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Category: naturethroid

Let’s talk WP Thyroid–not the old one….the NEW one recently coming out!

UPDATE: This page was written in December 2018, and by Summer of 2019, even NP Thyroid was starting to go downhill. Here’s a blog post which explains it all: https://stopthethyroidmadness.com/2019/09/23/the-sad-saga-of-where-we-are-today-as-hypothyroid-patients/

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RLC Labs, the makers of Naturethroid, WP Thyroid, and what used to be called Westhroid, has been around a LONG time. All are natural desiccated thyroid. meaning they are made from porcine powder and contain all five thyroid hormones, T4, T3, T2, T1 and calcitonin.

And RLC is correct in promoting themselves as the “pioneer and industry leader in the field of hypothyroid treatment.“1 They started out in the 1930’s, even though the pharmaceutical name was different for awhile, aka Western Research Labs/Laboratory.

A change started in 2017 with WP

But in 2017, thyroid patients started to see both Naturethroid and WP Thyroid slowly or quickly run out in their pharmacies and on websites, and achieve backorder status. That problem persisted into 2018.

What caused this change? Patients reported that RLC stated it was due to needed machinery updates. But??

Mid-2018

Finally, in 2018, loyal patients excitedly reported the slow return of Naturethroid natural desiccated thyroid to their pharmacies.

But with that return came a growing body of reports from patients in many groups, including the Stop the Thyroid Madness Facebook page, that they were seeing a major return of their hypothyroidism on the “new” Naturethroid…rising TSH, low free T4, low free T3, erratic frees and TSH, fatigue, depression, dry skin or hair, hair loss, anxiety, lowering of iron or B12 or Vitamin D, stiff joints, pain, achiness…on and on.

And now come some reports of an adrenal problem after being on the new Naturethroid

What are adrenal problems? It’s finding oneself with either low cortisol, high cortisol, or mixed highs and lows–any can be the result of the adrenals trying to kick in due to the return of hypothyroidism on Naturethroid. Some proved it by doing a saliva cortisol test,.

Thus, as they have been moving over to NP Thyroid by Acella2, or Armour second, or the two T4/T3 synthetics or T3….they have problems raising any of them, or problems being on the same amount. They then blame the different NDT, T4/T3 or T3-only, which instead is just the latter now revealing the cortisol and/or iron problem!!

But I feel good on the new Naturethroid!

Yes, there have been what looks like a minority who state they feel “good” on the “new” Naturethroid. But what we noticed over time is that a certain body of those came back and said they started to feel the problems creeping up on them. Here’s the string to talk about your experiences with the “new” Naturethroid:

https://stopthethyroidmadness.com/2018/05/16/naturethroid-wp-thyroid-rlc-labs/

What about WP Thyroid?

The end of 2018, especially December and when I am first writing about this, is where reports started trickling in that WP Thyroid was making a comeback in certain pharmacies. Questions about it have surfaced, such as “Is it going to be lousy like Naturethroid has been for so many of us?”, “Can we trust RLC?” and “Do I dare try it when I’m now doing well on NP Thyroid or Armour?”

One person reported directly to me that the bottle looks the same, the label looks the same, the ingredients look the same.

What we want from you!!

This will be YOUR STTM blog post to comment on your experiences with the “new” WP Thyroid…now and the longer you stay on. Let us know if you note any differences in the pills, in the smell, in the results. Let’s share patient-to-patient and learn from each other…which is STTM’s purpose!!

Note: by using the word “new” in front of Naturethroid or WP, it is just a reference to coming out again in 2018.

Footnotes:

1. https://www.rlclabs.com/about.php

2. https://npthyroid.com/

324 replies

The Makers of Naturethroid & WP Thyroid have contacted Janie Bowthorpe

An update from Janie after this original 2018 post below

Sadly, since I posted the below, there have been a large and growing body of patients who have found that the “new” Naturethroid (in the same amount that once removed their hypothyroid symptoms) has left them with with major symptoms, plus free T3 and free T4 very low in the range and a high TSH. Those who have tried raising state it has done nothing to return them to their former state. Something pretty bad is going on now with Naturethroid.

There are a very few who report feeling fine…but, we notice that the longer someone is on the new Naturethroid, the more the hypo symptoms creep up.  i.e. it can be the adrenaline being released that fools people into feeling better…until they crash. 

So below, which I wrote before writing what I am now, seems to counter the comment that RLC has a commitment to quality, say many patients in groups.

2nd update from Janie as of August 2020

It turns out that Naturethroid was recalled in 2020 due to sub-potency.

And now the original blog post from 2018, below.

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Here is a May 16th, 2018 update directly from RLC Labs to me via email (and perhaps on their site)–the maker of Naturethroid and WP Thyroid, both natural desiccated thyroid brands. Comments from me, Janie Bowthorpe, below that. 

Since we went back into production, there have been a lot of questions—understandably so— around what caused the backorder, why certain strengths have been released ahead of others, and why available strengths are not yet at some pharmacies. We have done our best to communicate updates throughout the delay but deeply apologize if they did not reach you or answer your questions. It is not our intention to keep anyone in the dark or hide anything, and we hope this letter helps clear things up a bit more.

After expanding our operations to better accommodate growing demand and overcoming hurdles in obtaining raw material—the primary factor behind the backorder—we are happy to say that everything needed to ensure ongoing, full-scale production is in place. We are actively shipping and are focused on filling backorders.

We are far from being a “big pharma” company, however, and do not have the scale of one, but we are maximizing our working capacity and mean it when we say every effort is being made to expedite things. We are a small but dedicated team, many of whom take Nature-Throid® and WP Thyroid®, that has been and continues to be committed to keeping patients, not profits, the top priority. We also have very strict quality standards. Every batch of Nature-Throid and WP Thyroid is rigorously tested to ensure it meets or exceeds United States Pharmacopeia (USP) monographs for potency and consistency.

Our commitment to quality has been a huge factor in why no RLC Labs® medication has ever being recalled for inconsistent hormones and we do our due diligence to keep it that way. Working through our existing orders at our size and with our strict quality standards takes time, but progress is being made—including with WP Thyroid, which we will share updates on as soon as they become available.

We remain committed to staying as transparent as possible throughout this process, but just like any other company, some of our information—such as our processes and sources—is strictly internal-only. This has been understandably frustrating in some instances, but please know that we are sharing what information we can when we can. We will continue to do so, just as we have from the start, until all strengths are fully stocked and available again.

In that spirit, here are the real facts of some rumors you may have heard along the way:

● RLC Labs is not going out of business, nor have we been acquired by any other company.
● There are no issues with our licensing and the backorder is completely unrelated to any governmental or FDA-related rumors.
● Neither of our medications, nor any strengths of them, are being discontinued.
● We stay committed to maintaining the affordability of our medications. Pharmacies set their own prices, but ours have not changed.
● Our strict quality standards apply to every part of our operation—from our guaranteed hormone levels to our materials and manufacturing—which is why we carefully source our thyroid from the U.S. and Canada and are only in production in the continental U.S.

It has been difficult not being able to serve our patients at the level you have come to know and expect from us, but we know that what we are dealing with is a far cry from the challenges our patients are facing and for that we are truly sorry. Our teams are working around the clock to get us back on track, but below are some suggestions if your doctor or pharmacy is having trouble obtaining available strengths, or if you are having trouble locating them. Your continued understanding, patience, and support are greatly appreciated as we work to make things right.

ORDERING AND LOCATING AVAILABLE STRENGTHS

Please check the availability statement on our website (getrealthyroid.com) for a list of actively shipping strengths. If your doctor or pharmacy is having trouble obtaining available strengths, they can contact us directly for assistance via the ‘Provider’ tab on our contact page. Any pharmacy of your choice that is not required to order through a wholesaler can also contact us through our website for a direct account—this applies for many healthcare providers as well. Please note that most pharmacies do not order directly from RLC Labs but through third party suppliers, and many large chains are required to order through a wholesaler. Once product is out our doors, we have no control over how it is prioritized or distributed among pharmacies, nor do we have any insight into a specific location’s inventory. If you are having trouble getting an available strength from your local pharmacies, we recommend checking any of the mail-order pharmacies listed on our website. The states shown only indicate where they are located; please check the pharmacy’s website or contact them to see where they ship. When getting your prescription filled through any pharmacy—brick & mortar or mail-order—we also recommend asking for both the cash price and insurance price (pending coverage) as all pharmacies set their own prices.

Comments and summary from Janie Bowthorpe

As long as I’ve been doing this, I’ve always been amazed at the false information patients receive from Pharmacists especially, then from each other, which spreads like wildfire in groups.

For example, note above that RLC has not been bought out by another company, and they have their tablets produced in the continental US, i.e. NOT in Puerto Rico. Both rumors were rampant and widespread. I even approved a few comments on the STTM blog posts that stated the Puerto Rico comment, and had massive doubts. But the rest of their comment was too good to reject the post.

Also note that RLC labs is working on getting WP Thyroid back as well i.e., no, it has not been discontinued–another rumor. The lesson is: don’t believe everything you hear!!

Also note that the reason this all happened, says RLC Labs, is because of increased difficulty in obtaining their Thyroid USP–that means the desiccated porcine powder. Costs were getting higher, as well. So they state they are now sourcing their thyroid powder from both the US and Canada…they wouldn’t state from whom. The latter is also on top of “some infrastructural upgrades (bigger facility, updated technology, refined processes) not too long ago”, stated RLC, to better meet the growing demand for their medications.

Finally, I think it was a good recommendation to ask for both the cash price and insurance price at your pharmacy. There may be a savings there.

In the meantime….

There are other good Natural Desiccated Thyroid products like NP Thyroid made by Acella–many good reports on that one. Even the less popular Armour has been working for some, even if not all. Here is a summary of your choices for a much better treatment of your hypothyroid state.

Also please note: if you switch and don’t feel you aren’t doing well, consider two things:

  1. The amount that did you well on Naturethroid or WP may be a different amount with another brand. REDO YOUR FREE T3 and FREE T4 and see how you stand after being on the different brand a few weeks, because you may need to tweak. Optimal puts the free T3 toward the top along with a free T4 mid-range.
  2. Some people have developed either a cortisol problem and/or iron issue, and it’s being revealed on the different brand. Find out by doing all four iron labs and cortisol saliva testing. Too many people are blaming brands, and it’s most likely either 1 or 2 are the real problems.

Don’t hesitate to comment below! Could RLC Labs have done all this better than they did?  Does the above give you peace of mind? Have YOU been able to acquire the latest Naturethroid? How are you doing??

  • Need a good discussion group with integrity? Go here.
  • STUDY the Natural Thyroid 101 page on how patients have learned to use Natural Desiccated Thyroid–it’s important, as too many patients under dose themselves!
  • STAND UP AGAINST A DOCTOR who tries to dose you by the TSH. Be educated to counter his or lack of education!!
  • READ the STTM books! YOU have to become informed and confident to stand up to bad doctoring. 

617 replies

UH OH–Naturethroid and WP Thyroid Shortages and what to do

NOTE: this post starts with what was going on in September 2017, and there are updates to it at the bottom of the article. If you didn’t know about this, you need to sign up for blog post notifications at the bottom right of the STTM website.

UPDATE: since the new Naturethroid has come out in 2018, there have been an awful lot of patients reports in seeing their hypothyroidism return, with labs to prove it. It has not been pretty.

Feeling panicked or frustrated by the shortages of two particular brands of Natural Desiccated Thyroid? Let’s take a look at all of this and what you can do.

Brands of NDT

Nature-Throid® and WP Thyroid® are two brands of NDT produced by the U.S. pharmaceutical RLC Labs. (There’s even an older third brand occasionally still foundable: Westhroid, which is said to be exactly the same as Naturethroid, though in less strengths than Naturethroid provides.)

As mentioned in the most sought-after patient-to-patient hypothyroid book on the market, RLC (formerly Western Research) has been around a long time—since the early 1930’s. And it appears they aren’t about to end that long tradition of their existence.

Why the shortage

RLC explains that the shortages are due to “significant upgrades to our facility and equipment”. And though that has created great inconveniences to and frustrations by users of their products, it’s clearly stated by RLC to be a temporary issue, though the resolution may take awhile.

Steps to consider in the meantime

  1. Writing the prescription differently First, make sure you doctor writes your prescription in a way that you are able to get any other brand of NDT your favorite pharmacy provides. One way is for him to write simply “desiccated thyroid”, then the amount you use, instead of mentioning a brand.
  2. Call around to different pharmacies. Patients are reporting that some still have their supplies of Naturethroid or WP, and especially WP. See if that makes you lucky.
  3. Consider other NDT brands. For example, NP Thyroid by Acella has been proven by patients to be a solid and well-made Natural Desiccated Thyroid, similar to the old version of Armour. And there are no shortages of NP.
  4. Compounding pharmacies Though more expensive, these versions of pharmacies are a way to have your NDT made according to you or your doctor’s specifications, especially fillers used.
  5. Using synthetic T3 with synthetic T4 If the two synthetics are used, patients have learned that their goals end up being the same as Natural Desiccated Thyroid as far as lab results with the free T3 and free T4, plus removal of symptoms, as well as not going by the TSH lab test. To see different brands of synthetic T3 like Cytomel and others, go here and see them in pink.

Why a pharmaceutical might be doing an upgrade

The U.S. Food and Drug Administration (FDA) states they inspect pharmaceutical manufacturing facilities worldwide, based on standards outlined by the Current Good Manufacturing Practice (CGMPs) regulations. This is especially true for those facilities which manufacture active ingredients like “thyroid tissue”, as well as the finished pill or liquid product from the contained ingredients. They state “inspections follow a standard approach and are conducted by highly trained FDA staff.” 1

Says the FDA:

CGMPs provide for systems that assure proper design, monitoring, and control of manufacturing processes and facilities. Adherence to the CGMP regulations assures the identity, strength, quality, and purity of drug products by requiring that manufacturers of medications adequately control manufacturing operations. This includes establishing strong quality management systems, obtaining appropriate quality raw materials, establishing robust operating procedures, detecting and investigating product quality deviations, and maintaining reliable testing laboratories. This formal system of controls at a pharmaceutical company, if adequately put into practice, helps to prevent instances of contamination, mix-ups, deviations, failures, and errors. This assures that drug products meet their quality standards.2

If you really want to get detailed information on CGMPs, here you go: https://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/ucm064971.htm

Stop the Thyroid Madness has not seen anything stated from RLC that this is the reason for the upgrades causing the shortages. But it will be interesting to see what the Naturethroid and WP Thyroid tablets look like, and act like, after this upgrade and catchup.

UPDATE as of OCTOBER 10th, 2017:

Heard the following from a gal who called RLC Labs: They have been working on the one grain tablets, and stated they should be finished in about two weeks. Then they will be mass shipping to pharmacies after that time around the first of November.

UPDATE as of November 2nd, 2017

From RLC Labs:

We are happy to announce that Nature-Throid 1 grain (65 mg) is shipping! Shipping for this strength began a few weeks ago and it should be hitting pharmacy shelves soon, but that can be variable; some locations may even already have it stocked and available. If your usual pharmacy is unable to fill your prescription, we recommend contacting other local pharmacies to see what they have in stock. You can also try any of the mail-order pharmacies listed on our website for a potentially faster turnaround. Strengths are being prioritized based on highest demand, starting with Nature-Throid 1 grain, and we are releasing in all counts. The next strength to be released will be Nature-Throid ½ grain (32.5 mg), and we will post here when it starts shipping. We are unable to provide any updates around WP Thyroid at this time, but will share them and any other new details on this page as soon as they are available. Every effort is being made to have all strengths stocked and available as quickly as possible while still maintaining our strict quality standards–the industry allows for a monograph discrepancy of +/-10% between T4 and T3, but WP Thyroid and Nature-Throid are not released outside of +/-2%. Patients are and always have been the top priority at RLC Labs, and we are literally working day and night to get back to our usual pace as quickly as possible. Your understanding and continued support are greatly appreciated as we do our best to get back to our usual pace. *Please discuss all health-related questions or concerns, including those about symptoms, with your physician.

UPDATE as of January 15, 2018

https://getrealthyroid.com/product-availability.html

In the meantime, NP Thyroid by Acella is a good one to switch to. You may have to adjust it for your own needs.

MORE INFORMATION:

  • Can Hashimoto’s patients do well on Natural Desiccated Thyroid? Find out here.
  • Is it true that thyroid cancer patients should avoid NDT? See this.
  • How do I use Natural Desiccated Thyroid? See what patients have learned here.
  • What if I want to use synthetic T3 instead? See this.
  • Where do I get the Stop the Thyroid Madness books I hear so much about? Right here.

 

 

1. https://www.fda.gov/drugs/developmentapprovalprocess/manufacturing/ucm169105.htm
2. https://www.fda.gov/drugs/developmentapprovalprocess/manufacturing/ucm169105.htm
663 replies

Have you switched from one desiccated thyroid to another? Let’s share.

“A new scientific truth does not triumph by convincing its opponents
and making them see the light, but rather because it opponents eventually die,
and a new generation grows up that is familiar with it” ~ Max Planck

NOTE: Though this post was originally written in 2011, it has been updated to the current date and time.

Screen Shot 2015-11-26 at 10.55.40 PMHOW DIFFERENT BRANDS OF DESICCATED WORK FOR SOME, NOT FOR OTHERS

Granted, we note from patient reports that all brands work based on individual reports of any brand.

But some patients, for a variety of reasons, feel they do well on some NDT’s, but not on others. It’s very individual. This may be due to the fillers in any product.

Or, there are some like me who had to switch from one desiccated thyroid brand to another, not because of fillers, but changes in the product. I, for example, was on the pre-reformulated Armour from 2002 to 2009, and successfully treated.

Then came 2009 when patients were reporting Armour not working as well anymore. It had been reformulated–the cellulose raised and the sucrose decreased. I just let my old Armour run out, and I started on Erfa Thyroid from Canada. And it was an easy and successful switch for me.

But even some batches of Erfa seemed to go bad in 2014, so I then moved over to NP Thyroid, which has been great to this day.

So I am an example of the way that all three did work for me, and simply had to change due to reported problems in the way Armour, or Erfa, was made.

What if any switch doesn’t result in good results?

For many, the NDT they have switched to works just as well, as happened to me. But for some, a switch has not been smooth. One brand seemed to serve them well, while another brand caused them to tank.

What causes the switch problems?

For many, it could be the adrenals. On one product, they may have felt fine, yet due to an underlying adrenal issue they hadn’t caught, a different brand with that “something different” may have been the umpff that revealed their adrenal problem.

For others, the issues on the new brand could be from a sensitivity to one or more of the fillers. You can read about all fillers in each brand here.

And for still others, there is a mystery of why one didn’t work and another did.

What has been your experience? What did you switch from and to? Armour? Naturethroid? Erfa? Compounded? Thyroid-S? Let’s share.

If I need to switch, how do I do it?

It’s pretty much an even switch. i.e. if I was doing well on 3 grains on one brand, I go on 3 grains of the other.

But if I wasn’t doing well on a brand, it’s important to ask one self four things:

  1. Did I raise the current brand high enough? It’s common for hypothyroid symptoms to return on lower non-optimal doses. How to raise is explained here.
  2. Do I have an issue with a filler?? They can be looked at here.
  3. Do I have optimal levels of iron? Because if your iron levels aren’t “optimal”, it can cause problems when raising NDT. Optimal has nothing to do with normal. See this page.
  4. Do I have an adrenal problem being revealed due to NDT?

JanieSignature SEIZE THE WISDOM

  • Join the STTM STTM Facebook page for daily tips and inspiration on thyroid issues.
  • Have you ever heard of the gal who calls herself nonstickpam? I’ve known Pam for many years, and she has spent most of that time giving helpful advice on low carb eating and how to maintain your weight while dealing with thyroid and/or adrenal issues. Recently, she wrote an article for STTM about this very issue: https://stopthethyroidmadness.com/hypothyroid-and-weight-issues/

 

229 replies

Tongue-in-cheek yet sincere thankfulness from Thyroid Patients…and more

As the United States approaches Thanksgiving, it’s appropriate to offer our thanks as thyroid patients to the following:

THANKS go to the American Thyroid Association (ATA), who in their Nov. 10th email newsletter, had a NATURE-THROID desiccated thyroid ad right under their logo and gave us a great chuckle! Why? The ATA has always rigidly recommended T4-only medications and the TSH–both which have failed too many thyroid patients for sixty years. Loved your faux pas, ATA, in the name of making $$!! Are we going to see it again? Huh??

THANKS to Forest Labs, who though patients feel they ruined one of the oldest and best desiccated thyroid medications ever made when they reformulated it in 2009, gave thyroid patients the memory of a desiccated med far superior to press for from other pharmaceuticals in the future after the FDA gets their act together about the safety and efficacy of desiccated thyroid. (p.s. chew your Armour thoroughly before swallowing for better effectiveness, say patients)

THANKS to Erfa in Canada, who makes their own version of desiccated thyroid just like the old Armour, where we can do it sublingually and where it still has a touch of sugar to help with dissolution. Glory be to Erfa!

THANKS to the FDA, who had enough wisdom to allow thyroid patients to order Erfa desiccated thyroid from Canada–a far superior product than the lousy T4-only medications for a huge body of thyroid patients. We hope your wisdom continues.

THANKS to all the makers of important supplements–many which have played HUGE roles in the lives of thyroid patients trying to undo the damage done to us thanks to T4-only and the TSH lab test. They include high potency B-vitamins, selenium, minerals, sea salt, iodine, and so many more. We are behind you in the freedom to choose nutritional supplements without a doctor’s prescription.

THANKS to the growing body of doctors who have been listening to patient experience and email me of that fact. We bow to all of you who have LISTENED to the whole body of knowledge thyroid patients have learned, which is also Chapter 3 in the STTM book with more details.

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FULL BODY SCANS AT AIRPORTS: should thyroid patients be concerned?

If you are going to fly anywhere and are a thyroid patient, you may need to understand that you could be subjected to radiation in a full body scan. And since thyroid patients in various groups have expressed concern about the effect of radiation exposure on their own thyroids, this can be a concern.

Oh sure, John Pistole of the Transportation Security Administration says they keep us safe. And the FDA website is saying that these X-ray scanners pose “very low health risks.” But the FDA is also the agency who has always approved a certain kind of thyroid medication, T4-only, which has left millions of us with lingering hypothyroid symptoms for years, and which calls a medication which HAS worked for over 100 years as “unapproved”.

So, if you are going to fly anywhere while this controversial procedure continues, you might want to choose the intrusive pat-down instead, or look into a train.

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DO COSMETIC LASER DEVICES CAUSE THYROID PROBLEMS?

In the same vein as my comment above about radiation scans when you fly: I received an email from a gal who feels that a cosmetic laser device has not only injured her eyes, but may be the culprit in the fact that she now has hypothyroidism and a pituitary tumor. And she’s not alone, as others are wondering the same thing with support groups on the net. These laser devices are used to correct sun damage on your face, improve acne scars, improve rosacea, tighten skin, remove melasma spots, and even help with eyesight. She called herself and others with damage from these devices “modern day radium girls” . If you want to be more informed, research this on the net and decide for yourself.

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SEND THE STTM BOOK AS A CHRISTMAS PRESENT

The publishing company will do the work for you, sending a book as a holiday present for to a friend or loved one who needs to read what patients have learned. Included will be a holiday card with your name in it, or you can remain anonymous. Go here.

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HOW TO TACKLE A BAD COLD AND CONGESTION AS A THYROID PATIENT

A gal emailed me, asking if I knew of something that would help her terrible nasal congestion. She found out the hard way that using Afrin, a strong nasal spray, caused her thyroid to ache. I then recommended she look into a Neti Pot, which can do wonders to clear your compacted nose, and I faithfully use it if I do have congestion (which I did last week when I failed to take enough Vit. D at the onset of symptoms of an upper respiratory infection). Check it out here. And when you first try it, don’t panic. Let it do its miracle, because it really works!

COMMON QUESTIONS and ANSWERS are here.

HOW TO FIND A GOOD DOC is here.

WHERE TO TALK TO OTHER PATIENTS is here.

CURRENT OPTIONS FOR GOOD THYROID TREATMENT here.

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