Dr. Streicher’s Inside Information: Menopause, Midlife, and More – Details, episodes & analysis

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Dr. Streicher’s Inside Information: Menopause, Midlife, and More

Lauren Streicher, MD

Health & Fitness

Frequency: 1 episode/9d. Total Eps: 154

Hot flashes, vaginal dryness, leaky bladders, weight gain, hair loss, inability to orgasm? Nothing is off limits in these fact filled, solution-driven and often surprisingly funny podcasts that address the specific symptoms women face as they navigate perimenopause and post-menopause. Each segment is like having an in-depth consultation with Dr. Lauren Streicher, a nationally recognized menopause expert and the founding Medical Director of the Northwestern Medicine Center for Sexual Medicine and Menopause. Guests will include other experts on all things menopause. So strap in- it’s going to be quite the ride! This is THE podcast for accurate information about menopause but is not meant to be personal medical advice.

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http://DrStreicher.com
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http://eepurl.com/bQLms1
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https://portal.menopause.org/NAMS/NAMS/Directory/Menopause-Practitioner.aspx
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S3 Ep143: Who Do You Believe When Experts Disagree? with Tamsen Fadal

Season 3 · Episode 143

Thursday, August 29, 2024 • Duration 49:11

In a world where women are barraged with information when it comes to how best to manage menopause, it can be overwhelming and confusing. Between having their symptoms dismissed by their regular physician, and then being overwhelmed with information on social media, it’s hard to know what’s fact and hype. And what do you do when the doctor you trust, tells you that the social media expert you also trust is wrong?
In this episode, I chat with Tamsen Fadal, a menopause advocate who has made it her mission to help perimenopausal and menopausal women navigate through the information and disinformation to get the correct information when it comes to maximizing their health.

Tamsen’s own experience when she entered menopause
Why Tamsen switched careers to become a menopause advocate
How do you know an expert is really an expert?
The best way to find a menopause expert
The impact of telehealth on finding a menopause expert
What to do if your own doctor is not a menopause expert
Why women put relatability over expertise
Hot to figure out if a social media expert is an expert
What to do when a social media expert disagrees with your own doctor
Do healthcare clinicians need to act professionally in their private lives?
What I think when it comes to being strictly evidence-based

Tamsen Fadal
https://www.tamsenfadal.com/
Social Media-@tamsenfadal

For more information on this topic:
Episode 10: Dating After 50- Make it Awesome Not Awful- With Bela Gandhi
Episode 46 Finding a Menopause Clinician Who Will Listen
Episode 124 All Hormones Are Not Created Equal with Dr. James Simon

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.

Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.
Subscribe and Follow Dr. Streicher on
DrStreicher.com

Instagram @DrStreich
Facebook @DrStreicher
YouTube DrStreicherTV

Books by Lauren Streicher, MD

Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain

Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat

Sex Rx- Hormones, Health, and Your Best Sex Ever

The Essential Guide to Hysterectomy

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S3 Ep142: Don’t Go with This Flow: Post Menopause Bleeding

Season 3 · Episode 142

Thursday, August 22, 2024 • Duration 29:51

It can be terrifying to have bleeding when you are post-menopause. It’s not just about making the midnight run for tampons, it’s that stomach-dropping fear that “blood equals cancer” that causes women to spend hours consulting Dr. Google for some reassurance. But, although most women imagine the worst, in most cases, postmenopausal spotting or bleeding is not, is not, an indication of anything serious.

How to know WHERE the blood is coming from
The 3 causes of Post Menopause VAGINAL WALL BLEEDING
What causes Post Menopause CERVICAL BLEEDING
Causes of UTERINE BLEEDING post menopause
- Uterine POLYPS
- Uterine FIBROIDS
- Uterine ATROPHY
Post menopause “PERIODS”
Endometrial HYPERPLASIA
Uterine CANCER and Pre-cancer
The role of ULTRASOUND and saline ultrasound
The Why and What to expect of endometrial BIOPSIES
When and why a D and C /HYSTEROSCOPY is needed

Link to newsletter on hormone disrupters: https://mailchi.mp/drstreicher.com/august-2024-inside-information-newsletter-17984227

For more information on this topic:
The Essential Guide to Hysterectomy

Episode 1: Episode 92 Sign up to receive podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of The Menopause Society. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the , and has been seen on , , , CNN, NPR, , and . She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. Menopause Masterplan Books by Lauren Streicher, MD Midi Health is a telehealth company that provides high-level menopause care and takes insurance in all 50 states. Dr. Streicher is Midi’s Medical Director of Education and Community Outreach and is familiar with their medical protocols, which are all regularly updated and set by the top academic menopause experts in the country. - Certified Menopause Practitioner List It also may be helpful to check with major medical centers in your area. Many have menopause clinics or lists of doctors who have an interest and expertise in menopause. If you are in the Chicago area, the center founded by Dr. Streicher:

S3 Ep133: Best Breast Advice When it comes to Hormone Therapy With Dr. Corinne Menn

Season 3 · Episode 133

Thursday, June 20, 2024 • Duration 57:07

There continues to be great confusion regarding the impact of hormone therapy on the breast. And despite the known benefits of hormone therapy, and reassuring data regarding the impact of hormone therapy on breast cancer, most clinicians are still reluctant to prescribe it, and most women are reluctant to take it. Even more so if a woman is high risk for breast cancer or has a breast cancer diagnosis.

In this episode, I am joined by Dr. Corinne Menn, a board-certified Ob GYN and menopause expert who herself had a breast cancer diagnosis when she was in her 20s. We will be reviewing the latest research on the impact of estrogen on the breast in several different scenarios.

PREGNANCY post breast cancer
Women who have a BREAST CANCER diagnosis
Women with a FAMILY HISTORY of breast cancer
Women with a BRCA MUTATION after prophylactic ovary removal
The approach to therapy for women with a NEW BREAST CANCER DIAGNOSIS
The use of local vaginal estrogen in women with a breast cancer diagnosis that are taking TAMOXIFEN or using an AROMOTASE INHIBITOR
If a LOCAL VAGINAL ESTROGEN needs to be used at the lowest dose
What to do if your DOCTOR NOT WILLING to prescribe local or systemic estrogen (list of articles to share is below)
If a woman with a breast cancer diagnosis can use TESTOSTERONE for libido and other possible benefits

Dr. Corrine Menn
https://drmenn.com/
@drmennobgyn

For more information:

Kotsopoulos J, Gronwald J, Karlan BY, Huzarski T, Tung N, Moller P, Armel S, Lynch HT, Senter L, Eisen A, Singer CF, Foulkes WD, Jacobson MR, Sun P, Lubinski J, Narod SA; Hereditary Breast Cancer Clinical Study Group. Hormone Replacement Therapy After Oophorectomy and Breast Cancer Risk Among BRCA1 Mutation Carriers. JAMA Oncol. 2018 Aug 1;4(8):1059-1065.. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. Sign up to receive Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the , and has been seen on , , , CNN, NPR, , and . She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.

S1 Ep36: How to Know You Are in Menopause If You Never Get Periods

Season 1 · Episode 36

Wednesday, August 24, 2022 • Duration 10:56

Google, “when does menopause start" and you will learn that you are post menopause when you haven't had a period in 12 months. But the 12 months without a period definition is totally MEANINGLESS for the millions of women who DON'T GET PERIODS.
In this episode, Dr. Streicher discusses:

Scenarios in which women don’t get periods
- Hysterectomy
- Progestin Intrauterine Device
- Endometrial Ablation
- Hormonal contraception such as birth control pills
How to know when to START TREATMENT for menopause symptoms such as hot flashes and vaginal dryness
When to REMOVE an IUD
When to STOP birth control pills

For more information on this topic:
Episode 1: Is It Menopause or Some Other Pause?
Episode 3: What's Up Down There? Genital Dryness & Misbehaving Bladders
Episode 5: Vaginal Estrogen- Rings, Creams, and Other Things
Episode 23: Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine and the medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. Sign up to receive Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the , and has been seen on , , , CNN, NPR, , and . She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.

S1 Ep35: Compounding Hormones: The Good, the Bad, and the Ugly

Season 1 · Episode 35

Wednesday, August 17, 2022 • Duration 28:11

It used to be that the term “bioidentical hormone therapy” referred exclusively to compounded hormone products. But today, the term bioidentical includes FDA approved commercial products and compounded products. A legal loophole combined with aggressive marketing has resulted in women believing that compounded hormone creams and pellets not only work better but are safer than commercially produced products.

In this episode, Dr. Streicher discusses:
The following common MISCONCEPTIONS about compounded hormones:

Misconception #1 Compounded hormones are NATURAL but all commercial hormones are synthetic or made of horse urine
Misconception #2 The estrogen in compounded hormones is DIFFERENT from the estrogen in commercial pharmaceutical products
Misconception #3 Compounded hormones are SAFER than commercial hormones
Misconception #4 Compounded PROGESTERONE will PROTECT your uterine lining
Misconception #5 Compounded hormones undergo the same QUALITY CONTROL as commercial products
Misconception #6 Compounded HT is CUSTOMIZED based on your hormone levels
Misconception #7 PRESCRIBERS of compounded hormones are hormone experts

The Problem with PELLETS
When it is OK to prescribe a compounded hormone

For more information on this topic:
Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain
Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat

Episode 21: Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the , and has been seen on , , , CNN, NPR, , and . She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.

S1 Ep34: Making the Most of Mid-Life and Beyond with Iris Krasnow

Season 1 · Episode 34

Wednesday, August 10, 2022 • Duration 47:58

How is it that some women are sexier, more productive, more fulfilled, and even more relevant after the age of 50 than then when they were younger? In this episode, Dr. Streicher is joined by Iris Krasnow, a renowned journalist, a New York Times bestselling author of 7 books, and an expert when it comes to smashing stereotypes around aging.
In this episode, Dr. Streicher and Iris Krasnow discuss:

Why the first 5 decades are not necessarily your best when it comes to personal and professional fulfillment
How sex and intimacy change as life changes
Secrets to maintaining a long-term marriage or relationship
The power of female friendship

For more information about Iris Krasnow
IrisKrasnow.com
Books by Iris Krasnow:
https://iriskrasnow.com/_pages/books_by_iris_krasnow.htm

Sex after…Women Share How Intimacy Changes as Life Changes
The Secret Lives of Wives: Women Share What it Really Takes to Stay Married
Camp Girls: Fireside Lessons on Friendship, Courage and Loyalty
I am My Mother’s Daughter: Making Peace with Mom Before it’s Too Late
Surrendering to Yourself: You Are Your Own Soul Mate
Surrendering to Marriage: Husbands, Wives and Other Imperfections
Surrendering to Motherhood: Losing Your Mind, Finding Your Soul

The ETHEL
http://aarpethel.com/
To subscribe (free!) to The Ethel
https://cp.email.aarp.org/TheEthel
To join the Ethel Facebook Community
Other episodes on this topic: Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the , and has been seen on , , , CNN, NPR, , and . She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.

S1 Ep32: Are Your Hot Flashes Making You Foggy? Forgetful? with Dr. Pauline Maki

Season 1 · Episode 32

Wednesday, July 27, 2022 • Duration 50:53

If you are peri or post-menopausal and can’t remember the name of your next-door neighbor or why you walked in a room, you are not crazy, you are not heading towards dementia, and you are not alone. In this episode, Dr. Streicher is joined by Dr. Pauline Maki, a Professor of Psychiatry, Psychology, and Obstetrics & Gynecology. For over 25 years, Dr. Maki has led a program of NIH-funded research on women and cognition, with a focus on cognitive change in menopause. She is THE expert when it comes to what happens to your brain on menopause.

*Due to a technical problem, there are periodic growling noises in this episode which could not be removed!
In this episode, Dr. Maki and Dr. Streicher discuss:

How common is it for women to be FORGETFUL when they are going through peri menopause
WHY this happens
The relationship between hot flashes and cognition
How long COGNITIVE CHANGES from hormonal changes last
If cognitive problems during peri-menopause are predicative of getting ALZHEIMER’S DISEASE
The impact of MOOD on cognitive changes during the peri-menopause
Which DIET, VITAMINS, EXERCISE, ALCOHOL and other lifestyle choices help
The relationship between ADHD and cognitive changes in peri-menopause
Specific things you can do to maintain BRAIN HEALTH
What the SCIENCE says about the benefit of hormone therapy in terms of cognitive function?
If women who do NOT HAVE HOT FLASHES BENEFIT from hormone therapy
If hormone therapy decreases the risk of DEMENTIA down the road
HOW LONG someone should stay on hormone therapy to get the full cognitive benefit

For more on this topic: Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the , and has been seen on , , , CNN, NPR, , and . She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.

S1 Ep31: The Truth About Estrogen Therapy and Breast Cancer

Season 1 · Episode 31

Wednesday, July 20, 2022 • Duration 21:05

The number one reason women give for not taking estrogen is fear of breast cancer. This fear is based on the 2002 study which has been reevaluated and shown to be flawed in a number of ways. Despite solid proof that estrogen therapy does not cause breast cancer and other serious illness, most doctors continue to exaggerate the risks and undersell the benefits of hormone therapy. The goal of this episode is not to convince you to take estrogen. The goal is to present the data so that you can make an informed decision. In this episode, Dr. Streicher discusses:

The original PURPOSE of the 2002 Women’s Health Initiative (WHI) and how the study was designed.
The INITIAL RESULTS of the WHI study
Why the design of the study was PROBLEMATIC
Why the results of the WHI were NOT REPRESENTATIVE of the women who take hormone therapy today
The results of the RE-ANALYSIS of the WHI
How the age of women in the study, the timing of therapy, and the use of statins altered CARDIOVASCULAR data
Why the use of PROGESTIN and the kind of progestin in the study changed the results.
Why TRANSDERMAL estrogens have less risk and who should use one
The FACTS about the relationship of estrogen and BREAST CANCER
The risk of hormone therapy COMPARED to other known risks for breast cancer
The medical impact of women NOT taking HT
GUIDELINES for taking hormone therapy safely

For more information on this topic: Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat has a more complete discussion of the results of the WHI and includes pros and cons of every type of estrogen currently on the market.
Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the , and has been seen on , , , CNN, NPR, , and . She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.

S1 Ep28: The BEST approach for BREAST Cancer Screening and Risk Reduction with Dr. Lisa Larkin

Season 1 · Episode 28

Thursday, June 30, 2022 • Duration 48:31

It used to be so simple. Women were just advised to get a mammogram every year. But now we have not just x-rays, but ultrasound, MRI, digital breast tomosynthesis, screening mammograms, and diagnostic mammograms. Women are confused, and frankly, a lot of doctors are also confused. I am joined by Dr. Lisa Larkin, a board-certified internist, a certified menopause practitioner of the North American Menopause Society, and a nationally recognized expert in breast cancer risk assessment and prevention.

In this episode, Dr. Streicher and Dr. Larkin discuss:

The LIKLIEHOOD of developing breast cancer in different populations
WHO is getting MISSED when it comes to early detection
Who should have genetic screening
The problem with using over-the-counter testing such as 23 and Me
When should someone start -and stop- breast cancer screening
What is TOMOSYNTHESIS
Who should have an MRI
Who should have an ULTRASOUND
Need to know info on DENSE BREASTS and why you should look at your report
If it matters WHERE someone goes to get their mammogram
RISK FACTORS for breast cancer that you can’t change
Risk Assessment models to PREDICT your lifetime risk of breast cancer
What it means when you are called back for ANOTHER VIEW
RISK REDUCING drugs many women do not know about
MODIFIABLE risk factors for breast cancer
Why ESTROGEN is not a risk factor for breast cancer
Why a PLANT-BASED DIET is beneficial
Dr. Larkin’s new model for patient care, MS. Medicine

Breast Cancer Risk Assessment Models

Gale Model: https://www.mdcalc.com/gail-model-breast-cancer-risk

Twitter: @LisaLarkinMD Facebook: @MsMedicine Instagram: @DrLarkin Website: Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine and the medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the , and has been seen on , , , CNN, NPR, , and . She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.

S1 Ep23: The Impact of Systemic Racism in Mid-life Women's Health

Season 1 · Episode 23

Thursday, June 16, 2022 • Duration 46:38

Relatively minimal research is devoted to menopause even though menopause affects literally 100% of women that live past the age of 50. For women of color, the situation is far more dire.. Not only do we know less about the impact of medical conditions or therapies in mid-life black women but it is incredibly challenging for many black women to access appropriate care. My guest is Dr. Fenwa Milhouse, a urologist who is not only a talented surgeon, but uses social media to destigmatize pelvic floor & sexual conditions, as well as demonstrate the importance of representation in medicine.
Dr. Streicher and Dr. Milhouse discuss:

DISEASES that disproportionately affect Black women
How HYSTERECTOMY impacts cardiovascular disease in Black women
Why Black women are less likely to take HORMONE THERAPY
BLACK CELEBRITIES and increasing awareness of health conditions
BARRIERS to health care in Black underserved community
Micro and Micro AGRESSIONS in the health care system
The reason for and impact of IMPLICIT BIAS
The challenges of a BLACK WOMAN UROLOGIST practicing in a white hospital
The importance of DIVERSITY EQUITY and INCLUSION initiatives in our health system
What impacts racial disparity and potential action steps to improve health in the Black community
How SYSTEMIC RACISM impacts on health

Dr Fenwa Famakinwa Milhouse is a fellowship-trained, board certified urologist. Originally born in Nigeria, her family immigrated to the US when she was a young child. She grew up in Texas and ended up at the University of Texas at Houston for medical school. She trained at the University of Chicago for residency and then completed a fellowship in female pelvic medicine and reconstructive surgery. She is a wife and mother of 3. Dr. Milhouse is passionate about introducing the public to the world of urology, mentoring underrepresented minorities, and diversity and inclusivity in the workplace. She uses social media to destigmatize pelvic floor & sexual conditions, as well as demonstrate the importance of representation in medicine. IG: @drmilhouse TIKTOK @yourfavoriteurologist Twitter: @FMilhouseMD Website: The Black Women's Health Imperative- nonprofit organization created by Black women to help advance the health and wellness of Black girls and women. Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the , and has been seen on , , , CNN, NPR, , and . She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.

Dr. Streicher’s Inside Information: Menopause, Midlife, and More – Details, episodes & analysis

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Dr. Streicher’s Inside Information: Menopause, Midlife, and More – Details, episodes & analysis

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