONEY SYRUP -crush 5 tulsi leaves + 1 tsp ginger juice+ 1 tsp honey take 2 times daily

2) GOLDEN MILK -1 cup milk + 1/4 tsp turmeric + pinch of black pepper at bedtime

3) AJWAIN + GUD MIX -roast ajwain, mix with jaggery and a little ghee -make a pea sized balls and take 1 daily

4) FENNEL-CORIANDER TEA -boil 1 tsp fennel + 1 crushed green cardamon -sip warm to soothe the throat

5) Chewing 4-5 black peppercorns with honey reduces sneezing

6) apply warm mustard oil with ajwain fumes near the nose to reduce blockages

This condition is very common at your age and usually not dangerous, but it can really drag your energy down.Ayurveda aims not just to stop the discharge and sneezing but to strengthen your system so you don’t fall into this cycle repeatedly.

YES YOU CAN USE FIFATROL AND CETRIZINE IF SYMPTOMS ARE SEVERE DON’T USE IF YOU CAN HANDLE SYMPTOMS

DO FOLLOW

HOPE THIS MIGHT BE HELFPUL

THANK YOU

DR. MAITRI ACHARYA

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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
137 days ago
5

You can take cetrizine occasionally when sneezing starts and fifatrol is generally safe for few months, but try not to depend on them daily for too long. Support your system by doing steam inhalation and some internal ayurvedic medicine like Giloyghan vati Laxmivilasa rasa -one tablet, eat twice daily after food with warm water Haridra khanda - half tsp with warm water twice daily after food Avoid cold and sour foods during allergy season

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Fifatrol can be used in short courses, but not as a year-round medicine.Instead, focus on allergy prevention & immune balancing:

Daily nasal wash (saline/Neti) – reduces pollen & dust load.

Steam inhalation with ajwain or tulsi leaves – clears passages.

Triphala or turmeric milk at night – reduces chronic inflammation.

Tulsi, giloy (Guduchi), or Amla daily – natural antihistamine + immune support.

Avoid cold drinks, ice creams, and excessive dust exposure.

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Dr. Ravi Chandra Rushi
I am currently serving as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital, Nalgonda, where I specialize in the diagnosis, treatment, and long-term management of various ano-rectal disorders. My clinical focus lies in treating conditions such as piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), rectal polyps, and pilonidal sinus using time-tested Ayurvedic approaches like Ksharasutra, Agnikarma, and other para-surgical procedures outlined in classical texts. With a deep commitment to patient care, I emphasize a holistic treatment protocol that combines precise surgical techniques with Ayurvedic formulations, dietary guidance, and lifestyle modifications to reduce recurrence and promote natural healing. I strongly believe in integrating traditional Ayurvedic wisdom with patient-centric care, which allows for better outcomes and long-lasting relief. Working at Bhrigu Maharishi Ayurvedic Hospital has provided me with the opportunity to handle a wide range of surgical and post-operative cases. My approach is rooted in classical Shalya Tantra, enhanced by modern diagnostic insights. I stay updated with advancements in Ayurvedic surgery while adhering to evidence-based practices to ensure safety and efficacy. Beyond clinical practice, I am also committed to raising awareness about Ayurvedic proctology and promoting non-invasive treatments for conditions often mismanaged or overtreated by modern surgical approaches. I strive to make Ayurvedic surgical care accessible, effective, and aligned with the needs of today’s patients, while preserving the essence of our traditional healing system. Through continuous learning and compassionate practice, I aim to offer every patient a respectful, informed, and outcome-driven experience rooted in Ayurveda.
137 days ago
5

Don’t worry take Laxmi vilas ras gold 1tab bd,chitrakai haritaki lehyam 1tsp enough

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Hello DJ I can understand your concern about your seasonal allergy and sneezing. But dont worry we are here to help you out😊

✅ About Your Current Medicines

Cetirizine– An antihistamine, works well for sneezing, runny nose, watery eyes. Safe for long-term occasional use, but daily use for months may cause tolerance, dryness, drowsiness in some people.

Fifatrol– An Ayurvedic proprietary formulation (from AIMIL), mainly used in viral flu, fever, and upper respiratory infections. It contains herbs like Guduchi, Tulsi, Daruharidra, Chirayata etc. Its role is more in immune modulation, reducing viral/bacterial load, supporting recovery rather than directly controlling allergic rhinitis.

👉 cetirizine = symptom blocker; Fifatrol = immune-supportive,

✅ Can You Continue Them?

Occasional cetirizine when sneezing flares up - reasonable, but daily reliance is not ideal.

Fifatrol for months continuously not harmful, but not the best long-term strategy for allergies (better for infections, fever).

✅Why Symptoms Last Longer This Year?

Seasonal allergy can become perennial (year-round) over time.

Triggers- dust mites, mold, pets, pollution, thyroid imbalance lowering immunity.

✅SAFER LONG TERM APPROACHES

1. Allergy-Friendly Daily Practices

Nasal saline wash (jala neti / saline spray) once daily- clears allergens.

Anu Taila 2 drops in each nostril morning - strengthens nasal mucosa, reduces allergy reactivity.

Steam inhalation with Tulsi + Ajwain.

2. Ayurvedic Herbs for Long-Term Use

1 Haridra Khanda 1 tsp -0-1 tsp with warm water – excellent for allergic rhinitis. 2 Agasthya Rasyana 1 tsp at bed time followed by warm water

3. Diet & Lifestyle

Avoid curd, cold drinks, fried food, bananas at night increase Kapha & block nose.

Prefer warm water, ginger tea, turmeric milk.

Regular pranayama (Anulom-Vilom, Bhramari).

✅ Role of Allergy Testing & Steroids

Allergy test - helps identify specific triggers (dust, pollen, food).

Nasal steroid sprays (not oral steroids) - very effective for long-term nasal blockage and much not safe for continuous use

You can use cetirizine occasionally when symptoms flare.

Fifatrol is fine short-term but not meant as a long-term allergy medicine.

For lasting relief, focus on nasya therapy, Haridra Khanda, Agasthya rasyana , and trigger avoidance.

Wishing you a good health😊

Warm Regards Dr Snehal Vidhate

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1.Sitopaladi Churna - 1 tsp twice daily With Honey 2.Haridra Khand 1 tsp with warm milk empty stomach in the morning 3.Anu taila-2 drops in each nostril twice daily

🧘 Supportive Lifestyle & Diet - Steam inhalation with tulsi or eucalyptus once daily - Avoid cold, sour, and dairy-heavy foods during allergy season - Include turmeric, ginger, black pepper, and cinnamon in meals - Practice Bhramari and Anulom Vilom pranayama daily

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Dr. Akshay Negi
I am currently pursuing my MD in Panchakarma, and by now I carry 3 yrs of steady clinical experience. Panchakarma for me is not just detox or some fancy retreat thing — it’s the core of how Ayurveda actually works to reset the system. During my journey I’ve handled patients with arthritis flares, chronic back pain, migraine, digestive troubles, hormonal imbalance, even skin and stress-related disorders... and in almost every case Panchakarma gave space for deeper healing than medicines alone. Working hands-on with procedures like Vamana, Virechana, Basti, Nasya, and Raktamokshana gave me a lot of practical insight. It's not just about performing the therapy, but understanding timing, patient strength, diet before and after, and how their mind-body reacts to cleansing. Some respond quick, others struggle with initial discomfort, and that’s where real patient support matters. I learnt to watch closely, adjust small details, and guide them through the whole process safely. My approach is always patient-centric. I don’t believe in pushing the same package to everyone. I first assess prakriti, agni, mental state, lifestyle, then decide what works best. Sometimes full Panchakarma isn’t even needed — simple modifications, herbs, or limited therapy sessions can bring results. And when full shodhana is required, I plan it in detail with proper purvakarma & aftercare, cause that’s what makes outcomes sustainable. The last few years made me more confident not just in procedures but in the philosophy behind them. Panchakarma isn’t a quick fix — it demands patience, discipline, trust. But when done right, it gives relief that lasts, and that’s why I keep refining how I practice it.
136 days ago
5

Stop anti histamine only if very necessary Start with shad dharan gulika 2BD A F Haridrakhand 1tsf BD Septillin 2OD

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Can use vasanthakusumakara rasa 1-0-1 CHYWANPRASH 1-0-0tsp Anu taila 1 drop each nostril when nasal congestion Drink warm water throughout the day Avoid cold fried refrigerated foods

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Hi DJ this is Dr Vinayak as considering your problem no need to…as it is seasonal issue to your body…we will treat it properly. Rx- Regularly take steam inhalation…no side effects and no issues take daily T allergin forte 1-0-1 after food Bresol nasal drops you can use… steam inhalation will give you major relief

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In terms of dealing with your allergies, both Cetirizine and Fifatrol have their place but let’s consider their effects and potential alternatives. Cetirizine is an antihistamine, which can indeed help with sneezing and other allergic symptoms by blocking histamine, a substance your body releases during allergies. However, long-term use isn’t typically advised, unless prescribed by a healthcare provider, due to potential tolerance and side effects. Then there’s Fifatrol, an Ayurvedic formulation that may help alleviate congestion and exhibit mild immuno-boosting properties.

However, from an Ayurvedic perspective, it’s important to address any underlying imbalances rather than just managing symptoms. Given the chronic nature of your symptoms, we might be looking at an imbalance in the Kapha dosha, which governs structure and fluid in the body. This could cause the excessive mucus production and congestion you’re experiencing. To help restore balance, consider incorporating herbs like turmeric and ginger into your diet, as they are known for their anti-inflammatory and decongestant properties.

Regular steaming with eucalyptus oil may also aid in relieving nasal congestion, improving your breathing. Pay attention to your digestive fire (Agni), as weak digestion can contribute to an increase in Kapha. Favor light, warming foods; avoid dairy and oily foods, which might aggravate mucus production.

Regarding diet: emphasize on cooked vegetables, whole grains, and lean proteins. Daily practices like Jala Neti (nasal cleansing) can tremendously help in keeping nasal passages clear. Moreover, pranayama practices such as Anulom Vilom (alternate nostril breathing) can support respiratory health as well.

Ultimately, discuss with your primary healthcare provider — especially regarding medication use. Allergy tests and evaluation can provide valuable insights into specific triggers and guide a more effective treatment strategy. Don’t stop or alter medication without medical advice, especially in regards to the steroids your ENT suggested. Your health strategy may benefit from an integrative approach that combines conventional medicine with Ayurvedic practices for a balance approach to health.

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Dr. Anjali Sehrawat
I am Dr. Anjali Sehrawat. Graduated BAMS from National College of Ayurveda & Hospital, Barwala (Hisar) in 2023—and right now I'm doing my residency, learning a lot everyday under senior clinicians who’ve been in the field way longer than me. It’s kind of intense but also really grounding. Like, it makes you pause before assuming anything about a patient. During my UG and clinical rotations, I got good hands-on exposure... not just in diagnosing through Ayurvedic nidan but also understanding where and when Allopathic tools (like lab reports or acute interventions) help fill the gap. I really believe that if you *actually* want to heal someone, you gotta see the whole picture—Ayurveda gives you that depth, but you also need to know when modern input is useful, right? I’m more interested in chronic & lifestyle disorders—stuff like metabolic imbalances, stress-linked issues, digestive problems that linger and slowly pull energy down. I don’t rush into giving churnas or kashayams just bcz the texts say so... I try to see what fits the patient’s prakriti, daily habits, emotional pattern etc. It’s not textbook-perfect every time, but that’s where the real skill grows I guess. I do a lot of thinking abt cause vs symptom—sometimes it's not the problem you see that actually needs solving first. What I care about most is making sure the treatment is safe, ethical, practical, and honest. No overpromising, no pushing meds that don’t fit. And I’m always reading or discussing sth—old Samhitas or recent journals, depends what the case demands. My goal really is to build a practice where people feel seen & understood, not just “managed.” That's where healing actually begins, right?
5
530 reviews
Dr. Atul Painuli
I am Vaidya Atul Painuli, currently working as an Ayurvedic Consultant at Patanjali Chikitsalaya, Delhi... been here a while now. My focus from the start—over 10+ yrs in this field—has been to stay true to what Ayurveda *actually* is, not just surface-level remedies or buzzwords. I’ve treated a wide mix of patients, from people battling chronic illnesses to those just looking to fix their lifestyle before it leads to disease (which is v underrated tbh). During these years, I kinda shaped my practice around the idea that one solution never fits all. Whether it’s diabetes, gut disorders, stress-related problems or hormone issues—everything goes back to the root, the *nidana*. I usually go with classic Ayurvedic meds, but I mix it up with Panchakarma, diet tweaks and daily routine correction, depending on the case. Most of the time, ppl don’t even realize how much their habits are feeding into the problem. It’s not just about herbs or massages... though those are important too. At Patanjali Chikitsalaya, I see patients from literally all walks of life—office-goers, elderly, even young kids sometimes. Everyone’s got something diff going on, which keeps me grounded. What I try to do is not just treat the symptoms but help ppl *see* what’s happening in their bodies and minds. Like Ayurveda says—if your digestion, sleep and emotions are off... then eventually health’s gonna wobble. I don’t promise quick results but I do stay with my patients through the process, adjusting things based on how they respond. That part makes a big difference I think. For me, Ayurveda isn’t a “last resort” kinda thing—it’s a system that can prevent 80% of the lifestyle diseases ppl suffer from today, if done right. My goal? Just to keep doing this in a way that feels real, grounded, and actually helps ppl—not overwhelm them with too much jargon or fear. Just practical, clean, honest healing.
5
99 reviews
Dr. Nayan Wale
I am working in medical field for total 7 years, out of which around 4 years was in hospital setup and 3 years in clinic practice. Hospital work gave me strong base, long duty hours, different type of cases, emergencies sometimes, and learning under pressure. Clinic work is different, slower but deeper, where I sit with patients, listen more, explain things again n again, and follow them over time. In hospital I handled day to day OPD cases, routine management, and also assisted seniors when things got complicated. That phase shaped my clinical thinking a lot, even now I sometimes catch myself thinking like hospital mode when a case looks serious. Clinic practice on the other hand taught me patience. Patients come with chronic issues, expectations, doubts, sometimes fear, and I had to adjust my approach accordingly. I focus on practical treatment planning, not just diagnosis on paper. Some days I feel I should have more time with each patient, but I try to balance it. My experience across hospital and clinic helps me understand both acute care and long term disease management. I still keep learning everyday, reading, observing patterns, correcting myself when needed, because medicine never stays same for long, and neither should the doctor.
5
3 reviews
Dr. Jatin Kumar Sharma
I am a BAMS graduate and currently running my own clinic, where I see patients on a regular basis and try to give them honest, practical care. My daily work involves understanding different health concerns, listening properly to what the patient is going through, and then planning treatment in a way that actually fits their routine. I believe treatment should not feel confusing or rushed, and sometimes even small changes make a big difference. Running my own clinic has taught me a lot about responsibility and consistency. Some days are busy, some are slow, but every patient brings a different challenge and learning. I focus mainly on Ayurvedic treatment methods, lifestyle correction and long-term health balance, rather than quick fixes. There are times when progress takes longer, but I stay patient and keep working with the person step by step. I try to keep my approach simple, practical and honest. For me, real success is when a patient feels better in daily life, sleeps better, eats better and slowly regains balance. That is what keeps me going and improving every day.
5
90 reviews
Dr. Shashank P Bhat
I am an Ayurvedic physician who kinda found my grounding during my BAMS at SDM Institute of Ayurveda, Bangalore—graduated 2022. That place really drilled in the classics, like proper Ayurveda-shastra, but also pushed us to actually use it in clinics, not just memorize verses. Right now I’m doing my PG in Shalya Tantra (Ayurvedic Surgery), which is a bit intense honestly, but it’s also where I feel most focused... like I can bridge the old with the now, if that makes sense. I’ve worked across outpatient and inpatient setups for around 3 years. Assisted in surgeries. Monitored recoveries. Some days are all about bandaging and Basti, others I’m counseling families or setting up herbal meds for chronic stuff. It’s always changing. I’ve done classical therapies like Ksharasutra, Agnikarma and also worked with modern tools — not against them, with them. Feels important to say that. What really matters to me tho is patient trust. I try to explain what’s going on without sounding preachy... like, if someone comes in with a pilonidal sinus or chronic fissure, I don’t just talk meds — I explain why their lifestyle or digestion’s probably linked too. My strength (if I can call it that) lies in making Ayurvedic surgery feel less intimidating n more real-world. I’m not chasing shortcuts. Not here to sell cures. My aim’s just to help more ppl see that healing doesn’t have to mean choosing between ancient n modern. You can have both—like a Sushruta blade held in a 21st century hand. And if I can keep doing that—blending Shalya with evidence, compassion with clarity—then ya, I’d feel like I’m on the right path.
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Evelyn
4 hours ago
This answer was super helpful! Appreciate the honesty and detailed breakdown, made things way clearer for me. Feeling more hopeful!
This answer was super helpful! Appreciate the honesty and detailed breakdown, made things way clearer for me. Feeling more hopeful!
Sydney
4 hours ago
Thanks a bunch for the detailed answer! It really put my mind at ease. The advice was clear and gives me hope with a natural approach.
Thanks a bunch for the detailed answer! It really put my mind at ease. The advice was clear and gives me hope with a natural approach.
Benjamin
1 day ago
Thanks Doc! Your tips really helped clear things up (literally 😅). The herbal suggestions feel so much better than harsh chemicals. Cheers!
Thanks Doc! Your tips really helped clear things up (literally 😅). The herbal suggestions feel so much better than harsh chemicals. Cheers!
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1 day ago
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