Talking Rehab With Dr. Fred Bagares podcast

Talking Rehab with Dr. Fred Bagares

1
Curves matter 16:52

5 napja16:52

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Kedvelt

16:52

Hey everyone, Dr. Fred Bagares here! In this episode, I dive deep into why the spine is more than just a series of building blocks —it’s a dynamic structure that allows movement, absorbs forces, and provides stability. I’ll break down the importance of spinal curvatures (lordosis & kyphosis) , how poor posture affects long-term spine health, and what you can do to maintain a strong, mobile, and pain-free spine . We’ll also discuss why a neutral spine isn’t always the answer , how day-to-day habits shape spinal health, and why clinicians should focus on more than just pain relief. If you’re looking for practical tips to keep your spine healthy for the long haul , this episode is for you! Key Topics & Time Stamps: 🔹 [00:00] – What is rehab? Intro to the episode. 🔹 [00:33] – Why the spine fascinated me and led me to osteopathic medicine. 🔹 [01:04] – Understanding spinal curvatures: Lordosis vs. Kyphosis. 🔹 [03:02] – The spine is NOT just a stack of blocks – why structure matters. 🔹 [05:20] – How spinal curves distribute forces and protect against injury. 🔹 [09:03] – The hidden dangers of poor posture and sedentary habits. 🔹 [12:59] – Why maintaining spinal curves is more important than you think. 🔹 [15:12] – Rehabilitation is more than just treating pain—it’s a lifelong effort. 🔹 [16:05] – How to find a clinician who treats you as a whole person, not just a symptom. Takeaway: Spinal health isn’t just about avoiding pain—it’s about movement, posture, and long-term function . If we don’t take care of our spine daily, small changes can lead to big problems over time. Thanks for tuning in! If you enjoyed this episode, make sure to subscribe and leave a review . Let’s keep the conversation going—connect with me on: 📍 Instagram & Facebook: @drfredbagares 📍 LinkedIn: Fred Bagares, DO 📍 YouTube: Dr. Fred Bagares 📍 Linktree: https://linktr.ee/drfredbagares Hope you have a movement-filled day! See you next time. 💪🎙️ Support the show…

Talking Rehab with Dr. Fred Bagares

1
Am I anti-surgery? 16:46

12 napja16:46

16:46

In this episode of the Talking Rehab Podcast , I reflect on a recent patient encounter that made me pause—am I seen as anti-surgery just because I don’t perform it? Join me as I explore the importance of balanced care, why I advocate for all treatment options (including surgery), and why long-term patient follow-up matters more than the label of being “non-surgical.” Key Topics Covered: [00:00 – 00:27] Introduction: Who I am and my mission with this podcast. [00:32 – 01:15] A patient’s casual comment sparks deep reflection on my role as a non-surgical specialist. [01:50 – 02:42] Why I avoid labeling myself as “non-surgical” and focus on solutions instead. [03:07 – 03:43] Marketing in spine and sports medicine: non-surgical vs. surgical biases. [05:29 – 06:07] Can you get a second opinion from a surgeon if you don’t want surgery? My take on biases and public perceptions. [07:32 – 08:19] The complexity of residency training and why surgical and non-surgical specialties differ. [09:32 – 10:49] Preparing patients for surgical consultations and managing expectations. [11:56 – 13:06] Why I always see patients post-surgery: the importance of long-term follow-up. [14:27 – 15:56] My philosophy: Pro-movement, pro-health, and walking with patients through life’s challenges. [16:05 – 16:17] A call to all providers: Follow your patients long-term, because they deserve it. Whether you’re a patient wondering about your treatment options or a clinician reflecting on your practice, I hope this episode encourages thoughtful care that goes beyond procedures. Thanks for tuning in to the Talking Rehab Podcast ! Don’t forget to like, subscribe, and follow me on social media for more insights into musculoskeletal and sports medicine. Enjoy a movement-filled day! Follow me on: Instagram: @drfredbagares Facebook: @drfredbagares LinkedIn: Fred Bagares, DO YouTube: Dr. Fred Bagares Linktree: https://linktr.ee/drfredbagares Support the show…

Talking Rehab with Dr. Fred Bagares

1
I've fallen and I can't get up! 15:34

19 napja15:34

15:34

In this episode of The Talking Rehab Podcast , Dr. Fred Bagares dives into an often-overlooked but crucial skill—falling safely. Whether it’s young athletes on the basketball court or older adults navigating daily life, understanding how to fall and get up properly can mean the difference between a minor bruise and a life-altering injury. Dr. Bagares shares his observations from watching kids fall hard in youth basketball games and connects it to fall prevention in aging adults. He discusses key factors in fall mechanics, strategies for fall recovery, and why fall training should be part of rehab programs—even for those without a neurological condition. Tune in to learn how mastering this basic movement can enhance mobility, prevent injuries, and ultimately save lives. Episode Timestamps: 🔹 [00:00] - Introduction to the episode: Why falling matters 🔹 [00:30] - Observing kids falling in sports & unexpected patterns 🔹 [01:57] - The mechanics of falling: Direction, recovery, and reaction time 🔹 [04:00] - Falling in older adults: Risks, mortality, and prevention 🔹 [07:02] - How to fall properly: Protecting the head and avoiding wrist fractures 🔹 [09:42] - Strategies for getting up off the ground: Strength, flexibility & planning 🔹 [12:40] - Jiu-Jitsu & martial arts: What they teach us about falling safely 🔹 [14:07] - Why fall training should be a standard part of rehabilitation 🔹 [15:56] - Final thoughts: The importance of movement strategies for all ages 💡 If you found this episode helpful, don’t forget to subscribe, rate, and share! Follow Dr. Fred Bagares for more insights into movement and rehabilitation. 📲 Follow Dr. Bagares on Social Media: 🔗 Instagram: @drfredbagares 🔗 Facebook: @drfredbagares 🔗 LinkedIn: Fred Bagares, DO 🔗 YouTube: Dr. Fred Bagares - YouTube 🔗 Linktree: Dr. Fred Bagares 🎧 Listen now and start moving smarter! Support the show…

Talking Rehab with Dr. Fred Bagares

1
Chicken or the Egg? 11:16

26 napja11:16

11:16

The Chicken or the Egg – Pain vs. Movement in Rehab In today’s episode, I dive into what I call the chicken or the egg problem in rehab. Do people stop moving because they’re in pain, or is their lack of movement actually driving their pain? This fundamental question shapes how we approach patient care and rehab strategies. I’ll explore the patient’s perspective, the physician’s perspective, and how we can bridge the gap to improve outcomes. Episode Highlights & Timestamps 🔹 [00:00] – What is rehab? A quick intro to the podcast and my background 🔹 [00:30] – The chicken or the egg problem: Pain vs. movement 🔹 [01:12] – Three possible conclusions about pain and movement 🔹 [02:02] – How patient beliefs influence treatment decisions 🔹 [05:03] – The importance of understanding both patient and physician perspectives 🔹 [07:04] – Why movement is part of the rehab process, regardless of imaging results 🔹 [09:54] – The cycle of pain, imaging, and treatment decisions 🔹 [10:38] – The role of a flexible mindset in rehabilitation I encourage you to think about your own experiences with pain and movement. Have you ever felt stuck in the “pain-first” mindset? Or have you noticed how your movement patterns affect how you feel? Thanks for tuning in! If you enjoyed this episode, please subscribe, share, and leave a review. Let’s keep this conversation going. Wishing you a movement-filled day! Would you like me to tweak anything or add more details? 😊 Support the show…

Talking Rehab with Dr. Fred Bagares

1
Are you moving wrong? 19:26

5 weeks19:26

19:26

Podcast Episode Description In this episode of the Talking Rehab Podcast , I dive into the intriguing world of biomechanics and movement. As a board-certified sports and spine medicine physician, I’ve spent years navigating the complexities of musculoskeletal medicine. Today, I’m sharing the questions, challenges, and evolving perspectives I’ve developed about biomechanics, injury, and performance. Here’s what you can expect: (00:00) Introduction – My journey into sports medicine and the inspiration for exploring biomechanics on this podcast. (01:00) Early Fascination with Movement – How high school sports medicine and sideline observations sparked my interest in biomechanics. (03:00) Assumptions About Movement – Why the idea that “everyone moves the same way” doesn’t hold up in real-world practice. (06:00) Individualized Mechanics – Exploring how differences in age, activity level, and body structure shape movement patterns. (09:00) Corrective Mechanics and Unintended Consequences – How tweaking movement can create new challenges and why no single movement strategy works for everyone. (12:00) Biomechanics Across Tasks – Why optimal mechanics for one activity may not translate to others. (15:00) Injury vs. Performance – Debunking the assumption that perfect mechanics prevent injuries or guarantee peak performance. (18:00) Practical Advice for Clinicians – How to approach biomechanics with an open mind, avoid common pitfalls, and help patients achieve better outcomes. Thank you for tuning in! If this episode resonated with you, please like, subscribe, and share it with others who are curious about the intersection of biomechanics and rehabilitation. Let’s continue to challenge assumptions and grow together in this field. Support the show…

Talking Rehab with Dr. Fred Bagares

1
What problem do you see? 12:35

6 weeks12:35

12:35

"Do We See the Same Problem? Addressing Pain and Movement in Rehab" In this episode of the Talking Rehab Podcast , Dr. Fred Bagares unpacks the challenges of addressing pain and movement patterns in musculoskeletal medicine. He explores the common disconnect between patients and physicians, emphasizing the importance of understanding both the structural and functional components of pain. Timestamps for Key Topics: [00:00:00] What is rehabilitation? Introduction to the episode. [00:32:00] Why patients and physicians see different problems in pain management. [01:10:00] Pain vs. movement: Why normal movement patterns are often overlooked. [02:10:00] Structural changes vs. functional issues: Pain without visible damage. [03:32:00] Building therapeutic relationships despite differing perspectives. [05:36:00] Does treating pain alone improve movement patterns? The temporary fix. [06:01:00] The role of physical therapy in creating better movement patterns. [10:03:00] Counseling patients about degenerative changes and non-traumatic pain. [11:36:00] Final thoughts: Aligning goals to improve rehab outcomes. This episode is packed with insights for clinicians and patients alike, emphasizing the value of open communication, shared goals, and a holistic approach to rehabilitation. Listen now for actionable takeaways that could change the way you think about pain and movement! Support the show…

Talking Rehab with Dr. Fred Bagares

1
I can save you time and money. 16:38

7 weeks16:38

16:38

In this episode of the Talking Rehab Podcast , Dr. Fred Bagares dives into the inefficiencies of the traditional healthcare system and explores the benefits of direct care for musculoskeletal health. From navigating endless phone systems to managing weeks of delays for specialist appointments, he discusses how these hurdles impact your health and time. Learn how direct care streamlines care delivery and offers a personalized approach to meet patients where they are. Episode Highlights with Timestamps: [00:00] Introduction: What is rehab or rehabilitation? [00:20] About the podcast: Sparking discussions in musculoskeletal medicine. [00:31] The problem: Navigating traditional healthcare inefficiencies. [01:07] Case study: The back pain patient’s long journey through the system. [09:00] The direct care difference: How it saves time and frustration. [12:00] The human factor: Overcoming healthcare system bottlenecks. [14:02] The takeaway: Time is your most valuable resource. Tune in to discover how you can reclaim your time and improve your care experience. Don't miss Dr. Bagares’ insights on how direct care models are paving the way for better healthcare outcomes. Support the show…

Talking Rehab with Dr. Fred Bagares

1
The Price of Not Changing 14:07

8 weeks14:07

14:07

In this episode, we tackle an important and often overlooked question: What happens when we choose not to make changes in our rehabilitation journey? Whether it’s putting off a knee replacement or avoiding movement due to chronic pain, the consequences of staying still can be just as costly as making a change. Here’s what we dive into during this thought-provoking conversation: [00:00] Introduction: What inspired today’s topic and the mindset of rehabilitation. [00:50] A powerful quote to frame our discussion: "If you think the price of winning is too high, wait until you get the bill from regret." [02:14] Tough decisions in rehab: When to take the leap for surgery or other interventions. [04:03] Breaking down the costs of inaction: Sedentary lifestyles, atrophy, and joint stiffness. [07:11] Abnormal mechanics and how they lead to compensatory patterns and more pain. [09:02] The impact of chronic pain on neural pathways and why it’s hard to reverse. [12:01] Quality of life: Missing out on key moments like vacations, holidays, and family events. [13:10] Final reflections: "Whatever you are not changing, you are choosing." This episode is all about encouraging thoughtful decisions and empowering you to take charge of your rehabilitation journey. Remember, choosing not to act is still a choice—and it comes with its own costs. If you found this episode helpful, please like, share, and subscribe! Let’s continue the conversation on social media—follow me on Instagram, Facebook, and LinkedIn, or check out my Linktree for more resources. Thanks for tuning in. Keep moving forward and make choices that empower your future! Support the show…

Talking Rehab with Dr. Fred Bagares

1
Not hip enough. Not spine enough. 15:42

9 weeks15:42

15:42

In this episode of the Talking Rehab Podcast , I explore one of my favorite topics in musculoskeletal medicine: Hip and Spine Syndrome. This underappreciated condition can present in a variety of ways—back pain, groin pain, or even leg weakness—and often leads to confusion in diagnosis and treatment. I share real patient stories, the challenges of untangling complex symptoms, and why taking a holistic approach to diagnosis can improve outcomes for patients. Here’s a guide to key moments in this episode: [00:00] Introduction to Hip and Spine Syndrome and why it fascinates me. [00:34] The origins of the syndrome and its underappreciation in medicine. [01:25] Real-world case: Post-back surgery patient with persistent groin and back pain. [02:57] Different symptom patterns and how they guide referrals. [04:36] The importance of considering both hip and spine involvement in diagnosis. [06:03] The chicken-or-egg dilemma: Hip arthritis versus back issues. [08:51] Another case study: L2 radiculopathy mistaken for hip arthritis. [10:02] Why collaboration and holistic care improve patient outcomes. [14:56] Similarities to neck and shoulder syndromes and a teaser for a future episode. Hip and Spine Syndrome exemplifies why a single-specialty approach often misses the bigger picture. I hope this episode helps clinicians and patients alike recognize the interconnectedness of these systems. Thanks for tuning in! If you enjoyed this episode, please like, subscribe, and share your thoughts. Let’s continue exploring how to refine our approach to rehabilitation. Follow me on: Instagram : @drfredbagares Facebook : @drfredbagares LinkedIn : Fred Bagares DO YouTube : Dr. Fred Bagares - YouTube Stay curious, stay active, and have a movement-filled day! Support the show…

Talking Rehab with Dr. Fred Bagares

1
Talking Through a Painful Shoulder 12:03

10 weeks12:03

12:03

In this episode of the Talking Rehab Podcast , Dr. Fred Bagares dives into the intricate world of shoulder pain and recovery. Using a real-life patient case, he explores why symptoms can linger, the role of degenerative changes, and the importance of setting realistic expectations. Discover actionable insights on: Understanding shoulder pain with age-related findings. The balance between non-surgical and surgical treatment options. How timelines and individual goals influence recovery strategies. Whether you're a clinician or someone dealing with shoulder pain, this episode will help you rethink approaches to healing and rehabilitation. Timestamps: [00:00 - 00:01] What is rehabilitation? [00:02 - 00:08] Meet Dr. Fred Bagares and the mission of Talking Rehab . [00:33 - 01:16] Case Study: A patient with lingering shoulder pain and no clear injury. [01:17 - 02:02] Why shoulder pain is challenging to diagnose. [02:03 - 02:57] Impingement syndrome and common MRI findings in older patients. [03:00 - 04:03] Partial thickness tears: When they matter and expected recovery timelines. [04:04 - 05:27] Non-surgical approaches: Physical therapy, injections, and watchful waiting. [05:28 - 06:52] The impact of age on recovery timelines and degenerative changes. [07:00 - 09:00] Surgical considerations: Timing, patient priorities, and the role of decompression procedures. [09:01 - 10:03] Balancing patient goals with clinical guidelines: A focus on individual timelines. [10:04 - 11:42] The importance of setting realistic expectations for patients. If you found this episode helpful, please subscribe to the Talking Rehab Podcast for more insights into musculoskeletal medicine and rehabilitation. Have questions or topics you’d like covered? Reach out to Dr. Bagares—we’d love to hear from you! Support the show…

Talking Rehab with Dr. Fred Bagares

1
Don't outsource your health. 14:42

11 weeks14:42

14:42

From the recent tragedy involving UnitedHealthcare’s CEO to the everyday struggles of navigating the games insurance companies play, this episode aims to shed light on the hidden dynamics shaping our medical system. As someone who transitioned to a direct-care model, I also discuss alternative approaches to taking control of your health and moving beyond insurance-based care. Episode Highlights with Time Stamps: [00:00] What is rehabilitation, and why I started this podcast. [00:35] Reflecting on the UnitedHealthcare CEO tragedy and its implications. [01:55] Why insurance denial of care is not a new problem. [03:00] The wedge driven between physicians and patients by insurance companies. [05:30] Are insurance companies managing health or managing disease? [08:04] How the system motivates profit over care and what that means for you. [11:00] Why I shifted to a direct-care model and what patients can learn from it. [13:40] Practical steps to take control of your health today. This episode is a call to action for patients and providers alike: let’s start questioning the status quo, exploring alternative care models, and taking ownership of our health. If this resonated with you, please like, subscribe, and share your thoughts with me! Let’s keep this conversation going—your health depends on it. Stay connected: Instagram, Facebook, LinkedIn, YouTube: @drfredbagares Visit my Linktree: linktr.ee/drfredbagares Support the show…

Talking Rehab with Dr. Fred Bagares

1
What your brace doesn't do. 9:55

12 weeks9:55

9:55

Welcome to another episode of the Talking Rehab Podcast! I’m Dr. Fred Bagares, a board-certified sports and spine medicine physician based in Virginia Beach, Virginia. Over the last decade of practice, I’ve been fascinated by how people move and how we can help them overcome pain and injury. This episode is inspired by an observation I make often as a people watcher on my neighborhood bike path: the journey from running pain-free to needing a brace and eventually, disappearing from the trail altogether. Here’s a guide to this episode: [00:00] What is rehab or rehabilitation? Setting the stage for today’s conversation. [01:04] Observing movement patterns on the bike path: Why I often see runners transitioning to braces and eventually stopping altogether. [01:56] What is a counterforce brace? A deep dive into its mechanics and effectiveness for conditions like runner’s knee or tennis elbow. [02:52] The anatomy of tension: Understanding how tendons handle force differently than muscles and bones. [04:11] The three limitations of braces: Exploring how braces impact volume, recovery, and movement mechanics—and why they’re not a cure-all. [06:36] Mechanics matter: Why bracing can’t replace proper movement patterns and the importance of intentional rehabilitation. [08:52] The goal of using a brace: How to frame bracing as an opportunity for recovery and better movement, rather than a long-term solution. Whether you're a clinician, athlete, or someone on a personal rehabilitation journey, this episode offers practical insights on how to use bracing effectively without neglecting the bigger picture: recovery and movement quality. Thank you for tuning in! If this episode resonated with you, don’t forget to like, share, and subscribe. Together, we can challenge conventional approaches to rehab and find better ways to move pain-free. Support the show…

Talking Rehab with Dr. Fred Bagares

1
How do you treat belief? 15:47

13 weeks15:47

15:47

In this episode, Dr. Fred Bagares, a board-certified sports and spine medicine physician, dives into the complexities of addressing patients’ beliefs about treatment plans when they conflict with objective medical evidence. Drawing on real-world cases and over a decade of experience, Dr. Bagares discusses how to navigate these challenging conversations with empathy and clarity. Key Highlights: [00:00 – 00:02] – Introduction to Rehabilitation Dr. Bagares defines rehabilitation and sets the stage for an insightful discussion on patient-centered care. [00:09 – 00:28] – Welcome and Podcast Goals Introducing the central theme of this episode: addressing patients’ perceptions of treatment plans versus evidence-based recommendations. [00:35 – 01:14] – A Case Study on Beliefs vs. Evidence Dr. Bagares shares a compelling patient story where the belief in surgery conflicted with the objective findings, sparking a larger conversation on managing expectations. [02:10 – 04:30] – Understanding Patients' Frustration and Concerns Why some patients cling to the idea of surgery despite no clear indications, and how to empathize with their fears without reinforcing misconceptions. [05:00 – 07:00] – The Role of Evidence in Treatment Discussions How to balance the need for evidence-based decisions with a patient’s desire for solutions, while still fostering trust and understanding. [09:00 – 11:30] – When Dr. Google Shapes Patient Beliefs The impact of online self-diagnosis on patient expectations and strategies for clinicians to redirect those beliefs constructively. [12:00 – 13:40] – Empowering Patients to Make Confident Choices Guiding patients to accept treatment plans that align with clinical evidence while respecting their autonomy and concerns. Central Theme: The art of addressing and reconciling patients’ treatment beliefs with objective medical evidence requires empathy, patience, and effective communication. Follow Dr. Fred Bagares on Instagram, Facebook, LinkedIn, and YouTube @drfredbagares. Tune in to gain insights on how to build trust and navigate challenging treatment conversations! Support the show…

Talking Rehab with Dr. Fred Bagares

1
Who Doesn't Fit My Practice? 14:49

14 weeks14:49

14:49

Host: Dr. Fred Bagares, Board-Certified Sports and Spine Medicine Physician In this episode of the Talking Rehab Podcast , Dr. Fred Bagares shares a unique perspective on what makes an ideal patient for his innovative practice—and what traits might indicate it’s not the right fit. By reflecting on his approach as a solo practitioner with a personal, technology-driven, and holistic style, Dr. Bagares offers listeners insight into how his practice differs from the norm. Through relatable examples and real-world scenarios, he highlights the challenges of working with patients seeking "quick fixes," those resistant to lifestyle changes, or individuals who prefer less accountability. At the same time, he emphasizes his commitment to providing high-quality, patient-centered care that prioritizes long-term outcomes over temporary relief. Whether you’re curious about how modern healthcare models operate or considering a visit to Dr. Bagares, this episode provides an in-depth look at what makes his practice both unique and effective. Timestamps: [0:00] Introduction: What is rehab and how this podcast challenges traditional views [0:48] Thinking about the “ideal patient” and who might not fit the practice [1:25] Patients who prefer a big-box experience vs. a mom-and-pop style [2:58] How technology shapes care: Registration, payments, and accessibility [4:06] The "quick fix" mindset: Understanding its limitations in rehab [6:29] The complexity of root causes: Why solving one issue isn’t always enough [8:14] Lifestyle changes: The hardest—but most effective—steps toward recovery [12:44] Accountability in care: Follow-ups, communication, and long-term success [14:14] Final thoughts: Who Dr. Bagares’ practice is for and why Takeaways: Learn what makes Dr. Bagares’ practice distinct from traditional healthcare models. Understand the value of personalized care and longer appointments in addressing musculoskeletal issues. Discover why accountability and lifestyle changes are key to lasting results. Follow Dr. Fred Bagares for more episodes and updates: Instagram: @drfredbagares Facebook: @drfredbagares YouTube: Dr. Fred Bagares - YouTube Linktree: Dr. Fred Bagares Make sure to subscribe and leave a review. Your feedback helps us bring meaningful discussions to the Talking Rehab Podcast ! Support the show…

Talking Rehab with Dr. Fred Bagares

1
Bad foot hygiene worry me. 9:04

15 weeks9:04

9:04

In this episode of the *Talking Rehab Podcast*, Dr. Fred Bagares explores how everyday observations can uncover critical insights into musculoskeletal health. From analyzing gait patterns to the often-overlooked clues in footwear and hygiene, Dr. Bagares demonstrates how subtle signs can point to deeper issues like back pain or hip dysfunction. He also shares valuable advice for clinicians on creating meaningful conversations with patients, especially in the age of Dr. Google and AI-based self-diagnosis. **Key Points Covered:** - **[00:00]** What is rehabilitation? - **[00:02]** Meet Dr. Fred Bagares and his goals for this podcast. - **[00:32]** The importance of observation in clinical practice. - **[01:16]** Why footwear and foot hygiene can be red flags for disability. - **[03:32]** The biomechanics behind bending and back pain. - **[05:17]** When difficulty putting on shoes signals something deeper. - **[08:12]** Advice for patients: Recognizing early signs of disability. **Clinician Takeaways:** Learn how to meet patients where they are, use their insights for better care, and navigate the challenges of self-diagnosed patients. **Follow Dr. Fred Bagares:** Instagram: [@drfredbagares](https://www.instagram.com/drfredbagares) Facebook: [@drfredbagares](https://www.facebook.com/drfredbagares) YouTube: [Dr. Fred Bagares](https://www.youtube.com/channel/UCwPnxo5gJ8TTKY3Pf8LdM5Q) Let this episode inspire new ways to approach patient care and rehabilitation! Support the show…

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