1998 Mar 18;90(6):440-6. [, Jacobs EJ, Henion AK, Briggs PJ, Connell CJ, McCullough ML, Jonas CR, et al. Acta Ophthalmol Scand 1997;75:634-40. Sign up. Folate is the organic form of vitamin B9, while folic acid is synthetic. Huang HY, Caballero B, Chang S, Alberg A, Semba R, Schneyer C, et al. Limit refined grains (like white rice and white bread). A given amount of synthetic alpha-tocopherol (all rac-alpha-tocopherol; commonly labeled as "DL" or "dl") is therefore only half as active as the same amount (by weight in mg) of the natural form (RRR-alpha-tocopherol; commonly labeled as "D" or "d"). Another trial in which 769 men and women with mild cognitive impairment were randomly assigned to receive 2,000 IU/day vitamin E (form not specified), a cholinesterase inhibitor (donepezil), or placebo found no significant differences in the progression rate of Alzheimer's disease between the vitamin E and placebo groups [50]. Vitamin E (Tocopherol): Sources, Deficiency and Functions | Study&Score While aging is inevitable, it's a process that many people would like to slow. A prospective study of the intake of vitamins C, E, and A and the risk of breast cancer. JAMA 2011;306:1549-1556. A monthly update filled with nutrition news and tips from Harvard expertsall designed to help you eat healthier. In addition, its needed for proper immune function and cellular signaling (1). Vitamins E and C in the prevention of cardiovascular disease in men: the Physicians Health Study II randomized controlled trial. Vitamin E and age-related macular degeneration in a randomized trial of women. The large and long-term Physicians Health Study II trial, meanwhile, found that vitamin E supplements did not increase or decrease the risk of prostate cancer or any other cancer. ADVERTISEMENTS: These meta-analyses linked supplementation to small but statistically significant increases in all-cause mortality. Vitamin E is found in nearly all foods to some extent. According to research findings, vitamin E supplements may improve some aspects of health in people with NAFLD. [13]. U.S Preventive Services Task Force, Mangione CM, Barry MJ, Nicholson WK, Cabana M, Chelmow D, Coker TR, Davis EM, Donahue KE, Doubeni CA, Jan CR, Kubik M, Li L, Ogedegbe G, Pbert L, Ruiz JM, Stevermer J, Wong JB. "Vitamin E" is the collective name for a group of fat-soluble compounds with distinctive antioxidant activities [1]. Furthermore, Vitamin D is related to brain blood vessel functions and may help reduce the risk of stroke. [, Lonn E, Bosch J, Yusuf S, Sheridan P, Pogue J, Arnold JM, et al. The Parkinson Study Group. Arch Neurol 2002;59:1125-32. Klein EA, Thompson IM, Jr., Tangen CM, et al. Yusuf S, Dagenais G, Pogue J, Bosch J, Sleight P. Vitamin E supplementation and cardiovascular events in high-risk patients. For example, studies have found that vitamin E supplements may increase the risk of prostate cancer in healthy men (19). It plays many roles in your body.. Feskanich D, Willett WC, Hunter DJ, Colditz GA. Dietary intakes of vitamins A, C, and E and risk of melanoma in two cohorts of women. Just one tablespoon of wheat germ oil may provide around 135% of the DV. Lutein + zeaxanthin and omega-3 fatty acids for age-related macular degeneration: the Age-Related Eye Disease Study 2 (AREDS2) randomized clinical trial. The U.S. Food and Drug Administration (FDA) required manufacturers to use these new labels starting in January 2020, but companies with annual sales of less than $10 million may continue to use the old labels that list vitamin E in international units (IUs) until January 2021 [8]. Diet and basal cell carcinoma of the skin in a prospective cohort of men. This #WorldDiabetesDay, learn more about the different types of diabetes, as well as steps to help prevent prediabe, "The differences between plant-based diets was surprising because theyre often portrayed as universally healthy an, Copyright 2022 The President and Fellows of Harvard College, Harvard T.H. [, The Age-Related Eye Disease Study 2 (AREDS2) Research Group. Create healthy, balanced meals using this visual guide as a blueprint. Though an extremely beneficial nutrient, it is always encouraged to take this vitamin within the recommended dietary allowance to boost your body only with the incredible benefits and evade from getting any side effects. Each of these are further subdivided into alpha , beta , gamma and delta classes. Fortified foods like cereals, fruit juices, spreads, margarines etc. J Natl Cancer Inst. Food Labeling: Revision of the Nutrition and Supplement Facts Labels. A follow-up AREDS2 study confirmed the value of this and similar supplement formulations in reducing the progression of AMD over a median follow-up period of 5 years" [42]. Vitamin Functions and Sources Flashcards | Quizlet Thompson IM, Goodman PJ, Tangen CM, et al. Antioxidant nutrients like vitamin E protect cell constituents from the damaging effects of free radicals that, if unchecked, might contribute to cancer development [9]. Vitamin E supplements have also been linked to several other health benefits: Vitamin E deficiency in otherwise healthy individuals is uncommon, as most people get enough from their diet. Gruppo Italiano per lo Studio della Sopravvivenza nellInfarto miocardico. Vitamin E is a common nutrient found in most foods. Vitamin E is a fat-soluble vitamin with several forms, but alpha-tocopherol is the only one used by the human body. Lutein/zeaxanthin for the treatment of age-related cataract: AREDS2 randomized trial report no. Among the tocopherols, the alpha- and gamma-tocopherols are detected in the red blood cells and serum whereas Beta- and delta-tocopherols are found in minute concentrations in the blood plasma. [29], Though these results may sound worrisome, two other major trials of vitamin E and prostate cancer had quite different results: The Alpha-Tocopherol Beta Carotene randomized trial, for example, followed nearly 30,000 Finnish male smokers for an average of six years. What Is Extra Virgin Olive Oil, and Why Is It Healthy? Lippman SM, Klein EA, Goodman PJ, et al. Here are 6 impressive health benefits of vitamin, Extra virgin olive oil is packed with antioxidants and healthy fats. However, prospective cohort studies of 87,998 women in the Nurses' Health Study and 47,344 men in the Health Professionals Follow-up Study failed to replicate these results [34]. A review. For example, a 2018 study in 54 people with diabetic nephropathy kidney damage caused by high blood sugar found that supplementing with 800 IU of vitamin E per day for 12 weeks significantly increased levels of glutathione peroxidase (GPx) compared with a placebo (4). Expert solutions. Start studying Vitamin Functions and Sources. [28] Though the trial ended, researchers continued to follow the men who had participated. The overall relative risk for the highest quintile of intake (>35.7 IU/day, form not specified) compared to the lowest quintile (<5.7 IU/day, form not specified) was 0.32. HOPE-TOO found that vitamin E provided no significant protection against heart attacks, strokes, unstable angina, or deaths from cardiovascular disease or other causes after 7 years of treatment. Vitamins and Minerals: Types, Sources, Deficiency & Disorders One study of women in Iowa provides evidence that higher intakes of vitamin E from foods and supplements could decrease the risk of colon cancer, especially in women <65 years of age [33]. So it is not clear that these findings would apply to healthy people. Limits foods and beverages higher in added sugars, saturated fat, and sodium. N Engl J Med 1993;328:1444-9. Plants Oils like sunflower oil, corn oil, wheat germ oil, soya bean oil, safflower oil etc. Am J Epidemiol 1994;139:1180-9. Vitamin E | The Nutrition Source | Harvard T.H. Chan School of Public Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. You can also increase the absorption of vitamin E from low-fat foods by eating them with fat. Chan JM, Stampfer MJ, Ma J, Rimm EB, Willett WC, Giovannucci EL. A six-year trial found that vitamin E, in combination with vitamin C, beta carotene, and zinc, offered some protection against the development of advanced age-related macular degeneration (AMD), but not cataracts, in people who were at high risk of the disease. Vitamin E in the primary prevention of cardiovascular disease and cancer: the Women's Health Study: a randomized controlled trial. Christen WG, Glynn RJ, Chew EY, Buring JE. Online May 5. Reduced risk of Alzheimer disease in users of antioxidant vitamin supplements: the Cache County Study. Arch Opthalmol 2001;119:1439-52. This is a fat-soluble vitamin that plays an essential role in eye and immune health. How Much Vitamin D Should You Take For Optimal Health? Vitamins E and C are safe across a broad range of intakes. Vitamin E works to dissolve in fats. Life Sci 2006;78:2088-98. Brief communication: the prevalence of high intake of vitamin E from the use of supplements among U.S. adults. The potent antioxidative property of the E vitamin holds high significance in dermatology and has been used since ages. A prospective cohort study of >29,000 men found no association between dietary or supplemental vitamin E intake and prostate cancer risk [29]. The AREDS2 study, which also tested formulations containing 400 IU (180 mg) vitamin E, confirmed these findings" [46]. . [, Jacques PF, Taylor A, Moeller S, Hankinson SE, Rogers G, Tung W, et al. Dietary supplementation with n-3 polyunsaturated fatty acids and vitamin E after myocardial infarction: results of the GISSI-Prevenzione trial. No differences were found among groups in the incidence of lung or colorectal cancers or all cancers combined. Foods providing 20% or more of the DV are considered to be high sources of a nutrient, but foods providing lower percentages of the DV also contribute to a healthful diet. Vitamin E is a fat-soluble vitamin that can build up in your body if taken in excess amounts. Select pincode to see product availability. J Nutr 2006;136:1021-6. People taking these and other medications on a regular basis should discuss their vitamin E intakes with their healthcare providers. In some cases, fortified foods and dietary supplements are useful when it is not possible otherwise to meet needs for one or more nutrients (e.g., during specific life stages such as pregnancy).". This section focuses on four diseases and disorders in which vitamin E might be involved: heart disease, cancer, eye disorders, and cognitive decline. Vitamin E in the primary prevention of cardiovascular disease and cancer: the Womens Health Study: a randomized controlled trial. Both the HOPE-TOO Trial and Women's Health Study evaluated whether vitamin E supplements might protect people from cancer. Given below are the food sources which are loaded with vitamin K: Green Vegetables: Kale, spinach, green turnip, parsley, lettuce, cauliflower, broccoli, cabbage, brussels etc. [, Age-Related Eye Disease Study Research Group. However, among current smokers and men who had quit, vitamin E intakes of more than 400 IU/day (form not specified) were associated with a statistically significant 71% reduction in the risk of advanced prostate cancer. The amount of vitamin D you need depends on several factors. A primary barrier to characterizing the roles of vitamin E in health is the lack of validated biomarkers for vitamin E intake and status to help relate intakes to valid predictors of clinical outcomes [6]. This article lists 20 foods that are high in vitamin A. Antioxidant vitamins and nuclear opacities: the longitudinal study of cataract. Effects of long-term vitamin E supplementation on cardiovascular events and cancer: a randomized controlled trial. Further research is needed to determine whether supplemental vitamin E has any protective value for younger, healthier people at no obvious risk of CHD. Stampfer MJ, Hennekens CH, Manson JE, Colditz GA, Rosner B, Willett WC. Vitamin E - Health Professional Fact Sheet - National Institutes of Health Unfortunately, human trials and surveys that have attempted to associate vitamin E intake with cancer incidence have found that vitamin E is not beneficial in most cases. Effects of tocopherol and deprenyl on the progression of disability in early Parkinsons disease. The trial was discontinued in October 2008 when an analysis found that the supplements, taken alone or together for about 5.5 years, did not prevent prostate cancer [31]. A 2019 review of 18 studies found that, compared with placebo treatments, vitamin E supplements significantly reduced systolic but not diastolic blood pressure the top and bottom numbers of blood pressure readings, respectively (6). These crunchy foods also provide fiber, healthy fats, minerals, and essential vitamins. Vitamin E - Consumer - National Institutes of Health If you dont get enough, you may become more prone to infections, experience impaired eyesight or suffer from muscle weakness. The National Cancer Institute website provides additional information on the SELECT trial. Reduced risk of colon cancer with high intakes of vitamin E: the Iowa Women's Health Study. [2] Observational studies and clinical trials have been inconsistent, some suggesting that vitamin E supplements might lower the risk of advanced prostate cancer in smokers and a large randomized trial suggesting that vitamin E increases the risk of prostate cancer. Some studies also show that taking vitamin E with omega-3 supplements may reduce LDL and triglyceride levels in people with metabolic syndrome a cluster of conditions, including high blood fat levels, that increases the risk of heart disease and other health conditions (7). Mother Nature has provided us with a bountiful amount of natural food sources loaded with vitamin E that suffices our daily requirements. Antioxidant supplements block the response of HDL to simvastatin-niacin therapy in patients with coronary artery disease and low HDL. Cancer Epidemiol Biomarkers Prev 2002;11:1298-304. It plays many roles in your body. Vitamin E and donepezil for the treatment of mild cognitive impairment. In the HOPE-TOO followup study, almost 4,000 of the original participants continued to take vitamin E or placebo for an additional 2.5 years [22]. Arterioscler Thromb Vasc Biol 2001;21:1320-6. [, Brion LP, Bell EF, Raghuveer TS. Yet, disorders that affect the absorption of fat, such as cystic fibrosis or liver disease, may lead to deficiency over time, especially if your diet is low in vitamin E (4). Praised as an antioxidant, vitamin E also helps your body in a number of other ways, such as helping your immune system and helping keep vessels, This article lists 20 foods that are high in vitamin E. This powerful antioxidant helps protect cells from oxidative stress and is crucial for good, Antioxidant supplements are popular, but evidence suggests that they have several drawbacks. Antioxidants for vascular disease. [, Graham S, Sielezny M, Marshall J, Priore R, Freudenheim J, Brasure J, et al. Vitamin E also increases the expression of two enzymes that suppress arachidonic acid metabolism, thereby increasing the release of prostacyclin from the endothelium, which, in turn, dilates blood vessels and inhibits platelet aggregation [6]. Ataxia and vitamin E deficiency (AVED) is another rare, inherited disorder in which the liver's alpha-tocopherol transfer protein is defective or absent. Supplemental and dietary vitamin E, -carotene, and vitamin C intakes and prostate cancer risk. Study with Quizlet and memorize flashcards containing terms like vitamin A, vitamin A functions, vitamin A food sources and more. [, Doyle C, Kushi LH, Byers T, Courneya KS, Demark-Wahnefried W, Grant B, et al., for the 2006 Nutrition, Physical Activity and Cancer Survivorship Advisory Committee. Vitamin E used in the form of oil, serum or supplement acts as a skin battalion and helps to shield the skin against various skin problems including inflammation, skin ageing and sun damage. Three national surveysthe 20012002 National Health and Nutrition Examination Survey (NHANES) [10], NHANES III (19881994) [10], and the Continuing Survey of Food Intakes by Individuals (19941996) [11]have found that the diets of most Americans provide less than the RDA levels of vitamin E. These intake estimates might be low, however, because the amounts and types of fat added during cooking are often unknown and not accounted for [6]. Prostate cancer and supplementation with alpha-tocopherol and beta-carotene: incidence and mortality in a controlled trial. 43 related questions found. Plant sources such as wheat, rice bran, barley, oats, coconut, palm, walnut, hazelnut maize, corn, Amarnath, mango, pumpkin, safflower, etc. [, Isaac MGEKN, Quinn R, Tabet N. Vitamin E for Alzheimer's disease and mild cognitive impairment (review). Vitamins and minerals Types Sources and their Functions - BYJUS Humans cannot live without vitamins and the human body cannot produce it on its own (except vitamin D and Vitamin B3). The SU.VI.MAX Study: a randomized, placebo-controlled trial of the health effects of antioxidant vitamins and minerals. Vitamin E. 11 /19. Vitamin E - Functions, Food Sources, Deficiencies and Toxicity - Netmeds Am J Epidemiol 1992;136:3127-37. [, Age-Related Eye Disease Study Research Group. Chong EW, Wong TY, Kreis AJ, Simpson JA, Guymer RH. A few examples are provided below. Vitamin E supplementation for prevention of morbidity and mortality in preterm infants. Simvastatin and niacin, antioxidant vitamins, or the combination for the prevention of coronary disease. Scientists are investigating whether, by limiting free-radical production and possibly through other mechanisms, vitamin E might help prevent or delay the chronic diseases associated with free radicals. Results from an additional 1.5 years of follow-up from this trial (during which the subjects no longer received vitamin E or selenium), showed that the men who had taken the vitamin E had a 17 percent increased risk of prostate cancer compared to men only taking placebos, a statistically significant difference [32]. Antioxidant vitamins, including vitamin E, came to public attention in the 1980s when scientists began to understand that free radical damage was involved in the early stages of artery-clogging atherosclerosis, and might also contribute to cancer, vision loss, and a host of other chronic conditions. Nuts like almond, hazelnut, peanut, brazil nuts, filberts etc. [, Tanyel MC, Mancano LD. lower than normal amount of red blood cell in the body. Cancer Treat Rev 2007;33:407-18. Sources. However, the study did find two positive and significant results for women taking vitamin E: they had a 24% reduction in cardiovascular death rates, and those 65 years of age had a 26% decrease in nonfatal heart attack and a 49% decrease in cardiovascular death rates. Etminan M, Gill SS, Samii A. Intake of vitamin E, vitamin C, and carotenoids and the risk of Parkinsons disease: a meta-analysis. The risk of developing prostate cancer was also slightly increased in subjects taking vitamin E plus selenium or selenium alone, but the differences were not statistically significant. Evidence that vitamin E could help prevent or delay coronary heart disease (CHD) comes from several sources. Vitamin E is a fat-soluble antioxidant that stops the production of ROS formed when fat undergoes oxidation. High dose vitamin E supplements may also increase the risk of bleeding (1). Several studies have examined whether vitamin E intake and/or supplemental vitamin E affects the risk of developing prostate cancer. The lack of this incredible vitamin from ones regular diet may also exhibit some severe symptoms like hindered immune response, neurological and neuromuscular problems, haemolytic anaemia and retinopathy. [, Lee I-M, Cook NR, Gaziano JM, Gordon D, Ridker PM, Manson JE, et al. Studies strongly advocate intake of Vitamin E in adults as approximately 8 -10 mg of tocopherol from the natural food sources per day but if a person is suffering from any cardiac ailments or diabetes, they are recommended to avoid consuming more than 400 IU in a day. Two meta-analyses of randomized trials have also raised questions about the safety of large doses of vitamin E, including doses lower than the UL. The HOPE and HOPE-TOO trials provide compelling evidence that moderately high doses of vitamin E supplements do not reduce the risk of serious cardiovascular events among men and women >50 years of age with established heart disease or diabetes [23]. Because the majority of physicians in the latter study were also taking aspirin, this finding could indicate that vitamin E has a tendency to cause bleeding. By accepting oxygen, vitamin E can prevent the oxidation of vitamin A in the intestinal tract, thus making vitamin A available for body use. Too Little Vitamin D Can Be Aging Your Brain Faster, New Study Says Kirsh VA, Hayes RB, Mayne ST, et al. Vitamin E consumption and the risk of coronary disease in women. These findings are supported by evidence from the Women's Angiographic Vitamin and Estrogen study, in which 423 postmenopausal women with some degree of coronary stenosis took supplements with 400 IU vitamin E (form not specified) and 500 mg vitamin C twice a day or placebo for >4 years [24]. [, Chong EW-T, Wong TY, Kreis AJ, Simpson JA, Guymer RH. Vitamin E deficiency and impaired cellular immunity related to intestinal fat malabsorption. vitamin E food sources. If not treated on time, the symptoms may lead to total blindness, impaired thinking ability, heart disease or permanent damage of nerves. Heres our process. Supplements of vitamin E typically provide only alpha-tocopherol, although "mixed" products containing other tocopherols and even tocotrienols are available. These values, which vary by age and gender, include: The FNB's vitamin E recommendations are for alpha-tocopherol alone, the only form maintained in plasma. More research is needed to identify the role of vitamin E, if any, in the management of cognitive impairment [52]. Ophthalmology 1998;105:831-6. [, Lawenda BD, Kelly KM, Ladas EJ, Sagar SM, Vickers A, Blumberg JB. Serum concentrations of vitamin E (alpha-tocopherol) depend on the liver, which takes up the nutrient after the various forms are absorbed from the small intestine. Cochrane Database Syst Rev 2008;(3):CD002854. [, Heinonen OP, Albanes D, Virtamo J, Taylor PR, Huttunen JK, Hartman AM, Haapakoski J, Malila N, Rautalahti M, Ripatti S, Menp H, Teerenhovi L, Koss L, Virolainen M, Edwards BK. Many foods contain vitamin E, but you can also consume it through dietary supplements. Vitamin E consumption and the risk of coronary heart disease in men. JAMA Ophthalmol 2013. In one such analysis, the authors gathered and re-analyzed data from 19 clinical trials of vitamin E, including the GISSI and HOPE studies [49]; they found a higher rate of death in trials where patients took more than 400 IU of supplements a day. Nuts like almond, hazelnut, peanut, brazil nuts, filberts etc. Vitamin E: Sources, benefits & risks | Live Science The Benefits of Vitamin E - Healthline Some researchers have suggested that understanding the potential utility of vitamin E in preventing CHD might require longer studies in younger participants taking higher doses of the supplement [27]. Vitamin E - Mayo Clinic In a clinical trial involving 29,133 male smokers, men randomly assigned to take daily supplements of 111 IU of synthetic vitamin E (50 mg, as dl-alpha-tocopheryl acetate) for 58 years had 32% fewer prostate cancers compared to subjects who did not take the supplements [30]. For a time, vitamin E supplements looked like an easy way to prevent cardiovascular disease. Morens DM, Grandinetti A, Waslien CI, Park CB, Ross GW, White LR. Because the digestive tract requires fat to absorb vitamin E, people with fat-malabsorption disorders are more likely to become deficient than people without such disorders. Vitamin E and the risk of prostate cancer: the Selenium and Vitamin E Cancer Prevention Trial (SELECT). Vitamin K: Required for blood clotting and proper bone development ( 20 ). If youre looking to increase your intake of vitamin E-rich foods, here are a few good options (1): Keep in mind that the best way to get enough vitamin E in your diet is to consume a variety of nutritious foods, including vegetables, fruits, nuts, and seeds, on a daily basis. Vitamin E may have negative interactions with (1): Even though nutritional supplements are sometimes necessary, its almost always best to meet your nutrient needs through food if possible. Effects of random allocation to vitamin E supplementation on the occurrence of venous thromboembolism: report from the Women's Health Study. The FNB suggests that mean intakes of vitamin E among healthy adults are probably higher than the RDA but cautions that low-fat diets might provide insufficient amounts unless people make their food choices carefully by, for example, increasing their intakes of nuts, seeds, fruits, and vegetables [6,10]. For more information about building a healthy dietary pattern, refer to the Dietary Guidelines for Americans and the U.S. Department of Agriculture's MyPlate. Abalone 23% DV per serving 3 ounces: 3.4 mg (23% DV) 100 grams: 4.0 mg (27% DV) 2. Very few cases in the SELECT trial were of advanced prostate cancer, further limiting the interpretation of the findings. Cognitive function and neurodegenerative diseases Food Sources Vitamin E is found in plant-based oils, nuts, seeds, fruits, and vegetables. Brown BG, Zhao X-Q, Chait A, Fisher LD, Cheung MC, Morse JS, et al. All rights reserved. Vitamin E being an excellent source of antioxidant has multitude of benefits. The vitamin can be offered as a supplement and also it can be found in foods. Food Labeling: Revision of the Nutrition and Supplement Facts Labels and Serving Sizes of Foods That Can Reasonably Be Consumed at One Eating Occasion; Dual-Column Labeling; Updating, Modifying, and Establishing Certain Reference Amounts Customarily Consumed; Serving Size for Breath Mints; and Technical Amendments; Proposed Extension of Compliance Dates. Vitamin E is an important fat-soluble nutrient. Some people take vitamin E supplements with other antioxidants, such as vitamin C, selenium, and beta-carotene. The following are common signs of a deficiency: There is no evidence of toxic effects from vitamin E found naturally in foods. Vitamin E might also block the formation of carcinogenic nitrosamines formed in the stomach from nitrites in foods and protect against cancer by enhancing immune function [28]. The arrival of the monsoon season spikes the risk of diseases, so it is vital th.. Vitamin A widely present in both flora and fauna is a Mother Natures gift.. Rickets is a bone disorder that affects children due to malnutrition, lack of Vi.. Across race, country, culture, social strata, age, sex, BMI and religion one thi.. Circulation 2007;116:1497-1503. The FNB has established ULs for vitamin E based on the potential for hemorrhagic effects (see Table 3). Vitamin E: function and metabolism - PubMed [, Knekt P, Reunanen A, Jarvinen R, Seppanen R, Heliovaara M, Aromaa A. Antioxidant vitamin intake and coronary mortality in a longitudinal population study. Antioxidant vitamin supplements and cardiovascular disease. May reduce markers of oxidative stress and improve antioxidant defenses, 3. 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