And what should you do instead to lose weight? Star Wars and Jaws played to packed theatres. Yvonne used to see all those pictures of people who'd lost so much weight, but sometimes didn't really believe they were real. [67] Dr. Fung has also claimed that insulin makes you hungry. Ginger, for example, has been demonstrated to help with appetite control, increase the thermic effect of food (minimal effect & the total area under the curve was not different from control), and digestion. EA refers to purposeful movement while NEAT refers to non-purposeful movement such as fidgeting, posture, unintentional pacing, etc. Understanding and treating type 2 diabetes Dr. Jason Fung. Some hormones indeed DO impact energy expenditure, for example, thyroid hormone (T3). My pants, which were size 42, went down to a 40, then 38, then 36, and now 34. If we deliberately restrict caloric intake, then our total energy expenditure will decrease. In terms of the foods, this is not a low-calorie diet. Good. Find Movie. [107][108][109]. They lost well over 100 lbs in 30 weeks and incurred a reduction in BMR of 499 calories from metabolic adaptation. Jason F Fung MD A Medical Corp. 3300 Webster St Ste 509, Oakland, CA 94609. Dr. Jason Fung Also published on idmprogram.com. They were not even really exercising much. However, if too much insulin contributes to obesity, then it becomes clear that we need to lower insulin levels. Longevity lessons from the Blue and unBlue Zones, "Can you get type 2 diabetes again once you've reversed it? Im happy and proud again. Now lets say this same person DOUBLED their protein in exchange for carbohydrate: Protein 1000 kcal x 0.2-0.3 = 200-300 kcal/d Dr. Fung eats a low-carbohydrate diet and fasts regularly. Dr. Jason Fung is an expert on the topic of fasting. Why is counting calories useless? If fasting has been around since the beginning of time, why is it so controversial? And the main hormone we need to know about is insulin. Just following up on our post from last week Robert I wanted to share with you my single best weight-loss tip. . Controlling insulin requires a change in our diet, which is composed of two factors how high the insulin levels are after meals, and how long they persist. Whether the calories we eat are burned as energy or stored as body fat is also tightly controlled by hormones. 2016, Effect of isoenergetic low- and high-carbohydrate diets on substrate ., Effects of isoenergetic overfeeding of either carbohydrate PubMed.. [46] Interestingly, fasting decreases thyroid hormone and energy expenditure in the short term. Check out my blog at https://medium.com/@drjasonfungMore Information:BOOKS:The Obesity Code - Reviewing underlying physiology of weight loss and how low carb diets and fasting can help. He is also the scientific editor of the Journal of Insulin Resistance and the managing director of the nonprofit organization Public Health Collaboration (Canada), an international group dedicated to promoting sound nutritional information. If you looked at an old photograph from that era, perhaps you might be amazed at several things. He also attempted to get another physician fired from his job for daring to question Dr. Fungs cancer statistics. Dr. Fung's office is located at 3300 Webster St, Oakland, CA. The well . 18 Mar. And which one your body does really depends on hormones that are associated with the foods that youre eating, thats the real key.. Luckily, there was no Troponin bump and my myocardium (heart muscle) was preserved. Insulin increases leptin secretion, and leptin is the major satiety hormone. Jason Fung shares the basics of Intermittent Fasting, the who, what, when and how including some tips for fasting. This boils down to two simple factors: Most diets concern themselves with only the first question and I believe that is why they fail over the long term. I was becoming defeated. Could you fast for health without weight loss? There are only two possible outcomes that I can think of. Fructose and fatty liver why sugar is a toxin, How Gina really healed herself from obesity and metabolic syndrome. thanks doc fung. Four Weeks of Time-Restricted Feeding Combined with Resistance . 17 Apr. Dr. Fung's fasting course part 3: Dr. Fung explains the different popular fasting options and makes it easy for you to choose the one that fits you best. [103][104][105] Furthermore, the implication that Dr. Fung is making is that somehow caloric restriction will cause metabolic adaptation. Many of todays chronic medical issues are related to diet and obesity, yet treatments are focused on medications and surgeries. High insulin effects are resisted in the case of type 2 diabetes. Though my weight loss has decreased I am still losing weight. I'm a 57-year-old internist in Concord, Massachusetts. Yet they had virtually no obesity. Even in America, lets remember the 1970s. Moreover, if we recall our fat balance equation from earlier, a TRF approach would produce a large amount of fat oxidation during the fasting period, but this would be balanced with a large amount of fat storage during the short feeding period. That said, Dr. Fung rarely speaks about thyroid hormone other than to speculate that perhaps intermittent fasting (a methodology he heavily promotes) may help improve the condition of people with hypothyroidism. For example, if someone ate a diet of 25% protein, 50% carbohydrate, and 25% fat at 2000 calories, we would assume their TEF would be approximately the following: Protein: 500 kcal x 0.2-0.3 = 100-150 kcal/d [91][92][93]. Fat: 500 kcal x 0-0.03 = 0-15 kcal/d more than where I would like to be. Rigid dietary control, flexible dietary control, and intuitive eating . 23 Jan. 2017. While the books sold very well, they certainly have not been embraced by academics and experts. 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Protein has a significantly higher TEF (20-30% of ingested energy is spent metabolizing protein) compared to carbohydrate (5-10%) or fat (0-3%). [69] The notion that insulin would make you hungrier also does not make sense from a mechanistic perspective. All Rights Reserved. Seeing many diabetic patients with kidney complications, he has taken special interest in obesity and diabetes.He has pioneered the use of therapeutic fasting regimens for weight loss and type 2 diabetes control, with great success, at his Intensive Dietary Management clinic in Toronto. The insulin causes obesity hypothesis is easily tested. https://youtu.be/5F5o0a4p_3U4. I see it being recommended to work with "a professional" in the discussions above. As we discussed, the data on diets that compare calorie/protein equated weight loss diets that vary in carbohydrate and fat content show no real differences in energy expenditure. After all, insulin increases fat storage. [40] Its a bizarre way to frame his argument, but I digress. Im a 57-year-old internist in Concord, Massachusetts. There were not eating whole-wheat pasta. Below is some of the material with Dr. Fung on Diet Doctor. In this episode, Dr. Joseph Antoun talks about fasting for health and longevity. It certainly does. People began noticing my progress during the COVID shutdown. 2021, Controlling Hunger-Part 1. [58] Now consider that if we truly want to test whether or not its calories or insulin that are the primary drivers of obesity, we have to compare diets that are equal in calories but differ in insulin response. Dr. Fung about what you need to do to start fasting. Now some of you might ask, Ok, maybe his claims arent completely accurate, but if it helps people lose weight and get healthy, what is the harm?, The harm is that singling out foods, macronutrients, or hormones as good or bad can create disordered eating patterns in some people. If you give insulin to a random group of people, will they gain fat? Dr. Jason Fung has a different perspective. Dr. Fung's fasting course part 1: A brief introduction to intermittent fasting. In this video, Dr. Jason Fung gives a presentation on diabetes to a room full of medical professionals. Where is Dr. Fung's office located? For example, lets say that someone was eating 2000 calories per day and believed that should be a 500 calorie deficit. Now, my meals are full and healthy, and I dont eat at all between meals. Im prediabetic with fatty liver; gallbladder removed years ago. I still take Jardiance. We can get fat because weve given our body the hormonal signal to gain body fat. However, it works by creating a calorie deficit through reductions in food intake, not because of low insulin. My Response: Once again, Dr. Fung mixes up his terms. Benefits of Drinking CoffeeMany people avoid drinking coffee. I would love to meet you if our paths cross at a conference one day. Last year, I got close to my ideal weight with 48 hour fasts, but it was binge and purge, now I have gained it all back and more. A rigid mindset around food is what tends to cause binge eating. For their patients, doctors often advise following standard diets, but when trying to lose weight themselves Zeenah Z.2021-08-09T09:54:42-04:00Featured, How To Lose Weight, Resource|. 2:44: Its not the total number of calories thats important. Despite all appearances, I do not set out to find people to debunk or call out. Diet induced thermogenesis NCBI NIH. 18 Aug. 2004, Energy balance and its components: implications for NCBI NIH., Thyroid hormone as a determinant of energy expenditure and the ., Physiological and Metabolic Changes During the PubMed.. Please advise. Its crucial to understand that fat can be stored in adipose cells without increases in insulin because of dietary fat, which is stored in adipose cells. Dr. Fung is also onTwitter, Facebook, Instagram, LinkedIn and YouTube. Icon Directions Right Arrow. Insulin levels are almost 20 percent higher in obese subjects, and these elevated levels are strongly correlated to important indices such as waist circumference and waist/hip ratio. Or is a "OMAD/2 meal/36 hour" cycle a better option?. Terms, Its Not Calories Its Hormones: A Response to Dr. Jason Fung, https://www.thedoctorstv.com/articles/great-ketogenic-diet-debate, Dr. Jason Fung 28-Day Fasting Tea Challenge Facebook, https://www.redpenreviews.org/reviews/the-obesity-code-unlocking-the-secrets-of-weight-loss/, https://www.myoleanfitness.com/evidence-caloric-restriction/, https://www.healthline.com/health-news/debunking-the-obesity-code-diet, https://twitter.com/avibittmd/status/1240317942794981377, https://twitter.com/avibittmd/status/1241797154693316610, https://www.biolayne.com/media/videos/what-the-fitness/billions-of-people-do-calorie-reduced-diets-only-few-lose-weight/, https://www.vox.com/2016/11/3/13510410/fat-shaming-tweet, https://twitter.com/yonifreedhoff/status/1101140278377877508, https://twitter.com/AlastairMcA30/status/1314090007523594241?s=20, https://pubmed.ncbi.nlm.nih.gov/32060194/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6836017/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4090010/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3530364/, https://www.facebook.com/events/httpsbitly2sct8ca/dr-jason-fung-28-day-fasting-tea-challenge/235567304063336/, https://www.piquetea.com/products/ginger-green-fasting-tea, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3408800/, https://pubmed.ncbi.nlm.nih.gov/23235664/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6769678/, https://www.ncbi.nlm.nih.gov/books/NBK231811/, https://pubmed.ncbi.nlm.nih.gov/29433679/, https://pubmed.ncbi.nlm.nih.gov/28627214/, https://pubmed.ncbi.nlm.nih.gov/14594116/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5527236/, https://pubmed.ncbi.nlm.nih.gov/31021710/, https://pubmed.ncbi.nlm.nih.gov/30149423/, https://thefastingmethod.com/the-failure-of-the-calorie-theory-of-obesity/, https://thefastingmethod.com/sugar-obesity-fructose-3/, https://www.youtube.com/watch?v=_nt6KAUvedI, https://medium.com/personal-growth/the-useless-concept-of-calories-50831730cc81, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC524030/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3302369/, https://pubmed.ncbi.nlm.nih.gov/18279014/, https://pubmed.ncbi.nlm.nih.gov/27465032/, https://www.dietdoctor.com/intermittent-fasting/questions-and-answers, https://pubmed.ncbi.nlm.nih.gov/31298652/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4613969/, https://www.youtube.com/watch?v=3d7KkyXnyB4, https://www.dietdoctor.com/the-biochemistry-of-insulin-resistance, https://www.dietdoctor.com/my-single-best-weight-loss-tip, https://thefastingmethod.com/what-is-insulin-resistance, https://pubmed.ncbi.nlm.nih.gov/27931032/, https://pubmed.ncbi.nlm.nih.gov/10355026/, https://pubmed.ncbi.nlm.nih.gov/10365981/, https://pubmed.ncbi.nlm.nih.gov/28193517/, https://pubmed.ncbi.nlm.nih.gov/26278052/, https://pubmed.ncbi.nlm.nih.gov/27385608/, https://pubmed.ncbi.nlm.nih.gov/12908902/, https://pubmed.ncbi.nlm.nih.gov/11029975/, https://pubmed.ncbi.nlm.nih.gov/33567185/, https://drjasonfung.medium.com/controlling-hunger-part-1-627ab2d751fa, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7258127/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3314365/, https://pubmed.ncbi.nlm.nih.gov/29419624/, https://pubmed.ncbi.nlm.nih.gov/16002802/, https://pubmed.ncbi.nlm.nih.gov/24611935/, https://pubmed.ncbi.nlm.nih.gov/22470009/, https://pubmed.ncbi.nlm.nih.gov/15051856/, https://pubmed.ncbi.nlm.nih.gov/19158228/, https://pubmed.ncbi.nlm.nih.gov/16046715/, https://pubmed.ncbi.nlm.nih.gov/12566476/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3629809/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3174765/, https://pubmed.ncbi.nlm.nih.gov/27136388/, https://academic.oup.com/ajcn/article/112/3/558/5835207, https://pubmed.ncbi.nlm.nih.gov/33762040/, https://pubmed.ncbi.nlm.nih.gov/26399868/, https://pubmed.ncbi.nlm.nih.gov/32986097/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231047/, https://pubmed.ncbi.nlm.nih.gov/32844188/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4634125/, https://pubmed.ncbi.nlm.nih.gov/16358395/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5568065/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3209643/, https://www.nature.com/articles/ijo2017206, https://pubmed.ncbi.nlm.nih.gov/31204775/, https://pubmed.ncbi.nlm.nih.gov/32386226/, https://thefastingmethod.com/how-calorie-counting-wrecks-your-metabolism/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6747132/, https://pubmed.ncbi.nlm.nih.gov/30888332/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3605747/, https://pubmed.ncbi.nlm.nih.gov/28131005/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3025064/, Dr. Fung believes that your TDEE only has two components: your BMR and exercise (even though he vaguely references TEF), Dr. Fung says that its not the calories that are important, even though he makes a big deal regarding whether your body stores those calories or burns them, Dr. Fung claims that the hormones associated with the foods you eat are more important than their calorie content, Dr. Fung doesnt know the difference between a calorie deficit and calorie tracking (this is likely as many people assume they are the same thing which theyre not) or. 2. Dr. Fung is a co-owner in the Diet Doctor company. Dr. Jason Fung reveals his top seven reasons why you should consider adding intermittent fasting to your repertoire. Please help! While we already discussed that all calories are the same because calories are simply a unit of measurement, all sources of calories are not the same, and CICO does not assume they are the same. Energy expenditure and body composition changes PubMed NIH. 6 Jul. To express it more easily, I have included a hypothetical figure from my book, Fat Loss Forever, and it compares these two diets and their effects on fat storage/burning. Why? Gillian had a normal life when she all of a sudden started to get seizures. I have had PCOS and insulin resistance. but my glucose was in the mid-200s. Glad to see Dr. Fung mention that traditional societies were high carb and still not obese. There are no drugs that can control insulin. He lives and works in Toronto, Canada. In any case, he is referring to energy balance, but his statement that it assumes that your basal metabolic rate remains absolutely rock stable is COMPLETELY ERRONEOUS. Reversing Type 2 Diabetes Naturally - https://youtu.be/mAwgdX5VxGc6. I'm just looking for a solution that takes me off the dieting rollercoaster. Appreciate any help with this available. First, why anybody ever thought bell bottoms were cool. 2012, Effect of licorice on the reduction of body fat mass in healthy subjects., The Effect of Dried Glycyrrhiza Glabra L. Extract on Obesity ., Ginger Green Fasting Tea | Fasting Tea Formulated Pique Tea., A review: exercise and its influence on resting energy metabolism in .. Hormones can tell us we are hungry (ghrelin). All I can find are conflicting percentages and old-school (but unproven in my case) calorie recommendations. [45] This might mean that a person who has a BMR of 1600 kcal/d instead has a BMR of 1200 kcal/d. Unfortunately, he continues to disperse misinformation to the point where I am no longer content to make short Instagram posts or YouTube videos about his claims. They were eating white bread and jam. If you dont deal with the root cause, the problem never improves. He founded The Fasting Method (TheFastingMethod.com) to provide evidence-based advice for weight loss and managing blood sugars, focusing on low carbohydrate diets and intermittent fasting. Not the Jason Fung you were looking for? Jason is a physician, researcher and New York Times bestselling author and currently practices as a nephrologist (kidney specialist). His knowledge has helped change the way many people think about getting healthy. All I can find are conflicting percentages and old-school (but unproven in my case) calorie recommendations. Hormones can tell us we are full (peptide YY, cholecystokinin). [7][8] Here is the debate on The Doctors: https://www.thedoctorstv.com/articles/great-ketogenic-diet-debate. https://www.dietdoctor.com/low-carb/gain-weight, https://www.dietdoctor.com/diabetes/type-1, https://www.dietdoctor.com/intermittent-fasting/guides, https://www.dietdoctor.com/low-carb/kidney-health, https://www.dietdoctor.com/low-carb/get-started, https://pubmed.ncbi.nlm.nih.gov/19560716/. Told them both about the cgm and what I am seeing. Coffee contains many antioxidants, caffeine has been shown to boost performance and focus, and both caffeinated and decaffeinated forms help suppress appetite. Directions. Eat before you go to bed. In fact, he has previously stated that the energy balance equation (calories in vs. calories or CICO) is ALWAYS TRUE but then claims that restricting your calories will not lead to weight loss (more on this later). The question is not just how to balance calories; the question is how to balance calories and our hormones especially insulin. I have current blood work and the cgm data so I feel there is a lot of info to work with. I am not saying that IF/TRF does not work. Its so simple and obvious that even a 5-year old could have come up with it. Accuracy of Apple Watch Measurements for Heart Rate and Energy . 19 Mar. How fasting made all the difference for Jennifer, After trying every diet, Karen reaches her goals by trusting the process. This sort of behavior upsets me since Dr. Fung refused to attack the substance of Dr. Freedhoffs argument and instead attempted to ruin his life. All I want to know is how to lower my body set weight. Another friend is in charge of medical weight loss at a local clinic and says they have a diet plan for me. Box Office Data. How do you fast for 7 days? Furthermore, if insulin somehow impeded weight loss, it would do so through either reducing energy expenditure or increasing energy intake. The best thing I got out of those discussions is a recommendation to an endocrinologist. Saturated Fat - Friend or Foe? He is a Canadian Nephrologist (Kidney doctor) whose website says he is a world-leading expert on intermittent fasting and low carb, especially for treating people with Type 2 Diabetes. He originally came into notoriety after writing The Obesity Code and has since written The Diabetes Code and The Cancer Code. Why? Indeed, as we discussed, the previously cited meta-analysis and systematic reviews that examined diets equivalent in daily or weekly calories but compared some form of IF/TRF to continuous caloric restriction saw NO differences in fat loss. A dietary problem requires a dietary solution. [42] That said, Dr. Fung frequently advocates for low-carb diets and insulin minimization via low-carb diets, but this is incongruent with the argument regarding TEF since the TEF of carbohydrate is greater than that of fat. The TOTAL polyphenols in the tea in question are 218-327mg. Our new 10-week program helps you lose weight in a healthy and sustainable way. The book reviews are all done by a primary reviewer and a secondary reviewer, all of whom have at least a masters degree or higher (several of them also conduct reviews for scientific journals). He founded The Fasting Method ( TheFastingMethod.com) to provide evidence-based advice for weight loss and managing blood sugars, focusing on low carbohydrate diets and intermittent fasting. I was diagnosed with prediabetes and am very underweight. Hormones can shut down energy expenditure (thyroid hormone). It can improve your blood sugars, blood pressure and metabolic health, lowering your risk of heart disease, stroke and cancer. Finally. Terms & Conditions | Privacy Policy | Billing Terms. ", PCOS, anovulatory cycles and hyperinsulinemia PCOS 9. In another article on this website, an OMAD/2 meal cycle was recommended. Diet Doctor will not benefit from your purchases. Is this a good lifestyle/program/diet to lose weight after kidney transplant? Is that True. Every single physiologic process is a tight orchestration of hormonal signals. Total = 225-365. I think there has to be a better way. Will I be seen by Dr. Jason Fung? Dermatologists diagnose and treat. If you are predominantly feeding, you will gain weight. I occasionally have pancreatitis flare ups. Delivery Worldwide. I feel I have IF and LCHF dieting down way better than most and I am very vigilant about it- no cheating. Insulin Resistance - https://youtu.be/dimP7IdM2Og11. Metabolic adaptation is not observed after 8 weeks PubMed NIH. 1 Oct. 2019. Jason Fung, MD, was born in 1973 and trained in Los Angeles and Toronto as a kidney specialist. (510) 452-2811. He is only 60 kgs works hard plays sport. What we eat determines how high insulin spikes, When we eat determines how persistent insulin is. The short answer is an emphatic Yes! Patients who use insulin regularly and physicians who prescribe it already know the awful truth: the more insulin you give, the more weight people gain. I got the cgm through Veri so it isn't related to my GP or any other specific doctor. Dr. Jason Fung is a New York Times-bestselling author whose books include The Obesity Code, The Diabetes Code, The Obesity Code Cookbook, The PCOS Plan, Life in the Fasting Lane, and The. For the last 6 weeks I have been wearing a cgm and have seen some very interesting data coming from that. Coffee can be caffeinated or decaffeinated, and Dr. Fung suggests that you can drink up to six cups of coffee on a fasting day. If you want to lower fat storage, you should strive to lower insulin, and this may be done even with a high-carbohydrate diet. OMAD is not too difficult for me. [61] Not only did this study show that fat loss slightly favored the low-fat group, but the study also demonstrated that the low fat group had total daily insulin levels that were ~47% lower than the low carb group. Body fatness is a critical determinant of species survival. I panicked. You see, to get the desired results, research studies have used approximately 2000mg ginger extract, 1500-2500mg licorice extract, and EGCG (the bioactive component of Green Tea) at dosages of approximately 100-460mg/day. What are the three criteria for PCOS, and why do some women develop too much testosterone? Its essential to keep protein constant because protein increases energy expenditure significantly more than carbohydrates or fats, if you recall. IF zealots will likely strawman my argument and point out the large numbers of people who have lost fat and improved their insulin sensitivity, and possibly even cured their diabetes using an IF approach. Who Is Dr. Jason Fung? So you are looking at about a 100 calorie difference per day by DOUBLING protein. To determine if the effects observed on fat loss are due to low insulin or simply caloric restriction, we must equate calories over some time and observe what occurs. During fasting, you burn body fat for energy. Whether we urinate a lot or a little is tightly controlled by hormones. None of these options seemed reasonable or sustainable. Jason Fung: To Lose Weight, You MUST control Insulin YouTube. 9 Dec. 2017. This is not true. Millions of Americans are believed to suffer from Chronic Kidney Disease. They were not counting calories. On his website, there is an article titled Calorie Counting Wrecks Your Metabolism. [106] This is like saying keeping a budget will cause you to go broke. Book Depository. This is like saying that its useless to keep a budget. 2020. Dr. Fung's top posts 1 Longer fasting regimens - 24 hours or more 2 How to renew your body: Fasting and autophagy 3 My single best weight loss tip Type 2 diabetes The methodologies that Dr. Fung promotes for weight loss and type 2 diabetes treatment can be effective. 2012. The net effect would be no difference in fat loss when calories are equated. My sugars dropped so much, I gave up the Tresiba entirely and cut the Metformin in half. Jason Fung shares the basics of Intermittent Fasting, the who, what, when and how including some tips for fasting. Another problem with Dr. Fungs insulin hypothesis is that protein is quite insulinogenic, in many cases more so than carbohydrates. However, this is not what Dr. Fung tells people. The French were loving their bread. | Online Fasting Method for intermittent ., Insulin regulation of lipolysis in nondiabetic and PubMed NIH..
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