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Alimentos que deben evitarse. Alimentos que debe comer. Could you be at risk of developing type 2 diabetes? Read this next. How Is Type 2 Diabetes Treated? What to Know if You're Newly Diagnosed. The name ketogenic means that it produces ketones in the body. Usually the body uses carbohydrates such as sugar, bread, pasta for its fuel. Because the ketogenic diet is very low in carbohydrates, fats become the primary fuel instead. The body can work very well on ketones and fats.
Ketones are Alcohol y dieta cetogenica dangerous. They can be detected in the urine, blood, and breath. Those who had discontinued the diet by this stage did so Adelgazar 30 kilos it was ineffective, too restrictive, or due to illness, and most of those who remained were benefiting from it.
During this period, the most common reason for discontinuing the diet was Alcohol y dieta cetogenica the children had become seizure-free or significantly better. Those remaining on the diet after this duration were typically not seizure-free, Alcohol y dieta cetogenica had had an excellent response. One of four such analyses, conducted inlooked at 19 studies on a total of 1, Alcohol y dieta cetogenica. A Cochrane systematic review in found and analysed eleven randomized controlled trials of ketogenic diet in people with epilepsy for whom drugs failed to control their seizures.
The other trials compared types of diets or ways of introducing them to make them more tolerable.
A systematic review in looked at 16 studies on the ketogenic diet in adults. It concluded that the treatment was becoming more popular for Alcohol y dieta cetogenica group of patients, that the efficacy in adults was similar to children, the side effects relatively mild.
However, many patients gave up with the diet, for various reasons, and the quality of evidence was inferior to studies on children.
Health issues include high levels of low-density lipoproteinhigh total cholesteroland weight loss. The ketogenic diet is indicated as an adjunctive additional treatment in children and young people with drug-resistant epilepsy. These include Alcohol y dieta cetogenica syndromeinfantile spasmsmyoclonic-astatic epilepsyand tuberous sclerosis complex.
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Adelgazar 30 kilos possible explanations exist for this gap between evidence and clinical practice. Because the ketogenic diet alters the body's metabolism, it is Alcohol y dieta cetogenica first-line therapy in children with certain congenital metabolic diseases such as pyruvate dehydrogenase E1 deficiency and glucose transporter 1 deficiency syndrome which prevent the body from using carbohydrates as fuel, leading to a dependency on ketone bodies.
The ketogenic diet is beneficial in treating the seizures and some other symptoms in these diseases and is an absolute indication.
On the ketogenic diet, their bodies would consume their own protein stores for fuel, leading to ketoacidosisand eventually coma and death. Alcohol y dieta cetogenica ketogenic diet is usually initiated in combination with the patient's existing anticonvulsant regimen, though patients may be Alcohol y dieta cetogenica off anticonvulsants if the diet is successful.
Some evidence of synergistic benefits is seen when the diet is combined with the vagus nerve stimulator or with the drug zonisamideand that the diet may be Alcohol y dieta cetogenica successful in children receiving phenobarbital.
Alcohol Y Dieta Cetogenica : The ketogenic diet is not a benign, holistic, or natural treatment for epilepsy; as with any serious medical therapy, complications may result. Long-term use of the ketogenic diet in children increases the risk of slowed or stunted growth, bone fractures, and kidney stones.
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Like many anticonvulsant drugs, the ketogenic diet has an adverse effect Alcohol y dieta cetogenica bone health. Many factors may be involved such as acidosis and suppressed growth hormone. A class of anticonvulsants known as carbonic anhydrase inhibitors topiramatezonisamide are known to increase the risk of kidney stones, but the combination of these anticonvulsants and the ketogenic diet does not appear to elevate the risk Alcohol y dieta cetogenica that of the diet alone.
In adolescent and adults, common side effects Alcohol y dieta cetogenica include weight loss, constipation, dyslipidemiaand in women, dysmenorrhea. The ketogenic diet is a medical nutrition therapy that involves participants from various disciplines. Team members include a registered paediatric dietitian who coordinates the diet programme; a paediatric neurologist who is experienced in offering the ketogenic diet; and a registered nurse who is familiar with childhood epilepsy.
Additional help may come from a medical social worker who works with the family and a pharmacist who can advise on the carbohydrate content of medicines. Lastly, the parents and other caregivers must be educated in many aspects of the diet for it to be safely implemented. Implementing the diet can present difficulties for caregivers and the patient due to the time commitment involved in measuring and planning meals.
Since any unplanned eating can potentially break the nutritional balance required, some people find the discipline needed to maintain the diet challenging and unpleasant. Some people terminate the diet or switch to a less demanding diet, like the modified Atkins diet or the low-glycaemic index treatment diet, because they find the difficulties too great.
The Johns Hopkins Hospital protocol for initiating the ketogenic diet has been widely adopted. At the initial consultation, patients are screened for conditions that may contraindicate the diet. A dietary history is obtained and the parameters of the diet selected: the ketogenic ratio of fat to combined protein and carbohydrate, the calorie requirements and the fluid intake.
The day before admission to hospital, the proportion of carbohydrate in the diet may be decreased and the patient begins fasting after his or her evening meal. The following breakfast and lunch are similar, and on Alcohol y dieta cetogenica second day, the "eggnog" dinner is Alcohol y dieta cetogenica to two-thirds of a typical meal's caloric content.
By the third day, dinner contains the full calorie quota and is a standard ketogenic meal not "eggnog". After a ketogenic breakfast on the fourth day, the patient is discharged. Where possible, the patient's current medicines are Alcohol y dieta cetogenica to carbohydrate-free formulations. When Alcohol y dieta cetogenica the hospital, glucose levels are checked several times daily and the patient is monitored for signs of symptomatic ketosis which can be treated with a small quantity of orange juice.
Lack of energy and lethargy are common, but disappear within Alcohol y dieta cetogenica weeks. Variations on the Alcohol y dieta cetogenica Hopkins protocol are common. The initiation can be performed using outpatient clinics rather than requiring a stay in hospital.
Often, no initial fast is used fasting increases the risk of acidosishypoglycaemia, and weight loss. Rather than increasing meal sizes over the three-day initiation, some institutions maintain meal size, but alter the ketogenic ratio from to If the diet does not begin with a fast, the time for half of the patients to achieve an improvement is longer two weeksbut the Adelgazar 30 kilos seizure reduction rates are unaffected.
After initiation, the child regularly visits the hospital outpatient clinic where Alcohol y dieta cetogenica are seen by the dietitian and neurologist, and various tests and examinations are performed. These are held every Alcohol y dieta cetogenica months for the first year and then every six months thereafter. Infants under one year old are seen more frequently, with the initial visit held after just two to four weeks.
This fine-tuning is typically done over the telephone with the hospital dietitian  and includes changing the number of calories, altering the ketogenic ratio, or adding Alcohol y dieta cetogenica MCT Alcohol y dieta cetogenica coconut oils to a classic diet. A short-lived increase in seizure frequency may occur during illness or if ketone levels fluctuate.
The diet may be modified if seizure frequency remains high, or the child is losing weight. Even "sugar-free" food can contain carbohydrates such as maltodextrinsorbitolstarchand fructose. The sorbitol content of suntan lotion and other skincare products may be high enough for some to be absorbed through the skin and thus negate ketosis.
This is done by lowering the ketogenic ratio until urinary ketosis is no longer detected, and then lifting all calorie restrictions.
When the diet is required to treat certain metabolic diseases, the duration will be longer. The total diet duration is up to the treating ketogenic diet team and parents; durations up to 12 years have been studied and found beneficial. The length of time until recurrence is highly variable, but averages two years. Of those who have a recurrence, just over half can regain Alcohol y dieta cetogenica from seizures either with anticonvulsants or by returning to the ketogenic Alcohol y dieta cetogenica.
Recurrence is more likely if, despite seizure freedom, an electroencephalogram shows epileptiform spikes, which indicate epileptic activity in the brain but are below the level that will cause a seizure. Recurrence is also likely if an MRI scan shows focal abnormalities for Alcohol y dieta cetogenica, as in children with tuberous sclerosis.
Such children may remain on the diet longer than average, and children with tuberous sclerosis who achieve seizure freedom could remain on the ketogenic diet indefinitely. The ketogenic diet is calculated by a dietitian for Alcohol y dieta cetogenica child. Age, weight, activity levels, culture, and food preferences La buena dieta affect the meal plan.
Highly active children or those with muscle spasticity require more food energy than this; immobile children require less. The ketogenic ratio of the diet compares the weight of fat to the combined weight of carbohydrate and protein.
The quantity of fat in the diet can be calculated from the overall energy requirements and the chosen ketogenic ratio. Lastly, the amount of carbohydrate is set according to what allowance is left while maintaining the chosen ratio.
Any carbohydrate in medications or supplements must be subtracted from Alcohol y dieta cetogenica allowance. The total daily amount of fat, protein, and carbohydrate is then evenly divided across the meals.
Mark Hyman. Nada Youssef : Welcome, and Dr. He's also the 11th time, number Alcohol y dieta cetogenica New York Times bestselling author, and an internationally recognized leader, speaker, educator and advocate in his field. And today we will cover a whole hour talking about the ketogenic diet. For those who don't know, it is a strict nutrition plan that is high in fat, moderate and low protein, and very low in carbs. So before we begin, please remember, this is for informational purposes only, and is not intended to replace your own physician's advice.
So thank you so much for coming back. Alcohol y dieta cetogenica Youssef : So let's talk about the ketogenic diet, what is it and how did it start? Mark Hyman : Well, the ketogenic diet has been around for a long time, and it's typically been used in neurology to treat epilepsy or seizures that don't respond to anything else. So when nothing else works they put children, or adults, on a very high fat diet so the body burns fat instead Alcohol y dieta cetogenica carbohydrates.
And that's Alcohol y dieta cetogenica effective for treatment resistant epilepsy. It's a hard diet to do, and recently it's been increasingly used in other medical conditions. And it's also kind of caught the popular imagination, and people are using it who don't have medical conditions. So there's a whole range of people now using it, and we can talk about the pros and cons of all that. Nada Youssef : Great, alright.
Well, I want to Alcohol y dieta cetogenica about the Alcohol y dieta cetogenica pyramids, what we had and how we kind of flipped everything around. So, what are we looking at right here? Mark Hyman : Well, you're not looking at us, but we're hiding behind the thing. Mark Hyman : The interesting thing was in the 60s, in the 50s, there was a doctor named Ancel Keys who was a scientist who concluded that fat was evil, that it caused obesity, that it had more calories than carbs, and that it actually also led to heart disease.
And so, the research on that was only cause and effect I'm sorry, the research on that Alcohol y dieta cetogenica only showing correlation, not cause and effect. And Alcohol y dieta cetogenica the assumption was made Adelgazar 40 kilos on relatively weak data that fat was the enemy.
And in fact scientists related to him were also in the field at the time, Dr. Hegsted and Dr. Stare at Harvard, were funded by the sugar industry to write a report in The New England Journal of Medicine that said sugar's fine, fat's bad. And then the guy who was the author of that paper was paid by the sugar industry, he ended up being the guy who ran our first dietary guidelines, which told us to eat less fat and eat more carbs.
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Dietas faciles That turned into the food pyramid, Adelgazar 72 kilos was looking like this.
Fat and oils on [inaudible ] except fats and oils were only at the top here, wasn't even that much, it was like a Alcohol y dieta cetogenica little bit. So the idea was to eat six to 11 servings of bread, rice, cereal and pasta every day. Now, at this point in our culture we understand that seven or 11 servings of bread or pasta is not Alcohol y dieta cetogenica health food, and yet that was what our government told us in the food pyramid, which correlated exactly with the increase in obesity and type 2 diabetes in America and Alcohol y dieta cetogenica the world.
And that has really led to our current crisis of obesity, and carbs were thought to be helpful and fat was thought to be harmful. And then we now have actually increased the sophistication of our nutritional research.
We've had more data, many more studies, and it's really clear that fat is not the enemy. And the US government, based on the advice of experts and the Dietary Guidelines Committee, concluded that the evidence for that was not there, and that the evidence that fat was harmful wasn't there and that we needed to actually change our guidelines.
So the new guidelines have no upper limit on total fat in your diet, none. And they also say to reduce refined sugars and reduce refined carbohydrates.
They also eliminated any restrictions on dietary cholesterol 'cause they found it wasn't linked to heart disease. So all of our past advice is still haunting us and Alcohol y dieta cetogenica is still many low fat products on Alcohol y dieta cetogenica market. There's still low fat yogurt, which basically has more sugar per ounce than a can of soda. And we have this meme where people are stuffing egg white omelets and skim milk, and unfortunately it's not matching the science.
So, this food pyramid has really led to a crisis in our society and a crisis in our economy because of the burden of chronic disease. One in three Medicare dollars are spent on type 2 diabetes. We are seeing one in two Americans, with prediabetes or type 2 diabetes.
Maybe up to a quarter of people Adelgazar 40 kilos type 2 diabetes are also not diagnosed. So Alcohol y dieta cetogenica is a huge problem, and the dietary guidelines have shifted, but I think our beliefs have not. And I think people are still enamored with diets that are low in fat. Now it's changing and there's a whole movement around paleo and ketogenic diets which I think is concerning in some ways because it sort of misses the bigger picture, and we're going to talk about that.
Nada Youssef : And even when you look at the Mark Hyman : Yes, this is our new improved guidelines, which I think is Alcohol y dieta cetogenica improvement for sure, but it's interesting how it talks about protein, but not carbs or fat, and then it talks about fruit and grains.
Mark Hyman : And dairy.
And it doesn't say what kind of vegetables, so you could be eating potatoes, you could be eating white flour, you could be eating various kinds of protein, and. Mark Hyman : -cereal. And it's not really necessarily healthy. In fact dairy, the US Dietary Guidelines tell us to drink three glasses of milk a day as an adult and two glasses as a kid to be healthy. There's no evidence for that. Alcohol y dieta cetogenica fact, the government, the Congress, based on the work of a number of people was asking the National Academy of Sciences, gave them a million dollars to review our Alcohol y dieta cetogenica guidelines process.
And they found that a lot of the recommendations were not based on good evidence. That they ignored large amounts of evidence about, for example, low carbohydrate diets about saturated fat, and that they had undue influence from the industry. For example, the dairy industry is linked in to the dietary guidelines process through Alcohol y dieta cetogenica people on the committee who are involved with the dairy industry's consultants around boards or perdiendo peso things.
So, we Alcohol y dieta cetogenica a corrupt system, where we're seeing Alcohol y dieta cetogenica guidelines that actually don't match the science. In fact, those Got Milk? And there was no evidence that it protects against bone loss, that it helps kids grow and be healthy, that it's necessary for all the Alcohol y dieta cetogenica that they said it was good for.
In fact, Dietas rapidas may not be.
It may increase the risk of fractures, increase risk of cancer, increase risk of gut issues, autoimmune diseases, and many other things. So, we are now sort of moving towards a more scientifically whole and scientifically rigorous review of our diet and our guidelines, which hopefully will happen in the guidelines.
Nada Youssef : And correct me if I'm wrong, you've mentioned if you wean your baby off of breast milk there's no need to go to any kind of milk. Mark Hyman : No I mean I mean we're the only species that feeds our kids milk after weaning, that's a mammal. In fact, there's no biological requirement for dairy or milk. Some populations do well with it, but the truth is the milk we eat now is Alcohol y dieta cetogenica traditional milk. It's not right from the cow, it's not unpasteurized, it's not unhomogenized, it's not raw milk which is traditionally what we've eaten for thousands and thousands of years.
Yeah there were risks for that, and you got all kinds of diseases, which is why Louis Alcohol y dieta cetogenica developed pasteurization. That's been a good thing in some ways, but it's clear that our current milk is not the milk it used to be. There was a study, for example, done in the UK, where they looked at milk that was homogenized versus milk that was not homogenized.
And you Alcohol y dieta cetogenica, what's the difference? It's just not separated. But in fact, the homogenized milk had really bad effects on cholesterol, whereas the unhomogenized milk did not.
Which is fascinating 'cause it's the same amount of milk, it's milk, it's the same thing. But the way it's processed and refined in a way that's sort of changed the structure of the milk, has a profound effect on your metabolism and your biology.
So, I think we kinda have to think about these dietary guidelines, this sorta my plate as an improvement but not necessarily what we need to Dietas faciles to. Nada Youssef : I want to talk about cheese, 'cause I know cheese is a big thing with ketogenic diet. Is cheese okay to eat with the ketogenic diet?
Mark Hyman : Well cheese is not necessary You can do a vegan ketogenic diet, you can do a dairy free ketogenic diet. A lot of the fat may come from dairy in some ketogenic diets, but it's not essential, and I don't think it's a good idea in Alcohol y dieta cetogenica cases to use a lot of dairy, especially our modern dairy which is full of hormones, pesticides, antibiotics, and it's not necessarily a health food.
So I think you can use healthy dairy, and if you can use grass-fed Alcohol y dieta cetogenica, great. If you can use dairy without hormones and antibiotics, great. If you can use goat and sheep, probably even better. And there's certain goat and sheep cheese that are better.
I think those Alcohol y dieta cetogenica fine, you Alcohol y dieta cetogenica use raw milk cheese from sheep or goat. Those are allowed. Nada Youssef : Okay. Now, I want to jump in and talk a little bit about ketosis, what it is and how to get there.
Mark Hyman : Okay, so what is this whole thing about ketosis. Why is it relevant? Well, biology is very smart.
Moreover, adherence to a ketogenic diet KD produced successful outcomes in preclinical and clinical studies in the glioma setting. The immunohistochemical evaluation was negative for Alcohol y dieta cetogenica, and failed to detect mutations in the isocitrate dehydrogenase IDH 1 and 2 genes. In Januarythe patient was enrolled in a clinical trial combining daily intranasal delivery Alcohol y dieta cetogenica POH in combination with a KD. The nutritional status and anthropometric measurements of the patient were measured. Adherence to the KD was confirmed by measuring the levels of ketone bodies in the urine. Throughout the treatment, a reduced frequency of seizures was observed. Clases de laxantes para adelgazar
So we as humans have adapted to starvation. We have hundreds of genes that help us adapt to starvation. And historically what would happen is we would have periods of abundance and periods of scarcity. So we're really Alcohol y dieta cetogenica at that. So if we found a patch of berries or a bunch of wild fruit we would just munch down on that stuff, we'd store it all up for the winter, and then we would put it in our bellies and have belly fat, and that was a good thing. And then we would Alcohol y dieta cetogenica through periods where there were kind of lean times, and there wasn't enough food.
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And so our bodies can shift from carbohydrate metabolism to fat metabolism. So you have two fuel sources, you have a backup fuel source. So it's like having a Prius, you Alcohol y dieta cetogenica your gas engine and you have your electric engine. So we can adapt. Now, when we went into ketosis, a whole series of things happened that were pretty interesting.
They were all about increasing health. So they sort of effected your body in a beneficial way. When you see the body switch from burning glucose to burning ketones which is what fat produced in the body, a number of interesting things happen. One, your metabolism speeds up. Two, your hunger goes away. Three, you turn on the ability of a fat cell to release fat, and burn fats, which increases fat burning, whereas carbohydrates actually shut off carbs, carbs shut off fat burning.
It literally locks the fat in your fat cells. And when I mean carbs, I don't mean like broccoli which is a carb. In fact, the truth is that even if you're on a ketogenic diet, a lot of your diet can be carbs, which is vegetables, all vegetables are carbs. So, it depends Alcohol y dieta cetogenica the quality and the type of carbohydrate that matters. So when you look at your diet, you have a ketogenic diet it actually increases muscle mass, it increases fat burning, it cuts your hunger, it Alcohol y dieta cetogenica stimulate all kinds of beneficial effects of the body to reduce inflammation.
So, Adelgazar 72 kilos Alcohol y dieta cetogenica profound benefits to it.
In fact, it's the opposite of Alcohol y dieta cetogenica you'd think. But it turns out it doesn't, in a revealed study looking at over I think 60 patients, they found that out of 26 cardiovascular risk factors, 22 out of 26 improved the type of cholesterol you have, your triglycerides, your HDL, your blood sugar, your blood pressure, your insulin, your inflammation levels, all those things improved, whereas the control group, none of them improved.
So it's actually contradictory in your mind, because most people think of fat as causing worsening heart disease, worsening cardiac risk factors, and so it's really important to think about that. Nada Youssef : Yeah.
Okay, now with ketosis, how long does it take to get to ketosis if you start Alcohol y dieta cetogenica ketogenic diet? People think of Atkins and paleo. If you eat Alcohol y dieta cetogenica lot of protein, protein can convert to sugar in the body, which is not necessarily what you want. So it's mostly fat. In fact, a ketogenic diet was the diet developed by Joslin, Dr. Joslin, for which the Joslin Diabetes Center of Harvard is named.
That was the treatment of the day before there was insulin, 'cause they couldn't So it's very powerful. And I think the ketogenic diet helps you to switch into a different type of metabolism La buena dieta helps protect against diabetes and other things. Mark Hyman : It could take up to about three or four weeks to really switch over, you've really got to switch Alcohol y dieta cetogenica engine over.
And if you do it right, and if you don't do it right, you'll end up with what they call the keto flu, which is you feel weak and tired and dizzy.
Mark Hyman. Nada Youssef : Welcome, and Dr. He's also the 11th time, number one New York Times bestselling author, and an internationally recognized leader, speaker, educator and advocate in his field. And today we will cover a whole hour talking about the ketogenic diet. For those who don't know, it is a strict nutrition plan that is high in fat, moderate and low protein, and very low Alcohol y dieta cetogenica carbs. So before we begin, please remember, this is for informational purposes only, Alcohol y dieta cetogenica is not intended to replace your own physician's advice. So thank you so much for coming back. Lose weight w lemon water
It's because when you stop eating a lot of starch and sugar, your insulin levels drop, which is a good thing, and insulin makes you retain water and retain salt. And so you lose a lot of water, a lot of salt.
You could get low blood pressure, you can get dizzy, you can get achy, you lose magnesium. So making sure you have plenty of salt, plenty of water, lots of magnesium can help prevent that. Nada Youssef : Good, good. Now when we do the ketogenic diet, there's a lot of talk about macros. Can you tell me what they are and why they're needed? Mark Hyman : Sure, but I think it might be good to go back a little bit and talk about who this isn't good Alcohol y dieta cetogenica.
Mark Hyman : Because I think right now it's a popular craze in the culture if you look on Amazon, the top books are all ketogenic diets in terms Alcohol y dieta cetogenica diet books, and everybody's doing it. This is a therapeutic diet, it's not for Alcohol y dieta cetogenica.
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The immunohistochemical evaluation was negative for methylation, and failed to detect Alcohol y dieta cetogenica in the isocitrate dehydrogenase IDH 1 and 2 genes. In Januarythe patient was enrolled in a clinical trial combining daily intranasal delivery of POH in combination with a KD. Que comer para adelgazar y ganar musculo.
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Como funciona la dieta de las 8 horas. De hecho, alrededor de unos 20 estudios demuestran que este tipo de dieta puede ayudar a perder peso y mejorar la salud. Esto, junto al incremento de cetonas, proporciona numerosos beneficios para la salud. Algunos estudios han demostrado que la dieta puede tener beneficios en una gran variedad de enfermedades:.
Intente variar entre las verduras y carne durante una temporada larga, ya que Alcohol y dieta cetogenica uno proporciona nutrientes diferentes y beneficios para la salud. Puede pedirse alguno de estos alimentos y reemplazarlos por cualquier comida rica en carbohidratos con extra de verduras.
Otro plato ideal es una hamburguesa poco hecha. En los restaurantes mexicanos, puede disfrutar de cualquier tipo de carne con extra de queso, guacamole, salsa Alcohol y dieta cetogenica crema agria.
Las personas suelen confundir la cetosis con la cetoacidosis. La primera es un procedimiento natural, mientras que la segunda solo aparece cuando existe una diabetes descontrolada.
Diabetes care and education specialists can help you manage everyday life with type 2 diabetes. Find out how they can Alcohol y dieta cetogenica and what role they play in…. Take this brief self-assessment to become more aware of the major risk factors for CVD and get tips for what you can to do boost heart health. In this Ask the Expert, Alan Carter, PharmD, answers your questions about type 2 diabetes medications and how pharmacists can help you manage Alcohol y dieta cetogenica.
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