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    • 1 hour, 44 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      I oftentimes give myself a little insulin for when I go unplugged while changing pods, depending on what my current sensor reading is.
    • 1 hour, 45 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Always, until I began to increase the "cannula fill" amount. I found I need a good bit more than the (1.3u) to "prime the site" to have the next blood sugars be in goal. Just remember "every body is different". Darn than OmniPod does not let you change that amount, have to use "fake carbs". Something to consider.....
    • 1 hour, 45 minutes ago
      KarenM6 likes your comment at
      How well do you understand the details of your health insurance coverage?
      At the risk of being overly simplistic, it boils down to: "Heads, you lose. Tails, You lose." ╰── ──╮
    • 1 hour, 45 minutes ago
      KarenM6 likes your comment at
      How well do you understand the details of your health insurance coverage?
      They change all the time. Generally not in a direction to improve my health, but to increase the money in their wallet.
    • 1 hour, 45 minutes ago
      KarenM6 likes your comment at
      How well do you understand the details of your health insurance coverage?
      "Slightly," I think, maybe. Insurance companies change their policies, constantly. Prescription coverage changes every time I look at it. Medicare is a huge question mark. Honestly, Health insurance has become a big money making business, for them. I get different answers every time I call, depending upon whom I am talking with. I say it's time for socialized medicine.
    • 1 hour, 45 minutes ago
      Lee Tincher likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 6 hours ago
      KSannie likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      **cannula
    • 12 hours, 19 minutes ago
      Kathleen Juzenas likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I find a using the T-Connect app I have the main features needed, CMG, bolus, battery level and remaining insulin.
    • 13 hours, 11 minutes ago
      Kathy Hanavan likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 16 hours, 12 minutes ago
      TEH likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 16 hours, 12 minutes ago
      TEH likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Sometimes, which makes sense to me. It seems like it takes a while til the new insulin is absorbed.
    • 16 hours, 21 minutes ago
      atr likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      There are certain areas on my body where the insulin is more effective than others.
    • 16 hours, 22 minutes ago
      atr likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 16 hours, 35 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      Mostly pump because I want to quickly see insulin on board. Tandem on IPhone when holding my great-niece while she sleeps since getting my pump out of my pocket always wakes her ☺️. Dexcom app if not in need of insulin.
    • 16 hours, 35 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      usually the pump; sometimes my phone.
    • 16 hours, 35 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump (Tandem X2). Since I have to carry a work phone close to 247, I don't want to deal with two phones (device overload!). As I go about my day, looking at my pump meets my needs, I can decide to bolus etc - and edit the bolus. For more in depth data review and analysis, I use the TConnect.
    • 16 hours, 36 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      I read it from my pump.
    • 16 hours, 36 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      On my insulin pump
    • 16 hours, 36 minutes ago
      Lawrence S. likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump. Keep it simple.
    • 16 hours, 38 minutes ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      Do you realize what you have just said: "Obscurantism, gobbledegook, and pointillism used not as an art form but as a 'Gotcha!' of legal/financial determinism?"
    • 16 hours, 39 minutes ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      How much of this is intentionally misleading? My mail order prescription service says that can’t possibly know the cost of a medication until after it’s been shipped, which is too late to cancel or return, of course, and makes it impossible to comparison shop.
    • 16 hours, 41 minutes ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      I have an MA in writing and lit, but gobbledegook is gobbledegook. The fancy term is obscurantism.
    • 16 hours, 42 minutes ago
      Lawrence S. likes your comment at
      How well do you understand the details of your health insurance coverage?
      They change all the time. Generally not in a direction to improve my health, but to increase the money in their wallet.
    • 16 hours, 57 minutes ago
      Lawrence S. likes your comment at
      When you change your insulin pump site, do you tend to notice a spike in your blood glucose levels afterward?
      Usually the opposite. Fresh insulin sometimes sends me low.
    • 1 day, 14 hours ago
      Sarah Berry likes your comment at
      If you use a continuous glucose monitor (CGM), where do you prefer to view your CGM readings?
      My pump
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    Do you recycle any of the trash from your T1D supplies? Share your tips for reducing T1D waste in the comments!

    Home > LC Polls > Do you recycle any of the trash from your T1D supplies? Share your tips for reducing T1D waste in the comments!
    Previous

    On a scale of 1-5, how important is it you that T1D supply companies take steps to be more environmentally friendly? (5 = most important, 1 = least important)

    Next

    If you wear an insulin pump, do you have a protective case on your pump or PDM?

    Sarah Howard

    Sarah Howard has worked in the diabetes research field ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange.

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    " At T1D Exchange, we’re proud to announce our Medical and Research Advisory Team — an accomplished group of leaders in endocrinology, research, and quality improvement. Together, they are redefining what’s possible in type 1 diabetes (T1D) care through rigorous data analysis, innovative research approaches, and real-world implementation. Their collective expertise is central to our mission of improving outcomes for all people living with T1D.  “We’re excited to be working with our advisors given their deep expertise across a broad range of areas in T1D,” said Dave Walton, CEO of T1D Exchange. “Their involvement magnifies our reach, knowledge, and impact. These advisors are shaping the future of diabetes care — driving innovation across research, clinical practice, and quality improvement.”    Meet the Medical & Research Advisory Team  The T1D Exchange Medical and Research Advisory Team brings together four leading endocrinologists, each offering a unique perspective and shared commitment to advancing T1D care:    Jenise Wong, MD, PhD Pediatric endocrinologist at UCSF Benioff Children’s Hospital and Professor of Pediatrics in the Division of Endocrinology at the University of California, San Francisco Focus areas: Diabetes technology adoption and usability; health equity and access to care and technology; community-based and peer-support interventions; culturally responsive care          Jennifer Sherr, MD, PhD Pediatric endocrinologist at Yale Medicine and Professor of Pediatrics in the Division of Endocrinology at Yale School of Medicine in New Haven, Connecticut Focus areas: Clinical trials in diabetes technology (CGM and AID systems), disease-modifying treatments and immunotherapies, and emerging technologies and medications, including continuous ketone monitoring and nasal glucagon     Viral Shah, MD Adult endocrinologist at Indiana University Health and Professor of Medicine in the Division of Endocrinology and Metabolism at Indiana University School of Medicine in Indianapolis, Indiana Focus areas: Diabetes technology and adjunctive therapy trials; translational and data-driven research; T1D complications and bone health         Nestoras Mathioudakis, MD, MHS Adult endocrinologist at Johns Hopkins Medicine and Associate Professor of Medicine at Johns Hopkins University School of Medicine in Baltimore, Maryland Focus areas: AI-driven clinical support tools; EMR-based data analytics for clinical decision making; data-driven quality improvement; health equity in T1D care        This accomplished team’s expertise spans adult and pediatric endocrinology, research, and quality improvement affiliated with leading institutions nationwide. Collectively, they have authored over 500 diabetes publications and secured research funding from organizations such as the National Institutes of Health, Helmsley Charitable Trust, the American Diabetes Association, and Breakthrough T1D — while remaining actively engaged in both clinical care and research.  “These individuals represent an impressive body of work while remaining deeply involved in the day-to-day realities of diabetes care,” said Walton. Their expertise covers the full spectrum of T1D care — from AI and predictive analytics to complication prevention, automated insulin delivery, continuous glucose and ketone monitoring, GLP-1 treatments, health equity, mental health, autoantibody screening, and disease prevention.    Turning insight into impact  The team’s work goes beyond research, focusing on translating insights into real-world practice. By leveraging data to scale best practices, the goal is to drive meaningful, measurable change across clinics and communities.  “Our advisors will help to extend our impact — whether through QI strategy, research innovation, funding opportunities, or new data-driven solutions,” said Walton. “We want to take what’s working at individual centers and spread that as broadly as possible.”   He added, “As a Collaborative, we’re also focused on advanced population health strategies such as exploring predictive data models to identify risks earlier and intervene before complications even begin to happen.”    The power of the T1D Exchange Quality Improvement Collaborative  Central to this work is the T1D Exchange Quality Improvement Collaborative (T1DX-QI) — a nationwide network of clinics working together to improve care through shared data, benchmarking, and evidence-based practices.  “I’m thrilled to serve as a Medical Advisor for T1D Exchange, because I’ve seen firsthand the impact this network can have on patient care,” said Dr. Nestoras Mathioudakis. “T1D Exchange is the premier organization for quality improvement in type 1 diabetes, with unparalleled assets like a large EHR database and robust patient registry.”  He added that he is excited to apply his expertise in EHR research and big data analytics to generate real-world evidence across diagnosis, management, and outcomes.  Dr. Viral Shah echoed that perspective, reflecting on T1DX-QI's evolution: “I have been involved with T1D Exchange since its early days and have had the privilege of witnessing how it has transformed the quality of diabetes care across the United States. I’m delighted to return as a Medical Advisor.”  He emphasized the importance of accelerating impact. “I look forward to working closely with the team to accelerate the evidence generation and to help translate these insights to improve patient care.”   Dr. Jenise Wong highlighted the visible impact of T1DX-QI on the delivery of care. "I’m truly honored and grateful to be working with T1D Exchange as a Medical Advisor. T1DX-QI is a remarkable resource for centers that are using continuous process improvement to improve the quality of care for people living with diabetes.”  “Diabetes centers working with T1DX –QI have done amazing work using QI methodology to make care accessible and equitable for all people with diabetes,” she said. “It’s inspiring to be a part of a collaborative in which centers have been creative and thoughtful with initiatives to address individual and systemic challenges to care, improving clinical outcomes as well as the patient experience."  Looking ahead, Dr. Sherr highlighted the opportunity to build on the existing strong foundation. “I’m very excited to be working as a Medical Advisor for T1D Exchange,” she said. “It’s a privilege to help shape what comes next for a group that’s already doing such impactful work.”  “Sharing what’s happening in clinical practice, benchmarking across centers, and understanding outcomes is how we figure out what’s working, what’s not, and where we go next,” she said.      The future of T1D care   With this team’s vision and expertise, T1D Exchange is positioned to accelerate progress in T1D care — bridging research and real-world practice to drive meaningful, measurable impact.  Together, we look forward to advancing innovation and improving outcomes for everyone affected by type 1 diabetes.   "

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    33 Comments

    1. Ahh Life

      I recycle the G6 insertion plastic/metal holder. That is, I put it in our biweekly recycle box. Whether the guys who sort it keep it or throw it out, I do not know. I know they do not accept styrofoam or any paper with rubbish or food on them. ¯\_( ͡╯ ͜ʖ ͡╰)_/¯

      4
      5 years ago Log in to Reply
    2. connie ker

      I recycle all paper inserts, cardboard boxes, but have a sharps container for the rest. Insulin vials go in the trash because there is always a drip inside so cannot recycle.

      2
      5 years ago Log in to Reply
    3. Jana Foley

      I recycle all of the paper and cardboard. I pull out all sharps and safely contain them, but have yet to find anywhere to recycle the plastic parts of my infusion sets or my sensors. I think it’s a shame that the rest can’t be recycled.

      2
      5 years ago Log in to Reply
    4. George Lovelace

      Empty cardboard boxes yes, but ALL the rest must be considered as “Sharps” thus I use the B&D 5 Gallon Sharps container

      2
      5 years ago Log in to Reply
    5. Gary Taylor

      The cardboard boxes they arrive in and the larger plastic pieces that the sensor and cannula come in. All the smaller pieces go into the trash.

      5 years ago Log in to Reply
    6. Sherolyn Newell

      Cardboard and paper, plus the Dexcom inserter device. But, like Ahh Life, I don’t know if the Dexcp, thing is really recycled or thrown out. Looks to be mostly plastic and metal, seems like it should recycle.

      2
      5 years ago Log in to Reply
    7. Yaffa Steubinger

      Insulin boxes and the Dexcom box and plastic container.

      2
      5 years ago Log in to Reply
    8. Nevin Bowman

      Our trash collector does not accept any of the items for recycling other than the corrugated boxes that they sometimes come in if shipped rather than from a pharmacy.

      1
      5 years ago Log in to Reply
    9. Bridget Karle

      sometimes….

      5 years ago Log in to Reply
    10. Ernie Richmann

      I would if I knew how to recycle the items. I feel bad about trashing the styrofoam boxes used to ship insulin.

      3
      5 years ago Log in to Reply
    11. Dave Akers

      Recycle my insulin inhaler and my insulin cartridges. When I’m finished with the pieces I simply wash them out all at once biweekly and put into the blue recycle bin.

      5 years ago Log in to Reply
      1. Jim Witte

        > Ernie Richmann – I would if I knew how to recycle the items. I feel bad about..

        Same here. I have 4 boxes of used Omnipods, and I just started the G6 which looks like a plastic-waste nightmare. But on balance, I suppose it *might* be comparable to the wastage of the G5 inserter.

        Idea: Could Dexcom build the metal “insertion needle” into the sensor itself, and then have a reusable inserter mechanism? (Sadly, I haven’t learned Autodesk Fusion enough to make a mock up of what this might look like.)

        I plan to box up two or four months worth of G6 inserters and all the Omnipods, and then send half to the CEOs of Dexcom and Omnipod, along with a note asking kindly that I’d like at least the mercury batteries to be responsibly disposed of. Talk to Apple about designing a robot to slice and dice the pods apart. Aka “Dexcom-Daisy” [1]. It would make a really neat commercial as well.

        Another idea would be to send the plastic to Filabot to make filament for 3D printing. [2]

        And the useless-for-anyone-except-new-patients “helpful insert” (wrapped in plastic film) in the Dexcom boxes.

        They could sell the idea to the public, insurance companies, and the Biden administration as being environmentally responsible and “ESG” and all that jazz. As well as providing an example of how the *private market* (as opposed to government) can and *must* be the ones to solve our environmental problems. The government will almost certainly mis-allocate (at least some) resources, and the idea we can solve the problems with only *currently* available technology is ludicrous (the currently fashionable “we-can-ban-plastic-bags our way out of our planetary mess” vein of thinking). [3]

        [1] Google “Apple ipod disassembly robot”
        [2] https://www.filabot.com
        [3] “How a Physicist Became a Climate Truth Teller.” (Wall Street Journal April 16, 2021; Holman W. Jenkins, Jr.) [https://www.wsj.com/articles/how-a-physicist-became-a-climate-truth-teller-11618597216]:

        “[Steven Koonin, a former scientist in the Obama Energy Department:] ‘Let technology and markets work at their own pace.’ [..] [Koonin’s] expectations are ruled by a keen sense of realities. [Column author, Holman Jenkins] never met anyone of serious judgment who didn’t privately pooh-pooh the idea that humanity will control CO2 by means other than the mostly unregulated progress of markets and technology. Mr. Koonin nods his agreement.

        Even John Kerry, Joe Biden’s climate czar, recently admitted that Mr. Biden’s ‘net-zero’ climate plan will have zero effect on the climate if developing countries don’t go along (and they have little incentive to do so).

        Mr. Koonin hopes that ‘a graceful out for everybody’ will be to see the impulse for global climate regulation ‘morph’ into much more impactful local environmental action: smog, plastic, green jobs. Forget the global aspect of this. This is a view widely shared and little expressed.”

        2
        5 years ago Log in to Reply
    12. Carole Ludwig

      Only some of the plastic parts. Alas…….Where I live there is no collection point for syringes. Keep the needle points in a jug for the future.

      5 years ago Log in to Reply
      1. Henry Renn

        Carol, In my municipality the cost of disposal is on the patient. There is a huge fine for placing medical sharps in regular trash. I question how other sharps like razor blades & likely others are not under restrictions. Be that as it may
        I buy sharps mail-in containers from Sharps Assure but only when they are on sale. Cost of B-D containers is ridiculous.

        5 years ago Log in to Reply
    13. Thomas Cline

      I was appalled when I saw how much more waste plastic was associated with the DEXCOM G6 sensor system than the G5 that they discontinued. I’m surprised at how many folks here said that they recycled the G6 applicator without mentioning if they removed the needle. In theory, those applicators are medical waste (because of the needle) and cannot be put in recycling. This whole issue of medical waste is upsetting because there is no clear way of disposing of the material without considerable inconvenience — it’s like the situation with batteries, which also are not supposed to go in trash or recycling. Governments should make it far easier to dispose of these items as they should be if there is really any serious harm done by their improper disposal.

      4
      5 years ago Log in to Reply
      1. Jim Witte

        @Thomas Cline (see my comment further down)

        5 years ago Log in to Reply
      2. Henry Renn

        Thomas, You are correct about retracted needle. I was instructed however at PSU Medical Center to place the applicator in regular trash.

        5 years ago Log in to Reply
    14. Henry Renn

      Yes, there is a lot of waste generated. I use mail-in sharps disposal containers from Sharps Assure. I buy containers while they are on sale.

      Re: Applicator – Besides containing the retracted needle the type of plastic used for the applicator is not recyclable. Our own municipality is very specific as to types of plastic that can be recycled. New national guidelines more narrow than in past. Arrows in a triangle does not mean something can be recycled. Just saw national news segment on cost of removing unusable plastics & types of cardboards that should go directly into waste. May soon be difficult to find companies willing to deal with recyclables. For sake of us & environment I hope not.

      1
      5 years ago Log in to Reply
    15. Janis Senungetuk

      I remove the inserter needle from the G6 applicator, add that and the needle/syringe combo from the Tandem t:slim insulin cartridge to my BD Sharps container. All of the shipping, pump supplies boxes, Dexcom plastic/boxes, empty insulin vials/boxes go into the recycle dumpster on our apartment parking lot. I don’t know how much of that is actually recycled. The over packaging of the pump and CGM supplies and the continuation of using non-recycled materials in their production is appalling. I have voiced my continued concern in emails to Dexcom and Tandem, without receiving more than acknowledgement of the issue. At least I know my used sharps are being disposed of properly. I’m grateful that the pharmacy is still accepting the filled sharps containers.

      2
      5 years ago Log in to Reply
    16. Jonathan Strait

      Cardboard and paper pieces only. None of the plastic is actually recyclable in any way. For the G6 retractable needle, since I dispose of the applicator in the trash the needle can stay in there as per my local needle disposal laws

      5 years ago Log in to Reply
    17. Sally Numrich

      Just boxes, cardboard and some infusion set plastic part, not paper part. It is so hard to figure out what is and what is not. All my sharps go in a container and I drop them off at our local recycling center. They take them free. Just wish I didn’t need separate plastic wrappers for needle, syringe etc. It seems to be such a waste. Sigh!

      2
      5 years ago Log in to Reply
    18. KarenM6

      This is such an important issue and SO hard to manage from the concerned patient perspective!
      I recycle as much as I can… and hope that smarter people than me can figure out how to “net zero” the rest!!
      Like others, I also wish that it was clearer what is recyclable and easier to make it happen.
      I use Stericycle to dispose of sharps including the retractable G6 needle.

      5 years ago Log in to Reply
    19. Janice B

      I recycle the boxes and any paper that is part of the wrapping. Unfortunately so much of the packaging and products are not recyclable.

      2
      5 years ago Log in to Reply
    20. Julie Akawie

      I answered “No” and then realized that I DO recycle the boxes and paper inserts. Where I live, none of the other packaging or component parts is recyclable.

      1
      5 years ago Log in to Reply
    21. Leona Hanson

      We reused the heavier boxes to separate arts and crafts the other stuff like the sharps they charge you to take it plastic and paper is non recyclable so we just throw it away

      5 years ago Log in to Reply
    22. Lucia Maya

      I also said no, but then realized of course I recycle the cardboard boxes they come in. But ALL that plastic can’t be recycled where I live. I do use my infusion sets for about 6 days, and my Dexcom sensors for 20, so at least I’m “reusing” in that way, creating less trash than otherwise! I hate the amount of waste generated, and wish the companies would prioritize less waste and recyclable materials!

      2
      5 years ago Log in to Reply
    23. ConnieT1D62

      A comment re: Jim White to Dave Akers:

      “I plan to box up two or four months worth of G6 inserters and all the Omnipods, and then send half to the CEOs of Dexcom and Omnipod, along with a note asking kindly that I’d like at least the mercury batteries to be responsibly disposed of.”

      Hah! Great idea! What a statement that would make if many of us product users boxed up 6 months of product waste and sent it back to the CEOs at product headquarters and asked them to seriously consider and figure out a way to address the waste problem with their redundant paper instruction guides and plastic packaging.

      1
      5 years ago Log in to Reply
    24. NAK Marshall

      I recycle anything I can, but as in the previous question, I want the highest quality and am so grateful for the improvements in treatment over my 61 years of being type 1. There can always be improvements, but without innovations I would probably be dead, so I take that as number 1.

      5 years ago Log in to Reply
    25. Tom Riffe

      Only recyclable is cardboard/paper, Its not recycling but I extend life of Dexcom and reuse pump reservoirs to save $ and waste. There has to be a better way of shipping insulin. Anyone interested in styrofoam coolers with ice packs?

      5 years ago Log in to Reply
    26. Sheri Marcus

      I used to recycle my Omnipods but they don’t have that program anymore. I’d like to know more about how to recycle my pods and my Dexcom G6 used supplies.

      5 years ago Log in to Reply
    27. Lawrence Stearns

      This is a big complaint of mine. I find that the Medical profession, including our diabetic materials has little that is recycleable. I think the medical industry can improve drastically in manufacturing recycleable materials.

      5 years ago Log in to Reply
    28. Cheryl Seibert

      I recycle the following T1D Supplies: test strip bottles, Dexcom G6 outer plastic packaging, any paper product inserts/instructions, all supply boxes. The rest of the materials are not marked with a recycle tag so I dispose of them.

      5 years ago Log in to Reply
    29. Phyllis Lewis

      In New York, my county provided containers and places to turn in used needles, etc. Here in Florida you can buy a container and send it somewhere. I just throw mine in the garbage now as this disease is expensive enough without the hassle of that.

      5 years ago Log in to Reply

    Do you recycle any of the trash from your T1D supplies? Share your tips for reducing T1D waste in the comments! Cancel reply

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