Cfs symptoms

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is more than feeling tired all the time. It comes with a lot of other symptoms that can make it hard to handle daily life Worsening of symptoms while standing or sitting upright. This is called orthostatic intolerance. People with ME/CFS may be lightheaded, dizzy, weak, or faint while standing or sitting up. They may have vision changes like blurring or seeing spots. Other Common Symptoms. Many but not all people with ME/CFS have other symptoms The main symptom of CFS/ME is feeling extremely tired and generally unwell. Symptoms vary from person to person, and the severity of symptoms can vary from day to day, or even within a day. Extreme tiredness (fatigue) The main symptom of CFS/ME is extreme physical and mental tiredness (fatigue) that doesn't go away with rest or sleep

CFS/ME er en sykdom som rammer i ulik grad og uten kjent årsak. CFS, Chronic fatigue syndrom, betyr «kronisk utmattelsessyndrom». I faglitteratur og forskning brukes begrepene ME og CFS vanligvis synonymt eller om hverandre. CFS, Chronic fatigue syndrom, betyr «kronisk utmattelsessyndrom» Chronic fatigue syndrome (CFS) is a common condition which is triggered by long-lasting exhaustion or fatigue which does not fade away with rest or sleep. Chronic fatigue syndrome (CFS) presents itself in various ways; hence knowing about the symptoms helps in raising a suspicion. Get to know the top 10 symptoms of chronic fatigue syndrome (CFS), to be able to get it diagnosed and treated on time The symptoms required to make the diagnosis of myalgic encephalomyelitis/chronic fatigue syndrome include fatigue, exercise intolerance, and unrefreshing sleep. However, many more symptoms are commonly experienced by people with this syndrome. Each person has his or her own mix of symptoms, so it's rare to find two cases that are just alike Additional symptoms that people with ME/CFS can experience include aches, muscle and joint pain, headaches, tender neck and armpit lymph nodes, frequent sore throats, digestive issues, cills and. Chronic fatigue syndrome (CFS), also known as myalgic encephalomyelitis (ME), or the initialism ME/CFS, is a complex, fatiguing, long-term medical condition that is diagnosed by cardinal symptoms, but often involves a broad range of symptoms.Distinguishing core symptoms are: lengthy exacerbations or flares of the illness after ordinary minor physical or mental activity, known as post.

Chronic Fatigue Syndrome (CFS) Symptoms and Cause

  1. The symptoms of CFS/ME are similar to the symptoms of some other illnesses, so it's important to see a GP to get a correct diagnosis. Diagnosing chronic fatigue syndrome (CFS/ME) There is not a specific test for CFS/ME, so it's diagnosed based on your symptoms and by ruling out other conditions that could be causing your symptoms
  2. Symptoms of CFS vary based on the individual and the severity of the condition. The most common symptom is fatigue that's severe enough to interfere with your daily activities
  3. ME/CFS Symptom Exacerbation - Post-exertional Malaise (PEM) This is a key symptom of ME/CFS. The fatigue and other ME/CFS symptoms in this list typically increase and decrease in severity in what is called 'flare-ups'. These flare ups are triggered by a range of things, most noticeably either physical or mental exertion
  4. CFS/ME Nasjonale anbefalinger og råd. Pasienter med CFS/ME: Utredning, diagnostikk, behandling, rehabilitering, pleie og omsorg. Nasjonal veileder. PDF. Anbefalinger om CFS/ME i andre produkter. Fagspesifikk innledning - fysikalsk medisin og rehabilitering. Kapittel

ME/CFS is a syndrome, which means it is characterized by numerous symptoms. Much like autoimmune diseases, ME/CFS symptoms may wax and wane. Some may disappear entirely for months, only to re-appear when a new treatment is initiated, or when the patient contracts a viral or bacterial infection Kronisk utmattelsessyndrom (CFS/ME) kjennetegnes av en gjennomgripende energisvikt som varer i mer enn seks måneder. Prognosen varierer, men den er aller best for barn og unge This symptom is known as post-exertional malaise (PEM). Other symptoms can include problems with thinking and concentrating, pain, and dizziness. According to an Institute of Medicine (IOM) report external icon published in 2015, an estimated 836,000 to 2.5 million Americans suffer from ME/CFS, but most of them have not been diagnosed

Symptoms of ME/CFS Myalgic Encephalomyelitis/Chronic

  1. ME / CFS is a multi-system disease in which patients experience immune, endocrine, neurological, digestive, and musculoskeletal symptoms. There are over 60 symptoms reported by people with ME / CFS. The common symptoms are listed below but not limited to what may define an individual experience. Most Common Symptoms Post-exertional malaise (symptoms worsen after exertion) Persistent fatigue.
  2. These symptoms must last for at least six months and occur at least half the time at moderate, substantial or severe intensity. Treatment. There is no cure for chronic fatigue syndrome. Treatment focuses on symptom relief. The most disruptive or disabling symptoms should be addressed first. Medication
  3. Learn about symptoms, diagnosis, and treatment options. Chronic fatigue syndrome, or CFS, causes you to feel so tired that you can't complete normal, daily activities. While chronic fatigue.
  4. Fatigue Chronic fatigue syndrome (ME/CFS) patients experience a fatigue severe enough to cause them to substantially cut down their work, educational and/or social activities. The Centers For Disease Control calls this fatigue 'severe, incapacitating, and all-encompassing'. At its most severe it can leave chronic fatigue syndrome patients house or bed-bound. A recent study also found [
  5. The symptoms of chronic fatigue syndrome (ME-CFS) vary from person to person, and there may be times when your symptoms improve and you'll be able to do some normal everyday activities. At other times, symptoms may get worse, affecting your daily life

Chronic fatigue syndrome (CFS/ME) - Symptoms - NH

  1. The main symptom of ME/CFS is having flu-like symptoms after exercise. ME/CFS is much more than feeling tired or 'fatigued'. The causes of ME/CFS are complex and not yet fully understood. There is no cure yet. There are a number of subtypes of ME/CFS, so treatments will affect people differently
  2. Vad är ME/CFS Vad är ME/CFS? ME/CFS betecknas av WHO som en neurologisk sjukdom. ME är en allvarlig, kronisk multisystemsjukdom där nervsystem, immunförsvar och energiproduktion är påverkade. Aktuell forskning talar för att överansträngning utlöser en sänkning av den aeroba energiproduktionen, som tycks bli långvarig eller i värsta fall bestående. Forskning och.
  3. 1. Most Common Symptoms of ME/CFS. Exhaustion, made worse by physical exercise (100%) Low-grade fever in early stages (60-95%) Recurrent flu-like illness (75%
  4. People with chronic fatigue syndrome (ME/CFS) experience unusual levels of fatigue or exhaustion after mild exertion. The Centers For Disease Control (CDC) calls the fatigue 'severe, incapacitating, and all-encompassing . Approximately 25% of people with chronic fatigue syndrome are house or bed-bound. Dig Deeper: Learn more about symptoms on Health Rising's ME/CFS, FM and Chronic Pain.
  5. The symptoms can be generalized and may occur due to many different causes; therefore, the diagnosis of chronic fatigue syndrome relies upon excluding other medical causes of the symptoms. Causes of chronic fatigue syndrome. The exact cause of CFS or SEID is not known
  6. ase antibodies, especially in the presence of any irritable bowel-type symptoms (Skowera et al 2001)

CFS/ME - helsenorge

  1. Diagnosing CFS requires ruling out other causes of chronic persistent fatigue, including a stressful lifestyle, cancer, or other illness such as adrenal or thyroid disorders, HIV, or AIDS.Since there are no laboratory tests that specifically make the diagnosis of CFS, the diagnosis is based on symptoms
  2. CFS: Symptome. Chronisches Erschöpfungssyndrom (CFS) ist ein komplexes Krankheitsbild, das sich meist schlagartig entwickelt - oft nach einer Virusinfektion. Es gibt aber auch Betroffene, bei denen sich CFS schleichend über längere Zeit entwickelt hat
  3. Flu-like symptoms. CFS can often feel like the flu, with sufferers frequently experiencing a sore throat and tender and swollen lymph nodes. 6. Sensitivity. Heightened sensitivities to smells, touch, light, sound, foods and chemicals can indicated CFS
  4. Track Your Symptoms of Fibromyalgia and ME/CFS. Medically reviewed by Shaheen Lakhan, MD, PhD Why Fibromyalgia or ME/CFS May Worsen Period Pain. Medically reviewed by Grant Hughes, MD Heart Abnormalities in Fibromyalgia. Medically reviewed by Grant Hughes, MD View More. Verywell Health

Kronisk utmattelsessyndrom (CFS fra den engelske betegnelsen chronic fatigue syndrome) er den vanligste betegnelsen på en variabelt svekkende lidelse eller lidelser som defineres generelt ved vedvarende utmattelse som ikke er relatert til anstrengelse, som ikke reduseres vesentlig av hvile, og som er ledsaget av andre spesifikke symptomer i minst seks måneder Systemic Exertion Intolerance Disease (SEID) symptom list [edit | edit source]. These are the minimum of core symptoms necessary to be diagnosed with SEID, an ME/CFS criteria.Patients can have more symptoms and they are outlined in the Institute of Medicine report.. These core symptoms are also part of the CCC and ICC criteria below. However, the CCC lists PEM as optional with Post-exertional. The Full List of Fibromyalgia Symptoms. Below is the list of fibromyalgia symptoms, even the weirder symptoms that blite fibromites. There are, no doubt, other symptoms not listed here as people's experience of fibromyalgia is unique to them. Nevertheless, it is a comprehensive list and broken down by category

Last up in our CFS Symptoms Series is discussion on the flu-like symptoms, chills and night sweats, headaches and sore throat.. Dr. Jacob Teitelbaum notes in his book From Fatigued to Fantastic that: the most notorious pattern seen in severe chronic fatigue states is one in which a person who is feeling fine suddenly comes down with a brutal flu-like illness that never goes away Symptoms may present themselves immediately upon sitting or standing, or increase gradually over a period of time. A common pattern with many CSF leak sufferers, particularly those with a small or intermittent spinal leak, is that symptoms may only become noticeable or severe later in the day These symptoms usually follow a viral illness, often getting worse with a second viral illness and/or push in activity. It is important to note that with CFS/ME many people only have some of the symptoms. You might have all physical ones, but minimal or no mental, or all mental, but not too bad physical Symptoms of CFS can sometimes disappear completely (remission), but it is still very possible for a relapse to happen. This happens when symptoms return. The cycle of relapse and remission can be frustrating, making it difficult for symptoms to be managed, but it isn't impossible

10 Symptoms Of Chronic Fatigue Syndrome (CFS

Managing the symptoms of CFS and FM usually involves the following four principles: 1. Focus on Improving Quality of Life: Because so far there is no cure for either CFS or fibromyalgia, the goal of treatment is not healing but rather controlling symptoms and improving quality of life This tiredness may be your only symptom, or you may also have any or all of the other symptoms. Some people experience mild symptoms, and others more intense symptoms. There is no single test to diagnose CFS/ME. Your doctor will diagnose CFS/ME based on your symptoms and how long you have had them ME/ICD-CFS symptom, betyr det ikke at det ikke kan være alvorlig. Spesielt hjerteproblemer bør alltid undersøkes, og slik som smerter i lymfeknuter (blant mange andre ting). _____ *Merknad: Begrepet ME/ICD-CFS er kanskje ikke så godt kjent over alt ennå, men det blir bruk Symptoms of CFS vary for each person and according to severity. If you suspect that you have CFS, understanding all the potential symptoms is the best approach. This way you can bring them to your doctor's attention and get tests to rule out other conditions

Chronic Fatigue Syndrome: Symptoms and Complication

  1. And because the symptoms are so common—those with fibromyalgia or rheumatoid arthritis suffer similar afflictions—it's tough for doctors to spot ME/CFS, he says
  2. That crushing exhaustion isn't all CFS patients deal with—headaches, muscle soreness, joint pain, swollen lymph nodes, and a sore throat can all be symptoms of the disease. Docs aren't sure.
  3. Many with ME/CFS report a significant degree of pain or myalgia. This is the place to discuss pain, whether This is the place to discuss neurological (related to the brain) symptoms. Discuss symptoms related to cognition (thinking, reasoning, brain fog) in the 'Cognition' forum. Threads 345 Messages 5,902. Threads 345 Messages 5,902. Im.

Myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS) is a condition where you have long-term disabling tiredness (fatigue). Most people will also have one or more other symptoms such as muscular pains, joint pains, disturbed sleep patterns, poor concentration or headaches The symptoms and signs of chronic fatigue syndrome (CFS or SEID) are relatively specific: chronic severe fatigue for at least five to six months not caused by a diagnosable disease and at least four other specific symptoms such as cognitive impairment, muscle and/or joint pains, new types of headaches, tender lymph nodes, sore throat, unrefreshing sleep, and malaise after exercise that occur. Introduction. Chronic fatigue syndrome (CFS, also called chronic fatigue immune dysfunction syndrome, or CFIDS) is a chronic disorder characterized by several debilitating conditions including severe fatigue. Other symptoms include weakness, impaired memory or concentration, insomnia, muscle pain, and fatigue following exertion that lasts more than 24 hours

COVID-19 Symptoms: Chronic Fatigue Syndrome Heavy

Myalgic Encephalomyelitis (ME), commonly referred to as chronic fatigue syndrome or ME/CFS, is a widely misunderstood disease. The purpose of this webpage is to provide clear and correct information on what is known about ME today. People with ME can experience a wide range of symptoms and levels of. The most common symptoms of ME/CFS are post-exertional malaise, unrefreshing sleep, profound fatigue, cognitive impairment, orthostatic intolerance, and pain. The cause of ME/CFS is currently unknown, but a combination of genetic and environmental factors appear to be relevant. There are also no diagnostic tests or CIHR approved treatments. Chronic fatigue syndrome (CFS), also referred to as myalgic encephalomyelitis (ME) or ME/CFS, is a complex, chronic illness that affects about 1 million Americans.Women are two to four times more likely than men to be diagnosed with ME/CFS. People with ME/CFS experience a range of symptoms that makes it hard to do the daily tasks that most of us do without thinking — like dressing or bathing

According to an unproven and now widely questioned hypothesis that has long dominated the field of nonpharmacologic interventions for ME/CFS, symptoms are perpetuated by irrational fears of exertion The symptoms of CFS are very variable and can also occur with a number of other conditions. There is no special test to confirm the diagnosis of CFS — usually tests are done to exclude other conditions, such as fibromyalgia, abnormalities of the thyroid gland, sleep disorders, mental health disorders and anaemia, all of which which can produce a similar picture CFS is low cardiac output secondary to mitochondrial malfunction. Two papers have come to my notice recently which make great sense of both my clinical observations and also the idea that CFS is a symptom of mitochondrial failure. The two symptoms I am looking for in CFS to make the diagnosis is firstly very poor stamina and secondly delayed. The clinical descriptions of chronic fatigue syndrome (CFS) vary.Different agencies and scientific bodies have produced different guidelines to define the condition, with some overlap of symptoms between descriptions. Aspects of the condition are controversial, with disagreements over etiology, pathophysiology, treatment and naming between medical practitioners, researchers, patients and. The symptoms of CFS/ME are similar to the symptoms of some other illnesses, and to find out what is wrong (make a diagnosis), your doctor will need to do some tests. There is no specific test that can identify CFS/ME, so the diagnosis has to be based on ruling out other conditions that could be causing your symptoms

ME/CFS is a complex multi-systemic illness with a wide variety of symptoms that wax and wane unpredictably. While there is currently no targeted FDA-approved treatment for the disease, there are a number of medications and strategies that may help reduce your symptoms. PACING TO PREVENT POST-EXERTIONAL MALAISE Post Exertional Malaise (PEM) is the worsening of [ ME/CFS frequently appears with other medical conditions, the most common being Fibromyalgia, a name given to a group of symptoms marked by generalised pain and muscle stiffness felt in any area of the body (Arthritis Victoria, 2014); and Multiple Chemical Sensitivity, a name given to those whose low-level exposure to everyday chemicals (like perfumes and deodorants, cigarette smoke, car. People with ME/CFS experience a wide range of symptoms. A common misconception is that people with ME/CFS have 'chronic fatigue', and are just tired. Chronic fatigue is a symptom of many conditions (for example, heart disease, cancer, multiple sclerosis, anaemia and ME/CFS), but it is not a condition in its own right When these free radicals are ingested, she says, they can cause a lot of inflammation in the body, and trigger CFS symptoms. Instead of eating fried foods when you're dining out, order baked or. Chronic Fatigue Syndrome (CFS), also known as Myalgic Encephalomyelitis (ME), is a debilitating and potentially disabling illness Footnote 1-7 that affects over half a million Canadians Footnote *. Footnote 8 CFS/ME is not yet fully understood, but it is known to affect multiple systems of the body. Footnote 1-7. Symptoms

CFS/ME is poorly understood, with no specific diagnostic test. Diagnosis is made by excluding other causes of the symptoms. Can what I eat help CFS/ME? Eating a variety of healthy foods is very important for your health and wellbeing. Although diet alone isn't the cause, or cure, of CFS/ME, a poorlybalanced diet can compromise your health It has been observed that ME/CFS patients commonly suffer from gastrointestinal complaints, and that between 35-92% of ME/CFS patients have irritable bowel syndrome2. Chia has observed, 80-90% of our 1400 ME/CFS patients have recurring gastrointestinal symptoms of varying severity compared to only 3/100 controls.

Fibromyalgia and CFS: Similarities Beyond the common symptoms, researchers have found that fibromyalgia and chronic fatigue syndrome primarily occur in middle-aged people. Also, both disorders. The severity of symptoms can vary from day to day, or even within a day. How is chronic fatigue syndrome diagnosed? Diagnosis can be difficult because the symptoms of CFS are similar to those of a number of other medical conditions, which need to be ruled out first. For a diagnosis of CFS the symptoms must match both of the following criteria

Chronic fatigue syndrome - Wikipedi

Chronic fatigue syndrome (CFS/ME) - NH

So lets say they found an active virus with high titers then I guess the treatment chances will be higher than just trying to improve the CFS-symptoms without having a clue what could be the cause. Also I am now searching for a very good doctor but in Switzerland there is no official profession for ME/CFS The symptoms likely have more than one trigger. You may have your first symptoms after you have had an infection, such as a cold or the flu. Your symptoms may begin after a very stressful time in your life. What are the signs and symptoms of CFS? Symptoms of CFS may change from day to day and can range from mild to severe

Chronic Fatigue Syndrome: Causes, Symptoms, and Treatmen

Kronisk utmattelsessyndrom er også kjent som ME (myalgisk encefalomyelopati) eller CFS (chronic fatigue syndrome). I helsevesenet brukes oftest betegnelsen CFS/ME. Tilstanden er kjennetegnet av nyoppstått, omfattende utmattelse som i vesentlig grad hemmer hverdagslivet. I tillegg til utmattelsen, har personen ofte andre plager, som for eksempel søvnforstyrrelse, smerter eller. Then read on for some of the subtle symptoms of CFS. 1. You Feel Rundown All The Time. While it's normal to feel tired after a long day,.

Chronic Fatigue Syndrome Symptoms List - CFS Unravelle

Symptoms of CFS include widespread muscle and joint pain, cognitive difficulties, chronic, often severe mental and physical exhaustion and other characteristic symptoms in a previously healthy and active person. Fatigue is a common symptom in many illnesses, but CFS is a multi-systemic disease and is relatively rare by comparison Chronic Fatigue Syndrome (CFS) Causes and Symptoms. by admin on June 19, 2020 June 19, 2020 Leave a Comment on Chronic Fatigue Syndrome (CFS) Causes and Symptoms. General description. Chronic fatigue syndrome is a complex disorder characterized by extreme fatigue that cannot be attributed to any pre-existing disease Chronic fatigue syndrome (CFS), or myalgic encephalomyelitis (ME), is a mysterious condition.. The main symptom of CFS is extreme and often unrelenting fatigue.Others include muscle and joint pain.

- CFS/CFIDS/ME patients with pre-existing psychiatric symptoms may report that their symptoms worsen with the onset of CFS. - Treatment for psychiatric symptoms alone does not relieve the physical symptoms of CFS, indicating that the disease is not psychological in nature Today in our CFS Symptoms Series is the discussion on the hormonal imbalances found in PWCs. This post is very long and in depth, so I did not go into the emotional and social effects the hormonal imbalances have on PWCs, but it's safe for me to say that the affects are the same as what I talked about with the other symptoms CFS & Fibromyalgia Rating Scale: 100: Fully recovered. Normal activity level with no symptoms. 90: Normal activity level with mild symptoms at times Health Rising provides the latest treatment and research information for fibromyalgia and chronic fatigue syndrome (ME/CFS

CFS/ME - Helsedirektorate

The signs and symptoms of CFS are like those of the flu: • General weakness. • Exhaustion. • Achy muscles and joints. • Tender lymph nodes. • Low grade fever. • Headache. Many people with chronic fatigue syndrome may experience other symptoms, including: • Diarrhea and constipation In CFS, fatigue symptoms may not improve with bed rest and can worsen with physical or mental activity. Extreme fatigue is a common symptom in several diseases and conditions, making CFS difficult to diagnose. Being aware of the signs and symptoms of CFS, tracking how long they.

Symptom recognition [edit | edit source]. The DePaul Symptom Questionnaire can be used to assess symptoms of both M.E. and CFS. The Canadian Consensus Criteria (Appendix 4) also contains an extensive list of possible symptoms. The severity of illness and overall health can be assessed using the SF-36 health survey.. Notable studies [edit | edit source] Castro-Marrero et al. 2017 [edit | edit. CFS: Ifølge Helsedirektoratet står CFS for Chronic fatigue syndrom, som betyr «kronisk utmattelsessyndrom». Ifølge Ingrid B. Helland, leder for Nasjonal kompetansetjeneste for CSF/ME, har det vært en del diskusjoner rundt hva man skal kalle sykdommen

Fatigue and other symptoms are also exacerbated following exertion by ME/CFS patients. Researchers at the center are collectively applying expertise in neuroimaging, metabolic pathways, protein identification and quantification, exercise physiology, immunology, gene expression, and computational analysis to interrogate the underlying biomedical mechanisms that contribute to ME/CFS This article looks at the definition of Chronic Fatigue Syndrome (CFS), its risk factors and symptoms thereof.It highlights a huge gap in as far as treating CFS condition is concerned. However, until the right treatment is found, we looked at the possible symptomatic treatment methods that patient can choose from, with the help of their doctors Treatment for CFS. The main aim of treatment for CFS is to relieve the symptoms that are causing you issues in your day-to-day life, and which may be affecting your ability to work or even carry out general tasks, such is the overwhelming feeling of tiredness and other physical symptoms of the illness CFS Symptoms CFS Surveys 1a: Adrenal Fatigue Survey 2a: Brain Fog (feeling like you're in a mental fog) 75-100%. 90.9%. difficulty maintaining an upright position, dizziness, balance problems or fainting 60-90%. 61.7%. irritable bowel 50-90%. 63.0%. chills and night sweats 60-95%. 67.7%. visual disturbances (sensitivity to light, blurring, eye.

Brain Abnormalities Discovered in Patients With ChronicDiet for Hypoglycemia can help those with CFSCFS sufferer may have died of heart failure andChronic Fatigue Syndrome (CFS) Symptoms and Diagnosis

Letztendlich muss sich ein erfahrener Arzt die Krankheitsgeschichte des Patienten anhören, die typischen Symptome von CFS kennen und Krankheiten ausschließen, die mit ähnlichen Beschwerden einhergehen können. Wie zum Beispiel Depression, Rheuma, Schilddrüsenunterfunktion oder Schlafstörungen. Doch auch hier gilt Vorsicht Chronic Fatigue Syndrome (CFS) CFS overview Symptoms Nutritional discussion Causes: Onset CNS & Hormones Immune Viral Hypotension Sleep Other causes. Chronic fatigue syndrome (CFS) is defined as disabling fatigue lasting more than six months that reduces activity by more than half Many CFS symptoms are similar to those of other health conditions, like mono, Lyme disease, or depression. And the symptoms can vary over time, even in the same person. This makes treating the illness complicated. No single medicine or treatment can address all the possible symptoms Chronic fatigue syndrome is a puzzling medical condition characterized by extreme fatigue, impaired memory, joint and muscle pain, tender lymph nodes, and sore throat Symptoms of ME/CFS may come and go over time and often fluctuate in severity. Primary Symptoms. Generally, three primary, or core symptoms, are required for the diagnosis of ME/CFS. Notably, the fatigue associated with ME/CFS is not a result of unusually difficult activity and is not relieved by rest Symptoms. CFS differs from the more typical types of fatigue in that it interferes with a person's ability to participate in the activities of everyday life, sometimes for long periods of time. It can become disabling but does not appear to be progressive or life threatening

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