The Healthy Skin Show

Jennifer Fugo, MS, CNS, Clinical Nutritionist
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May 19, 2022 • 46min

245: Why You Need More Fiber (And How It Can Help Histamine Overload) w/ Dr. Will Bulsiewicz

Have you been told to eliminate fermented foods or FODMAPS out of your diet? What about histamine containing foods? You may want to listen first or read my guest's new book before eliminating these fiber-filled foods! Today's guest, Dr. Will Bulsiewicz (or "Dr. B"), is an award winning gastroenterologist, internationally recognized gut health expert and the New York Times-bestselling author of Fiber Fueled and The Fiber Fueled Cookbook. He sits on the Scientific Advisory Board of ZOE, has authored more than twenty articles published in peer-reviewed scientific journals, has given more than forty presentations at national meetings, presented to Congress and the USDA, and has taught over 10,000 students how to heal and optimize their gut health. He lives in Charleston, South Carolina with his wife and children. You’ll find him on Instagram as @theguthealthmd, on Facebook as @theguthealthmd, and at his website theplantfedgut.com. Join us as we discuss general gut health, fiber, short chain fatty acids, and how it all relates BACK to skin health. If you've made some changes to your diet, what's worked and what DIDN'T? Let me know in the comments! In this episode: Butyrate- its effect on barrier function and how it connects the gut to the skin Why EVERYONE needs to be sprouting and a secret hack to getting more DAO enzyme from pea sprouts How fiber is food for the microbes in your gut and how that feeds them, which helps you What's the science behind FODMAPS? What may be the healthiest food on the planet Quotes “If I walk out on the street right now and I find a random sample of 20 Americans, 19 out of 20 are deficient in fiber. And not like mildly deficient, but like severely deficient.” [5:05] “FODMAPS are actually really good for us. So we want the FODMAPS, we just want them in the right amount. And we want to train our gut, make it stronger and make it capable of processing these foods for us.” [21:25] Links Find Dr. Will Bulsiewicz online Check out The Fiber Fueled Cookbook here or here Follow Dr. B on Instagram| Facebook Want to learn how to sprout at home? Watch Jen's tutorial Instagram story HEREReady to figure out your skin’s root causes so you can finally fix your skin + break free from meds to manage your skin?My virtual clinic works with adults worldwide struggling with eczema, psoriasis, rosacea, urticaria, hives, dandruff, perioral dermatitis + more.Trusted by over 1000 clients, we get results WITHOUT restrictive elimination diets.Schedule an assessment call at https://skinrepaircall.com/
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May 12, 2022 • 34min

244: How Do Biologic Drugs For Chronic Skin Conditions Work? w/ Heather Zwickey, PhD

Are you trying to weigh the pros and cons of possibly using a biologic like Dupixent for your skin condition? Your immune system has such a complex relationship with one another, so it's important to have complete informed consent when starting one. Look into all the side effects- they could be actually helpful, but they could also lead to cancer! My guest today, Heather Zwickey, earned a Ph.D. in Immunology and Microbiology from the University of Colorado and completed a postdoctoral fellowship and taught at Yale University School of Medicine. Dr. Zwickey is recognized internationally as an expert and educator in the fields of integrative medicine, natural therapies and the immune system and has been leading natural medicine research for 20 years. Heather speaks at conferences world-wide, sharing her enthusiasm for naturopathic medicine and science. She currently serves as the Director of Communication and Innovation at Thaena Inc., a microbiome-based company. Join us as we talk about how biologic drugs for chronic skin conditions work. Did you know about the relationship between your immune system and your skin? Let me know in the comments! In this episode: Biologic drugs - what are they, how are they prescribed, and what do they do? Real side effects of biologics - the bad and even the good Breaking down what cytokines are (in layman's terms) Cytokines and the JAK/STAT pathway Discussion of JAK inhibitors (the newest version of biologic drugs for skin issues) Quotes “Back when we used things like methotrexate for skin disorders, we would see that the entire immune system was blocked and as a result, there would be side effects of things like cancer. When we're only blocking one protein, we have much less severe side effects.” [2:59] “If your skin is not in balance with its microbes, it will affect your gut. We really got to address that. That is the root cause, and usually the way that we're going to address that is with eating more plant-based foods and getting some of the toxins out of our system, and letting those microbes grow the way that they were supposed to grow in normal ecosystems.” [17:47]  Links Find Dr. Zwickey online here Healthy Skin Show ep. 180:  How Hormones Impact Your Immune System + Skin Health w/ Heather Zwickey, PhD Healthy Skin Show ep.157: How Your Immune System Can Trigger Skin Rashes w/ Heather Zwickey, PhD Follow Dr. Zwickey on InstagramReady to figure out your skin’s root causes so you can finally fix your skin + break free from meds to manage your skin?My virtual clinic works with adults worldwide struggling with eczema, psoriasis, rosacea, urticaria, hives, dandruff, perioral dermatitis + more.Trusted by over 1000 clients, we get results WITHOUT restrictive elimination diets.Schedule an assessment call at https://skinrepaircall.com/
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May 5, 2022 • 39min

243: Functional Approach to Alopecia Areata w/ Dr. Julie Greenberg

Alopecia has been a hot topic in the media lately, but for others who have been dealing with hair loss for some time, it can be triggering and even devastating. My guest today, Dr. Julie Greenberg, is a licensed ND who specializes in integrative dermatology and works with hair loss in her practice. She is the founder of the Center for Integrative Dermatology, a holistic dermatology clinic that approaches skin problems by finding and treating the root cause. Dr. Greenberg holds degrees from Northwestern University, Stanford University and Bastyr University, and received advanced clinical training at the Dermatology Clinic at the University of Washington Medical School and at the Pediatric Dermatology Center at Seattle Children’s Hospital. She is also the Program Chair of the Naturopathic & Integrative Dermatology series on LearnSkin.com, a learning platform for integrative health care professionals. Join us as we discuss what a functional approach to alopecia areata is and learn about the many types of alopecia there are. I'd love to know if you have tried any of the tips that Dr. Greenberg has shared in this episode -- Let me know in the comments! In this episode: Different types of alopecia Patterns in stool testing that Dr. Greenberg tends to see in hair loss cases What vitamins are actually important for hair health (hint - it's not biotin!) Why autoimmunity is more than just gut dysbiosis Are biologics or topical minoxidil worth trying if you want to deal with alopecia holistically? Why it's important to catch hair thinning early rather than waiting it out Quotes “Biotin always comes up and it's another one of those things where, absolutely, if someone is deficient in biotin, it can cause hair loss and we would supplement, but biotin's got a really great PR person and it's out there in every supplement, and every patient who's losing their hair comes to me just taking tons of biotin. And there's no evidence to prove, unfortunately, that if you're not deficient in biotin, that biotin supplementation is going to help, and it can throw off a lot of labs, so a lot of my patients, I have to take off of biotin." [14:51] “When we think about an autoimmune disease, we have to stop for a minute and think like, wow, things have really gone awry in the body when the body can't identify self, right, because that's its number one job, is we have to know, what's self and what's an invader? We don't want to be attacking self. That's a self-defeating purpose. And so, for the body to get that far off, it usually takes both the microbiome gut dysfunction, leaky gut picture, and a toxic element where it's just so overwhelmed, it's under so much attack, it's just so confused that it's just firing at everything." [17:10] Links Find Dr. Greenberg online and on Instagram Healthy Skin Show ep. 173: Malassezia: The Bug Behind Many Fungal Skin Problems w/ Dr. Julie Greenberg Ready to figure out your skin’s root causes so you can finally fix your skin + break free from meds to manage your skin?My virtual clinic works with adults worldwide struggling with eczema, psoriasis, rosacea, urticaria, hives, dandruff, perioral dermatitis + more.Trusted by over 1000 clients, we get results WITHOUT restrictive elimination diets.Schedule an assessment call at https://skinrepaircall.com/
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Apr 28, 2022 • 11min

242: When A Liver Detox Can Help Your Skin (And When It Can’t)

As you might already know – I’m not a fan of liver detoxes or liver cleanses when you’re struggling with chronic skin rashes. But there are some exceptions to this which I think are worthwhile to share. Especially given the massive amount of marketing online constantly telling you that you need to detox your liver, understanding the nuance can be really helpful. There are instances where a liver detox makes sense, and other times where it absolutely does not (and could make your skin worse). So let’s dive into this so you can make a more educated decision about what is and is not right for your liver and skin! In this episode: My thoughts on liver detoxes versus liver nutrient support What skin issues could benefit from a liver detox Histamine Overload + liver detoxes Lab suggestions to help you identify liver dysfunction Quotes: Liver detoxes can cause major flareups and reactions that you probably didn’t intend, especially if your liver is already struggling. Psoriasis is one instance where a liver detox can sometimes be really helpful if there is a lot of liver dysfunction.Ready to figure out your skin’s root causes so you can finally fix your skin + break free from meds to manage your skin?My virtual clinic works with adults worldwide struggling with eczema, psoriasis, rosacea, urticaria, hives, dandruff, perioral dermatitis + more.Trusted by over 1000 clients, we get results WITHOUT restrictive elimination diets.Schedule an assessment call at https://skinrepaircall.com/
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Apr 21, 2022 • 35min

241: How I Dealt With Scalp Rashes (PERSONAL JOURNEY) w/ Sheradyn Dekker

Sharing a very emotional healing journey can be intimidating for many people. Most people don't want to talk about bowel movements and skin flaking off publicly, right? My guest today gets very personal on how she figured out her root causes for her skin rashes and scalp dermatitis in hopes it might help someone else. My guest today, Sheradyn Dekker, is a qualified Gut Health Nutritionist, with a Masters in Nutrition and Postgraduate studies in Functional Diagnostic Nutrition. Sheradyn not only has the “head” knowledge but has also experienced symptoms first hand. Having spent years battling chronic gut pain (IBS), bloating, missing periods & scalp dermatitis, she is passionate about helping others get to the ROOT cause of their symptoms! When dieting, supplements & medications didn't work for her symptoms, Sheradyn went on to study Functional Diagnostic Nutrition, and now uses a “root cause” approach, which incorporates nutrition, herbs and functional testing to heal those struggling with gut symptoms. Her goal is to educate and empower women to listen to their bodies, acknowledge stress and to stop using a band aid approach to their health! Join us as we discuss Sheradyn's personal journey to healing, and why it will inspire you if you, too, are dealing with chronic skin conditions that you cannot figure out. It may not be one "cause" such as only parasites or infections, but many issues affecting your gut! Do you have a chronic condition that you suspect may be caused by a gut imbalance?  Let me know in the comments! In this episode: Does international travel matter with skin rashes? Why internal and external stressors matter and are such an overlooked role for your immune system How eating “too little” or having a restrictive diet itself can be a hurdle when healing All the different lab tests you can run, whether you live in the U.S. or not Digging into why supplements may be crucial when the underlying problem aren't diet-fixable Quotes “It was purely that gut stuff, getting that right, stress reduction, and actually sorting out my hormones as well and going, "Oh right, there's actually bigger picture stuff," than going, "Yeah, it's just the parasites," because that's what I kind of got told at the time from someone. So understanding there's a whole process to it. Like you said, just DIY-ing it, in a sense, it just wasn't working." [13:40] "I know some people do a lot of food allergy testing and other things as well. It's not my forte. I don't do it straight off the bat. I usually start with something like stool testing because I want to get sort of down to the nitty gritty on those sides of things." [23:49] Links Follow Sheradyn Dekker on Instagram Find Sheradyn online Listen to her podcast: Empowered Hormones with SReady to figure out your skin’s root causes so you can finally fix your skin + break free from meds to manage your skin?My virtual clinic works with adults worldwide struggling with eczema, psoriasis, rosacea, urticaria, hives, dandruff, perioral dermatitis + more.Trusted by over 1000 clients, we get results WITHOUT restrictive elimination diets.Schedule an assessment call at https://skinrepaircall.com/
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Apr 14, 2022 • 31min

240: How To Wash Your Face (PART 2) w/ Rachael Pontillo

This is a two-part interview! Check out part 1 by clicking HERE! Today I continue my conversation with Rachael Pontillo all about holistic skincare and yes, why order matters when it comes to layering on products. My guest today, Rachael Pontillo, is a holistic skincare innovator, author, and educator. She is the bestselling author of the book Love Your Skin, Love Yourself, and co-author of The Sauce Code. She’s a functional nutrition practitioner, AADP and IAHC Board Certified International Health Coach, licensed aesthetician; and natural skincare formulator and educator. She’s the president and co-founder of the Nutritional Aesthetics™ Alliance, the creator of the popular skincare and healthy lifestyle blog, Holistically Haute™, as well as the much-loved online course, Create Your Skincare. She’s an avid herbalist, skincare ingredient aficionado, and lifelong learner. Join us as we continue the discussion on what to look for when choosing a holistic and herbal skincare regime along with HOW to use it. What's your favorite skincare ingredient? Let me know in the comments! In this episode: Issues with exfoliants + anti-aging skincare products (that no one tells you) Why hydration is important for your products to even work What order should you put your products on Different DIY at-home face masks that are single-ingredient + simple Opinions on the gold-standard of vitamin C, retinol, and hyaluronic acid Quotes “It's a tricky thing because vitamin C can also help the skin repair after sun damage. But depending on the type of vitamin C you get, which you might not know just from looking at the label, not all of it is the kind that actually can absorb into the deeper layers. Some of it stays on the surface where it oxidizes. And then if it comes into contact with the sun, you get a magnified sun response, which can be problematic. [36:11] So, I have an unpopular opinion about hyaluronic acid. I'm not a fan... And for those of you who don't know, hyaluronic acid is something that does naturally occur in the skin. However, there's no evidence that shows that if you apply it topically that you're increasing the skin level of hyaluronic acid." [42:24] "I always say that your skincare routine is as personalized, needs to be as personalized as your diet. Every person needs different things at different times of life. So, you've got to figure out what works for you. It usually really does help by just stripping it back, simplifying it to almost nothing. [53:45] Links Find Rachael online HERE Create Your Skincare Nutritional Aesthetics DON'T MISS OUT ON YOUR FREE GIFT! Free DIY skincare course, Boutique Skincare Basics--learn what you need to know if you want to make your own products to make sure you'rReady to figure out your skin’s root causes so you can finally fix your skin + break free from meds to manage your skin?My virtual clinic works with adults worldwide struggling with eczema, psoriasis, rosacea, urticaria, hives, dandruff, perioral dermatitis + more.Trusted by over 1000 clients, we get results WITHOUT restrictive elimination diets.Schedule an assessment call at https://skinrepaircall.com/
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Apr 7, 2022 • 39min

239: How To Wash Your Face (PART 1) w/ Rachael Pontillo

Skincare can be confusing. What are the steps to putting everything on? Do we even need a multi-step regimen? My guest today will discuss the differences in ingredients and why she thinks we need to trim our care routines down. [smart_track_player url=] Or, listen on your favorite app: iTunes (Apple Podcasts) | Spotify | Stitcher | TuneIn | Subscribe on Android My guest today, Rachael Pontillo, is a holistic skincare innovator, author, and educator. She is the bestselling author of the book Love Your Skin, Love Yourself, and co-author of The Sauce Code. She’s a functional nutrition practitioner, AADP and IAHC Board Certified International Health Coach, licensed aesthetician; and natural skincare formulator and educator. She’s the president and co-founder of the Nutritional Aesthetics™ Alliance, the creator of the popular skincare and healthy lifestyle blog, Holistically Haute™, as well as the much-loved online course, Create Your Skincare. She’s an avid herbalist, skincare ingredient aficionado, and lifelong learner. Join us as we discuss what to look for when choosing a holistic and herbal skincare regime along with HOW to use it. What's your favorite skincare regimen? Let me know in the comments! In this episode: What should you look for when choosing skincare? Why fancy cleansers are a WASTE of your money Why some preservatives aren't necessarily bad Quotes “Unfortunately, a lot of the products that are in big cosmetics are intended to create some sort of a temporary visual effect so that you think you're getting results, but in the long run, it's not doing you any good because they want you to keep buying products.” [5:26] "It's not uncommon to see a preservative in a hydrosol. Not all preservatives are bad. It is a water. So, anytime you have a product with water, that means that the potential for microbial growth is there. So, I don't want people getting caught up in this notion that their skincare has to be preservative free, and then get something that hasn't been preserved properly. [29:31] Links Find Rachael online HERE Create Your Skincare Ready to figure out your skin’s root causes so you can finally fix your skin + break free from meds to manage your skin?My virtual clinic works with adults worldwide struggling with eczema, psoriasis, rosacea, urticaria, hives, dandruff, perioral dermatitis + more.Trusted by over 1000 clients, we get results WITHOUT restrictive elimination diets.Schedule an assessment call at https://skinrepaircall.com/
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Mar 24, 2022 • 32min

238: Inflammatory Connection Between Psoriasis + Depression w/ Fabrizio Galimberti, MD, PhD

Psoriasis can be a very isolating condition that causes a lot of shame. My guest today will discuss how and why psoriasis can affect mental health and even lead to depression. My guest today, Dr. Fabrizio Galimberti, completed his medical training at Cleveland Clinic Lerner College of Medicine-Case Western Reserve University, received his doctorate degree from Dartmouth College and his residency at the Jackson Memorial Hospital-University of Miami Miller School of Medicine where he also served as chief resident. Dr. Galimberti's research interests include oncodermatology, autoimmune connective tissue diseases, and impact on quality of life of dermatologic conditions. He has published numerous articles in prestigious journals as well as presented his work at international conferences. Join us as we discuss the connection between psoriasis and depression. Has psoriasis affected your mental health? Let me know in the comments! In this episode: How does psoriasis affect quality of life? Does psoriasis affect how people see themselves? Ways psoriatic arthritis affects quality of life The connection between psoriasis and depression Benefits of being active and getting outside if you have psoriasis Quotes “Genital psoriasis is something that it even leads to lower quality of life, and even more sensation of stigma. These patients do not want to have sexual intercourse with their partners, or they stop seeking out for partners because they're embarrassed or because they feel that they're going to be judged because of that rash.” [5:26] “Musical therapy has been shown in multiple studies to help improve the skin clearance in psoriasis.” [20:13] Links Dr. Galimberti can be found at this email address: fxg331@med.miami.edu Book Appointment (umiamihealth.org)Ready to figure out your skin’s root causes so you can finally fix your skin + break free from meds to manage your skin?My virtual clinic works with adults worldwide struggling with eczema, psoriasis, rosacea, urticaria, hives, dandruff, perioral dermatitis + more.Trusted by over 1000 clients, we get results WITHOUT restrictive elimination diets.Schedule an assessment call at https://skinrepaircall.com/
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Mar 17, 2022 • 45min

237: How Chronic Inflammation (Even With Chronic Skin Issues) Can Drive Bio Aging w/ Dr. Kara Fitzgerald

I find anti-aging to be this awful marketing device that oftentimes makes us feel bad about ourselves, but that's not what this interview is about! My guest today will discuss what exactly is bio-aging and how genetic expression plays a big role. My guest today, Dr. Kara Fitzgerald, ND, IFMCP, is the first-ever recipient of the 2018 Emerging Leadership Award from the Personalized Lifestyle Medicine Institute in recognition of her work on DNA methylation. As a leading voice in the intersection of nutrition, epigenetics, and aging, Dr. Fitzgerald’s work has been featured in media outlets such as Prevention, Fast Company, MSN, Everyday Health , and many more. Receiving her doctorate from National University of Natural Medicine, she is on the faculty at the Institute for Functional Medicine (IFM) and is an IFM Certified Practitioner with a clinical practice in Newtown, Connecticut. Join us as we discuss all things bio-aging (NOT anti-aging skincare) and what you can do to influence your bio-age. Did you know that the chronic inflammation of skin conditions could drive aging forward? Let me know in the comments! In this episode: Why skin issues are systemic and how the inflammation is being driven from the inside out How gene expression influences quality of life and lifespan, health span, and diseases How you can turn genes on and off What are epinutrients? What is the sweet spot for exercise to reduce aging? A trick to help you turn the volume of stress down, which is a huge driver of bioaging Quotes “If we could improve biological age by a year, there is one estimate that it would save the country $38 trillion. And given that biological age is the biggest risk factor for all these chronic diseases, rather than siloing all illnesses separately, if we put our energy towards helping people age younger, keeping them healthier, we could by extension reduce risk for all of these illnesses. ” [8:01] “Epinutrients are nutrients that influence epigenetics and specifically DNA methylation, because that's where we just really hung our hat. So all of these epinutrients have some evidence of favorably helping with gene expression, specifically through DNA methylation. So we want... to bathe ourselves in sufficient methylation. ” [25:36] Links Find Dr. Kara Fitzgerald online Follow Dr. Kara Fitzgerald on Pinterest I Instagram | Twitter | Facebook Order Younger You Institute of FReady to figure out your skin’s root causes so you can finally fix your skin + break free from meds to manage your skin?My virtual clinic works with adults worldwide struggling with eczema, psoriasis, rosacea, urticaria, hives, dandruff, perioral dermatitis + more.Trusted by over 1000 clients, we get results WITHOUT restrictive elimination diets.Schedule an assessment call at https://skinrepaircall.com/
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Mar 10, 2022 • 41min

236: How Sleep Impacts Your Skin (Tips + Strategies) PT 3 w/ Michelle Nilan, MS, CNS

Poor sleep quality can affect the skin in a number of ways. Sleep is a time for our bodies to repair, and poor sleep does not allow that to happen efficiently. Today, my guest and I will discuss exactly how sleep and skin health are linked, as well as ways to improve your sleep quality. THIS IS THE FINAL SEGMENT OF A 3-PART INTERVIEW. CLICK HERE TO LISTEN TO PART 1. CLICK HERE TO LISTEN TO PART 2. My guest today is my colleague, Michelle Nilan, CNS. Michelle is a clinical nutritionist, yoga teacher, and ACSM-certified personal trainer. She is the associate clinical nutritionist in my private practice and has been working with me since June 2020! She has a master's in human nutrition from the University of Bridgeport and a bachelor's in philosophy from Humboldt State University. Through her work with me, Michelle has developed an extensive understanding of the complex relationship between the skin, gut, and overall health, and values being able to turn this into practical, actionable guidance to help others become well. She is additionally well-versed in metabolic conditions, insulin resistance and diabetes, and nutrition for high-risk pregnancies. Michelle also has a history of her own skin struggles with severe cystic acne, fungal acne, and tinea versicolor, as well as with managing thyroid, hormone, and autoimmunity issues, and knows all too well what it feels like to have significant life-impacting symptoms completely dismissed and be told by doctors that she’d “just have to live with it.” She is grateful for the opportunity to help others avoid the years of suffering she had to endure while trying to find and address the root causes on her own. Due to her work in philosophy, as well as her personal history of childhood trauma, she has a deep appreciation for the invisible mental and emotional suffering of skin and health issues that aren't obvious from the outside, and allows this to guide her approach of seeing a whole person rather than merely a collection of symptoms or a problem to fix. When she’s not working with clients, Michelle enjoys staying updated with the latest nutrition research, lifting weights, reading, going to museums, spending time in nature, drinking coffee while people-watching, and playing with her cat Daoshi. Join us for the final part of a 3-part interview all about sleep and the skin. In this series, we've been discussing circadian rhythm, sleep hygiene, why sleep is important, and so much more! Today, we'll focus on how sleep affects skin health. Has improving your sleeping habits helped your skin? Let me know in the comments! In this episode: What role does sleep play in skin health? Nighttime itchiness How does stress affect sleep quality? What is mouth-taping? Why are appropriate mattresses and pillows important for sleep? Magnesium for relaxation and calm Quotes “Sleep was actually found to beReady to figure out your skin’s root causes so you can finally fix your skin + break free from meds to manage your skin?My virtual clinic works with adults worldwide struggling with eczema, psoriasis, rosacea, urticaria, hives, dandruff, perioral dermatitis + more.Trusted by over 1000 clients, we get results WITHOUT restrictive elimination diets.Schedule an assessment call at https://skinrepaircall.com/

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