Am I an Addict?

February 15, 2010 By Leave a Comment

Am I an Addict?

This is NA Fellowship-approved literature.

Copyright © 1983, 1988 by

Narcotics Anonymous World Services, Inc.

Only you can answer this question.

This may not be an easy thing to do. All through our usage, we told ourselves, “I can handle

it.” Even if this was true in the beginning, it is not so now. The drugs handled us. We lived to

use and used to live. Very simply, an addict is a person whose life is controlled by drugs.

Perhaps you admit you have a problem with drugs, but you don’t consider yourself an addict.

All of us have preconceived ideas about what an addict is. There is nothing shameful about being

an addict once you begin to take positive action. If you can identify with our problems, you may

be able to identify with our solution. The following questions were written by recovering addicts

in Narcotics Anonymous. If you have doubts about whether or not you’re an addict, take a few

moments to read the questions below and answer them as honestly as you can.

1. Do you ever use alone? Yes ? No ?

2. Have you ever substituted one drug for another, thinking that

one particular drug was the problem? Yes ? No ?

3. Have you ever manipulated or lied to a doctor

to obtain prescription drugs? Yes ? No ?

4. Have you ever stolen drugs or stolen to obtain drugs? Yes ? No ?

5. Do you regularly use a drug when you wake up or when you go to bed? Yes ? No ?

6. Have you ever taken one drug to overcome the effects of another? Yes ? No ?

7. Do you avoid people or places that do not approve of you using drugs? Yes ? No ?

8. Have you ever used a drug without knowing what it was?

or what it would do to you? Yes ? No ?

9. Has your job or school performance ever suffered

from the effects of your drug use? Yes ? No ?

10. Have you ever been arrested as a result of using drugs? Yes ? No ?

11. Have you ever lied about what or how much you use? Yes ? No ?

12. Do you put the purchase of drugs ahead of

your financial responsibilities? Yes ? No ?

13. Have you ever tried to stop or control your using? Yes ? No ?

14. Have you ever been in a jail, hospital,

or drug rehabilitation center because of your using? Yes ? No ?

15. Does using interfere with your sleeping or eating? Yes ? No ?

16. Does the thought of running out of drugs terrify you? Yes ? No ?

17. Do you feel it is impossible for you to live without drugs? Yes ? No ?

18. Do you ever question your own sanity? Yes ? No ?

19. Is your drug use making life at home unhappy? Yes ? No ?

20. Have you ever thought you couldn’t fit in or have a good time

without drugs? Yes ? No ?

21. Have you ever felt defensive, guilty, or ashamed about your using? Yes ? No ?

22. Do you think a lot about drugs? Yes ? No ?

23. Have you had irrational or indefinable fears? Yes ? No ?

24. Has using affected your sexual relationships? Yes ? No ?

25. Have you ever taken drugs you didn’t prefer? Yes ? No ?

26. Have you ever used drugs because of emotional pain or stress? Yes ? No?

27. Have you ever overdosed on any drugs? Yes ? No ?

28. Do you continue to use despite negative consequences? Yes ? No ?

29. Do you think you might have a drug problem? Yes ? No ?

“Am I an addict?” This is a question only you can answer. We found that we all answered

different numbers of these questions “Yes.” The actual number of “Yes” responses wasn’t as

important as how we felt inside and how addiction had affected our lives.

Some of these questions don’t even mention drugs. This is because addiction is an insidious

disease that affects all areas of our lives—even those areas which seem at first to have little to do

with drugs. The different drugs we used were not as important as why we used them and what

they did to us.

When we first read these questions, it was frightening for us to think we might be addicts.

Some of us tried to dismiss these thoughts by saying:

“Oh, those questions don’t make sense;”

Or,

“I’m different. I know I take drugs, but I’m not an addict. I have real emotional/family/job

problems;”

Or,

“I’m just having a tough time getting it together right now;”

Or,

“I’ll be able to stop when I find the right person/get the right job, etc.”

If you are an addict, you must first admit that you have a problem with drugs before any

progress can be made toward recovery. These questions, when honestly approached, may help

to show you how using drugs has made your life unmanageable. Addiction is a disease which,

without recovery, ends in jails, institutions, and death. Many of us came to Narcotics

Anonymous because drugs had stopped doing what we needed them to do. Addiction takes

our pride, self-esteem, family, loved ones, and even our desire to live. If you have not reached

this point in your addiction, you don’t have to. We have found that our own private hell was

within us. If you want help, you can find it in the Fellowship of Narcotics Anonymous.

“We were searching for an answer when we reached out and found Narcotics Anonymous.

We came to our first NA meeting in defeat and didn’t know what to expect. After sitting in a

meeting, or several meetings, we began to feel that people cared and were willing to help.

Although our minds told us that we would never make it, the people in the fellowship gave us

hope by insisting that we could recover. […] Surrounded by fellow addicts, we realized that we

were not alone anymore. Recovery is what happens in our meetings. Our lives are at stake. We

found that by putting recovery first, the program works. We faced three disturbing realizations:

1. We are powerless over addiction and our lives are unmanageable;

2. Although we are not responsible for our disease, we are responsible for our recovery;

3. We can no longer blame people, places, and things for our addiction. We must face our

problems and our feelings.

The ultimate weapon for recovery is the recovering addict.” 1

1 Basic

Filed Under: Drugs, Recovery Tagged With: , , , , , , , , ,

Why medical detoxification alone isn't enough

February 8, 2010 By Leave a Comment

One of the first and most difficult steps that any person faces when entering a drug or alcohol rehabilitation center is detoxification – the medical process of riding the body of the toxins it has stored during years or decades of drug or alcohol abuse. This process can be devastating from both a psychological and physical standpoint, which is why people who enter an alcohol or drug rehab program often will need detox in order to get through the painful withdrawal symptoms that otherwise might lead them to give up on the idea of quitting.

Detox at an addiction center can take days or even weeks, depending on what the person was abusing, how much they were using and for how long. However, just because a person has completed medical detox doesn’t mean that they are through with their rehab program. In fact, detox is just one small step in the larger process of freedom from drug and alcohol dependency.

When a person becomes addicted to drugs or alcohol, they aren’t just addicted to the substance they are abusing – they become addicted to the flood of pleasurable stimuli that the substance provides to them. No drug rehab program can be successful without changing the mindset of a person and helping them to understand how their addiction has changed them and what they need to do to move forward.

In addition to the lessons about moving forward that are taught at a rehab center, addicts also must address the root causes of their addiction. The majority of addicts start abusing drugs or alcohol because of other factors such as genetics, unhappy childhoods or unstable current lives. Without addressing these underlying factors, most people will eventually fall right back into their patterns of addiction and dependence.

For all of these reasons, it’s important to do more than just “get dry” when trying to quit drinking. Long-term abstinence requires a total rehab program that addresses every aspect of the drug or alcohol addiction.

By Sarah Michaels

Filed Under: Addictin Drug Treatment, Drug Detox, Drug Rehab, Drugs, Recovery Tagged With: , , , , , , , , , , , , , , , , , , ,

Treatment for Prescription Drugs in Florida

February 2, 2010 By Leave a Comment

The main reason for the increasing number of addicts that need treatment for prescription drugs in Florida is the rampant abuse of  prescription drugs. The lack of a system to check who’s being prescribed what is making the problem worse. The patients who take certain drugs over a longer period of time also get addicted to them. Apart from these patients with long-term exposure to a drug, there are others who buy and consume prescription drugs illegally and suffer from drug addiction.

People looking for treatment for prescription drugs in Florida are basically addicted to three categories of drugs. The first types of drugs are opiates. They are taken to relieve pain. Codeine, Demerol, Dilaudid, Morphine and Vicodine are some of the commonly prescribed drugs under this category. Anyone taking these medicines over a longer period of time can easily get addicted and treatment for addiction is necessary, especially in the initial stage of withdrawal. The second category of drugs is CNS depressants. It can be divided into two sub-categories – barbiturates and benzodiazepines. Nembutal and Mebaral come under barbiturates and are given to people suffering from anxiety and sleep disorder. Halcion, Librium, Valium and Xanax come under benzodiazepines and are taken for panic attacks and anxiety. Stimulants belong to the third category. Ritalin and Dexedrine are examples of the Stimulants that are commonly used today. They are provided to stimulate the brain in order to make a person more agile and active. Treatment for prescription drugs should immediately the initiated once the addiction is detected.

Treatment for prescription drugs in Florida involves inpatient therapy, outpatient therapy and group therapy. The inpatient treatment requires patient to be admitted to a detox treatment facility. The patients are carefully examined by physicians and taken off of their particular drugs safely and securely. The whole procedure may take 7 to 10 days. After the detox treatment is complete patients are referred to counselor who then makes further arrangements for individual and group therapy. They are subjected to number of educational lectures and group discussions in order to make them understand the drug addiction and its consequences. This helps them to rehabilitate successfully. In the outpatient program patients are treated through various interventions that include detox treatment, massage therapy, acupuncture sessions and hydro-therapy. Patients are required to visit the treatment facility from time to time in order to be examined and to determine the extent of their addiction and the progress of their individual treatment plan. Patients are also encouraged to take part in various recreational activities like swimming, running, exercising, playing outdoor games and others that are provided at the treatment facility. In group therapy patients are encouraged to participate in meetings that are designed to educate them about Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) programs. Emphasis is laid on social interaction as most take to drug addiction because of the feeling of loneliness.

Treatment for prescription drugs in Florida is based upon the philosophy that every individual is important and unique and should be treated with distinction and respect. The main purpose of the treatment is to help the individual to become healthier and lead a drug free life.

By Gen Wright

Filed Under: Addictin Drug Treatment, Drug Detox, Drugs, Pain Medicine Tagged With: , , , , , , , , , , , , , , , , , ,

Preventing Abuse of Pain Medication

January 27, 2010 By Leave a Comment

Although most patients use medications as directed, abuse of and addiction to prescription drugs are public health problems for many Americans. Patients, pharmacists, and health care providers all play a role in preventing and detectingprescription drug abuse.

When treating pain, health care providers have long wrestled with a dilemma:

How to adequately relieve a patient’s suffering while avoiding the potential for that patient to become addicted to pain medication?

Many doctors underprescribe painkillers because they overestimate the potential for patients to become addicted to medications such as morphine and codeine. Although these drugs carry a heightened risk of addiction, research has shown that providers’ concerns that patients will become addicted to pain medication are largely unfounded. This fear of prescribing opioid pain medications is known as “opiophobia.”

Most patients who are prescribed opioids for pain, even those undergoing long-term therapy, do not become addicted. The few patients who do develop rapid and marked tolerance for and addiction to opioids usually have a history of psychological problems or prior substance abuse. In fact, studies have shown that abuse potential of opioid medications is generally low in healthy, nondrug-abusing volunteers. One study found that only 4 out of about 12,000 patients who were given opioids for acute pain became addicted. In a study of 38 chronic pain patients, most of whom received opioids for 4 to 7 years, only 2 became addicted, and both had a history of drug abuse.

The issues of underprescription of opioids and the suffering of millions of patients who don’t receive adequate pain relief has led to the development of guidelines for pain treatment. This may help bring an end to underprescribing, but alternative forms of pain control are still needed. NIDA-funded scientists continue to search for new ways to control pain and to develop new pain medications that are effective but don’t have the potential for addiction.

Assessing Prescription Drug Abuse: Four Simple Questions

  • Have you ever felt the need to cut down on your use of prescription drugs?
  • Have you ever felt annoyed by remarks your friends or loved ones made about your use of prescription drugs?
  • Have you ever felt guilty or remorseful about your use of prescription drugs?
  • Have you ever used prescription drugs as a way to “get going” or to “calm down?”

    Role Of Patients

    There are several ways that patients can prevent prescription drug abuse.

  • When visiting the doctor, provide a complete medical history and a description of the reason for the visit to ensure that the doctor understands the complaint and can prescribe appropriate medication.
  • If a doctor prescribes medicine, follow the directions for use carefully and learn about the effects that the drug could have, especially during the first few days during which the body is adapting to the medication.
  • Be aware of potential interactions with other drugs.
  • Do not increase or decrease doses or abruptly stop taking a drug without consulting a health care provider first.
  • Never use another person’s prescription.

    Role Of Pharmacists

    Pharmacists play a role in preventing prescription drug misuse and abuse by:

  • Explaining how to take a medication appropriately.
  • Providing clear information about the effects the medication may have.
  • Providing advice about any possible drug interactions. They can also help prevent prescription fraud or diversion by looking for false or altered prescriptions.

    Role Of Health Care Providers

    Health care providers are in a unique position not only to prescribe needed medications appropriately, but also:

  • Identify prescription drug abuse when it exists.
  • Help the patient recognize the problem.
  • Set goals for recovery, and seek appropriate treatment when necessary. Screening for any type of substance abuse can be incorporated into routine history taking with questions about what prescriptions and over-the-counter drugs the patient is taking and why. Screening also can be performed if a patient presents with specific symptoms associated with problem use of a substance.Over time, providers should note any rapid increases in the amount of a drug needed – which may indicate the development of tolerance – or frequent requests for refills before the quantity prescribed should have been used. They should also be alert to the fact that those addicted to prescription medications may engage in “doctor shopping,” moving from provider to provider in an effort to get multiple prescriptions for the drug they abuse.

    Preventing or stopping prescription drug abuse is an important part of patient care. However, health care providers should not avoid prescribing painkillers, if they are needed.

    • By Carol & Richard Eucstice

    Filed Under: Addictin Drug Treatment, Drug Detox, Drugs, Pain Medicine Tagged With: , , , , , , ,

    Oxycodone Addiction

    January 21, 2010 By 1 Comment

    Oxycodone is a narcotic pain reliever used to treat moderate to severe pain. It comes in many brand names such as OxyContin and Roxicodone. When oxycodone is combined with acetaminophen its brand names include Percocet, Roxicet and Endocet. When it is combined with aspirin its brand names include Percodan, Roxiprin and Endodan. When it is combined with ibuprofen its brand names include Combunox. Oxycodone is a schedule II drug and it poses a high risk for addiction, especially when abused. It’s pain-relieving effects and side effects are similar to morphine.

    What Causes an Oxycodone Addiction? The main cause of an oxycodone addiction is abuse. When a person who is prescribed this drug takes more than prescribed or a person who is not prescribed this drug takes it, they put themselves at risk for addiction. In some cases, a person who takes this drug as prescribed for a prolonged period of time may become addicted to oxycodone. Peer pressure and mental illness can also increase a person’s chance of becoming addicted to oxycodone because it may make them more vulnerable to abusing this drug. Having a family history of drug abuse, specifically oxycodone abuse, can make a person more vulnerable to addiction. Patients who experience chronic pain may be more vulnerable to oxycodone addiction because they may take more than prescribed in an effort to try and decrease their pain.

    Signs and Symptoms of Oxycodone Addiction- When a person becomes addicted to oxycodone they may present with certain abnormal behaviors. This drug often causes a euphoric effect so those who are addicted may seem abnormally happy and carefree often. They may also take more risks and seem to not care about consequences. They may also present drug-seeking behavior when they need more oxycodone. When an oxycodone addict does not have the drug they will most likely experience withdrawal symptoms. Oxycodone withdrawal symptoms can include diarrhea, rapid breathing, abdominal cramps, crying, loss of appetite, runny nose, muscle aches, hyperactivity, cold and hot flashes, agitation, tremors, dilated pupils, fever and increased heart rate.

    Dangers and complications of oxycodone addiction- Oxycodone can be a dangerous drug when abused. Abuse leads to addiction, which can cause a variety of complications including death. If a person takes too much of the drug they may fall into a coma, suffer heart failure, respiratory failure, kidney failure or if taking a form of oxycodone that is combined with acetaminophen, liver failure or liver toxicity.

    Coping with and overcoming an oxycodone addiction- most people suffering from an oxycodone addiction will not be able to stop by themselves. They will need help from their friends and families. If a person is prescribed oxycodone and has become addicted to it, they need to talk to the doctor who prescribed them the medication. Their doctor can then help wean them off the oxycodone and switch them to a medication they will not become addicted to. If the person was not prescribed oxycodone or if they are heavily addicted they will most likely need to go to rehab. Some people will benefit from outpatient rehab, but most may need inpatient rehab so that they can be monitored and treated 24 hours a day. Many addicts will relapse a time or two so it is important that they continue to get help even after they complete a rehab program. After-rehab programs, such as narcotics anonymous, can help addicts remain clean as well as help anyone who relapses quickly recover from their relapse.

    by Lisa Simmons

    Filed Under: Addictin Drug Treatment, Drugs, oxycotton detox, Recovery Tagged With: , , , , , , , , , , , , , , , , ,

    Early Recovery & Spirituality

    December 5, 2009 By Leave a Comment

    Not long after attending my first meeting of Alcoholics Anonymous I began to hear people using the phrase Higher Power and even talking about God.  This was one of the things that kept me skeptical about AA.  I had always had a hard time relating to God and I was petrified that I couldn’t stay off drugs and alcohol because of my aversion to organized religion.  Luckily I obtained a temporary sponsor at my very first meeting and after a few months of going to AA meetings regularly I finally told her about my dilemma.  It was explained to me that Alcoholics Anonymous was not a religious program and that I did not have to believe in anyone else’s concept of God.  That put me at ease for a while but I kept hearing people sharing in meetings about their Higher Power and I was still confused and apprehensive. 

    When the time came that I began to go through the twelve steps I had been clean and sober for over three months and still felt disconnected from God.  The first step was to admit that I was powerless over drugs and alcohol and that my life had become unmanageable, which was easy for me.  However the second step was no easy feat, “We came to believe that a power greater than ourselves could restore us to sanity.”  I went over and over the words in my head and tried to think what it meant to me and how I could relate to this concept of a power greater than myself.  My sponsor told me that she had a similar experience when she was a newcomer and that all that I needed at that time was to believe that there was something in the universe that was more powerful than me.  I had heard of people using the fellowship of Alcoholics Anonymous as their Higher Power because they felt that the group was more powerful than they were alone.  That idea made sense to me and for the time being it would suffice.  I was hopeful that in time my relationship to God would blossom and develop as was the experience of others in AA.

    Filed Under: Drugs, Recovery Tagged With: , , , , ,

    My First Alcoholics Anonymous Meeting

    December 2, 2009 By Leave a Comment

    When I was first introduced to Alcoholics Anonymous  I had all kinds of preconceived notions about what it would be like.  I was scared that they were a cult and I would become brainwashed or that they would try to convert me into a religious fanatic.  I was surprised to learn that AA does not even have any rules but in fact is a program of suggestions.  These suggestions are organized into the twelve steps of recovery and the twelve traditions for service. 

    I remember the very first AA meeting that I attended when I was only 16 years old.  I arrived about fifteen minutes early and was nervous as I walked toward the crowd gathered outside the community center where the meeting was being held.  The first thing that I noticed was that I was by far the youngest person there which didn’t really bother me because I was desperate for a change in my life.  My drug and alcohol abuse had come to a point where I lost control and I knew that I needed help to conquer my addiction.

    The room was dark and crowded and I have to admit I was intimidated by the fact that everyone seemed to know each other.  A woman introduced herself to me and asked if it was my first meeting.  She offered to be my temporary sponsor and explained that she could help introduce me to the program as far as where the local meetings were and to help me in my early recovery.  I was fresh out of detox and still shaky so I accepted the guidance and figured out soon after that a sponsor is also someone who takes you through the twelve steps of recovery.  Overall I didn’t retain much from that first meeting but the thing that stuck with me was how welcoming and friendly everyone was and that while I entered the meeting very anxious I left with a feeling of calm and well-being.

    Filed Under: Drug Detox, Drugs, Recovery Tagged With: , , , , , , , ,

    Signs of Hydrocodone Addiction

    December 1, 2009 By Leave a Comment

     Signs of hydrocodone addiction are no different than most other painkiller addictions, or any addiction for that matter. Here is just a short list of some of the things I have experienced in my own life. If any of these things sound familiar whether it’s in your life or the life of someone close to you, it could be the beginning of a hydrocodone addiction.

    Not taking the drug as prescribed by your doctor. There are a specific ways to take hydrocodone for it to be effective to treat pain, taking it for any other reason could be a sign of addiction. Taking hydrocodone for sleep, to get high, to relax, to calm the nerves, mixing it with alcohol or other drugs, and taking them more frequently than your doctor recommends. If you are running out of pills long before your next prescription, than you may want to tell your doctor so he can monitor your use better. Doctor shopping is a definite no no when it comes to having pain medication prescribed. Not only is it a sign of drug abuse, it is also against the law.  If you are caught doctor shopping then you may never be able to get pain medication prescribed again. This can be a big problem if you are taking them for legitimate pain.

    If you feel ill a lot for long periods of time then you may be going through hydrocodone addiction withdrawal. This can make someone very irritable and lash out to the ones close to them. Withdrawal can make you sick for days on end and if you must come off the pain medication, then it is best to do so under the care of a doctor and enter a detox center. Hydrocodone addiction is a serious issue. If you feel you may be addicted please consult a doctor. Hydrocodone contains acetaminophen, and if over exposed can lead to liver damage in the future. A doctor can best advise proper hydrocodone addiction detox treatment. Then later after the drug is removed from the system, then you can think about drug addiction recovery. There are many great treatment centers available that can be visited around your schedule. A 28 in patient treatment may be the best route, but outpatient treatment is also available. 12 step recovery is also a great way to deal with addiction once released from treatment. This way you can have a form of personal treatment when released into the real world.

    By Gordon Thomas

    Filed Under: Addictin Drug Treatment, Drug Detox, Drug Rehab Tagged With: , , , , , , , , , , , ,

    Post-Acute Withdrawal Syndrome

    November 24, 2009 By Leave a Comment

    After I went to detox and rehab I was ready for a greeting card life full of rainbows.  Of course that is not how it worked out, I still had to deal with life on life’s terms.  When I was using drugs I was in a constant state of euphoria and rarely, if ever thought about reality.  When I got clean and sober I was forced to see and feel everything set before me and it wasn’t always easy.  The first few days out of rehab were especially difficult because I was so fragile and used to living in a controlled environment.  In the treatment center mealtime was set by a schedule as was wakeup time and bedtime but in the real world I was responsible for setting these limits for myself.  When I was using drugs I would just do whatever I wanted when I felt like it and I certainly didn’t adhere to any type of schedule.  There were many things I had to relearn about life when I got off drugs.  One of the hardest lessons I had to learn in recovery was that I was not in control of anything or anyone else besides myself- and half of the time I didn’t even feel in control of that either. 

    Being newly detoxed from drugs my body was still going through PAWS (Post Acute Withdrawal Syndrome).  PAWS tends to create in individuals an excess of emotion including hyper activity. Even small events of little consequence may loom large in someone’s mind and create strong (not being able to bond thoughts together) reactions. This may lead others to suspect a relapse or create social withdrawal. Shame emotions may be noted. Conversely, they may notice a numbing of emotions. The inability to feel impairs proper emotional bonding with friends and family during the early recovery process. It also impairs the recovery process itself as the individual struggles with trying to feel the resentments, anger, guilt, shame and other emotions common in recovery.

    Filed Under: Addictin Drug Treatment, Drug Detox, Drug Rehab, Drugs, Recovery Tagged With: , , , , , , , ,

    What to Do After Detox

    November 20, 2009 By Leave a Comment

    The first step in recovery is asking for help and physically getting off whatever substance you were abusing.  Detox is only the beginning of your transition into a new life of sobriety.  Once your body is clean of drugs and alcohol and you have completed your detox program my suggestion is to attend a drug rehab center.  Some will tell you that this is not necessary and for the few people out there that have an extremely strong sense of discipline and are absolutely sure that they want to live a drug free life then they may be able to stay clean and sober without attending a rehab. However the statistics prove that your chances go up 10 fold if you attend and complete a drug treatment program. 

     

    There is a variety of drug programs available ranging from the traditional 28 day inpatient rehab to some less intensive outpatient programs.  Through my own personal experience I have found that the best way to stay off drugs and alcohol is to attend an inpatient rehab program with a minimum length of 28 days.  There are also some residential drug treatment centers that offer longer programs (3-9 months) but many find that they are unable to put this amount of time aside.  If you are able to invest 6 months into drug rehab because you feel that you need to then that is a great testament to your commitment to your recovery.

     

    When choosing which rehab to enter be wise and select one that fits your individual needs.  If you also suffer from depression or anxiety make sure that they have a psychiatrist on staff that will be able to meet with you and assess your situation.  If you feel more comfortable in a single sex environment then choose a treatment center that has separate units for men and women.  Most important before you check yourself into any drug treatment facility, do a little research on their history and their success rates; it doesn’t hurt to do some investigating.  If you are in need of some advice of where to go and are in the South Florida area, New York, New Jersey or Pennsylvania email me and I will share my experiences with you.

    Filed Under: Addictin Drug Treatment, Drug Detox, Drug Rehab, Drugs, Recovery Tagged With: , , , , , , , , , , ,
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