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Primary Root Symptom: morning onset of non-sharp, dull, vague, uncomfortable, achey, centered chest tightness. I feel it around below sternum as well. Short of breath,
airways feel tighter, breathing is more labored. I am more winded with everyday activities, and cardio and exercise are a lot more tougher to peform with
the constricted airways.

Physical Attributes:
30 years old, single male
Parents are healthy, with no coronary disease/high blood pressure
5-6 height
before chest tightnesss 170lbs. currently 149lbs (loss 20 lbs in a month)
do not smoke
drink on occasion once every 2-3 weeks before chest tightness. Do not currently drink alcohol.
don't drink caffeine.
blood pressure was normal before chest tightness - its currently 10-15pts higher ie: 130/88
exercising, and running does not bring sharp pains to the chest, but it makes blood pressure go
up and brings upon shortness of breath due to tightness.
i can do aerobic exercise, but its uncomfortable due to tightness, and i dont
have the same strength as i did before the chest tightness.
sometimes would take naps 2-3 hrs after eating a meal, wake up and start using the computer late at night, and then go back to bed (before chest tightness)
Very minimal and rare heartburn, reflux...once every few weeks depending on diet.. after eating chocolate, fried foods etc, foods high in oil/fat content.
i dont burp, regurgitate food, or have pain in the throat. no constipation or loose stools are rare (only if i eat bad mexican food, bad fast food)

Post-tight chest Symptoms (brought on by tight chest, also made worse by some medications ie: atenolol, prilosec)

- anxiety
- night time palpitations
- body aches (shoulder, neck, below left pectoralis)
- hip pain
- head ache/pressure on side of head
- cold feet legs
- increased high blood pressure off and on.
- constant urination.
- heavy palpitation at night..body pulsates to heart beat.
- waking up many times at night to racing palpitation. 3:30, 4:30am, 5:30am
- muscle spasm
- short of breath, feel like im not getting enough oxygen
- heavy head
- head ache
- tight jaw
- tender scalp
- tight calves
- fatique
- dizzy head
- cold body
- groggy
- loss of extra weight
- hard to gain weight
- persistent muscle tension
- legs take longer to heal after working out
- left side chest pain from heart beating to hard from tightness.
- working out increases soreness in the heart area due to excessive beating/ high heart rate.
- get winded easily from everyday activies ie: exercise, jogging.

Previous Medical History-
- nasal congestion
- scoliotic neck, with convexity leftward centered about c4-5
- dessicated disk c5-6, with mild annular prminence with only minimal flattening of the csf. some mild left neural foraminal
stenosis.
- weakness in left arm from neck pain
- neck pain, has been off and on, but usually not to severe unless i play basketball, or exercise stenously, or aggravte it by turning my
neck to much..ie: looking behind shoulder while driving.

tests i took:
bloodwork - fine
EKGx3 - fine
Chest Xray - fine
Stress Test - fine, no irregular heartbeats, but fast ones.


im male, 30, 5-6, and 150lbs. i was pretty active(played basketball, and run, lift weights), and healthy guy before this onset, occasionally i would eat a lot, but i would balance my diet. i did have a habit of taking a nap before my actual real sleep at night. and have a habit of eating dinners late, around 8:30 or 9:00pm

Long story short, few months ago 12-15-11 I woke up one morning with some tight heavy discomfort in my chest area. I tried to see if it would go away if I did some running, but it was made worse.
Later on in the evening I went to the ER to get checked out as I was out of breath. While in the ER, they did ekg, bloodwork, blood pressure, and the chest xray came out fine.

they gave me ativan and diagnosed me with anxiety, the anxiety was there, i dont believe the chest tightness was caused by anxiety though. it felt like tightness brought on by something else. im not sure how i got the tightness of the chest, maybe from straining the internal chest muscles somehow/or over breathing or maybe reflux hitting the lower esophagus tightening the airways that happened in my sleep or when i was in bed.

so weeks later the symptoms did not improve so i went to the doc and he told me to try prilosec. I tried the OTC Omeprazole for a few weeks and had noticed some side-effects. i also did not see improvement)and stopped after two weeks. So lately i have been eating lite, and cutting out the heartburn/reflux inducing foods..so i dont get reflux much and have been eating healthy losing 20lbs. but my chest tightness was still there.

Before taking the prilosec i was slowly developing inability to sleep and started getting heavy night time palps. i experience rapid fast heart palpitations when i wake up at night to use the restroom. this palps would continue on into the morning.

fast forward, i go back to the doctor again few weeks ago feeling like my heart was going to pop he says i have high blood pressure based on the in-office blood pressure 150/100 (very anxious in the office) he did blood work, and he checked my thyroid and it was fine.

so he prescribes me atenolol. i tried it off and on to see how my body reacts to it, it helped to slow my heart rate but the side effects made me
feel terrible. I took the atenolol at night at 10pm and felt my heart rate slow down, but i can still feel my heart thumping, and stomach growling,
it makes my sleep pattern even worse. i feel worse the next day.
giving me these symptoms - groggy, muscle weakness, ringing in the ear, some joint pain, depression, fatigue, lethargy, made my chest heavy, gave me shortness of breath. after a week of using it, i have decided to quit cold turkey. So the Atenolol did not help relieve my chest tightness.

I have found a few ways to control my blood pressure, i have been eating healthy, ie: wholegrains, veggies, nuts, fruits, apple cider vinegar, taking fish oils, magnesium, drinking tea. I got it to drop down a bit, 120/85 at night. they would calm down a bit, however tightness is still there around the chest areas.

I already took some tests to help me to believe that it is not my heart, and in my mind i feel like it can be something brought on by possibly reflux or something physically inside/or heart. I still don't know for sure it's cornary related, mvp, GERD, asthma, chest infection/strain, stress, coupled with anxiety.

And im sure all the other symptoms i am experiencing afterwards are a result of my anxiety making things worse. So it's my goal to get to the root cause, so I dont have to keep worrying. At this point im trying to be comfortable with my symptom and learn to handle and relieve them.

I hope that someone has experienced the same thing so i can find a way to recover. What other tests can I do to help figure out what this is? anyone have any ideas? has anyone experienced this? im trying to find ways to relieve the chest tightness, it doesn't seem to be getting any better, and nothing relieves it, ativan (slightly), not atenolol, not prilosec.

if anyone can help with this, it would be greatly appreciated.

thanks for taking the time to read this long post. imm just trying to be detailed as possible.
If you received a clean bill of health from your doctor, then I would say it's all in your mind (mental). When I started getting a tight feeling, dizziness, and all that other stuff, I went to my doctor. He said I was fine physically.

All I can suggest is when you start feeling the symptoms, try to distract yourself. It helps me sometimes (in addition to my zoloft & valium). Mind over matter.
bay7000,

Are you feeling better or still the same? Any news from the doctors? I had a couple of rough weeks. I feel better for a couple of days and then all my symptoms come back to make my life a misery. I still can't believe that what I have is all anxiety. I have a doctor's appointment in two weeks to run more test. Will keep you posted.
im feeling so so. couple days ago i was decent, but my symptoms are still bothering me. i still have trouble falling asleep at night because of that. i still have the aches and head pressure. my body is just stressed

let me know what tests you have taken
BAY7000!

I'm a 20 yr old male who has been having the same exact symptoms, but I have been having heartburn. Never noticed it was heartburn because I have "silent acid reflux" (heartburn without the burning feeling). I first went to the doctor because of pressure in the chest. They told me it was anxiety and gave me some pills and told me to take some prilosec. A week after taking the medicine I started having chest pain mostly at night. I would start feeling it in my back and arm. Shoulder felt weak and boney as if my cartilage around my bones were coming off. I went to urgent care today after losing 30 lbs and chest pain wouldnt go away. My blood pressure is normally 135/77 at the doctors it was 128/77 so they didn't think nothing of my bp. The doctor felt my back and told me I had a lot of tightness all over my left shoulder blade that could be giving me shoulder weakness and chest pain. He did some special move to pop my whole left side of my back. Of course it felt better right after, but I'm still not sure if It helped. If you get any new news on your diagnose please let me know. THank you. Hoping for a quick response.
bay 7000,

I still have palpitations that are driving me crazy. I move, I get palpitations, I cough and I also get them really bad. My dr. said that my heart if fine even though I don't feel that way. I started taking magnesium supplements a few days ago and I think they are helping me a little bit.

All my other symptoms improve for a couple of days and then they come back for a couple of weeks. I try to ignore them as much as I can but I am seeing a neurologist now that wants to run all kinds of test on me because he thinks that I have Lyme or I am stuck with some type of virus that just won't let go.

Like you said, staying busy helps a lot. I have two kids (boys) that keep me going everyday and I always try to do some type of outdoors activity with them even if I am feeling very sick. I guess that is all we can do since the doctors can't find anything wrong with us. My new doctor will probably refer me to Mayo if he can't find what is causing my problems. Keep your head up brother and stay active like you've been doing. Try some of that magnesium. It is helping me out some.
mojo – yea thanks, i have already tried the magnesium and vitamin d. cant tell if the mag is working.. but the vitamin d has helped a bit with some of my hip joint pains. staying active like walking, and jogging help a bit.

boobootwo –
Can you describe how your chest felt when you had the costochondritis? im not sure if i get the symptoms of costo as I don’t get the inflamed feeling in the ribs.
What type of test do you take to get diagnosed and did you receive special treatment for it?

Thanks for the oatmeal tip. i dont eat oatmeal to often, only once in a while.
Bay7000,

Vitamin D helps me quite a bit with my pains. Magnesium makes my arrythmias/ palpitations less severe and less often. I did notice a big difference once I started taking it. I take the magnesium pill right before I go to bed. It took about one to two weeks of taking magnesium supplements to notice a difference. I've been also staying as active as I can but I am not even at a fraction of where I used to be but like a friend of mine said; I have two options, one is to get out and have fun while I am feeling miserable or two, stay in bed feeling miserable. It is very difficult to get motivated to do something when you feel sick and with all kinds of pains but we have to do it. Staying active is another way to fight whatever it is that we have.
Funny thing, my anxiety also started in November 2011. I tried to come off the Paxil and after two weeks into it it hit me like a door in the head. Ever since I am not feeling like my old self. Everyone tells me that it is all in my head and I do believe that it partly is, since when I get myself together and motivate myself (which is very hard) I do feel much better.

Was there some global event that took place in November that could have caused all of us have a sudden increase in some negative energy or so? I can't think of anything.
boobootwo: i do cough every now and then because of an itchy throat and to clear out some clear mucous, but its not a severe phlegmy kind of cough. i stopped seeing gp he doesn't know a dam thing, i wont be returning back there anytime soon. i will post it here if i find something about it though.

mojo37: yea, i hear you, its important to go out and enjoy life even though we feel wacky. i was feeling blue and extremely fatigued the other day that i went to bed early and stayed there for like 12 hrs! Even then, these symptoms make me feel so tired and blah during the day. one day i feel motivated, the next day i don't want to do anything. I feel like a hurt zombie.

TLORS: The symptoms i'm having seem to be making me more anxious/stressed, and i feel that my heart races easier in normal activities, ie: working out is tougher. It shoots up when docs check my bp. My heart is fine according to tests, which is assuring. But i feel wacky. do you still take the meds prescribed?

I can understand your situation. Your symptoms could be from environmental stress or something. did you notice the symptoms start even before your studies in Japan?


Just out of curiosity, what are you studying in Japan?

d0ink: yea, some kind of negative energy that stressed the body. maybe for me it was built up stress. Not quite sure. and yes motivating oneself is tough, but i guess it can be done.
[QUOTE=bay7000;4965997]boobootwo: i do cough every now and then because of an itchy throat and to clear out some clear mucous, but its not a severe phlegmy kind of cough. i stopped seeing gp he doesn't know a dam thing, i wont be returning back there anytime soon. i will post it here if i find something about it though.

mojo37: yea, i hear you, its important to go out and enjoy life even though we feel wacky. i was feeling blue and extremely fatigued the other day that i went to bed early and stayed there for like 12 hrs! Even then, these symptoms make me feel so tired and blah during the day. one day i feel motivated, the next day i don't want to do anything. I feel like a hurt zombie.

TLORS: The symptoms i'm having seem to be making me more anxious/stressed, and i feel that my heart races easier in normal activities, ie: working out is tougher. It shoots up when docs check my bp. My heart is fine according to tests, which is assuring. But i feel wacky. do you still take the meds prescribed?

I can understand your situation. Your symptoms could be from environmental stress or something. did you notice the symptoms start even before your studies in Japan?


Just out of curiosity, what are you studying in Japan?

d0ink: yea, some kind of negative energy that stressed the body. maybe for me it was built up stress. Not quite sure. and yes motivating oneself is tough, but i guess it can be done.[/QUOTE]

I was lucky enough to get a big Japanese government scholarship which pays for my tuition and gives a monthly stipend that covers most of my day-to-day living. With something as generous as that going for me, it's kind of hard to feel depressed or anxious I think, but of course the experts I've consulted still think otherwise. Anyhow, I've been living and studying in Japan for about six years, so it's a very recent thing.

At the moment, I'm only taking PPIs (Omeprazole) regularly, and on occasion, I'll take one of the anti-anxiety meds I was given (I have three; etizolam, brotizolam, and alprazolam. I tend not to take the alprazolam, since it makes me feel very tired and strangely makes it harder for me to breathe--two things I'd rather not have when I'm already feeling quite fatigued). Other than that, I take daily supplements like a multi-vitamin, CoQ10, glucosamine, and fish oil. My diet is fairly clean too, as I eat mostly fruits, steamed vegetables (whatever I can get locally that doesn't come from the potentially irradiated north), lots of legumes, and a bit of fish and chicken from time to time.

I know what you mean though, about feeling really fatigued just doing your everyday activities. The act of going to the supermarket to stock up my kitchen with the aforementioned items gets me huffing and puffing where it never did before. Lifting otherwise light loads (like grocery bags) is at times a strenuous activity. Exercise becomes an activity I have to drag myself through, rather than enjoy for the duration. I've lost about 20 pounds over the past few months as well, though I'm suspecting a lot of that weight was muscle mass given my symptoms and fatigue? It's all pretty baffling and a little disconcerting, like, "wow, is this weakness the new normal for me?"

[QUOTE=d0ink] Funny thing, my anxiety also started in November 2011. I tried to come off the Paxil and after two weeks into it it hit me like a door in the head. Ever since I am not feeling like my old self. Everyone tells me that it is all in my head and I do believe that it partly is, since when I get myself together and motivate myself (which is very hard) I do feel much better.

Was there some global event that took place in November that could have caused all of us have a sudden increase in some negative energy or so? I can't think of anything. [/QUOTE]

Yeah, that is a curious thing. In a similar vein, I got to thinking earlier that maybe this was an occurrence that might have been local to my area--like maybe a bunch of folks in my neighborhood started to exhibit similar symptoms, and that maybe something in the environment was responsible? Of course, it'd be a little hard to prove that.
bay7000,

How are you feeling? I am feeling "ok" today after having a couple of really bad days. I better enjoy the day with my kids because it is just a matter of time before I start feeling sick again.

I went to my appointments with the neurologist and my internal medicine doctor. My neurologist said that he highly recomends for my primary care doctor to refer me to the local medical university or the Mayo clinic because there is obviously something wrong with me and it is not anxiety.

My internist said that she would like for me to go and see a gastroenterologist before she gives me a referal to the medical university. If the gastro and the medical university don't find anything wrong then she will be sending me to the Mayo clinic.

It is looking more like I have an infectious disease that is just progressing now into something more severe or I have some kind of hormone producing tumor that is just dumping adrenaline or some other hormone into my system non-stop. I am really thinking that it could be the tumor because I have all the symptoms and the only test that came back abnormal was my cortisol which came back really high. The only thing that doesn't make sense is that I am loosing a lot of weight and high cortisol makes you gain. I will keep you posted. I hope you are feeling better.
Mojo37
I’m doing so-so. I’m just trying to hang in there with the symptoms and discomfort. And I still get aches, and heavy feelings.

My other doc that I’ve seen thinks there some issues going on with my stomach. so i have to follow up with him and maybe run another test.

Mayo Clinic will probably find out what kind of disease/ illness you have. You might have a tumor. Hopefully they will find something. Hang in there and get well.

Boobootwo
That might be a good idea to see a rheumy. I haven’t seen one yet. But I’m going to follow up with my doc w/my symptoms and see if i should see one. He also thinks i have some stomach issues going on.

Beatles 1984:
I saw the post about relaxation exercises, I tried it a few times. But I guess it takes time and patience and practice for it to be effective.

TLORS
are your symptoms improving? Did you find anything new with the doctors?
I tried taking PPI before, but I could not notice any difference so I stopped taking them. I think they prevented the absorption of some nutrients from some of the food I was eating.

What does the glucosamine help with? I’m taking magnesium, vitamin d, fish oils, and calcium.

I notice that it’s hard for me to put on pounds ever since I lost weight. I’m trying to gain back some muscle mass and it seems like I’m making very small gains. I’ve been working out 3x a week, but also still get the shortness of breath feeling during and afterwards. I’m going to try to see if I can push myself with more cardio exercise despite having sob.

How are you enjoying your time in Japan ? Anything cool you see? I'm sure a lot.
[QUOTE=bay7000;4972445]Mojo37
Iím doing so-so. Iím just trying to hang in there with the symptoms and discomfort. And I still get aches, and heavy feelings.

My other doc that Iíve seen thinks there some issues going on with my stomach. so i have to follow up with him and maybe run another test.

Mayo Clinic will probably find out what kind of disease/ illness you have. You might have a tumor. Hopefully they will find something. Hang in there and get well.

Boobootwo
That might be a good idea to see a rheumy. I havenít seen one yet. But Iím going to follow up with my doc w/my symptoms and see if i should see one. He also thinks i have some stomach issues going on.

Beatles 1984:
I saw the post about relaxation exercises, I tried it a few times. But I guess it takes time and patience and practice for it to be effective.

TLORS
are your symptoms improving? Did you find anything new with the doctors?
I tried taking PPI before, but I could not notice any difference so I stopped taking them. I think they prevented the absorption of some nutrients from some of the food I was eating.

What does the glucosamine help with? Iím taking magnesium, vitamin d, fish oils, and calcium.

I notice that itís hard for me to put on pounds ever since I lost weight. Iím trying to gain back some muscle mass and it seems like Iím making very small gains. Iíve been working out 3x a week, but also still get the shortness of breath feeling during and afterwards. Iím going to try to see if I can push myself with more cardio exercise despite having sob.

How are you enjoying your time in Japan ? Anything cool you see? I'm sure a lot.[/QUOTE]

Nothing has really changed for me, outside of maybe wearing thin the patience of my doctor. I have okay days where the symptoms are only an annoyance that slows me down a bit, and some days where it brings everything to a halt and I can't really do much. The worst are nights when I can't sleep, where I'm constantly falling asleep and then waking up in sudden jolts and palpitations for no apparent reason. I'm not good for much on the days that follow those evenings.

I've noticed that I get more upset stomachs while using the PPI (omeprazole), but have decided to try and take them all, per the instructions of my doctor. He scolded me recently for not sticking with the PPI for longer than two weeks the first time I used them, since I also hadn't really seen a difference either. Apparently though, they can take up to a month or longer to have any real effect, or so I've been told.

Just in case my food isn't digesting completely though, I've also started taking probiotics and digestive enzymes. They haven't led to any noticeable change yet, and I still tend to get a lot of phlegmy feel in the back of my throat after meals (which is a big part of why my doctor is thinking that GERD might be the main problem), but I figure that keeping them up can't hurt. Besides, it's only been just under a week that I've been taking them, so maybe that too requires long term use?

Glucosamine is something I've taken even before all this stuff started. It's mostly just for joint cartilage health. As I no longer have a car here, I do a lot of walking and stair climbing, so glucosamine is supposed to help keep wear down to a minimum. It's more a preventative thing to take for me, rather than something I've started taking because of a particular condition.

As for losing weight, yeah, I've shed a lot of muscle too, it seems. About half of the weight I've lost (about 10 pounds) is likely muscle according to this electronic scale I've got. That makes sense since I don't eat as much now that I'm not as active, and even then, I tend to eat even more fruit and vegetable than I used to, rather than the usual amounts of chicken or fish. (Beef tends to be too expensive for me here, and pork is something I rarely ate even before coming to Japan.) I'm not too worried about gaining it back at the moment though, since I'm just more concerned with getting quality sleep, stopping the chest pain, palps, and the heavy sensation when I'm trying to get deep breaths down.

As for my time in Japan, it's like anywhere. It has its perks and drawbacks. There are definitely many amazing things that I'm probably taking for granted now that I'll be missing when I return home. While there's valid criticism that Japanese government and industry is too centered on Tokyo, it does make the city incredibly dense with distractions. If you've got the time, money, and energy (of which I'm sorely lacking the latter two!) then it's a great place to explore and have a great time. I just hope that when the next "big one" hits, it leaves this city intact.

[QUOTE=Mojo37]bay7000,

How are you feeling? I am feeling "ok" today after having a couple of really bad days. I better enjoy the day with my kids because it is just a matter of time before I start feeling sick again.

I went to my appointments with the neurologist and my internal medicine doctor. My neurologist said that he highly recomends for my primary care doctor to refer me to the local medical university or the Mayo clinic because there is obviously something wrong with me and it is not anxiety.

My internist said that she would like for me to go and see a gastroenterologist before she gives me a referal to the medical university. If the gastro and the medical university don't find anything wrong then she will be sending me to the Mayo clinic.

It is looking more like I have an infectious disease that is just progressing now into something more severe or I have some kind of hormone producing tumor that is just dumping adrenaline or some other hormone into my system non-stop. I am really thinking that it could be the tumor because I have all the symptoms and the only test that came back abnormal was my cortisol which came back really high. The only thing that doesn't make sense is that I am loosing a lot of weight and high cortisol makes you gain. I will keep you posted. I hope you are feeling better.[/QUOTE]

Despite how we're all feeling at the moment, it's kinda' nice that your doctors are at least inclined to escalating you to a research hospital like Mayo to figure out what the problem might be. I wish my doctors had that initiative, so I'm a tad jealous, here! A previous doctor (the one before my current one) basically once told me, "look, I can't find anything wrong, so it has to be all in your head. Come back in six months if it is still bothering you." I was pretty angry afterward, and that didn't help much.

In any case, I hope you get that chance soon. You deserve answers, just like the rest of us, and once you get it, you're that much closer to addressing the problem, rather than just trying to ease the symptoms. Good luck, Mojo!
My god, I'm not alone! I'm a 33 yr old male, and have nearly the same symptoms that you guys are having, and it's driving me crazy.

My doctor thinks that it's anxiety and it's just in my head, but it's not!

Mine started about 3 weeks ago. I ate some chicken, and a few hours later, I was in the bathroom all night long with diarrhea. Typical food poisoning, so I thought. I woke up the next day with a dry mouth, weak, feeling the chest tightness, etc., and I assumed it was just the food poisoning. After a few days of this, I went to the doctor, and he told me that I was dehydrated. I drank about 4 liters of pedialyte that day, and while it made me feel a bit better, the feeling still remains, and hasn't left yet.

I feel it from the moment I wake up until I go to sleep; it's just always there. When I wake up in the middle of the night to go pee, there it is waiting for me. I never used to have to pee in the middle of the night, but I've been drinking so much water lately, because I seem to be always thirsty.

My blood work is fine, EKG is fine, everything is fine, so the docs are convinced it's stress/anxiety. I tried a xanax, and all it did was make me go to sleep - the "anxiety" feeling is still there.

[QUOTE=TLORS;5010758]I have noticed lately that my episodes or near-episodes tend to revolve around eating however, leading me to think it might be related to digestion.[/QUOTE]

I created an account at this site just because of this post. Mine is significantly worse everytime I eat, or when I'm very hungry, so I'm convinced that it is something digestive related. I do have an appointment to get an endoscopy, so maybe that will show something. I don't have any food allergies that I am aware of.

I'm losing weight like crazy, I have zero energy to do anything, I always feel like I have a big ball in my throat, as if you need to cry, so I have the tight swallowing feeling. I know that there's nothing really there, as I can eat and drink just fine.

I can take deep breaths, but I get out of breath so easily now. Simply carrying a load of groceries, picking up my son and carrying him around, or just walking up a hill gets me winded.

I used to go cycling and had a relatively active life, but now this - I just don't know what's wrong with me, and if I do have any stress/anxiety, it's from my damn doctors making me believe that it's all in my head.

I mean, I have a catalyst! They just refuse to connect the food poisoning with what I have now (and that's when everything entirely started). At least I know that I'm not alone, but this is just driving me crazy.
Problem solved!

I had a gastro-endoscopy done, and it revealed that I have a hiatal hernia, which pushes the stomach into the esophagus. Everything I had been feeling was caused by this. Thank God that it's finally been resolved!





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