Iron is a component of a number of proteins including haemoglobin. Haemoglobin is important for transport of oxygen to tissues
throughout the body.
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Processing of food (cutting up,
cooking etc) greatly improves availability and thus absorption of carotenoids from foods.
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Molybdenum is found in plant foods and reflects the soil content in which they grow. Legumes are
major contributors of molybdenum in the western diet, as are grain products and nuts.
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The retinal form of vitamin A is required by the eye to change light to neural signals for vision
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Vitamin C deficiency causes scurvy, symptoms of which include skeletal and vascular lesions with
gingival changes, pain in the extremities, haemorrhage, oedema, ulcerations and death.
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If sunlight exposure is adequate, dietary vitamin D can
be considered unnecessary.
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Vitamin B6 is found in a wide range of foods including organ meats, muscle meats, breakfast cereals,
vegetables and fruits.
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In teeth that have erupted, ingestion of fluoride reduces caries due
to reduced acid production by bacteria and increased enamel remineralisation in acidogenic challenge.
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It has been postulated that diets high in fibre have a lower energy density and may therefore help in moderating obesity.
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The parent fatty acid of the
n-3 series is alpha-linolenic acid (ALA). ALA primarily functions as a precursor for the synthesis of EPA, which in turn forms DHA (EPA and DHA are Long-Chain n-3 fatty acids)
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Vitamin C, in addition to providing its own benefits, interacts with other nutrients. It aids in the absorption of iron and copper, the maintenance of glutathione in the reduced form, the regeneration, or sparing, of alpha-tocopherol and the
stabilisation of folate.
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Vitamin B6 acts as a coenzyme in the metabolism of amino acids, glycogen
and sphingoid bases.
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Niacin is involved in energy metabolism,
DNA repair and calcium mobilisation. It functions as part of the intracellular respiration system and with
enzymes involved in oxidation of fuel substrates.
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Manganese is an essential element involved in formation of bone. It is also involved in the metabolism
of carbohydrate, cholesterol and amino acids.
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Vitamin E deficiency symptoms have never been described. Deficiency occurs only as a result of genetic abnormalities, fat malabsorption syndrome, or protein-energy malnutrition.
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The amount of protein in the diet is a
factor contributing to the efficiency of zinc absorption as zinc binds to protein.
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Selenium functions as an antioxidant and in redox reactions and thyroid metabolism. It is thought to have a role in cellular antioxidant systems.
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In general, zinc absorption from a diet high in animal protein will be greater than from a diet rich in plant
derived proteins. The requirement for dietary zinc may be as much as 50% greater
for vegetarians, particularly strict vegetarians whose major staples are grains and legumes.
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High intakes of n-6 polyunsaturated fats have been associated with blood lipid profiles
associated with a lower risk of coronary heart disease.
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Wernicke's encephalopathy is one of two distinct major diseases from deficiency of thiamin. It is usually seen in people who have been drinking alcohol heavily and eating very little. (Alcohol requires thiamin for its metabolism). The characteristic feature is paralysis of one or more of the external
movements of the eyes.
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Chronically high levels of alcohol ingestion can negatively affect vitamin A status through an effect on
the liver.
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Vitamin B 12 can be stored in the liver
for many years.
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All of the necessary amino acids can be provided in the amounts needed from plant
sources.
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Saturated fatty
acids have both physiological and structural functions. They can be synthesised by the body so are not
required in the diet.
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There is some evidence that choline may improve cognitive function and memory at all ages and,
by extension, choline deficiency has been implicated in poor performance for groups such as the
institutionalised elderly.
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Selenium is found in a range of foods, the content of which varies with geographic sources of the
food. Soil concentrations can range from <0.01 μg/g to >1,000 μg/g with plant food content reflecting
this range.
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Phosphorus is the second most abundant inorganic element in the body and is a part of many important
compounds. Phosphorus as phosphate is a major buffer of acid in urine by
virtue of its monovalent, divalent and trivalent forms.
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With current food supplies
and patterns of eating, it is almost impossible to obtain sufficient vitamin D from the diet alone.
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Fluoride has a unique ability to stimulate new
bone formation and as such has been used as an experimental drug for the treatment of osteoporosis
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Inadequate folate intake leads to changes in bone marrow and other rapidly dividing tissues. As depletion progresses, eventually, full-blown anaemia results in weakness, fatigue, irritability and palpitations.
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Sodium is important for maintaining the membrane
potential of cells and for active transport of molecules across cell membranes.
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The dietary essentiality of choline was demonstrated in a study of healthy men with
normal folate and vitamin B 12 status who developed liver damage with lower plasma choline and
phosphatidylcholine concentrations when fed a choline-deficient diet.
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Folic
acid supplementation in pregnancy can reduce both the occurrence and recurrence of neural tube
defects in the newborn.
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Alcohol intakes
below about 5% of dietary energy are recommended.
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Adequate intake of
vitamin B 12 is essential for normal blood function and neurological function.
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Magnesium is required for mitochondria to carry out oxidative phosphorylation. It plays a role in regulating potassium fluxes and in the metabolism of calcium.
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Cholesterol comes in 2 main forms: LDL (Low Density Lipoprotein) Cholesterol and HDL (High Density Lipoprotein) Cholesterol. LDL Cholesterol is harmful, and is associated with an increased risk of Coronary Heart Disease(CHD). HDL Cholesterol is beneficial, and reduces the risk of CHD.
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People with hypertension, diabetes and chronic kidney disease and greater age tend to be more
sensitive to the blood pressure raising effects of sodium chloride intake. Being overweight also appears to
increase susceptibility.
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Dehydration of as little as 2% loss of body weight results in impaired physiological responses and
performance.
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Copper deficiency results in defects in connective tissue that lead to vascular and skeletal problems, and
anaemia related to defective iron metabolism. It can also affect the central nervous system and the immune and cardiovascular systems, notably in infants.
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Vitamin K deficiency causes a bleeding tendency through a lack of activity of the procoagulant
proteins.
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Riboflavin deficiency can
result in raised plasma levels of homocysteine that are associated with increased cardiovascular risk. The classic disease of riboflavin deficiency is ariboflavinosis, which manifests in growth disturbances, seborrhaeic dermatitis, inflammation of the oral mucosa and tongue, cracks at the corner of the mouth
and normocytic anaemia.
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The reported health effects of chronic mild dehydration and poor fluid intake include
increased risk of kidney stones, urinary tract cancers, colon
cancer as well as diminished physical
and mental performance.
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Chromium is involved in potentiating the action of insulin. Chromium deficiency is relatively rare.
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Polyunsaturated fatty acids contain two or more double bonds. The most common is Linoleic Acid. It is described as 'omega-6' due to the position of the double bonds and occurs in seed oils,
eg sunflower, safflower and corn.
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Vitamin B 12 deficiency can produce haematological, neurological or gut symptoms. The underlying problem is interference with DNA synthesis leading to production of
abnormally large erythrocytes.
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Vitamin C is found in high concentrations in gastric juices where it may prevent the formation of N-nitroso-compounds, which are potential
mutagens.
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A 10-year study of skin cancer in the US initially found no effect of supplemental selenium at 200 μg/
day on basal cell or squamous cell skin cancer, but significant reduction in total cancer and cancers of
the prostate, lung and colorectum.
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Iron in foods can come in two general forms - as
haem or non-haem iron. Iron from animal food sources such as meat, fish and poultry may be either
haem or non-haem whereas the iron in plant sources such grains and vegetables is non-haem.
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Molybdenum is involved in catabolism of sulphur amino acids and heterocyclic compounds
including purines and pyridines.
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Dental caries is often identified
as the limiting factor in terms of an upper intake of cariogenic sweeteners, even in an era of fluoride
exposure.
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Water is defined as an essential nutrient because it is required in amounts that exceed the body's ability
to produce it. All biochemical reactions occur in water.
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Amino acids are the building blocks of proteins. The essential amino acids are those that we cannot synthesise within the body, and so need to be included in the diet.
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Saturated fats are found mainly in animal-based foods. They are the
main type of fatty acids found in milk, cream, butter and cheese, meats from most of the land animals,
palm oil and coconut oil as well as in products such as pies, biscuits, cakes and pastries.
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Thiamin plays an essential role in the supply of energy to the tissue, in carbohydrate metabolism
and in the metabolic links between carbohydrate, protein and fat metabolism.
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Deficiency of niacin causes the disease pellagra which is associated with inflammation of the skin on
exposure to sunlight, resembling severe sunburn except that the affected skin is sharply demarcated. Pellagra is the disease of 'three Ds', namely dermatitis, diarrhoea and (in
severe cases) delirium or dementia.
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Most of the early signs of deficiency are neurologic or neuromuscular defects that may develop with time into anorexia, nausea, muscular
weakness, lethargy, weight loss, hyper-irritability, hyper-excitability, muscular spasms, tetany and finally
convulsions.
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Pantothenic acid deficiency is very rare. Symptoms of a deficiency of Pantothenic acid include irritability, restlessness, fatigue, apathy, malaise, sleep disturbance, nausea,
vomiting and cramping, numbness and staggering gait, as well as hypoglycaemia and increased insulin
sensitivity.
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Deficiency of Vitamin D results in inadequate mineralisation or demineralisation of the skeleton.
This can lead to rickets in young children, causing bowed legs and knocked knees. In adults, deficiency can lead to
increased bone turnover and osteoporosis.
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Iron absorption is about 18% from a mixed western diet including animal foods and about 10% from a
plant-based diet; so vegetarians and vegans need higher intakes.
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Osteoporosis is one of the major causes of morbidity amongst older Australians and New Zealanders,
particularly postmenopausal women.
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Copper is widely distributed in foods with nuts and seeds being major
contributors. Wheat bran cereals and whole grain products are also good sources.
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The amount of energy needed for the internal bodily functions necessary for life (eg cell metabolism, synthesis and metabolism of enzymes and hormones) is called the basal metabolic rate (BMR). BMR represents about 45-70% of daily energy expenditure.
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Energy is not a nutrient but is required in the body for metabolic processes, physiological functions,
muscular activity, heat production, growth and synthesis of new tissues.
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To achieve iron balance, adult
men need to absorb about 1 mg/day and adult menstruating women about 1.5 mg/day, although
this is highly variable. Towards the end of pregnancy, the absorption of 4-5 mg/day of iron is necessary.
Requirements are higher during periods of rapid growth in early childhood and adolescence
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Water fills the spaces in and between cells and helps
form structures of large molecules such as protein and glycogen. Water is also required for digestion,
absorption, transportation, dissolving nutrients, elimination of waste products and thermoregulation.
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The best-known role for vitamin
K is the maintenance of normal blood coagulation. The vitamin K-dependent coagulation proteins that are made in the liver have both coagulant and anticoagulant properties.
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Manganese deficiency in animals is associated with impaired growth, reproductive function and
glucose tolerance as well as changes in carbohydrate and lipid metabolism. Manganese deficiency also interferes with
skeletal development.
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Calcium is required for the normal development and maintenance of the skeleton as well as for the
proper functioning of neuromuscular and cardiac function.
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Symptoms of biotin deficiency include dermatitis, conjunctivitis,
alopecia and Central Nervous System (CNS) abnormalities, including developmental delay in infants. People with
genetic biotinidase deficiency will have increased requirements.
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Beri beri is one of two distinct major diseases from deficiency of thiamin. In acute
beri beri there is a high output cardiac failure, warm extremities, bounding pulse, oedema and cardiac
enlargement.
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In excess, Manganese can interfere with iron absorption.
Manganese is excreted rapidly into the gut through bile and lost primarily in faeces. Low bile excretion can therefore increase the potential for manganese toxicity
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Vitamin C is found widely in fruits and vegetables. Fruits such as blackcurrants, guava, citrus, and
kiwi fruit and vegetables such as broccoli and sprouts are good sources.
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Low intakes of calcium have been associated with a condition of low
bone density called osteoporosis which is quite common in western cultures and which often results in
bone fracture.
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Retinoic acid plays an important role in
embryonic development, particularly in the development of the spinal cord and vertebrae, limbs, heart,
eye and ears
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Pellagra, a disease caused by niacin deficiency, was a major problem in the Southern states
of the US in poor Blacks and Whites whose diet consisted of maize (American corn) and little else.
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Choline is widely distributed throughout the food supply. Milk, liver, eggs and peanuts are particularly good sources. Wheat germ and
dried soybeans are good sources of choline for vegetarians.
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Adequate dietary fibre is essential for proper functioning of the gut and has also been related to risk
reduction for a number of chronic diseases including heart disease, certain cancers and diabetes.
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Haem iron is more bioavailable to humans than the non-haem. The presence of other nutrients such as vitamin C and organic acids such as citric, lactic or malic acid
can increase the absorption of non-haem iron.
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Frank copper deficiency is rare in humans but has been
seen in certain circumstances in infants.
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Vitamin A is a fat-soluble vitamin which helps maintain normal reproduction, vision and immune
function. Vitamin A intakes or requirements are generally expressed in terms of retinol equivalents (RE). Retinol is required for the integrity of epithelial cells throughout the body.
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The parent n-3 fatty acid, ALA, aids in the formation of EPA and DHA, but the conversion of ALA to EPA and DHA is limited, creating the need for a dietary source
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The main source of vitamin E is fats and oils. It is also found in some vegetables, in the fats of meat,
poultry and fish and, to lesser degrees, in cereals and dairy foods.
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Iodine was one of the first trace elements to be identified as essential. In the 1920s it was shown
to be an integral component for normal growth and metabolism. Soon after, it was recognised as a key regulator of important cell processes.
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Various expert groups have made consensus recommendations for
consumption of ALA and/or the very long chain omega-3s.
The evidence is strongest for reduction of Cardio Vascular Disease risk by EPA and DHA.
|
Choline is a precursor for a number of compounds including the neurotransmitter acetylcholine. It is also important for lipid and cholesterol transport and metabolism if methyl groups.
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Leafy green vegetables, vine fruit such as tomatoes, cucumbers, zucchini, eggplant and pumpkin,
and root vegetables are particularly good sources of Potassium. It is also moderately abundant in
beans peas, tree fruits, milks, yoghurts and meats.
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Unlike most animals, humans and primates lack a key enzyme necessary for the biosynthesis of
vitamin C. We therefore require a dietary source.
|
The major dietary sources
of vitamin K are green leafy vegetables such as kale, spinach, salad greens, cabbage, broccoli and
brussel sprouts and certain plant oils such as soybean and canola oils.
|
Phosphorus is widely distributed in natural foods and also found in food additives as phosphate salts,
used in processing for retaining moisture, smoothness and binding.
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Iodine is an integral component of a key thyroid hormone. The thyroid hormones are required for normal growth and development of tissues such as the central nervous system and have a broader role in maturation of the
body as a whole. They are important for energy production and oxygen consumption in cells thereby helping to maintain the body's metabolic rate.
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In the last decade, there has been
an exponential rise in publications on health benefits of omega-3 polyunsaturated fatty acids, particularly the longer chain
omega-3s, EPA, DPA and DHA.
|
Molybdenum is absorbed very efficiently over a wide range of
intakes. No clear deficiency syndrome has been seen in animals even with
major reductions in molybdoenzymes.
|
Functional indicators of iron deficiency may include reduced physical work capacity, delayed
psychomotor development in infants, impaired cognitive function, impaired immunity and adverse
pregnancy outcomes.
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Linoleic Acid, the most common Polyunsaturated fatty acid, is involved in the regulation of gene expression. Linoleic Acid is also found as a structural component of cell membranes and is important in
cell signalling.
|
Amino acids are used for the
synthesis of body proteins and other metabolites, and can also be used as a source of dietary energy.
The proteins of the body are continually being broken down and resynthesised in a process called
protein turnover.
|
Potassium blunts the effect of sodium chloride on blood pressure, mitigating salt sensitivity and lowering urinary calcium excretion.It has been hypothesised that high protein-low potassium diets could induce a low-grade metabolic acidosis that could induce demineralisation of bone, osteoporosis and kidney stones.
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The main monounsaturated fatty acid is oleic acid with one double bond. Olive, canola and peanut oils
are rich in oleic acid. The monounsaturates are synthesised by the body and are thus not required
in the diet.
|
Magnesium is a cofactor for more than 300 enzyme systems and is involved in
both aerobic and anaerobic energy generation and in glycolysis.
|
Fluoride is a normal constituent of the human body, involved in the mineralisation of both teeth and
bones. Because of its role in the prevention of dental caries, fluoride
has been classified as essential to human health.
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