Herbal And Nutritional Therapies for Psoriasis

Aug 19, 2013

Psoriasis is a chronic, inflammatory, autoimmune skin disorder characterized by scaling, itchy and or painful plaques that may or may not involve joints, nails and other connective tissue. Currently, the cause of psoriasis is unknown, but several theories have been posited to explain its underlying etiology. Some factors that contribute to the development of psoriasis include: genetic predisposition, immunological dysfunction, dysbiotic gut microflora, environmental toxicity, obesity and nutritional factors. Gluten sensitivity, poor vitamin D status, lack of essential fatty acids, excessive alcohol and smoking are all contributing factors. More than half of a group of patients with psoriasis tested positive for human herpes virus 8 (HHV-8), suggesting infection might play a role in the etiology of the disease. Infections with fungal organisms, such as pityosporum, (the same organism responsible for seborrheic dermatitis, dandruff and perioral dermatitis) or candidiasis may be another contributing factor.


  • B6, B12 and Folic acid. Patients with psoriasis may have a tendency to hyperhomocysteinemia, which may predispose to higher cardiovascular risk. Serum blood test for hyperhomocysteinemia.
  • Antioxidants Coenzyme Q10 (ubiquinone acetate, 50 mg/d), vitamin E (natural alpha-tocopherol, 50 mg/d), and selenium (aspartate salt, 48 mug/d) for 30-35 days, were found to be beneficial.
  • Eliminate Candida Psoriatic patients had increased colonization of yeast in the gut by 93% compared to 25% of the controls. Candida colonization of the gut and altered immune reactivity may be one of the predisposing factors to psoriasis.
  • Saccharomyces boulardii, colostrum (There is a protective role of IgA with respect to psoriasis. IgA may be important in stimulating the “off switches” of psoriasis. Saccharomyces boulardii and Colostrum both increase IgA)
  • Turmeric (Anti-inflammatory – Use high dose Curcumin—Curamed by EuroPharma is excellent)
  • Coleus forskholi (activates cAMP adenylate cyclase system—responsible for cell turnover rates)
  • Milk thistle (esp. if elevated liver enzymes and alcoholism as an underlying cause)


TOPICAL HERBALS
Oregon grape root
Oregon grape root (Mahonia aquifolium) was the subject of three clinical trials. 10% topical cream (Relieva) was found to be safe and effective for mild to moderate psoriasis. A commercial product, Psoriaflora cream made by B&T has a similar use.


Indigo
Indigo or Qing Dai Fen is an herb used in TCM – cold, salty and enters the lung, stomach and liver meridians. An ointment made with Indigo naturalis showed clearance or near clearance of plaque-type psoriasis in 74% of patients in a recent clinical trial. A similar herb used in Western herbalism is Baptisia tinctoria, also called Wild Indigo, since both plants yield a blue dye. The bitter-tasting root clears heat, reduces infections and is used for wounds, eczema and skin ulcers. It is emetic and purgative in large amounts. A favorite of the Eclectics, it is used for sore throats with dark purplish mucous membranes. According to King’s Dispensatory, baptisia is used for “putrid ulcerations of the mucous membranes , nasal polyps and offensive breath”. Historically used for diphtheria, still used today for tonsillitis, swollen lymph glands and sore throats. Clearly this herb is an alterative and ant-infective agent. While no studies exist, baptisia may be a good option for topical use.


Aloe vera
Aloe was found to be more effective than a steroid cream Patients treated with aloe vera had a significantly greater reduction in the Psoriasis Area and Severity Index (PASI) after eight weeks of treatment, 70% aloe vera cream or 0.1% triamcinolone acetonide. The primary outcome was the change in PASI score from baseline to eight weeks. At the end of the study, the PASI score decreased by an average of 7.7 points in the aloe vera group and 6.6 in the patients treated with the topical steroid. The difference was statistically significant (P=0.0237), although the 95% confidence intervals crossed 1.0 (2.13 to -0.16). The change in disease-related quality of life scores did not differ significantly between groups. No patient in either group had complete clearance of psoriasis lesions. Six patients (16.2%) in the aloe vera group had PASI 75 responses compared with four (10.5%) in the steroid group. More patients treated with the topical steroid had PASI 50 responses (66% versus 54%).


Capsaicin
Patients applied capsaicin 0.025% cream (n = 98) or vehicle (n = 99) four times a day for 6 weeks in this double-blind study. Capsaicin-treated patients demonstrated significantly greater improvement in global evaluation (p = 0.024 after 4 weeks and p = 0.030 after 6 weeks) and in pruritus (itching) relief (p = 0.002 and p = 0.060, respectively), as well as a significantly greater reduction in combined psoriasis severity scores (p = 0.030 and p = 0.036, respectively). Capsaicin modulates substance P.


OTHER TOPICAL TREATMENTS

Vitamin D3
Synthetic vitamin D analog creams are a standard topical treatment for psoriasis. Natural vitamin D3 can also be incorporated into a cream. Use a liquid vitamin D3 and mix with aloe vera gel or other carrier.


Topical Fish Oil
In one study fish oil (FO) was compared with liquid paraffin (LP); both were topically applied and administered daily for 6 h under an occlusive dressing over a 4-week period. Evaluations were performed weekly assessing erythema, scaling, plaque thickness (induration) and itching. The results showed statistically significant improvement in erythema and scaling for both treatments compared to basal values; significant differences between treatments were achieved in scaling but not in erythema. Compared to baseline, FO significantly improved plaque thickness while LP did not. After 4 weeks, FO proved to be significantly better than LP.


B12-Avocado cream
Compared with standard Vitamin D-3 analog cream, this propriety combination was found to be effective.
Other topical remedies with positive clinical results include: caffeine (10%)—mild itching as side effect; sea water from the Dead Sea; Vitamin A; urea and coal tar (1% worked best).



According to the National Institute of Health (NIH), between 5.8 and 7.5 million persons in the U.S.–approximately 2.2% of the population–have psoriasis; worldwide, it affects an estimated 125 million people. The annual incidence of psoriasis almost doubled between the 1970s and 2000. The reasons for this increase in incidence are currently unknown. Typically, the psoriasis patient has more than one health concern. Obesity, metabolic syndrome, hyperlipidemia, arthritis and depression are all common co-existing conditions. Elevated homocysteine levels are frequent in patients with chronic immune-mediated disorders such as psoriasis.

From the standpoint of natural healing, the psoriasis patient is metabolically challenged with toxic excesses as well as deficiencies. Traditional medical systems classify psoriasis as several types. In the Western herbal tradition, psoriasis is thought of as a toxic condition—especially toxicity residing in the liver / colon. Blood purifiers (alteratives) and laxatives are the main treatment. Traditional Western herbs for psoriasis include: burdock root and seed, yellow dock, Oregon grape root, barberry, blue flag, sarsaparilla, red clover and nettles. Few of these have been clinically studied. There is some evidence that psoriasis is the result of endotoxins formed in the gut by dysbiotic bacteria and or candidiasis. One study found a statistically significant increase in gut candidiasis in psoriasis patients. Sarsaparilla is an herb shown to bind endotoxins in the gut, which may explain its usefulness in this skin condition.


In Ayurvedic medicine, psoriasis is classified as three distinct forms, depending on which dosha is aggravated. Pitta-type psoriasis is characterized by redness and swelling. This form is aggravated by sunlight and heat. Vata-type psoriasis is dry, scaly, itchy and often accompanied by other Vata symptoms, such as intestinal gas and constipation. It is made worse by wind, dryness and cold. Vata-type psoriasis responds to oils and ointments. Kapha-type psoriasis weeps, oozes, is itchy and inflamed. This form is aggravated by oils, cold weather and dampness. Herbs to treat Pitta-type psoriasis include bitter, cold herbs such as Oregon grape root and turmeric. Vata-type psoriasis needs oils, such as fish and flax oils and topical emollients such as aloe vera. Kapha-type psoriasis responds best to topical pastes and creams instead of ointments and is the form most in need of digestive support, such as warming spices.


NUTRITION PROTOCOL:
· Eliminate gluten, refined sugar, alcohol and smoking
· Address food sensitivities and eliminate reactive foods
· Supplement with Vitamin D3 -the skin is known as a target tissue for vitamin D. 1,25- dihydroxy vitamin D3 inhibits epidermal proliferation and promotes epidermal differentiation. Use high dose vitamin D3 supplementation, 2000 IU/day or more, based on blood test results.
· Fish Oil 20-30 mg day (4g/day min., high EPA)
· Inositol

Lithium carbonate is the most widely used long-term treatment for bipolar affective disorders, but its ability to trigger and exacerbate psoriasis can become a major problem in patients for whom lithium is the only treatment option. Inositol depletion underlies the action of lithium in bipolar affective disorders. The inositol supplements had a significantly beneficial effect on the psoriasis of patients taking lithium. No such effect was detected on the psoriasis of patients not on lithium. This study used 6g/day for 10 weeks to achieve an effect.


References

1. “A report on three recent clinical trials using Mahonia aquifolium 10% topical cream and a review of the worldwide clinical experience with Mahonia aquifolium for the treatment of plaque psoriasis.” Gulliver WPDonsky HJ Am J Ther. 2005 Sep-Oct; 12(5):398-406.
2. “Clinical assessment of patients with recalcitrant psoriasis in a randomized, observer- blind, vehicle-controlled trial using indigo naturalis.“ 
Lin YKChang CJChang YCWong WRChang SCPang JHArch Dermatol. 2008 Nov; 144(11):1457-
3. “A prospective randomized clinical trial comparing topical aloe vera with 0.1% triamcinolone acetonide in chronic plaque psoriasis” Choonhakarn C, et al International Congress of Dermatology 2009; Abstract P347.

4. “The effect of inositol supplements on the psoriasis of patients taking lithium: a randomized, placebo-controlled trial.“ Allan SJKavanagh GMHerd RMSavin JABr J Dermatol. 2004 May; 150(5):966-9.
5. “High prevalence of human herpes virus 8 infection in psoriasis” Samoud S, et al International Congress of Dermatology, 2009; Abstract P358.</H2>7. “Response of scalp psoriasis to oral ketoconazole” 
Farr PMKrause LBMarks JMShuster S Lancet. 1985 Oct 26;2(8461):921- 2.
6. “A double-blind evaluation of topical capsaicin in pruritic psoriasis” 
Ellis CN, et al. J Am Acad Dermatol. 1993 Sep;29(3):438-42.
7. “Topical fish oil in psoriasis–a controlled and blind study” 
Escobar SOAchenbach RIannantuono RTorem VClin Exp Dermatol. 1992 May;17(3):159-62
8. “Vitamin B(12) cream containing avocado oil in the therapy of plaque psoriasis” 
Stücker M, et al. Dermatology. 2001;203(2):141-9. “Trends in incidence of adult-onset psoriasis over three decades: a population-based study”, Icen M, et.al., J Am Acad Dermatol. 2009 Mar;60(3):394-401.
10. “Plasma homocysteine and folate levels in patients with chronic plaque psoriasis”,
Malerba M, et.al. . Br J Dermatol. 2007 Feb;156(2):410

By Alison Birks 18 Jan, 2023
Do You Need to Detox from Microplastics?
By Alison Birks 02 Jun, 2022
A Year of Wild Teas Enjoy foraging and harvesting these New England plants every month of the year! Using trees and invasive plant species for teas is a sustainable, do-it-yourself way of caring for your health and connecting to the earth. For more information on Plant Identification and Herbal Medicine Mentoring, contact me: Alison.Birks@gmail.com JANUARY:Eastern Hemlock Tree Needle Tea (Tsuga canadensis) 1 cup young, fresh Eastern Hemlock needles 4 cups boiling water Honey Lemon Strip hemlock needles from the stems and rinse well. Pour boiling water over the needles and steeped covered for 10 minutes. Strain and sweeten with honey and lemon. Hemlock needles supply some vitamin C and immune supportive phenolic compounds during the winter months. Serves 4 FEBRUARY: Black Birch Twig Tea (Betula lenta) 2 cups black or sweet birch twigs, snipped into ½ inch pieces 4 cups boiling water Sugar or honey to taste Snip black birch twigs into ½ inch pieces. Pour boiling water over the twigs and steep for 10 minutes. Strain and sweeten as desired. Birch bark tea is a traditional “blood purifier”, anti-inflammatory and immune supportive medicine. Black birch contains betulin, which has potent anti-cancer action. Serves 4 MARCH: Dandelion Root Tea (Taraxacum officinale) 1ounce chopped fresh roots 1 cup water Put chopped dandelion roots into a saucepan and cover with water. Bring to a boil, turn down the heat and place a cover on the pan. Simmer for 20 minutes. Strain and drink. Bitter dandelion root tea is a traditional gall bladder and liver remedy. It also stimulates gastric acid and can help with indigestion and GERD, when it is due to a lack of stomach acid or digestive enzyme function. Serves 2 APRIL: "Sassy" Sassafras Tea (Sassafras albidum) 1/3 cup sassafras roots 4 cups water Sugar or honey to taste Harvest sassafras root by pulling up a few young saplings and cut off their lateral roots. Scrub and chop the roots, place them in a large saucepan and cover with water. Bring to a boil, turn down the heat and place a cover on the pan. Simmer for 10 minutes or longer, until tea is a deep salmon-pink color. Strain. Sweeten as desired and serve hot or cold. Sassafras is a traditional “blood purifier” or alterative tea used to stimulate the natural detoxification processes in the body. MAY: Elder Flower Tea (Sambucus nigra or S. canadensis) 1 cup fresh elder flowers 2 cups water Juice of a lemon Honey to taste Harvest fresh elder flowers and remove any insects. Remove the stems and place florets in a teapot. Cover with just barely boiling water, cover and steep for at least 10 minutes. Strain out elder flowers, squeeze lemon into tea and sweeten to taste. Reheat if necessary. Elder flower is a potent remedy for fevers, congestion (especially in children) and is immune supportive. JUNE: Rugosa Rose-Ade (Rosa rugosa) 1 cup wild rugosa rose petals, washed 2 cups water 1 lemon, juiced ½ cup sugar or ¼ cup honey Harvest fresh rose petals and wash them if they are dirty. Clip off any white parts (these are bitter).Mix rose petals with water, lemon and sweetener in a blender. Blend until frothy and pink. Strain out bits of petals or leave them in, if desired. This tea is best iced. Serves 4 JULY: Sweet Fern Tea (Comptonia peregrina) 1 cup sweet fern leaves 2 cups water Honey Pour boiling water over the leaves and steep, covered for 10 minutes. Strain and sweeten with honey. Aromatic and stimulating, this tea is helpful for lung issues, diarrhea and headaches. AUGUST: Staghorn Sumac-Ade (Rhus typhina) 1 cup staghorn sumac berries 2 cups water Sugar to taste Put sumac berries and water into a blender and blend on high speed, until liquid turns pink. Strain out the berries through a cheesecloth to remove all bristles and hairs. Sweeten to taste and refrigerate before serving. Serve iced. Sour-tasting and astringent, this is a cooling drink during the hot summer months. The bristly fruits contain fruit acids which give it a lemonade-like flavor. Serves 4 SEPTEMBER: Hot Mulled Sumac “Cider” 4 cups sumac-ade (see recipe above) 4-5 whole cloves 1-2 cinnamon sticks ½ tsp whole allspice berries 2 tbsp. brown sugar 1 lemon Freshly grated nutmeg (optional) Prepare staghorn sumac-ade (see recipe for August). Put sumac-ade into a saucepan and add spices, sugar, juice of one lemon and some of the lemon peel. Heat on low heat for 20 minutes. Do not boil! Serve with grated nutmeg on top (optional). Serves 4 OCTOBER: Autumn Olive Berry Tea (Elaeagnus umbellata) 2 tbsp. fresh autumn olive berries 1 cup water Brown sugar to taste In a mortar and pestle, crush the autumn olive berries lightly, and place into a saucepan. Cover with water and bring to a boil. Cover the pan and reduce heat to a simmer. Simmer for 20 minutes, strain and sweeten to taste. Loaded with carotenoids, this fruit should be more widely consumed, as it is a local invasive species. NOVEMBER: Burdock Broth (Arctium lappa) ¼ cup burdock roots, scrubbed and grated 1 pint water Pinch ginger powder 2-3 cloves garlic, crushed Dash tamari or coconut aminos Dash cayenne pepper Harvest, clean and grate burdock roots. Place roots into a saucepan, cover with water and bring to a boil. Cover and simmer for 30 minutes. Strain. Add ginger, garlic, tamari and cayenne pepper and drink hot. Detoxifying and strengthening, burdock root is a traditional remedy for skin ailments and many chronic illnesses. Serves 4 DECEMBER: Wintergreen Tea (Gaultheria procumbens) 1/2 cup fresh wintergreen leaves 1 quart water 4 tsp honey Crush the leaves well. Pour boiling water over the leaves and steep covered for at least 5 minutes. Sweeten with honey and serve. Wintergreen or teaberry contains salicylates- natural anti-inflammatory, analgesic compounds. Serves 4
By Alison Birks 19 Apr, 2022
Natural Remedies For Allergy Sufferers
By Alison Birks 08 Mar, 2022
Resilience- Enhancing Herbs
By Alison Birks 23 Feb, 2022
Raw apple cider vinegar (ACV), a natural product produced by fermenting pure apple juice, is a traditional folk remedy “for what-ails-you.” First popularized in the early ‘sixties by Dr. Jarvis, raw ACV contains beneficial yeasts and acetic acid bacteria, known as the mother of vinegar. This living substance at the bottom of each bottle may aid digestion and promote health in ways we have yet to understand. Pasteurized and filtered ACV does not contain the mother. While the main component of ACV is acetic acid, it also contains various mineral salts, polyphenolics, organic acids, vitamins, and amino acids from the apple. Claims that ACV can help arthritis and gout, ease heartburn, promote weight loss, lower blood pressure, lower cholesterol, manage diabetes and alkalize the body abound. Although mostly these health claims are anecdotal, a few studies do lend scientific support. ACV ingestion reduced the glucose response to a carbohydrate load in healthy adults and in individuals with diabetes. There is also evidence that vinegar ingestion increases short-term satiety. In both Type I and Type II diabetics, ACV reduced post-prandial hyperglycemia, especially when consumed with a high glycemic, starchy carbohydrate meal (1). In Type I diabetics with gastroparesis (slowed digestion), 30 ml of ACV reduced gastric emptying, which in turn increased the amount of gastric juice and saliva in the stomach (2). In diabetic rats who consumed 6% of their total calories as ACV, LDL-cholesterol, triglycerides and HbA1C were all lowered, while also raising HDL-cholesterol (3). Delayed gastric emptying may explain why ACV helps promote digestion. Here, ACV may be helpful for those who suffer from low stomach acid or hypochlorhydria. In contrast to hyperchlorhydria or excessive stomach acid production, this condition causes a malfunctioning LES valve in the stomach, resulting in heartburn-like symptoms. It is quite common in elderly individuals. I have personally witnessed that a combination of ACV mixed with honey, taken in a glass of water before meals as a digestive tonic has helped individuals with indigestion. The acetic acid and other organic acids in ACV metabolized by the body into bicarbonate--a-critical buffer in the bloodstream, which may explain its folk use as an alkalizing agent for the body. (1) European Journal of Clinical Nutrition 64, 727-732 (July 2010) | Vinegar reduces postprandial hyperglycemia in patients with type II diabetes when added to a high, but not to a low, glycemic index meal S Liatis, S Grammatikou, KA Poulia, D Perrea. (2) BMC, 2007. Effect of apple cider vinegar on delayed gastric emptying in patients with type 1 diabetes mellitus: a pilot studyJ Leibowitz, G Darwiche, O Björgell, LO. (3) Pak J Biol Sci. 2008 Dec 1;11(23):2634-8. Apple cider vinegar attenuates lipid profile in normal and diabetic rats. Shishehbor F, Mansoori A, Sarkaki AR, Jalali MT, Latifi SM.
By Alison Birks 26 Jan, 2022
Feeling SAD?
20 Dec, 2021
I have made this tea blend for several years. It was one of my top selling blends sold at New Morning Market in Woodbury CT. My students also learn to make this blend in my Tea Blending Workshops across the state. It is lovely to look at so I suggest packaging this blend in a clear jar with a gold ribbon accent for giving as a gift.
20 Dec, 2021
Fiber is once again making an appearance on the nutrition front as the key to weight loss. Most nutrition experts would agree that fiber is one of the most important nutrients in the diet for several reasons.
By nat rosasco 20 Dec, 2021
Frigid outdoor temperatures, indoor heating, crackling fires in the hearth -these hallmarks of winter can take a toll on skin and lead to dry, cracked hands, flaky, itchy bodies and rough red faces. Enough! You too, can beat winter dryness with a few changes to your daily routine and nutrition. How to keep your skin smooth and soft this time of year: Eat more fats. Healthy choices include: Grass-fed butter or ghee, nuts, nut butters, olives, olive oil, avocado, fatty fish, fish oils, hemp, flaxseed and coconut oil. Use plant-based oils on your skin. Some go-to products include: Shea butter, cocoa butter, mango butter and almond, jojoba and avocado oils. Plain olive oil can be used on the skin. Apply oil or solid fat while your skin is still damp after a bath or shower. Limit the length of your shower and use warm water to wash. If you can, it’s best not to shower every day during the winter months. If that’s too difficult then at least don’t wash your hair every day. During the cold weather, wash on alternating days. On your “no shampoo” days, use conditioner only. This is especially helpful if you have very dry, damaged or chemically processed hair. Moisturize your lips and the insides of your nostrils with a shea butter lip balm. If your nostrils are moist, there’s less of a chance that cold and flu viruses can enter the nasal cavity and proliferate. Wear a scarf! Cashmere or other natural fiber scarves wrapped around your neck will keep you warm and prevent chills. Your feet are just as important as your neck. Keep your feet warm! Wear warm socks during winter—cashmere or wool. Wear socks to bed at night and use slippers around the house. Foot soaks made with heating herbs like ginger help you induce a sweat if you’re feeling run down. This remedy works great at the very start of an illness when you’re feeling chilled. Ginger foot soak recipe: Chop 1 large fresh ginger rhizome into small pieces. Place the ginger into a saucepan of water, bring to a boil, then lower the heat and simmer covered for 30 minutes. Strain out the liquid and pour into a footbath. Add more water until the temperature is hot but not scalding. Bundle yourself up in a robe, blankets and layers of warmth, submerge your feet in the bath and sip on some hot herbal tea (try elderberry or ginger tea) Relax, warm up and begin to perspire. Now go to bed and sleep it off!
27 Aug, 2013
Is your skin ready for summer? Sun damage such as freckles and wrinkles can result from prolonged sun exposure. Swimming in both chlorinated pools and salt water dehydrates skin. Heavy sweating on hot days leads to acne break outs, rashes and clogged pores. Luckily, there are natural solutions to these common summer skin concerns: Sun Damage To put your best face forward this summer, pamper yourself from the inside-out. Scientific studies have shown that a diet rich in antioxidants such as: lycopene from tomatoes and watermelon, green tea, and astaxanthin from seafood such as salmon, shrimp and krill oil, help to protect the skin from damaging UVA and UVB light rays. These antioxidants form part of a protective barrier in the skin and should be consumed regularly — especially during the summer months. When choosing a sun block, look for one that is rich in natural antioxidants, such as green tea, sea buckthorn oil or vitamin E. Avoid chemical sun blocks. Instead, look for mineral-based sunscreens, such as zinc oxides. If you should get a sunburn, don’t forget the aloe vera gel for its soothing, healing properties. Apply aloe gel immediately after prolonged sun exposure. Dehydration Prevent the aging effects of dehydration by regularly drinking at least half of your body weight in ounces of water each day. For those who dislike plain water, add some lemon, lime, cucumber slices or a few sprigs of mint, lemon verbena or other fresh herbs to your water.  During very hot weather, regularly spritz your face with a natural facial toner such as rose water, witch hazel or green tea in order to keep the skin moist and cool. Chill the toner in the refrigerator for extra cooling power! Aloe vera gel can be used after sun exposure or applied daily in the form of a natural aloe-based moisturizing cream to keep skin plump and moist. Break-out Prevention Avoid heavy, greasy sun blocks and tanning oils which can clog pores. Choose lightweight or oil-free formulas designed for delicate facial skin. So that skin looks radiant, exfoliate twice weekly with a natural facial scrub, or use an organic fresh strawberry as a facial. Simply cut a strawberry in half and use the smooth side to rub the face in a circular motion, avoiding the eye area. Let dry then rinse. Natural alpha hydroxy and other acids in strawberries promote exfoliation, while vitamin C provides additional antioxidant protection against the sun and can help repair sun damage. For break-outs, look no further than tea tree oil. This medicine chest in a bottle can heal up blemishes fast, while keeping skin clear of acne causing bacteria. To use: apply tea tree oil with a cotton swab directly to blemishes or choose natural skin care products formulated with tea tree oil as part of your daily regimen.
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