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Treatment area: Hay fever

Targeted treatment of hay fever and allergies

For hay fever and other allergic nasal symptoms, antihistamines in tablet form, cortisone nasal sprays, combination sprays, and, in cases of confirmed grass pollen allergy, immunotherapy are possible treatment options. Our doctors will review your questionnaire to determine if and which treatment is suitable for you.

  • online questionnaire
  • Medical examination
  • Discreet Shipping
  • Money back if not suitable

BehandlungsoptionenTreatment optionsOptions de traitementBehandelopties

Preparations for hay fever

The nasal sprays and Grazax require a prescription; cetirizine and loratadine are available only from pharmacies. After making your selection, you will complete a medical questionnaire, and a doctor will decide whether a treatment is suitable for you.

Selbst einschätzenAssess it yourselfFaire le point vous-mêmeZelf inschatten

Which treatment might be suitable?

  1. 1 When sneezing, itching and a runny nose are the main symptoms Antihistamines such as cetirizine or loratadine are taken as a tablet once daily and can also be used for itchy eyes or hives. Drowsiness is a possible side effect. A doctor will decide which medication is suitable.
  2. 2 Especially if the nose is blocked or if the symptoms persist for weeks. Cortisone nasal sprays like Avamys, Flixonase, or Nasonex work directly in the nose and are used regularly every day. The full effect develops over several days. A doctor will determine whether a particular spray is suitable.
  3. 3 For moderate to severe symptoms that are not sufficiently relieved by a single nasal spray. The combination nasal sprays Dymista and Ryaltris contain a cortisone and an antihistamine. No additional cortisone-containing nasal spray is used. A doctor will decide whether a combination is appropriate.
  4. 4 If your grass pollen allergy has been tested and immunotherapy has already been started by a doctor. Grazax is taken daily for three years, starting before the pollen season, and is not a remedy for rapid relief. It is not suitable for severe or uncontrolled asthma. The doctor will decide whether treatment can be continued.

Diese Hinweise helfen bei der Orientierung und ersetzen keine ärztliche Beratung. Ob und welche Behandlung für Sie geeignet ist, entscheidet der Arzt anhand Ihres Fragebogens.This guidance helps you get your bearings and does not replace medical advice. Whether a treatment is suitable for you, and which one, is decided by the doctor on the basis of your questionnaire.Ces indications vous aident à vous orienter et ne remplacent pas un avis médical. C’est le médecin qui décide, sur la base de votre questionnaire, si un traitement vous convient et lequel.Deze aanwijzingen helpen u op weg en vervangen geen medisch advies. Of en welke behandeling voor u geschikt is, bepaalt de arts aan de hand van uw vragenlijst.

Oral antihistamines

Tablets that block the effect of the messenger substance histamine and are used for allergic rhinitis and chronic urticaria.

Cetirizine RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Cetirizin

Antihistamine tablet for hay fever, allergic rhinitis and chronic urticaria.

FormFormFormeVorm
Film-coated tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: Cetirizine blocks the H1 receptors through which histamine triggers allergic symptoms. This can alleviate sneezing, itching, runny nose, watery eyes, and hives. The allergy itself is not cured.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you have hay fever or a year-round allergy with nasal and eye problems
  • If you have been medically diagnosed with chronic urticaria
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Film-coated tablet for oral use, usually once daily with a glass of liquid. The dose will be adjusted in patients with impaired kidney function.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 10 mg

May cause drowsiness, therefore caution is advised with alcohol and while driving. Not suitable for patients with end-stage renal failure or hypersensitivity to cetirizine or hydroxyzine.

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Loratadine RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Loratadin

Antihistamine tablet for allergic rhinitis and chronic urticaria, once daily.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
1 to 3 hours
WirkdauerDurationDurée d’actionWerkingsduur
more than 24 hours
FormFormFormeVorm
Tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: Loratadine blocks H1 receptors, which histamine uses to trigger allergic symptoms. This reduces sneezing, runny nose, itching, and hives. The effect lasts for more than 24 hours.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you have hay fever or another allergic rhinitis
  • If you have been medically diagnosed with chronic urticaria
  • If there is no known hypersensitivity to loratadine or desloratadine
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Tablet for oral use, 1 tablet of 10 mg once daily, regardless of meals. A lower starting dose is necessary in cases of severe liver disease.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 10 mg

Do not use if you are hypersensitive to loratadine or desloratadine. Discontinue use at least 48 hours before an allergy skin test. In case of facial swelling or shortness of breath, call emergency services immediately (112 in Germany).

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Cortisone nasal sprays

They act directly on the nasal mucosa against allergic inflammation; the full effect builds up over several days.

Fluticasone furoate RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Avamys (Fluticasonfuroat)

Cortisone nasal spray with fluticasone furoate for allergic rhinitis, for example hay fever.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
Effects begin to appear after about 8 hours, full effect after a few days.
WirkdauerDurationDurée d’actionWerkingsduur
Day and night with once-daily application
FormFormFormeVorm
nasal spray

So wirkt es:How it works:Mode d’action :Zo werkt het: Fluticasone furoate is a glucocorticoid that directly inhibits allergic inflammation in the nasal mucosa. This can reduce swelling, runny nose, itching, and sneezing. Only a small amount of the active ingredient enters the bloodstream.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you have hay fever or a year-round allergy with nasal symptoms
  • If you are not using any other nasal spray containing cortisone
  • If you are not taking HIV medication containing ritonavir or cobicistat
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Use the nasal spray once daily in both nostrils, regularly and only for the duration of allergen contact. Shake the bottle vigorously before use.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 27,5 µg/stroke

Do not use at the same time as other nasal sprays containing cortisone. Consult a doctor if you experience blurred vision or other visual disturbances during use.

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Fluticasone propionate RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Flixonase (Fluticasonpropionat)

Cortisone nasal spray with fluticasone propionate for hay fever and year-round rhinitis.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
Full effect after 3 to 4 days
FormFormFormeVorm
nasal spray

So wirkt es:How it works:Mode d’action :Zo werkt het: Fluticasone propionate is a corticosteroid that inhibits allergic inflammation of the nasal mucosa. Swelling, runny nose, sneezing, and itching decrease. The effect builds up over several days.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you have been diagnosed with hay fever or year-round rhinitis
  • When a blocked or runny nose is the primary symptom
  • If daily use is feasible for you
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Nasal spray, usually two sprays into each nostril once daily, preferably in the morning, as prescribed by a doctor. A maximum of four sprays per nostril per day.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 50 µg/stroke

The effect is not immediate, so use daily. Do not combine with other cortisone nasal sprays. Use with caution when used with ritonavir or cobicistat.

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Mometasone furoate RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Nasonex (Mometasonfuroat)

Cortisone nasal spray with mometasone for allergic rhinitis and nasal polyps.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
Partly noticeable after 12 hours, full effect after a few days.
WirkdauerDurationDurée d’actionWerkingsduur
Apply once daily
FormFormFormeVorm
nasal spray

So wirkt es:How it works:Mode d’action :Zo werkt het: Mometasone furoate is a corticosteroid that acts directly on the nasal mucosa. It reduces allergic inflammation, thus alleviating swelling, sneezing, and runny nose. Only a very small amount enters the bloodstream.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you have been medically diagnosed with allergic rhinitis
  • When nasal polyps are diagnosed in an ENT practice
  • If the symptoms persist for weeks and daily application is possible
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Spray once daily into both nostrils; twice daily if needed for nasal polyps. Shake the bottle before each use.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 50 µg/stroke

Do not use if you have an untreated nasal infection or after nasal surgery or injury before it has healed. Consult your doctor if you experience visual disturbances or frequent nosebleeds.

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Combination nasal sprays

They contain a cortisone and an antihistamine in a spray and are intended for moderate to severe allergic rhinitis.

Azelastine/fluticasone propionate RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Dymista (Azelastin / Fluticasonpropionat)

Combination nasal spray with azelastine and fluticasone for moderate to severe allergic rhinitis.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
First relief after about 15 minutes
FormFormFormeVorm
nasal spray

So wirkt es:How it works:Mode d’action :Zo werkt het: Azelastine is an antihistamine that blocks the effects of histamine, which triggers sneezing, itching, and a runny nose. Fluticasone propionate is a corticosteroid that reduces allergic inflammation of the nasal mucosa. Both active ingredients act locally in the nose.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you have been medically diagnosed with allergic rhinitis
  • If a cortisone or antihistamine nasal spray alone has not been sufficient
  • If the symptoms significantly impair sleep, work or leisure
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Nasal spray: one spray into each nostril morning and evening, as prescribed by a doctor. Use regularly as long as allergen exposure persists.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 137 µg / 50 µg/dose

Do not use in addition to any other cortisone or azelastine nasal spray. Use with caution in cases of glaucoma, cataracts, and when used with ritonavir or cobicistat. Consult a doctor if you experience unilateral symptoms with blood or crusting.

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Mometasone furoate / Olopatadine RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Ryaltris (Mometasonfuroat / Olopatadin)

Combination nasal spray with cortisone and antihistamine for moderate to severe allergic rhinitis.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
in studies from about 15 minutes
WirkdauerDurationDurée d’actionWerkingsduur
Apply twice daily
FormFormFormeVorm
nasal spray

So wirkt es:How it works:Mode d’action :Zo werkt het: Olopatadine blocks the effects of histamine, thus reducing sneezing, itching, and runny nose. Mometasone furoate inhibits allergic inflammation of the nasal mucosa and reduces swelling and nasal congestion.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you have been medically diagnosed with allergic rhinitis
  • If nasal problems significantly impair sleep, daily life or work
  • If an application fits into your daily routine morning and evening
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Spray into both nostrils twice daily, morning and evening. Shake the bottle for at least 10 seconds before each use.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 25 µg / 600 µg/dose

May cause drowsiness or dizziness, especially with alcohol. Do not use if you have an untreated nasal infection or after nasal surgery or injury before it has healed.

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Allergy immunotherapy

A tablet placed under the tongue, intended to gradually accustom the immune system to grass pollen over several years, is only prescribed in cases of proven allergy.

Allergen extract from grass pollen (timothy grass, Phleum pratense) RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Grazax (Gräserpollenextrakt)

Tablet for hyposensitization under the tongue in cases of proven grass pollen allergy with hay fever.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
Possible from the first grass pollen season if started approximately 4 months in advance.
WirkdauerDurationDurée d’actionWerkingsduur
Treatment recommended for 3 years
FormFormFormeVorm
Melting tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: Grazax contains a grass pollen extract that is taken daily under the tongue. Over several months, the immune system becomes accustomed to the allergen and reacts less strongly upon contact with the pollen. It is a disease-modifying treatment, not a remedy for the rapid relief of acute symptoms.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If your grass pollen allergy has been confirmed by a skin or blood test
  • If an allergology practice has started or recommended treatment
  • If daily intake for 3 years is feasible for you
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Dissolve one tablet daily under the tongue, ideally starting 4 months before the grass pollen season and continuing for 3 years. The first tablet should be taken under medical supervision.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 75,000 sq ft

Do not use if you have severe or uncontrolled asthma, cancer, autoimmune diseases, a weakened immune system, or severe inflammation in the mouth. Stop taking and seek immediate medical attention if you experience swelling in the throat, shortness of breath, or worsening asthma.

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RatgeberGuideGuideGids

What you should know about hay fever

Hay fever is a common allergy in which the immune system overreacts to otherwise harmless substances such as pollen. Medication can alleviate symptoms, but it does not replace the need to investigate new or unclear symptoms.

What is hay fever?

In hay fever (seasonal allergic rhinitis), the immune system reacts to pollen from trees, grasses, or herbs. This reaction releases, among other things, the messenger substance histamine. Typical symptoms include:

  • Sneezing fits, a runny or blocked nose
  • Itching in the nose, eyes, or palate
  • Red, watery eyes and fatigue

If similar symptoms occur throughout the year, an allergy to house dust mites, pet dander, or mold is often the cause (perennial allergic rhinitis). Whether an allergy is present and what triggers it can be determined with a skin or blood test.

What treatments are there?

Depending on the type and severity of the symptoms, various medications may be suitable:

  • Antihistamines: Tablets such as cetirizine or loratadine block the effects of histamine.
  • Cortisone nasal sprays: They inhibit allergic inflammation directly in the nose
  • Combination sprays: combine a cortisone with an antihistamine
  • Immunotherapy (hyposensitization): The immune system becomes accustomed to the allergen over the years.

Antihistamines and nasal sprays alleviate symptoms as long as they are used, but they do not cure the allergy. Immunotherapy with Grazax requires confirmation of a grass pollen allergy and is initiated by a doctor.

Side effects and cautions

Cortisone nasal sprays can cause nosebleeds, dryness, burning in the nose, or headaches. Only a small amount of the active ingredient enters the bloodstream. Blurred vision or other visual disturbances should be evaluated by a doctor. Caution is advised when using them with HIV medications such as ritonavir or cobicistat.

Antihistamines can cause drowsiness, especially when combined with alcohol, and thus impair driving ability. Itching and swelling in the mouth are common side effects of Grazax.

Do not use multiple cortisone-containing nasal sprays at the same time and list all medications in the questionnaire.

When should you see a doctor immediately?

An allergic reaction can rarely be severe. Call emergency services immediately on 112 (Switzerland: 144) if:

  • Swelling of lips, tongue, face or throat
  • Shortness of breath, wheezing, or a feeling of tightness in the throat may occur.
  • Dizziness, rapid heartbeat or fainting may occur together with allergic symptoms.

Seek prompt medical attention if your nose is permanently blocked on only one side, if you experience repeated nosebleeds, crusting or facial pain, if you develop a fever, or if you develop a cough and breathing difficulties.

Pollen in everyday life

Reduce contact with pollen

In addition to medication, reducing contact with the allergen can provide relief. A pollen calendar and regional pollen forecast show when which pollen types are in the air. Cortisone nasal sprays work best when used regularly and starting at the beginning of the pollen season. With immunotherapy using Grazax, timing is even more crucial, as treatment begins approximately four months before the grass pollen season.

  • Wash your hair before going to bed and don't leave street clothes in the bedroom.
  • In the city, ventilate in the morning; in the countryside, in the evening.
  • Keep the windows closed and use a pollen filter while driving.

If symptoms persist despite treatment, or if coughing and shortness of breath develop, an evaluation by an allergist is advisable. In some cases, allergic asthma develops over time (a progression of symptoms to the lower respiratory tract). More information can be found here: Asthma. Our online doctor answers general questions..

AblaufHow it worksDéroulementWerkwijze

In vier Schritten zur BehandlungFour steps to your treatmentEn quatre étapes vers votre traitementIn vier stappen naar uw behandeling

Ärztlich geprüft, diskret und ohne Wartezimmer.Reviewed by a doctor, discreet and without a waiting room.Examiné par un médecin, discret et sans salle d’attente.Door een arts beoordeeld, discreet en zonder wachtkamer.

  1. 1Behandlung wählenChoose a treatmentChoisir un traitementBehandeling kiezenWählen Sie Ihr Anliegen und das gewünschte Präparat oder stellen Sie eine allgemeine Anfrage.Choose your concern and the medicine you want, or send a general request.Choisissez votre problème et le médicament souhaité, ou envoyez une demande générale.Kies uw klacht en het gewenste middel, of stuur een algemene aanvraag.
  2. 2Fragebogen ausfüllenFill in the questionnaireRemplir le questionnaireVragenlijst invullenDie medizinischen Fragen beantworten Sie online, vertraulich und in Ruhe.You answer the medical questions online, confidentially and at your own pace.Vous répondez aux questions médicales en ligne, en toute confidentialité et à votre rythme.U beantwoordt de medische vragen online, vertrouwelijk en in alle rust.
  3. 3Ärztliche PrüfungMedical reviewÉvaluation médicaleMedische beoordelingEin zugelassener Arzt prüft Ihre Angaben. Ist die Behandlung nicht geeignet, erhalten Sie Ihr Geld zurück.A licensed doctor reviews your answers. If the treatment is not suitable, you get your money back.Un médecin agréé examine vos réponses. Si le traitement ne convient pas, vous êtes remboursé.Een bevoegde arts beoordeelt uw gegevens. Is de behandeling niet geschikt, dan krijgt u uw geld terug.
  4. 4Diskreter VersandDiscreet deliveryLivraison discrèteDiscrete verzendingNach Ausstellung des Rezepts versendet eine EU-Partnerapotheke Ihr Arzneimittel meist innerhalb eines Werktages.Once the prescription has been issued, an EU partner pharmacy usually sends your medicine within one working day.Une fois l’ordonnance établie, une pharmacie partenaire de l’UE expédie votre médicament généralement sous un jour ouvré.Na het uitschrijven van het recept verstuurt een EU-partnerapotheek uw geneesmiddel meestal binnen één werkdag.

Häufige FragenFrequently asked questionsQuestions fréquentesVeelgestelde vragen

Questions about hay fever treatment

Haben Sie eine andere Frage? Unsere Ärzte und unser Service-Team helfen Ihnen gerne weiter.Have another question? Our doctors and our service team will be glad to help.Vous avez une autre question ? Nos médecins et notre équipe de service vous aident volontiers.Heeft u een andere vraag? Onze artsen en ons serviceteam helpen u graag verder.

Do I need a prescription for these medications?

It depends on the medication. The nasal sprays Avamys, Flixonase, Nasonex, Dymista, and Ryaltris, as well as Grazax, require a prescription. Cetirizine and loratadine are available only from a pharmacy. Even with these tablets, a doctor will review your questionnaire before the partner pharmacy ships the medication. Therefore, please provide complete information about any pre-existing conditions and medications you are currently taking.

Initial improvement is sometimes possible after a few hours, but the full effect usually develops over several days. Therefore, cortisone nasal sprays are used regularly every day, not just for acute symptoms. With combination sprays, the antihistamine may take effect sooner. If symptoms do not improve after a few days, a doctor should be consulted.

Taking an antihistamine tablet together with a cortisone nasal spray is generally possible; the doctor will make the final decision. However, multiple cortisone-containing nasal sprays should not be used simultaneously, for example, Avamys with Dymista or Ryaltris. Other cortisone medications, such as asthma inhalers or tablets, as well as HIV medications containing ritonavir or cobicistat, are also important to consider. Therefore, please list all medications you are taking on the questionnaire.

Grazax is an immunotherapy for grass pollen allergy and not an acute treatment. It requires a positive skin or blood test and treatment initiated by a doctor. The first tablet is taken under medical supervision. Daily intake for 3 years is recommended. If swelling in the throat, shortness of breath, or worsening asthma occurs, discontinue use and seek immediate medical attention.

In that case, the treatment will not be approved and you will receive a full refund of all payments made. For unclear, one-sided, or unusually severe nasal symptoms, we recommend consulting a local doctor, such as an ENT specialist or allergist. If you experience warning signs of a severe allergic reaction, such as shortness of breath or swelling in the throat, call emergency services immediately at 112.

Medizinische ExpertiseMedical expertiseExpertise médicaleMedische expertise

Jede Anfrage in ärztlichen HändenEvery request in a doctor’s handsChaque demande entre des mains médicalesElke aanvraag in medische handen

Dr. Viktor Simunovic
Medizinischer GutachterMedical assessorMédecin évaluateurMedisch beoordelaarDr. Viktor SimunovicAllgemeinmedizin & digitale GesundheitGeneral medicine & digital healthMédecine générale et santé numériqueHuisartsgeneeskunde en digitale zorg
Dr. Codruta Anca Pandalache
Medizinische GutachterinMedical assessorMédecin évaluatriceMedisch beoordelaarDr. Codruta Anca PandalacheReproduktionsmedizin & FrauengesundheitReproductive medicine & women’s healthMédecine de la reproduction et santé des femmesVoortplantingsgeneeskunde en vrouwengezondheid
Lernen Sie unsere Ärzte kennenMeet our doctorsFaites connaissance avec nos médecinsMaak kennis met onze artsenHintergrund, Erfahrung und FachgebieteBackground, experience and specialismsParcours, expérience et spécialitésAchtergrond, ervaring en vakgebieden

Hay fever: medically supervised treatment

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