Mga Gamot - Karamihan sa mga gamot, lalo na ang syrups, maglaman ng isang mataas na halaga ng asukal. Tablet ay din minsan na pinahiran na may asukal. Antipsychotic na gamot at antidepressants ay naglalaman ng mga kemikal na hadlangan pagbaba ng timbang. Ipaliwanag ang iyong timbang layunin pagkawala sa iyong doktor kaya na siya ay maaaring magreseta ng isa pang gamot na hindi hadlangan ang pagbaba ng timbang.
Thanks for the great article and helpful information about the Ketogenic diet .Since the last 4 years I’m on a keto diet I’m very happy,feeling a lot more healthy and I have lost a lot of weight.During that time I did quite few mistakes mainly due to misinformation so I highly recommend everyone who is really interested in keto diet to read this first
Lauren is the food photographer, recipe developer, and author behind the healthy living website Wicked Spatula. With a focus on mindful and sustainable living she aspires to show her audience that healthy eating doesn't have to be boring, complicated, or tasteless and that healthy living is all about getting in touch with yourself and your surroundings.
Cyclic keto-diyeta (CKD) o, ayon sa isa pang bersyon rotary ketogenic diyeta (alternating) ay isang mababang-karbohidrat diyeta na may mataas na panahon consumption halili o katamtaman na halaga ng carbohydrates: 5-6 na araw - ang minimum na bilang ng mga carbohydrates, karbohidrat loading pagkatapos ay isinasagawa sa ketone pagkain - isang araw o dalawang araw na carbohydrates ay ginagamit nang walang paghihigpit. Ang hindi kilalang may-akda ng ito sagisag, ketogenic diyeta ay sinusubukan upang bigyang-katwiran ang kanilang mga makabagong-likha na kailangan upang maglagay na muli taglay ng glycogen, ibalik antas ng hormon at aktibidad ng tiroydeo, pati na rin ang pagbibigay ng moral na at sikolohikal na katatagan - upang ipagpatuloy ang pagkain. Sa katunayan, ang lahat ng nawala sa anim na araw, ay agad na bumalik.
Mag-right pagkatapos ng panganganak, ang iyong sanggol ay kailangan nutrisyon, na kung saan ay darating mula sa kung ano ang iyong kinain. Kumain ng sapat na protina, magandang taba, at carbs upang ang iyong sanggol ay nananatiling malusog. Maaari mong simulan dieting pagkatapos ng dalawang buwan. Magsimula sa pamamagitan ng pagbabawas ng carbs paunti-unti. Gayundin, kumonsulta sa iyong doktor upang malaman kung ang ketogenic diyeta plano ay ang pinakamahusay na plano ng pagkain para sa iyo na mawalan ng timbang.
Are these sounding too confusing and difficult to follow? No need to worry, as the simpler options to lose weight are there such as Magnesium, MCT Oil, Omega-3 Fatty Acids, Vitamin D, Digestive Enzymes, Exogenous Ketones, Greens Powder, Electrolyte Supplements or Mineral-Rich Foods, Supplements to boost athletic performance such as Creatine monohydrate, caffeine and others. Out of these, exogenous ketones or externally created ketones are the most commonly used options due to their lesser health hazards and more numbers of benefits.

Ay keto masamang para sa iyong bato


In 1921, Rollin Turner Woodyatt reviewed the research on diet and diabetes. He reported that three water-soluble compounds, β-hydroxybutyrate, acetoacetate, and acetone (known collectively as ketone bodies), were produced by the liver in otherwise healthy people when they were starved or if they consumed a very low-carbohydrate, high-fat diet.[10] Dr. Russell Morse Wilder, at the Mayo Clinic, built on this research and coined the term "ketogenic diet" to describe a diet that produced a high level of ketone bodies in the blood (ketonemia) through an excess of fat and lack of carbohydrate. Wilder hoped to obtain the benefits of fasting in a dietary therapy that could be maintained indefinitely. His trial on a few epilepsy patients in 1921 was the first use of the ketogenic diet as a treatment for epilepsy.[10]
Bago ka magsimula ang ketogenic diyeta plan, ito ay mahalaga upang malaman kung ano upang bumili sa supermarket upang panatilihin ang layo mula sa mataas na carb pagkain at makamit ang iyong pagbaba ng mga layunin ng timbang sa limang linggo. Mamili ayon sa iyong diyeta plano. Huwag bumili ng mga bagay na inilagay mo off ang track. Narito ang ilang mga alituntunin na dapat mong sundin habang grocery shopping:

Paano ko itataas ang aking mga antas ketone


Variations on the Johns 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 acidosis, hypoglycaemia, and weight loss). Rather than increasing meal sizes over the three-day initiation, some institutions maintain meal size, but alter the ketogenic ratio from 2:1 to 4:1.[9]
There are numerous benefits that come with being on keto: from weight loss and increased energy levels to therapeutic medical applications. Most anyone can safely benefit from eating a low-carb, high-fat diet. Below, you’ll find a short list of the benefits you can receive from a ketogenic diet. For a more comprehensive list, you can also read our in-depth article here >
Sa oras na wala pang anim na linggo na nagtatrabaho nang sama-sama, nawala si Sandy ng labinlimang pounds at sa loob ng apat na buwan siya ay isang kabuuang apatnapu't limang kilong mas magaan habang kumakain ng mas maraming taba at mas mababa ang paggamit. Ang kanyang digmaan na may pagkain ay tapos na, at sa wakas ay mayroon siyang gusto niya. Narito kung ano ang ginawa niya.
Long-term use of the ketogenic diet in children increases the risk of slowed or stunted growth, bone fractures, and kidney stones.[18] The diet reduces levels of insulin-like growth factor 1, which is important for childhood growth. Like many anticonvulsant drugs, the ketogenic diet has an adverse effect on bone health. Many factors may be involved such as acidosis and suppressed growth hormone.[38] About one in 20 children on the ketogenic diet develop kidney stones (compared with one in several thousand for the general population). A class of anticonvulsants known as carbonic anhydrase inhibitors (topiramate, zonisamide) 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 above that of the diet alone.[39] The stones are treatable and do not justify discontinuation of the diet.[39] Johns Hopkins Hospital now gives oral potassium citrate supplements to all ketogenic diet patients, resulting in one-seventh of the incidence of kidney stones.[40] However, this empiric usage has not been tested in a prospective controlled trial.[9] Kidney stone formation (nephrolithiasis) is associated with the diet for four reasons:[39]

Sinusuportahan ba ng L carnitine pagtaas metabolismo


Sa isang modernong diyeta, kumakain kami ng maraming pagkain na hindi mabuti para sa amin. Dahil sa kaginhawahan ng paghahanda ng mga pagkaing naproseso, kumakain kami ng maraming hindi malusog na taba at sa paggawa nito tayo ay talagang nagdudulot ng maraming mga problema sa ating kalusugan. Ang pagkain ay maaaring direktang nakaugnay sa maraming iba't ibang mga sakit. Samakatuwid, mahalaga na panoorin natin kung ano ang kinakain natin at kung paano natin ito kinakain.
Gayunpaman, dapat tandaan na kahit na ang taba na ito ay mas madaling masustansya sa katawan, ang isang mabilis na paglipat sa isang mataas na taba pagkain ay maaaring maging mahirap para sa anumang sistema ng pagtunaw. Dapat mong dahan-dahan at unti-unti dagdagan ang halaga ng taba sa iyong pagkain upang payagan ang iyong katawan na umangkop sa pagbabagong ito.
Essential fatty acids (the omegas) provide core functions to the human body, but they are often times out of balance when on a standard diet. On keto, with a little bit of preparation, your omega fatty acids are easily manageable. If you want to know more about essential fatty acids, omegas, and how they interact with our body on a ketogenic diet, you can read more here >
Magnesium gumaganap bilang isang cofactor para sa isang host ng mga reaksyon. Ito regulates presyon ng dugo, nagpapanatili ng kalamnan at magpalakas ng loob function, regulates asukal sa dugo, at tumutulong sa synthesize protina. Dahil ang keto diyeta hinihingi ang dieters upang maging sa isang mababang carb diyeta, maraming magnesium-naglalaman ng mga pagkain ay iwasan sa pamamagitan dieters. Mababang antas ng magnesiyo humantong sa kalamnan cramps at pagkapagod. Samakatuwid, gulay na naglalaman ng mas kaunting mga carbs, tulad ng green leafy veggies, nuts, at mga buto, ay hindi dapat na iwasan. Gayundin, kumuha ng magnesium supplements sa araw-araw habang ikaw ay on the keto diyeta. Gayunpaman, huwag kalimutan na kumunsulta sa iyong doktor bago ang pagkuha ng anumang karagdagan.
Ang bawat tao sa mundo ay nagnanais ng malusog na balat. Nakita namin itong nai-advertise sa telebisyon na may mga lotion at supplement ng bitamina. Kapag nag-ehersisyo at nagbabago ang ating mga gawi sa pagkain, nakikita natin ang ating balat na nakakakuha ng apoy sa mga pagkaing kinakain natin. Gayunpaman, sa tuwing tayo ay nabibigatan ng pagkabalisa, pagkabalisa, pag-ubos ng pagkain ng basura, o paglagi sa araw na masyadong mahaba; aming [...]

When in 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 two weeks.[17] The parents attend classes over the first three full days, which cover nutrition, managing the diet, preparing meals, avoiding sugar, and handling illness.[19] The level of parental education and commitment required is higher than with medication.[44]

keto diyeta g tube


But even if you’re not trying to lose weight, the keto meal plans might appeal to you. By limiting sugars and processed grains, you lower your risk of type 2 diabetes. Eating an array of heart-healthy fats, like nuts, olive oil and fish, can decrease your risk of heart disease. And while some people stick to a super strict keto diet, with 75 percent of their diet coming from fat, 20 percent from protein and just five from carbs, even a less intense, modified version can help you reap the keto diet’s benefits.

Sigurado mansanas masamang para sa IBS


But beyond that, experts aren't convinced that the keto diet has any other scientifically-proven health benefits. In fact, it may have some distinct downsides. If you follow the keto diet incorrectly, for example (like by eating lots of saturated fats, versus healthy unsaturated fats), you're at risk of raising your cholesterol levels. “The best strategy to keep your heart healthy is to get as much fat as possible from unsaturated sources such as olive, avocado and canola oils, nuts, seeds, avocados, and olives," says Ansel.
In the absence of glucose, which is normally used by cells as a quick source of energy, the body starts to burn fat and produces ketone bodies instead (it’s why the keto diet is often referred to as the ketone diet). Once ketone levels in the blood rise to a certain point, you enter into a state of ketosis — which usually results in quick and consistent weight loss until you reach a healthy, stable body weight. See this keto diet review, a before and after trying keto for 30 days.
Approach weight loss first by considering your lifestyle. Eat more veggies, fruit, seafood, and whole grains; prioritize good-for-you unsaturated fats; and think inclusive versus exclusive. There's no need to replace meals with powders when you can instead make shifts toward healthier eating habits that promote physical, mental, and psychological well-being for life.
Nakabalot Condiments O Canned Pagkain - Packaged condiments, tulad ng tomato ketchup, tomato katas, sarsang barbekyu, atbp, ay naglalaman ng mataas na halaga ng asukal, artipisyal na lasa at kulay, carbs, at preservatives. Ang mga ito ay ang lahat ng pulang flags pagdating sa pagbili ng nakabalot condiments o de-latang pagkain. Iwasan ang pagbili ng mga ito mula sa supermarket. Kung hindi mo bumili, i-check ang label. Ang mas mababang mga sangkap, mas mahusay.
Ipinagmamalaki ng Ketogenic Diet na ito ang app na "para sa mga dummies," na ginagawa itong simple upang maunawaan ang pagkain. Tinatalakay ng app ang mga prinsipyo sa likod ng diskarteng ito ng pagbabawas ng carb at paglo-load ng taba. Nakakatugon din ito sa kung bakit ito ay malusog, lalo na para sa mga taong may diyabetis. Upang mapagtagumpayan ang tagumpay, ang app ay nagbibigay ng mga rekomendasyon sa pagkain, mga recipe, at gallery ng mga inspirational bago-at-pagkatapos na mga larawan. Kahit na ang mga user tandaan ang app ay sa halip ad-mabigat, ang mga review ipahiwatig ito ay nagkakahalaga ng abala. Dapat simulan ng mga nagsisimula ang mga tip para sa pagsisimula ng diyeta nang walang mga epekto.
Low-Density Lipoprotein transports kolesterol ginawa ng mga cell at ang atay. LDL gumagalaw mas mabagal kaysa sa HDL (High-Density Lipoprotein) sa dugo at makakakuha ng oxidized sa pamamagitan ng libreng radicals. Ang oxidized LDL settles sa mga pader ng arteries. Ito ang nag-trigger ang pamamaga at isang anti-nagpapaalab tugon sa pamamagitan ng mga puting selyo ng dugo. Ito ay natagpuan na ang pagkuha spirulina supplements makabuluhang pinabababa ang LDL kolesterol sa dugo. Samakatuwid, spirulina ay nakakatulong upang mabawasan ang panganib ng cardiovascular sakit at non-alcoholic mataba atay (4).

Ay keto mabuti para sa long term


Early studies reported high success rates; in one study in 1925, 60% of patients became seizure-free, and another 35% of patients had a 50% reduction in seizure frequency. These studies generally examined a cohort of patients recently treated by the physician (a retrospective study) and selected patients who had successfully maintained the dietary restrictions. However, these studies are difficult to compare to modern trials. One reason is that these older trials suffered from selection bias, as they excluded patients who were unable to start or maintain the diet and thereby selected from patients who would generate better results. In an attempt to control for this bias, modern study design prefers a prospective cohort (the patients in the study are chosen before therapy begins) in which the results are presented for all patients regardless of whether they started or completed the treatment (known as intent-to-treat analysis).[19] 

Kung gusto mong matuto nang higit pa tungkol sa isang Doctor of Chiropractic na gumagamit ng mga advanced na progresibong pamamaraan upang mapadali ang kumpletong pisikal na kalusugan, mangyaring kumonekta sa akin. Tumuon kami sa pagiging simple upang makatulong na maibalik ang kadaliang mapakilos at pagbawi. Gusto kong makita ka. Kumonekta! Tawag: 915-850-0900

Ang isa sa mga pinakadakilang bentahe ng ketogenic diet ay ang kapasidad na kumain ng maraming kasiya-siya na pandiyeta tulad ng mga nabanggit na dati. Gayunpaman, dapat din nating masakop ang mga uri ng taba na dapat ninyong bawasan o alisin mula sa inyong diyeta upang maiwasan ang pagkasira ng inyong kagalingan. Sa keto diet, ang kalidad ng pagkain na kinakain mo ay lalong mahalaga upang makamit ang ketosis.

Sinusuportahan ba Kylie Jenner exercise


Madalas nating iniisip ang mga protina ay mga sustansya na matatagpuan sa pagkain na kinakain natin at ang pangunahing sangkap ng mga kalamnan, gayunpaman, ang mga protina ay mga mikroskopikong molekula na matatagpuan sa loob ng mga selula na aktwal na nagsasagawa ng iba't ibang mga pangunahing papel. Ang pag-andar ng isang protina ay nakasalalay sa hugis nito, at kapag bumubuo ang protina ng protina, ang nagresultang misshapen protein [...]
Kung ikaw ay sa merkado para sa isang mahusay multivitamin para sa iyong araw-araw na kalusugan kabilang ang timbang, mawalan ng, kalamnan ng nakuha, na pumipigil sa bitamina deficiencies, at aiding sa iyong sistema ng katawan kalusugan. Hindi mahalaga kung ang iyong mga kadahilanan para sa paglalaan ng Walang-hanggan Labs Kababaihan Multivitamin, maaari mong maging sigurado na makakakuha ka ng isang produkto sa isang kahanga-hangang kalidad at presyo. Walang-hanggan Labs ginagawang ang kanilang misyon upang ibigay sa iyo ang pinakamahusay na produkto, at sila kahit na matiyak na tanging ang mga kinakailangang sangkap ay kasalukuyan. All-natural at murang, ang Walang-hanggan Labs Kababaihan Multivitamin ay ang pinakamahusay na multivitamin para sa iyong araw-araw na paggamit.
The way that being on the keto diet makes you lose weight is by keeping insulin levels low. Insulin is a fat storage hormone that is released to help shuttle energy from the food you eat into your cells. This diet is known to be one of the best ways, besides fasting of course, to drop your insulin levels and low insulin is what is usually associated with fat loss. However, there is a misconception out there that your insulin will only go up with carbs. Protein can also spike your insulin levels and if you eat enough fats in one sitting, especially the wrong type of fats like trans fats, then that can spike your insulin levels as well.
The original therapeutic diet for paediatric epilepsy provides just enough protein for body growth and repair, and sufficient calories[Note 1] to maintain the correct weight for age and height. The classic therapeutic ketogenic diet was developed for treatment of paediatric epilepsy in the 1920s and was widely used into the next decade, but its popularity waned with the introduction of effective anticonvulsant medications. This classic ketogenic diet contains a 4:1 ratio by weight of fat to combined protein and carbohydrate. This is achieved by excluding high-carbohydrate foods such as starchy fruits and vegetables, bread, pasta, grains, and sugar, while increasing the consumption of foods high in fat such as nuts, cream, and butter.[1] Most dietary fat is made of molecules called long-chain triglycerides (LCTs). However, medium-chain triglycerides (MCTs)—made from fatty acids with shorter carbon chains than LCTs—are more ketogenic. A variant of the classic diet known as the MCT ketogenic diet uses a form of coconut oil, which is rich in MCTs, to provide around half the calories. As less overall fat is needed in this variant of the diet, a greater proportion of carbohydrate and protein can be consumed, allowing a greater variety of food choices.[4][5]

Ketogenic diets are an effective healthy way of losing weight since they promote a non-atherogenic lipid profile, lower blood pressure and decrease resistance to insulin with an improvement in blood levels of glucose and insulin. On the other hand, Mediterranean diet is well known to be one of the healthiest diets, being the basic ingredients of such diet the olive oil, red wine and vegetables. In Spain the fish is an important component of such diet. The objective of this study was to determine the dietary effects of a protein ketogenic diet rich in olive oil, salad, fish and red wine.


Sa dalawang bahagi ng Produkto: 500 g ng manok (hita, dibdib o tanggalan ng buto hiwa daluyan chunks), isang kutsara ng langis ng gulay, 1 green bell pepper (hiniwang average kubo), kalahati ng sibuyas bombilya (gupitin sa maliit na cube), 500 g ng kuliplor (parse sa florets), kalahati ng mga maliliit na mainit paminta (makinis tinadtad), 50 g ng mantikilya, 100-150 g ng mataba cream, 50 g matapang na keso (gadgad sa isang magaspang kayuran), asin at ground black pepper, coriander (kalahating kutsarita ).
Keto flu ay isang tipikal na tagapagpahiwatig ng ketosis sa katawan. Ito ay paraan ng reacting sa isang low-carb diet at ang mga unang yugto ng paggamit ketones bilang ang source ng enerhiya sa halip ng asukal ng katawan. Makakaranas ka ng maulap na utak syndrome para sa isang ilang araw sa umpisa. Mawawalan ka rin ng isang pulutong ng tubig at electrolytes, kaya manatiling hydrated at kalatan ninyo ang electrolytes sa iyong katawan.
The ketogenic diet is indicated as an adjunctive (additional) treatment in children and young people with drug-resistant epilepsy.[26][27] It is approved by national clinical guidelines in Scotland,[27] England, and Wales[26] and reimbursed by nearly all US insurance companies.[28] Children with a focal lesion (a single point of brain abnormality causing the epilepsy) who would make suitable candidates for surgery are more likely to become seizure-free with surgery than with the ketogenic diet.[9][29] About a third of epilepsy centres that offer the ketogenic diet also offer a dietary therapy to adults. Some clinicians consider the two less restrictive dietary variants—the low glycaemic index treatment and the modified Atkins diet—to be more appropriate for adolescents and adults.[9] A liquid form of the ketogenic diet is particularly easy to prepare for, and well tolerated by, infants on formula and children who are tube-fed.[5][30]
Alalahanin kung ano ang iyong pagkain at kung paano mo isama ang mga nutrients na kailangan mo ng mas kaunting kuwarto para sa carbohydrates. Ang mga mikronutrients (bitamina at mineral) ay kadalasang matatagpuan sa carbohydrates at ang mga ito ay karaniwang ang pinakamahusay na pinagmumulan para sa iyong katawan dahil ang mga ito ay pinaka madaling magagamit para sa pagsipsip.

h pylori keto diyeta


Labis sa timbang ay isang pangkaraniwang problema ng ika-21 siglo. Ang mga developer ng Eco Slim ay 99% nagpasya. Sa pamamagitan ng pagkain ng mga natural na pagkain, hindi kung ito ay pabagalin ang metabolism. Break it kemikal at artipisyal na-synthesize additives idinagdag sa modernong pagkain. Inirekomenda sa paggamot ng mga pasyente na may tulad na mga kondisyon tulad ng:

keto pagkain kit


Talamak na kabagtiran Ang iyong lining lining, o mucosa, may mga glandula na gumagawa ng tiyan acid at iba pang mahahalagang compound, isang halimbawa ay ang enzyme pepsin. pinoprotektahan ka mula sa impeksiyon, pinipinsala ng pepsin ang protina Ang acid sa iyong tiyan ay sapat na malakas upang makapinsala sa iyong tiyan Kaya ang iyong tiyan lining ay nagpapalabas ng uhog upang protektahan ang sarili. […]
Hi Barb, That can definitely be it. Losing when you are close to goal can be more difficult. It could also be that your body’s healthy weight is a little higher than what you’d like – which doesn’t mean you can’t lose, but makes it more difficult. If just eating Keto foods isn’t working, double check the macros for your weight and see if the amount you’re eating needs to be adjusted. You’ll find more help and support in our support group here.

Ano ang pinakamahusay na diyeta para sa mataba atay


Normal dietary fat contains mostly long-chain triglycerides (LCTs). Medium-chain triglycerides (MCTs) are more ketogenic than LCTs because they generate more ketones per unit of energy when metabolised. Their use allows for a diet with a lower proportion of fat and a greater proportion of protein and carbohydrate,[18] leading to more food choices and larger portion sizes.[4] The original MCT diet developed by Peter Huttenlocher in the 1970s derived 60% of its calories from MCT oil.[15] Consuming that quantity of MCT oil caused abdominal cramps, diarrhea, and vomiting in some children. A figure of 45% is regarded as a balance between achieving good ketosis and minimising gastrointestinal complaints. The classical and modified MCT ketogenic diets are equally effective and differences in tolerability are not statistically significant.[9] The MCT diet is less popular in the United States; MCT oil is more expensive than other dietary fats and is not covered by insurance companies.[18]

A study with an intent-to-treat prospective design was published in 1998 by a team from the Johns Hopkins Hospital[20] and followed-up by a report published in 2001.[21] As with most studies of the ketogenic diet, no control group (patients who did not receive the treatment) was used. The study enrolled 150 children. After three months, 83% of them were still on the diet, 26% had experienced a good reduction in seizures, 31% had had an excellent reduction, and 3% were seizure-free.[Note 7] At 12 months, 55% were still on the diet, 23% had a good response, 20% had an excellent response, and 7% were seizure-free. Those who had discontinued the diet by this stage did so because it was ineffective, too restrictive, or due to illness, and most of those who remained were benefiting from it. The percentage of those still on the diet at two, three, and four years was 39%, 20%, and 12%, respectively. During this period, the most common reason for discontinuing the diet was because the children had become seizure-free or significantly better. At four years, 16% of the original 150 children had a good reduction in seizure frequency, 14% had an excellent reduction, and 13% were seizure-free, though these figures include many who were no longer on the diet. Those remaining on the diet after this duration were typically not seizure-free, but had had an excellent response.[21][22]
When trying to shift from a high carb diet to a ketogenic diet, cravings can definitely get strong. It’s always best to try to clean house before you start so that you don’t have food around you that can lead to cravings. We recommend that when switching to keto, you restrict using sweeteners completely for the first 30 days. It normally leads to breaking sugar addiction and ultimately not having cravings.

Ano ang mga inumin sa Starbucks ay Keto


No matter what your diet has been before now, keto will be a big change. If you're coming from a standard American diet (SAD), your carbs will go way down, your protein may either go up or down, and your fat will go way up. If you're coming from a bodybuilding-style diet, your fat intake will jump to alarming levels, and your protein will likely drop significantly.

Ay mababa carb o keto mas mahusay na

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