Treatment FAQ

which is a treatment option for hyperthyroidism?

by Adelia Hirthe Published 3 years ago Updated 2 years ago
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Hyperthyroidism caused by overproduction of thyroid hormones can be treated with antithyroid medications (methimazole and propylthiouracil), radioactive iodine ablation of the thyroid gland, or surgical thyroidectomy. Radioactive iodine ablation is the most widely used treatment in the United States.Mar 1, 2016

What is the most common treatment for hyperthyroidism?

Radioactive iodine is the most widely-recommended permanent treatment of hyperthyroidism. This treatment takes advantage of the fact that thyroid cells are the only cells in the body which have the ability to absorb iodine. In fact, thyroid hormones are experts at doing just that.Jun 25, 2021

Which medicine is best for hyperthyroidism?

Treatment options for hyperthyroidism include:Antithyroid drugs methimazole (Tapazole) or propylthiouracil (PTU): These drugs block the ability of your thyroid to make hormones. ... Radioactive iodine: Radioactive iodine is an oral medication that your overactive thyroid cells absorb.More items...•Oct 19, 2021

What level is treatment for hyperthyroidism?

The American Thyroid Association and the American Association of Clinical Endocrinologists recommend treating patients with thyroid-stimulating hormone levels less than 0.1 mIU per L if they are older than 65 years or have comorbidities such as heart disease or osteoporosis.Jun 1, 2017

Are there any new treatments for hyperthyroidism?

There have been no new treatment options for hyperthyroid patients with GD for more than 60 years. At present, antithyroid drugs (ATD), mostly carbimazole, are the usual first-line treatment.Sep 17, 2019

What are 3 treatments for hyperthyroidism?

Possible treatments include:Radioactive iodine. Taken by mouth, radioactive iodine is absorbed by your thyroid gland, where it causes the gland to shrink. ... Anti-thyroid medications. ... Beta blockers. ... Surgery (thyroidectomy).Nov 14, 2020

What is another name for methimazole?

Methimazole is used to treat overactive thyroid (hyperthyroidism). It works by stopping the thyroid gland from making too much thyroid hormone. Methimazole is available under the following different brand names: Northyx, and Tapazole.

What type of drug is Carbimazole?

Carbimazole is a drug used for the reduction of thyroid function. An imidazole antithyroid agent. Carbimazole is metabolized to methimazole, which is responsible for the antithyroid activity.Jun 13, 2005

What level TSH requires treatment?

If your TSH level is higher than 10 mIU/L, you should start treatment, because you will very likely develop symptoms of an underactive thyroid, even if you don't have them now.

What is the treatment of low TSH?

Treating hyperthyroidism (low TSH levels) A person may need to take beta-blockers and antithyroid medications. Another effective treatment is radioiodine therapy. This involves taking a capsule or liquid that contains radioactive iodine-131, which destroys cells that produce thyroid hormones.

Can carbimazole cure hyperthyroidism?

Carbimazole is the most commonly used medicine for hyperthyroidism. It works by reducing the amount of thyroid hormones which your thyroid gland makes. Carbimazole may be used alone or together with other treatments for hyperthyroidism....About carbimazole.Type of medicineAntithyroid medicineAvailable asTablets1 more row•Feb 10, 2020

Why are beta blockers used for hyperthyroidism?

Beta blockers ameliorate the symptoms of hyperthyroidism that are caused by increased beta-adrenergic tone. These include palpitations, tachycardia, tremulousness, anxiety, and heat intolerance.Oct 25, 2021

What does methimazole do to the body?

METHIMAZOLE (meth IM a zole) lowers the amount of thyroid hormone made by the thyroid gland. It treats hyperthyroidism (where the thyroid gland makes too much hormone). It also is used before thyroid surgery or radioactive iodine treatment.

How to treat hyperthyroidism?

There are three treatment options for hyperthyroidism. The first is surgery to remove the entire thyroid (thyroidectomy). Thyroidectomy is effective and carries a low risk of complications when performed by an experienced surgeon. However, it leaves a person with an underactive thyroid once the gland has been removed.

What is the best treatment for hyperthyroidism in children?

In addition to surgery, treatment options for hyperthyroidism include radioactive iodine therapy or a medication, such as methimazole, that blocks the production of thyroid hormone. If left untreated, your son's symptoms will likely get worse.

What is the treatment for thyroid disease in a child?

In addition to surgery, treatment options for hyperthyroidism include radioactive iodine therapy or a medication, such as methimazole, that blocks the production of thyroid hormone. If left untreated, your son's symptoms will likely get worse. Over time, his condition could lead to heart problems, weak bones, muscle weakness and atrophy, and ultimately metabolic problems that could prove serious and can occasionally be fatal in severe cases.

How to diagnose hyperthyroidism?

Your healthcare provider will diagnose hyperthyroidism in several ways, including: A physical exam of your neck to see if the thyroid is larger than normal. Blood tests to look for high levels of thyroid hormone in your body. Imaging tests to look at your thyroid.

What is the name of the condition where the thyroid releases high levels of thyroid hormone into the body?

Hyperthyroidism. Hyperthyroidism, also called overactive thyroid, is a condition where the thyroid releases high levels of thyroid hormone into the body. This condition can make your metabolism speed up. Symptoms of hyperthyroidism include a rapid heartbeat, weight loss, increased appetite and anxiety. Hyperthyroidism can be treated ...

Why does my heart beat so fast?

This rapid heartbeat is a symptom of the condition that’s caused by your fast metabolism. The body is running faster than normal when you have hyperthyroidism, making you feel like your heart is racing. Having an irregular heartbeat can increase your risk of different medical conditions, including stroke.

What hormones are produced by the thyroid?

The main hormones made by the thyroid include triiodothyronine (T3) and thyroxine (T4). Having hyperthyroidism can impact your entire body. Picture something related to the word “hyper.”. Most likely, you just thought of something that’s fast or full of a lot of energy.

Can iodine cause hyperthyroidism?

Iodine is a mineral that your thyroid uses to create thyroid hormone. Receiving intravenous iodinated contrast (iodine “dye”) may also cause hyperthyroidism.

What happens when you have hyperthyroidism?

When you have hyperthyroidism, the extra hormones can speed up your metabolism. Metabolism is the process that transforms the food you put in your body into energy that helps your body function. When you have hyperthyroidism, your metabolism is launched into high-speed.

Can iodine cause cancer?

Currently, there’s no link between using radioactive iodine to treat hyperthyroidism and developing cancer.

What is the best treatment for hyperthyroidism in cats?

Thyroidectomy is a very effective treatment option for hyperthyroid cats. Surgical treatment of hyperthyroidism in cats offers permanent cure without chronic medical management. No specialised equipment other than standard surgical instrumentation and facilities are necessary.

What is the best treatment for a cat with a thyroid problem?

Surgical removal of enlarged, autonomously functioning thyroid glands is one of the most commonly used treatment options. Affected cats must have a careful pre-operative evaluation to detect concurrent medical conditions such as renal disease or cardiomyopathy.

Can hyperthyroidism recur after thyroidectomy?

Recurrence of hyperthyroidism can occur months after initial thyroidectomy if residual adenomatous thyroid tissue is retained in the surgical site. The most effective surgical techniques for bilateral thyroidectomy involve preservation of at least one external parathyroid gland on the surface of the thyroid capsule.

What is the best treatment for hyperthyroidism in cats?

Radioactive Iodine Therapy . When available, radioactive iodine therapy is the treatment of choice for cats with hyperthyroidism. During treatment, radioactive iodine is administered as an injection and is quickly absorbed into the bloodstream.

How do anti-thyroid drugs work?

Medication. Anti-thyroid drugs act by reducing the production and release of thyroid hormone from the thyroid gland. These medications do not provide a cure for the disease, but they do allow either short-term or long-term control of hyperthyroidism.

What causes a cat to vomit?

Vomiting. Diarrhea. Anorexia. Anesthesia. Hyperthyroidism is a common disease in cats, and mostly afflicts cats middle-aged and older. Also called thyrotoxicosis, hyperthyroidism is caused by an increase in production of thyroid hormones (known as T3 and T4) from an enlarged thyroid gland in a cat’s neck. In most cases, enlargement of thyroid ...

How do you know if your cat has hyperthyroidism?

The most common clinical signs of hyperthyroidism are weight loss, increased appetite, and increased thirst and urination. Hyperthyroidism may also cause vomiting, diarrhea, and hyperactivity.

What causes a thyroid gland to enlarge?

In most cases, enlargement of thyroid glands is caused by a non-cancerous tumor called an adenoma. Some rare cases of hyperthyroid disease are caused by malignant tumors known as thyroid adenocarcinomas.

Can cats take antithyroid medication?

Some cats may experience side effects from medication, however, including vomiting, anorexia, fever, anemia, and lethargy. Lifelong treatment, usually involving twice-daily oral dosage, will be required, and for some owners and cats, this dosage schedule may be difficult to maintain. Antithyroid medications are also available in a gel ...

How long does it take for a cat to get iodine?

The majority of cats treated with radioactive iodine have normal hormone levels within one to two weeks of treatment. The advantages of radioactive iodine therapy are that the procedure most often cures hyperthyroidism, has no serious side effects, and does not require anesthesia.

What is the quiz on hypothyroidism vs hyperthyroidism?

This quiz on Hypothyroidism vs Hyperthyroidism will test you on how to care for the patient who is experiencing a thyroid disorder. As the nurse, you must know typical signs and symptoms of hypo/hyperthyroidism, causes, life-threatening complications, patient teaching, medication side effects, and expected medical treatments.

When is the best time to take synthroid?

The answer is A: Synthroid is best taken in the MORNING on an empty stomach. All the other statements are correct about taking Synthroid. 6. The thyroid hormones, T3 and T4, play many roles in the human body.

Is Tylenol a narcotic?

The answers are A, C, and D. Patients who have hypothyroidism are very sensitive to narcotics and should take NON-NARCOTICS for pain relief. Fentanyl, Morphine, and Dilaudid are all narcotics, whereas, Tylenol is not. 13.

Is hyperthyroidism an endocrine disorder?

Hypothyroidism and hyperthyroidism are endocrine disorders that involve the thyroid gland. In hypothyroidism, the thyroid gland is underactive, whereas in hyperthyroidism the thyroid gland is overactive. This endocrine teaching series will test your knowledge on how to differentiate between the two conditions, along with a video lecture.

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Overview

  • Hyperthyroidism (overactive thyroid) occurs when your thyroid gland produces too much of the hormone thyroxine. Hyperthyroidism can accelerate your body's metabolism, causing unintentional weight loss and a rapid or irregular heartbeat.Several treatments are available for hyperthyroidism. Doctors use anti-thyroid medications and radioactive iodine to slow the produc…
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  • In hyperthyroidism, an irritation of your thyroid known as thyroiditis allows too much thyroid hormone to enter your blood. This can lead to pain and discomfort. Thyroiditis can also occur as the result of pregnancy. This is usually short-term.
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Treatment

  • Hyperthyroidism can be treated with antithyroid medications that interfere with the production of thyroid hormones (primarily methimazole; propylthiouracil is now used only for women in the first trimester of pregnancy). Another option is radioactive iodine therapy to damage the cells that make thyroid hormones. In rare cases in which women do not respond to or have side effects fr…
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  • According to the American Thyroid Association, theres no cure for hypothyroidism. However, there are medications that can treat the disease. The goal of the medication is to improve your bodys thyroid function, restore hormone levels, and allow you to live a normal life.
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  • 1. Medication - the thyroid gland relies on iodine to make the thyroid hormones. Anti-thyroid drugs work by interfering with the gland's ability to use iodine. Around one in four people will experience a prolonged period of remission after one year or more of anti-thyroid medication. Side effects of the medications include skin rashes and joint pain. Patients on these drugs who experience feve…
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  • Exact treatment depends on the cause of the condition. There are three main methods of treatment for thyrotoxicosis:
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Signs And Symptoms

  • Hyperthyroidism can mimic other health problems, which can make it difficult for your doctor to diagnose. It can also cause a wide variety of signs and symptoms, including: 1. Unintentional weight loss, even when your appetite and food intake stay the same or increase 2. Rapid heartbeat (tachycardia) — commonly more than 100 beats a minute 3. Irregular heartbeat (arrhythmia) 4. P…
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  • Weight loss and increased appetite are among the most common clinical signs of this condition. Weight loss is seen in 95 to 98 percent of hyperthyroid cats, and a hearty appetite in 67 to 81 percent. Excessive thirst, increased urination, hyperactivity, unkempt appearance, panting, diarrhea and increased shedding have also been reported. Vomiting is seen in about 50 percent …
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  • The symptoms of hyperthyroidism include the following: 1. fatigue or muscle weakness 2. hand tremors 3. mood swings 4. nervousness or anxiety 5. rapid heartbeat 6. heart palpitations or irregular heartbeat 7. skin dryness 8. trouble sleeping 9. weight loss 10. increased frequency of bowel movements 11. light periods or skipping periods.Some people may develop a goiter, whic…
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  • Less than 10 percent of cats suffering from hyperthyroidism are referred to as apathetic. These patients exhibit atypical signs such as poor appetite, loss of appetite, depression, and weakness.
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Diagnosis

  • Because several common diseases of older cats-diabetes, inflammatory bowel disease, intestinal cancer and chronic kidney failure-share some of the clinical signs of hyperthyroidism, a battery of tests is in order. A CBC, chemistry panel and urinalysis alone will not diagnose hyperthyroidism, but they can certainly rule out diabetes and kidney failure. Hyperthyroid cats may have normal fi…
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  • Hyperthyroidism is diagnosed based on symptoms, physical exam, and blood tests to measure levels of thyroid stimulating hormone (TSH) and thyroid hormones T3 and T4. Your doctor may also decide to order either an ultrasound or a nuclear medicine scan of your thyroid to see if it has nodules, or whether it is inflamed or overactive.
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  • The signs of feline hyperthyroidism can overlap with those of chronic renal failure, chronic hepatic disease, and cancer (especially intestinal lymphoma). These diseases can be excluded on the basis of routine laboratory findings and thyroid function tests. Your veterinarian will conduct a battery of tests to zero in on a reliable diagnosis. Thoracic radiography and echocardiography m…
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  • In the United States, hypothyroidism is more common than hyperthyroidism. However, its not uncommon to have an overactive thyroid and then an underactive thyroid, or vice versa. Finding a skilled doctor who specializes in the thyroid, typically an endocrinologist, is an important part of your treatment plan.
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Cause

  • Hyperthyroidism can be caused by a number of conditions, including Graves' disease, Plummer's disease and thyroiditis.Your thyroid is a small, butterfly-shaped gland at the base of your neck, just below your Adam's apple. The thyroid gland has an enormous impact on your health. Every aspect of your metabolism is regulated by thyroid hormones.Your thyroid gland produces two m…
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  • The thyroid gland makes the hormones thyroxine (T4) and triiodothyronine (T3) that play an important role in the way your whole body functions. If your thyroid gland makes too much T4 and T3, this is defined as hyperthyroidism. The most common cause of hyperthyroidism is the autoimmune disorder Graves’ disease. In this disorder, the body makes an antibody (a protein pr…
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  • Hashimotos thyroiditis is the most common cause of hypothyroidism. With this condition, your body attacks its own immune system. Over time, this attack causes the thyroid to stop producing hormones as it should which leads to hypothyroidism. Like many autoimmune diseases, Hashimotos thyroiditis occurs more frequently in women than men. As its name suggests, hyper…
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  • The main cause of thyrotoxicosis is hyperthyroidism, which is an overactivity of the thyroid gland resulting in it producing excess levels of thyroid hormones. If the hyperthyroidism is due to an autoimmune cause, it is called Graves' disease. Other rarer causes of thyrotoxicosis include excessive intake of thyroid hormone in patients treated for hypothyroidism (an underactive thyro…
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Pathophysiology

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Hyperthyroidism is a disease caused by overproduction of thyroxine, a thyroid hormone that increases metabolism in the body. The thyroid gland normally produces thyroid hormones in response to stimulation by the pituitary gland, the \"master gland\" of the body. Thyroid hormones normally increase chemical proce…
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  • The most common difference between the two diseases relates to hormone levels. Hypothyroidism leads to a decrease in hormones. Hyperthyroidism leads to an increase in hormone production.
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  • Thyrotoxicosis is the name given to the clinical effects experienced due to an excess of thyroid hormones in the bloodstream. Hormones produced by the thyroid gland control how fast or slow the body works (metabolic rate). Too much thyroid hormone (thyroxine and triiodothyronine) speeds up the metabolism and results in the signs and symptoms of thyrotoxicosis.
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  • When functioning correctly, the thyroid is able to properly respond to changes in temperature by adjusting the bodys basal metabolic rate (BMR) and releasing hormones to promote cellular release (aka sweating) or retention of heat, allowing the body to remain at a comfortable temperature. With hyperthyroidism, the body cannot regulate these hormones as easily, therefor…
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Epidemiology

  • Thyroid disease tends to be commoner in women than men (up to 10 times more). Thyrotoxicosis can occur at any age and there is a 1 in 100 chance of a woman developing it in her lifetime and a 1 in 1,000 risk for men. The number of new cases diagnosed each year is 3 per 1,000 women.
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  • Toxic multinodular goiter causes 5 percent of the cases of hyperthyroidism in the United States and can be 10 times more common in iodine-deficient areas. It typically occurs in patients older than 40 years with a long-standing goiter, and has a more insidious onset than Graves disease.10 Lymphocytic thyroiditis and postpartum (subacute lymphocytic) thyroiditis are transient inflam…
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  • Hyperthyroid crisis is rare. It has an incidence of 0.2 cases per 100,000 population and approximately 1-2% of patients with hyperthyroidism progress to a hyperthyroid crisis.
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Thyrotoxicosis is an illness that does not affect many people. But there are still people that are affected by this illness and this means that everyone does still have to remain vigilant when it comes to this disease because it can appear out of the blue so everyone does have to remain vigilant when it comes to this illness appea…
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Prognosis

  • Long-term implications of treated thyrotoxicosis depend on which of the treatment methods are used, but often result in the need for lifelong medication (thyroid hormone tablets) to be taken daily. Patients on medication should have blood tests taken by their GP at regular intervals to confirm that the dose remains correct. The majority of patients are able to find a medication regi…
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  • Agranulocytosis is the most serious complication of antithyroid drug therapy and is estimated to occur in 0.1 to 0.5 percent of patients treated with these drugs.28 The risk is higher in the first several months of therapy and may be higher with PTU than methimazole.5,9,15 It is extremely rare in patients taking less than 30 mg per day of methimazole.9 The onset of agranulocytosis i…
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  • 1. Untreated hyperthyroid crisis is usually fatal. 2. Although hyperthyroid storm is rare, it is a critical illness that can lead to multiorgan failure and carries a high death rate. 3. Even with early diagnosis and targeted treatment, the mortality rate of hyperthyroid crisis ranges from 10-30%. 4. It has a fatality rate of 50-90% if left untreated.
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  • No matter what treatment your dog receives, he will most likely need medication every day for the rest of his life. With treatment, however, many dogs enjoy years of quality life.
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Complications

  • Hyperthyroidism can lead to a number of complications: 1. Heart problems. Some of the most serious complications of hyperthyroidism involve the heart. These include a rapid heart rate, a heart rhythm disorder called atrial fibrillation that increases your risk of stroke, and congestive heart failure — a condition in which your heart can't circulate enough blood to meet your body's n…
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  • Hyperthyroidism results in high levels of T4 and T3 circulating in the blood. These hormones will speed up metabolism. When this happens, the following symptoms may occur: 1. increased heart rate 2. abnormal heartbeat rhythm (palpitations or \"pounding\") 3. increased body heat, causing one to feel warm even in a cool room 4. moist skin because of perspiration 5. increased activity …
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Risk Factors

  • Risk factors for hyperthyroidism, include: 1. A family history, particularly of Graves' disease 2. Female sex 3. A personal history of certain chronic illnesses, such as type 1 diabetes, pernicious anemia and primary adrenal insufficiency...
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Treatment

  • Several treatments for hyperthyroidism exist. The best approach for you depends on your age, physical condition, the underlying cause of the hyperthyroidism, personal preference and the severity of your disorder. Possible treatments include: 1. Radioactive iodine. Taken by mouth, ra…
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Lifestyle and Home Remedies

  • Once you begin treatment, symptoms of hyperthyroidism should subside and you should start feeling much better. However, your doctor may recommend that you watch out for iodine in your diet because it can cause hyperthyroidism or make it worse. Kelp, dulse and others types of seaweed contain a lot of iodine. Cough syrup and multivitamins also may contain iodine.
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Coping and Support

  • If you've been diagnosed with hyperthyroidism, the most important thing is to receive the necessary medical care. After you and your doctor have decided on a course of action, there are some things you can do that will help you cope with the condition and support your body during its healing process. 1. Get regular exercise.Exercise in general will help you feel better and improve …
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Preparing For Your Appointment

  • You'll likely start by seeing your primary care doctor. However, in some cases, you may be referred immediately to a doctor who specializes in the body's hormone-secreting glands (endocrinologist). If you have eye involvement, you may also be referred to an eye doctor (ophthalmologist). It's good to prepare for your appointment. Here's some information to help yo…
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