Vanishing Twin Syndrome. It used to be that twin pregnancy losses went undetected, in the days before early ultrasounds. This phenomena was formally recognized and named in the mid-forties as Vanishing Twin Syndrome. Many women prior to this must have been aware they were pregnant with twins but had miscarried one of them early in the …Research from 2021 suggests that HIV could remain undetected indefinitely as long as the person takes their medication regularly. However, some risk factors may predispose a person to returning to ...Dr. Sewa Legha answered. Specializes in Medical Oncology. It depends: Most lymphomas grow quite fast. That is often the case with mantle cell lymphoma too. So i would say it takes 3-6 months before the symptoms become pretty severe that we/you can not miss it easily. Answered 6/8/2013. 5.1k views.Even though no test is 100 percent accurate, DNA tests have come a long way in the last couple of years. DTC companies offer the possibility to test thousand of mutations. However, whole-genome sequencing goes one step further and will decipher the complete DNA sequence. Yes, a DNA test can be wrong.Anyone Have Twins But One Undetected During 1st Ultrasound. I didn't find my twins till my 3rd ultrasound at 16 weeks. The 2nd was hiding really good. I was glad to find another though. shocked but happy. My crazy story: I had undectected pregnancy at 19 because I was on depo shots.3 doctors weighed in across 2 answers. A member asked: Neg 4 hiv 1 yr after exposure but my wbc keep going down my wbc is now 6.1 from 7.2 range 3.5- 10.0 my cd4/cd8 ratio 1.85 range 0.9-3.72 have symptoms number of neg hiv test over 1 yr exposure. Can hiv take longer than 1 yr to be detected. More test?Chlamydia is a bacterial infection; without complications, antibiotics can usually treat it within a few weeks. Over 1.5 million people in the United States had chlamydia in 2020, though numbers are likely higher as people who are asymptomatic (without symptoms) go undiagnosed. Without diagnosis and treatment, chlamydia could last for a long ...How late can twins be detected? It's not unheard of for a twin pregnancy to go undetected in early ultrasounds (say, around 10 weeks). But once you reach the midway point of your pregnancy and have your 20-week anatomy scan, you can be 99.99 percent confident about how many babies to expect at your delivery. Can you tell if its twins at 5 weeks?There are a few different ways to successfully play roulette with the netrunners Aurore and Aymeric, but the choices below are what we picked to leave with 100% scans of the twins, and 40,000 ...Chlamydia can stay dormant in a person's body for years without apparent symptoms. In some cases, symptoms appear within 2-14 days after infection. However, some people, especially men, may have Chlamydia for years without knowing it. Most men usually don't show symptoms of Chlamydia when they're infected but are still capable of ...How long can twins go undetected? Technically, a twin can hide out in your uterus, but only for so long. It's not unheard of for a twin pregnancy to go undetected in early ultrasounds (say, around 10 weeks). How likely is a second miscarriage? The predicted risk of miscarriage in a future pregnancy remains about 20 percent after one miscarriage.Jan 30, 2024 · People with a cryptic pregnancy are unaware that they are pregnant. They may only realize they are pregnant during the last few weeks of pregnancy or when they give birth. What are long lost twins? A set of 24-year-old twins who had been separated for two decades since the 1999 sectarian conflicts in Maluku finally reunited on Wednesday in Tasikmalaya, West Java, after finding each other through TikTok. Amazing Stories Of Twin Strangers Who Found Each Other.It does not!: Cellulitis is usually a serious and rapidly progressive infection of the soft tissues. It produces pain, redness, local heat and frequently causing chills and fever. So it does not remain hidden for more than 24-48 hours. Of course there may be some exceptions but if it is hiding for more than 3-4 days, it is not cellulitis!How long syphilis can go undetected? If untreated, an infected person will progress to the latent (hidden) stage of syphilis. After the secondary-stage rash goes away, the person will not have any symptoms for a time (latent period). The latent period may be as brief as 1 year or range from 5 to 20 years.The first step is to check your water meter. This can be done by turning off all the water in the house, and then noting the meter reading. Wait 15-30 minutes, and if the meter has increased, it indicates a leak somewhere in the plumbing system. The next step is to check for any visible signs of moisture or water accumulation, as well as any ...How long can twins go undetected? Technically, a twin can hide out in your uterus, but only for so long. It's not unheard of for a twin pregnancy to go undetected in early ultrasounds (say, around 10 weeks). Can twins be detected at 4 weeks?Updated: Oct 20, 2021. The Twin Experience: First-hand Perspectives on Twins' Social and Psychological Development. Ruth Ferguson, Howard Community College. Abstract: While twins in many ways are like anyone else, they have a unique experience growing up that ties together and ultimately affects their identity development.If your intuition is telling you you're pregnant, but a test tells you otherwise, you may have a false negative on your hands. In very rare cases, twin pregnancies can yield a false negative, the result of what's known as "the high dose hook effect," or simply "the hook effect.". Whether you're indeed pregnant or still trying for ...Anyone Have Twins But One Undetected During 1st Ultrasound. I didn't find my twins till my 3rd ultrasound at 16 weeks. The 2nd was hiding really good. I was glad to find another though. shocked but happy. My crazy story: I had undectected pregnancy at 19 because I was on depo shots.The answer is frightening. Esophageal cancer has a five-year survival rate of around 19 percent, according to the National Cancer Institute Surveillance and Epidemiological End Results Program. It's one of the bleakest malignant diseases out there. What makes it even more frightening is that it can produce symptoms that are caused by benign ...Twins can show up on an ultrasound as early as 5 weeks into the pregnancy, but it's also possible for an ultrasound to miss them before the 10-week mark. It depends on the type of ultrasound and how the twins are positioned. My twins were confirmed at my 10-week scan, and it was a complete surprise!Wiki User. ∙ 13y ago. Best Answer. It depends on the effectiveness of your antiviral program (if you have one). Viruses can go days, months, even years undetected on a computer. The only way to ...35 Weeks Pregnant Hidden Twin. In rare cases, a hidden twin may go undetected until later in pregnancy, such as at 35 weeks. There are stories, such as this one, where women …Scanning for malware with the fake AV is free and super-fast since it's not actually doing anything. But if you naively ask the fake AV to fix the problems it found, you’ll find it demands cash ...If a person does not receive treatment for a heart attack, it can lead to serious complications. It may even be fatal. Cardiovascular diseases are the leading cause of death globally, with 85% of ...Here are some possible consequences, if your anti-malware software does not detect and remove a virus or other malware threats. Performance issues: Some types of malware can force your hardware to slow down, overheat, or stop functioning. Others, like adware, may throw up pop-ups that interrupt your workflow. Data corruption: PC viruses, worms ...Although a hidden twin will most likely be seen during the second trimester, there are still cases where the twin goes undetected even after numerous ultrasound examinations. This happens because the hidden twin gets overshadowed by the other.So theoretically, a doctor verifying an early pregnancy could miss the presence of a second baby before week six or seven. But twins sharing a sac, called mono-amniotic twins, are rare, occurring ...At about 10 weeks an ultrasound can tell for sure if the babies are growing in their own amniotic sacs and confirm whether you’re having twins (or more). It’s not at all likely to miss the presence of a baby at this stage – the tech is very advanced these days.Dr. Sewa Legha answered. Specializes in Medical Oncology. It depends: Most lymphomas grow quite fast. That is often the case with mantle cell lymphoma too. So i would say it takes 3-6 months before the symptoms become pretty severe that we/you can not miss it easily. Answered 6/8/2013. 5.1k views.by The Angiogenesis Foundation | Feb 17, 2012 | News. A study conducted by researchers at Stanford University School of Medicine provides strong new evidence that malignant tumors may grow undetected in the body for a decade or more before they can be sniffed out by the most sophisticated blood tests currently available.Untreated, complications of this condition can be very severe: Arthritis: Prolonged infection with Lyme disease leads to chronic joint inflammation and swelling, usually in the knees (though other joints can be affected). These symptoms tend to arise within two years of infection, with periods of flare-ups and remissions.Jul 25, 2023 · Epidemiology. Before the advent of ultrasound, little was known about the phenomenon of vanishing twin syndrome (VTS). It was disclosed in 1945 by Stoeckel that the rate of multiple gestations is greater than the rate of their birth, i.e., a twin or even multiple can be lost during multi-fetus pregnancy before the mother is even aware of the loss or the fact that she was carrying multiple fetuses. Studies show these people "have very poor long-term outcomes," he said. "We know 1 in 6 patients have a (subsequent) typical heart attack that results from a blockage in the artery or death from a cardiovascular cause within a year, and only a third of patients are alive five years later." ... *Red Dress ™ DHHS, Go Red ™ AHA ; National Wear ...View All. Exaggerated Symptoms. Increased Chance of Twins. High hCG Levels. Early Movement. Increased Weight Gain. A Sneaking Suspicion. Confirmation of Two Heartbeats. With the incidence of twin pregnancies on the rise, the chance of having multiple babies in your pregnancy is more common than ever.This makes people wonder how long HIV can go undetected. How Long Can HIV Go Undetected? AIDS is the final stage of the HIV infection, but it may take more than 10 years for an infected person to have AIDS. At this stage, your immune system becomes so weak to protect you from common infections that healthy people do not get.How long can twins go undetected? Are pregnancy symptoms stronger with twins? “You can guess as much as you want, but until you have the ultrasound examination, it’s all just speculation,” says Dr. Grunebaum.How common is it for a twin pregnancy to go undetected? A twin pregnancy occurs when a woman is carrying two babies instead of one. While it may seem unlikely, …Identifying twin pregnancies earlier than ever also can reveal losses that would have gone undetected before the days of first trimester ultrasounds. When the miscarriage of a twin (or a triplet) occurs, the phenomenon is known as vanishing twin syndrome.Uncovering the Mystery: Cryptic Pregnancies • Cryptic Pregnancies • Discover how pregnancy can go undetected for up to 5 months in a phenomenon known as a cr...The good news is it usually goes away by itself in 4 to 8 weeks. More than 9 out of 10 adults who get hepatitis B totally recover. However, about 1 in 20 people who get hepatitis B as adults become "carriers," which means they have a chronic (long-lasting) hepatitis B infection.Undetected. Homicide cases are going unsolved in Texas, leaving serial killers to murder again. A version of this story ran in the January / February 2021 issue. From the January/February 2021 ...Mail for Minnesota Twins players, associated personnel and broadcasters can be sent to: Minnesota Twins, attn: fan mail, 1 Twins Way, Minneapolis MN 55403. If a guest wishes to obtain an autograph in this manner, it is recommended to include the item and a self-addressed, postage-paid envelope or box with the request.Non-Diabetic Disorders of the Pancreas. from. Chapter 25 / Lesson 7. 678. The pancreas is best known for causing high blood sugar in diabetic patients, but it can suffer from or cause several other health issues. Explore some non-diabetic disorders of the pancreas, including tumors, and other conditions like pancreatalgia. Browse by subject.However, there are certain signs and techniques that can help detect the presence of a hidden twin: 1. Early ultrasound: During the early stages of pregnancy, an ultrasound may reveal a hidden twin. This occurs when one twin is positioned behind the other, making it difficult to detect. However, it is important to note that this is quite rare. 2.Hodgkin's lymphoma can vary in how long it goes undetected, as it depends on the individual and the specific circumstances. It's typically found when symptoms develop or during routine medical exams, so early detection can vary widely. Regular medical checkups can help identify it sooner. Back to Knowledge Base.GI bleeding in the lower digestive track, which is the colon or rectum, typically is black and shows itself in tar-like stool. Many possible causes of GI bleeding include hemorrhoids, peptic ulcers, tears or inflammation in the esophagus, diverticulitis or colonic polyps. Also cancer in the colon, stomach or esophagus would also cause the same ...If they're born at 34 to 35 weeks, they may need to stay in the NICU for two weeks. Twins born 35 to 37 weeks may stay a week or less. "We aim to send babies home when the medical team feels ...You can treat chlamydia with a short round of antibiotics and typically clear with 1-2 weeks' worth of treatment. Undetected Gonorrhea . Gonorrhea is the second most common sexually transmitted disease notably infecting millions of people per year. It is recognized as another silent infection and can go undetected without signs or symptoms.Many STDs can go undetected for a long time, causing serious consequences for one's health and relationships. That is why regular STD testing is essential for anyone who is sexually active, regardless of age, gender, or sexual orientation. Prevention: Getting tested for STDs on a regular basis can help prevent the spread of diseases. Many ...Chronic leukemia may go undetected. Unlike acute leukemia, chronic leukemia develops slowly. It may take months or even several years before the disease begins to cause symptoms that alert the patient that something is wrong. ... If a patient doesn't see a doctor for several years, the disease can go undetected over a long period of time, and ...1 INTRODUCTION. In the United States, in 2018, approximately one in 33 births was the product of a twin gestation. 1 Due to the increased use of assisted reproductive technologies and increasing maternal age at conception, rates of twins have increased in recent decades. The rate of twinning is also very high for many other countries. 2 Multifetal pregnancies are at increased risk for a broad ...You wonder. The thing is, it is relatively common that a twin pregnancy is undetected in the initial ultrasounds. Research shows that almost 36% of twin pregnancies end up in …How Epilepsy Changes With Age. The incidence of new cases of epilepsy is higher in young children, particularly those under 1 year old. Then diagnosis rates gradually decline until the rate stabilizes around age 10. New cases then begin to rise again after age 55, primarily because rates of conditions such as stroke, brain tumors, Alzheimer's ...예전에는 여성들이 실제로 출산 할 때까지 쌍둥이가 있는지 알지 못했습니다. 아마도 보육원을 설계하는 것보다 스트레스가 많았을 것입니다. 요즘 초음파 덕분에 대부분의 여성들은 그들이 될지 여부를 조기에 알고 있습니다.So back to our initial question: can twins actually go undetected on a six-week ultrasound? The answer is yes – but it’s not likely. In general, ultrasounds miss around 5 percent of …Talk to a member of our staff about getting specialized care. (502) 629-2929. For many adults, the first sign of an undetected congenital heart defect is shortness of breath, especially during exercise. Other signs can include heart palpitations, fainting or cyanosis — a bluish color to the lips and nailbeds in light-skinned people.The Food and Drug Administration on Thursday announced new regulations requiring mammogram providers to inform patients about the density of their breasts, a factor that increases the risk of breast cancer and can require additional screenings in order to properly detect the disease. The new rule comes after a decades-long push for better ...Outlook. An undetectable viral load describes when there is so little HIV in the blood that a test cannot detect it. If HIV is undetectable over an extended period, it is also untransmittable ...To understand how a cryptic pregnancy can go undetected, it helps to grasp what a "normal" pregnancy looks like in its early stages. In the United States, most people discover that they're ...Disclosing status. FAQs. Summary. Undetectable HIV means a person with HIV has a viral load that is so low the virus cannot be passed on. This is known as an undetectable=untransmittable status (U ... How long can twins go undetected? Are pregnancy symptoms stronger with twins? “You can guess as much as you want, but until you have the ultrasound examination, it’s all just speculation,” says Dr. Grunebaum. Only 3.1% of days were spent without viral suppression. The study was done between 2010 and 2019, with results getting better in more recent years, probably due to improvements in HIV medications. The study shows what is possible in a country with good access to HIV treatment. Some groups of people had slightly more days with a higher …So back to our initial question: can twins actually go undetected on a six-week ultrasound? The answer is yes – but it’s not likely. In general, ultrasounds miss around 5 percent of …Nearly half of people who have a heart attack don't realize it at the time. These so-called silent heart attacks are only diagnosed after the event, when a recording of the heart's electrical activity (an electrocardiogram, or ECG) or another test reveals evidence of damage to the heart. What's behind this surprising phenomenon?Stage 1: Acute HIV infection. Stage 2: Chronic HIV infection. Stage 3: AIDS. Acute HIV infection is the first stage of the infection. Usually within two to four weeks of infection, two-thirds of those with HIV will experience flu-like symptoms. They are the main first symptoms of HIV, lasting for several days or even weeks.Long-term follow-up reports key findings and clinical messages from largest study of women's health in the US 2 hours ago Research on how dietary choline travels through the blood-brain barrier ...join discord! - https://discord.gg/ZmGJktW7follow me on tiktok! - https://www.tiktok.com/@scentle22?_t=8gRRMOOJGfB&_r=1and subscribe to me and @bottyvr #gori...Of those, 37, or 48.7 percent, turned out to be viable twins; 32, or 42.1 percent, were vanishing twins; four, or 5.3 percent, were triploid pregnancies; and 3, or 3.9 percent, were non-triploid pregnancies that lacked evidence of co-twin demise.GI bleeding in the lower digestive track, which is the colon or rectum, typically is black and shows itself in tar-like stool. Many possible causes of GI bleeding include hemorrhoids, peptic ulcers, tears or inflammation in the esophagus, diverticulitis or colonic polyps. Also cancer in the colon, stomach or esophagus would also cause the same ...voice changes that last over 2 weeks, such as unexplained hoarseness. difficulty in breathing or swallowing. An examination is necessary to get a proper diagnosis, rule out thyroid cancer, or ...Even after successful treatment, cancer can sometimes come back years later and spread to different organs. This is called latent metastasis. A new study by MSK scientists sheds light on how cancer cells hide out and remain undetected by our immune system, opening up a promising new avenue for treatment.The loss of a twin in the womb is a type of miscarriage and can cause grief for the parents. Sometimes the twin who lives through vanishing twin syndrome develops feelings of guilt. The whole ...No. 1: You are more likely to become pregnant with twins naturally when you are in your 30s and 40s. No. 2: If you have two buns in the oven, you may need extra folic acid. No.3: Being pregnant ...If you’re a die-hard Minnesota Twins fan, staying up-to-date with their schedule is a must. With so many games happening throughout the season, it can be overwhelming to keep track...Jan 10, 2023 · Request an appointment online or call 888-488-3627 to schedule your next visit with one of our experts. Philip R. Orlander, MD. 888-4UT-DOCS. With the help regular checkups and bloodwork, most underlying thyroid disorders can be easily diagnosed and treated. Depending on how far along you are, your medical provider may offer an ultrasound to properly detect the progress of the pregnancy. At a 5 week ultrasound, twins may be detected due to the heartbeats. Though faint, it is possible to hear the heart of your babies happily thumping. Typically, that early in the stage of pregnancy, it is difficult ...You can have syphilis even if you don't notice any symptoms. The first symptom is a painless, round, and red sore that can appear anywhere you've had sex. You can pass syphilis to others without knowing it. Can you have syphilis for 20 years and not know it? After the signs of secondary syphilis go away, the infection becomes hidden (latent). The chances of having a child with Down syndrome increases with age, but the majority of mothers who have children with Down syndrome are UNDER the age of 35. Many people don’t realize that Down syndrome is just a genetic condition that occurs at conception and in almost all cases, occurs by chance. (Less than 3% of all cases are inherited.) 4 Answers. No it can not. You will start to have some kind of symptoms if contracting a STD. Syphilis has been known to lie dormant for a short amount of time, but there has not been any reported cases of that for many years. In most cases with women it can but usually not with men. They are more sensitive to STDS but women will usually have ...The long tail of Lateral Movement. The fact that these breaches are so hard to detect makes them all the more damaging. A recent study found that breaches typically go undetected for 212 days — and are not contained for another 75 days.This is called vertex/vertex. It's the most cooperative possible fetal position that twins can wind up in on delivery day, and it happens about 40 percent of the time. You'll likely be able to go into labor naturally and attempt a vaginal birth. Keep in mind, however, that even perfectly positioned singletons sometimes need to be delivered by C ...Yes, you can find out gender of your twins with a blood test. Noninvasive prenatal testing (NIPT) is a test typically done around 10 weeks of the pregnancy to screen for Down Syndrome. As this test looks at DNA, it will see the chromosomes of your babies. However, because you're having twins, the sample will include DNA from both babies.Indolent lymphoma, also known as low-grade lymphoma, is a group of slow-growing non-Hodgkin lymphomas (NHLs). [3] Because they spread slowly, they tend to have fewer signs and symptoms when first diagnosed and may not require immediate treatment. Symptoms can include swollen but painless lymph nodes, unexplained fever, and unintended weight loss.Commonly referred to as the ‘silent’ infection, Chlamydia often doesn’t bring with it any symptoms - making it easy for the infection to go under the radar. Should symptoms appear, they usually develop around 1-3 weeks after sexual contact with somebody carrying the infection [3]. The most common symptoms in women can include: Painful ...We would like to show you a description here but the site won't allow us.Testicular Cancer: Testicular cancer, the most common type of cancer for men between 15 and 35 years of age, can be easily treated with a 95 percent survival rate. If detected early, the survival rate is 99 percent. Later on, however, it can drop to 50 percent depending on the type of cancer.Your Body With Twins: 1st Trimester Highlights Have nausea or vomiting.Have swollen, tender breasts.Notice darker skin on your nipples.Feel bloated.Start to have food cravings.Notice an increased sense of smell.Feel exhausted.HaveYes, you can find out gender of your twins with a blood test. Noninvasive prenatal testing (NIPT) is a test typically done around 10 weeks of the pregnancy to screen for Down Syndrome. As this test looks at DNA, it will see the chromosomes of your babies. However, because you're having twins, the sample will include DNA from both babies.
Scanning for malware with the fake AV is free and super-fast since it's not actually doing anything. But if you naively ask the fake AV to fix the problems it found, you'll find it demands cash .... Plasma express kiosk
It takes about 30-60 days for bed bugs to become an infestation. This depends on how well you treated your bed before the infestation. Bed bugs have a high reproductive capacity that can cause an infestation in no time. It is always advised to prevent the emergence of an infestation as soon as possible.The new rule comes after a decades-long push for better education and guidance to patients, which advocates say will lead to earlier detection, diagnosis and life-saving treatment.Granted, the sexually transmitted infection can be highly painful and irritating for some people. When left untreated, trichomoniasis can stay in your system ostensibly for years. Symptoms may come and go, but you may …Can twins be detected at 4 weeks? "You can guess as much as you want, but until you have the ultrasound examination, it's all just speculation," says Dr. Grunebaum. Luckily, most mamas don't have to wait long to know for sure. "Today, twins can usually be diagnosed as early as six to seven weeks of the pregnancy," he adds.The legal guardians and non-biological grandmother of a 10-year-old girl found dead with severe injuries were arrested Friday and accused of a horrific cycle of abuse and starvation that included ...How long can twins go undetected? Technically, a twin can hide out in your uterus, but only for so long. It's not unheard of for a twin pregnancy to go undetected in early ultrasounds (say, around 10 weeks). How likely is a second miscarriage? The predicted risk of miscarriage in a future pregnancy remains about 20 percent after one miscarriage.Scanning for malware with the fake AV is free and super-fast since it's not actually doing anything. But if you naively ask the fake AV to fix the problems it found, you’ll find it demands cash ...Brain tumors are typically known to be slow-growing which means they generally do not begin causing symptoms until the mass is large enough to be a problem. It can be several years until you begin to show symptoms and notice there is an issue. One of the most common types of brain cancer in adults that can go undetected for long …Request an appointment online or call 888-488-3627 to schedule your next visit with one of our experts. Philip R. Orlander, MD. 888-4UT-DOCS. With the help regular checkups and bloodwork, most underlying thyroid disorders can be …Until around 1945, we did not know about Vanishing Twin Syndrome. Twin pregnancy losses went undetected before the days of early ultrasounds. But even though it was formally recognised and named in the mid forties, many women over the preceding generations must have been aware they were pregnant with twins but had miscarried one of them early in the pregnancy.Chronic leukemia may go undetected. Unlike acute leukemia, chronic leukemia develops slowly. It may take months or even several years before the disease begins to cause symptoms that alert the patient that something is wrong. ... If a patient doesn't see a doctor for several years, the disease can go undetected over a long period of time, and ...Tuberculosis bacteria hide in the very cells that would normally kill them. Now we know more about how they evade recognition. Tuberculosis affects millions of people worldwide. Treatment for it ...Twins can show up on an ultrasound as early as 5 weeks into the pregnancy, but it's also possible for an ultrasound to miss them before the 10-week mark. It depends on the type of ultrasound and how the twins are positioned. My twins were confirmed at my 10-week scan, and it was a complete surprise!How does a cryptic pregnancy go undetected in ultrasound? Sometimes an ultrasound can miss the fetus in the womb. Typically, health care providers use ultrasound imaging to check for pregnancy in the early stages – between 10 and 13 weeks gestation. It's unlikely to detect a heartbeat by ultrasound before the seventh week of pregnancy.Dr. Michael Gabor answered. Diagnostic Radiology 35 years experience. Colon cancer: usually takes years to develop, but rapid progression is possible with very aggressive variants. Created for people with ongoing healthcare needs but benefits everyone. Learn how we can help.The Food and Drug Administration on Thursday announced new regulations requiring mammogram providers to inform patients about the density of their breasts, a factor that increases the risk of breast cancer and can require additional screenings in order to properly detect the disease. The new rule comes after a decades-long push for better ....
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