The Vagina Doctor Podcast w/ Duncan Turner M.D.

The Vagina Doctor Podcast

The Vagina Doctor Podcast w/ Duncan Turner MD - It all starts here. Welcome to the podcast that unites mavericks in medicine & in life. It will take a deep dive into the historical silliness of medicine & the setbacks and lack of progression in women’s health. Our goal is to find guests that have challenged the status quo and have created their own movement. With over 4 decades in this profession, no progress exists without challenging the status quo. What do I know? I am just a Vagina Doctor! Let us know your questions & comments! Contact Us: karen@turnermedicalarts.com

  1. 3d ago

    Dr. Naz on Foot Pain Misdiagnoses, Orthotics, and Building a Concierge Podiatry Practice in Santa Barbara

    Dr. Naz on Foot Pain Misdiagnoses, Orthotics, and Building a Concierge Podiatry Practice in Santa Barbara Nurse Sophie Mengele interviews her friend Dr. Naz, a board-certified podiatrist with surgical residency training in Kansas City and a minimally invasive surgery and limb reconstruction fellowship at Emory, now running a small concierge podiatry practice in Santa Barbara and working for a local nonprofit. Dr. Naz explains she is currently nonsurgical and often provides second opinions, post-surgery guidance, and alternatives for active patients who want to avoid downtime. They discuss common misdiagnoses, including heel pain labeled as plantar fasciitis that may be posterior tibial tendonitis, suspected nail fungus that often requires biopsy and testing, and “warts” that can be painful porokeratosis related to pressure and biomechanics. Dr. Naz shares pedicure safety considerations, benefits and candidacy for custom orthotics, and her COVID-era move to Santa Barbara, including the sacrifices made to start and grow her practice. 00:00 Meet Dr Naz 01:29 Her Podiatry Journey 02:53 Residency And Fellowship 03:59 Santa Barbara Practice 04:33 Second Opinions Not Surgery 07:35 Common Misdiagnosis Heel Pain 11:25 Nail Fungus Or Not 13:07 Pedicure Safety Tips 15:37 Nail Salon UV Talk 15:58 Warts Or Callus 16:57 Spotting The Difference 17:27 Pressure And Biomechanics 17:52 Custom Orthotics Explained 19:51 Moving To Santa Barbara 21:04 Starting From Scratch 23:25 Living In The Office 27:00 Making It In SB 28:44 Foot Red Flags 30:03 How To Reach Her Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    31 min
  2. May 28

    Contamination in Labs: How Hormone Topicals Can Mislead

    Avoiding Contaminated Hormone Lab Results: Timing, Application Sites, and Common Mistakes Nurse Sophie Mengele and Duncan Turner, MD discuss how topical hormone replacement therapy can contaminate blood test results, leading to unrealistically high lab values that don’t match other markers like FSH. Using a recent patient example, they explain that contamination can occur when hormone cream is applied too close to a blood draw or transfers to the draw site, making results hard to interpret and requiring repeat testing. They recommend patients continue medications as usual but time labs about four hours after application, or if needed, hold only the morning dose so the last dose is about 12 hours prior rather than 24. They also advise consistent application in the same area to create a stable “reservoir,” using one hormone per area (often separate thighs), avoiding mixing multiple hormones in one syringe, and not applying right before showering or exercising. 00:00 Contamination Explained 00:17 Karen’s Lab Surprise 01:07 Timing Your Dose 02:06 Spotting Bad Results 03:34 Preventing Cream Transfer 04:04 Apply Consistently 05:05 One Hormone One Area 06:00 Showering and Exercise 06:39 Wrap Up Links To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    7 min
  3. May 21

    Menopause & Labs: Bridging The Gaps Between Results

    Why Your Labs Look “Normal” but You Still Feel Awful in Perimenopause & Menopause Nurse Sophie Mengele and Duncan Turner, MD discuss why patients—especially those in perimenopause or menopause—can have debilitating symptoms despite being told their lab work is “normal.” They emphasize that many “full panels” may not include hormone testing at all, and that when hormones are tested (progesterone, testosterone, estrogen, FSH), results must be interpreted in context, including timing within a 28‑day cycle because levels can vary dramatically. They also note that patients on hormone replacement therapy may not have key hormones like estrogen monitored, and that clinical circumstances such as age and life situation matter. They highlight how oral contraceptives can mask menopausal status and suggest considering recent birth control use and waiting at least six weeks off it before rechecking FSH. 00:00 Why Labs Look Normal 00:51 Are Hormones Included 01:17 Cycle Timing Matters 02:04 HRT Without Estrogen Checks 02:40 Which Labs Were Run 03:00 Birth Control Masks Menopause 03:29 Recheck FSH After Stopping 03:38 Patient Frustration Wrap Up Links To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    4 min
  4. May 14

    Lexapro for Women’s Health: PMS/PMDD, Anxiety & Menopause

    Nurse Practitioner Sophie Mengele at TMA discusses Lexapro (escitalopram) for women’s health, explaining it as an SSRI that increases serotonin to help stabilize mood and reduce anxiety. She describes using Lexapro for younger patients and for premenopausal/menopausal patients, either continuously through the menstrual cycle or only during the luteal phase (after ovulation, about 12–14 days before a period) for recurring premenstrual symptoms like mood fluctuations, anxiety, depression, and sleeplessness. She notes standard dosing is 10–20 mg but often starts at 5 mg to see if a lower dose helps. She also uses Lexapro in menopause for similar symptoms and says it can help with hot flashes, offering an option for those not ready for or not candidates for hormone therapy. 00:00 Lexapro Overview 00:26 How SSRIs Work 00:51 Cycle Based Dosing 01:17 PMDD Like Symptoms 01:32 Starting Dose Tips 01:43 Menopause Benefits 02:08 Who It Helps Most Episode Resources Links To All Platforms: https://www.thevaginadoctorpodcast.com/ Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    3 min
  5. May 7

    From Salmon Sperm to Surgery: Cutting-Edge Regenerative Therapies

    Oculoplastic Surgeon Linden Doss on PDRN, Microneedling, Lasers, Exosomes, and the Future of Surgery Duncan Turner, MD interviews Santa Barbara oculoplastic surgeon Dr. Linden Doss about modern shifts from traditional cutting-and-lifting surgery toward regenerative approaches, including injectable PDRN (“salmon sperm”), placenta extract, microneedling, and selective laser resurfacing. Doss explains causes and treatment differences for under-eye dark circles, emphasizing thin skin and the roles of collagen versus elastin, and contrasts cold microneedling and pico lasers with heat-based devices that can damage elastin and promote scarring. They discuss scar-minimizing protocols after brow lifts, surgical precision in blepharoplasty, and why laser blepharoplasty is inferior to blades and needle-tip cautery. The conversation covers skepticism about fillers and “biostimulators,” evolving canthoplasty techniques, concerns and possibilities for robotic surgery, fat grafting challenges and nano-fat, the regulatory uncertainty around exosomes, and longevity/skin topics including rapamycin and antioxidants. 00:00 Welcome and Introductions 01:06 Why Eyes Matter in Menopause 01:48 Regenerative Shift in Surgery 04:15 Surgeon Culture and Cutting 07:57 PDRN for Dark Circles 13:20 Microneedling and Scar Blending 16:21 Elastin Versus Heat Devices 19:05 Pico Lasers and Resurfacing 21:46 Placenta Extract Aftercare 22:52 Robots and Surgical Tactile Skill 31:24 Laser Bleph Limits 34:00 Filler Fatigue and Healing 37:41 Biostimulators and Muscle Devices 41:56 Collagen and Elastin Supplements 42:47 Marine Collagen Night Routine 43:15 Elastin Supplements and Sourcing 43:45 Heavy Metals in Supplements 44:32 Peptides Versus Proteins 44:53 EGF Myths and Wound Healing 49:08 Placenta Extract for Healing 50:28 Exosomes Basics and FDA Issues 53:33 Exosomes in Real World Healing 54:51 Fat Grafting Challenges and Cysts 01:02:44 Nano Fat and Stem Cell Boost 01:04:19 Measuring Eye Rejuvenation Outcomes 01:05:45 Canthopexy and Fox Eye Surgery 01:10:19 Rapamycin for Skin Longevity 01:13:36 Eye Aging and Facial Hollowing 01:15:39 Antioxidants for Retinal Health 01:17:11 IV NAD and Glutathione Skepticism 01:18:13 Closing Thoughts and Thanks

    1h 19m
  6. Apr 30

    Vaginal Aging. An honest Dialogue.

    Painful Intercourse Across the Lifespan: Estrogen, Vaginal Atrophy, and Rejuvenation Options Dr. Duncan Turner and nurse practitioner Sophie Mengele discuss painful intercourse across life stages and how low estrogen affects vaginal tissues. They note symptoms can be multifaceted and occur in teens through geriatrics, including patients on oral birth control who may have suppressed estrogen peaks and benefit from vaginal estrogen or vaginal rejuvenation treatments, which may also help reduce recurrent vaginal infections. They cover postpartum discomfort related to lactation, low estrogen, and healing after lacerations, describing gentle laser options like MonaLisa and Forna V and the use of estriol or weak estradiol cream. For perimenopausal and menopausal patients, they explain that systemic HRT may not fully address pelvic needs and encourage local vaginal estriol/estradiol and DHEA. They describe low-estrogen changes (thinner mucosa, reduced blood supply, collagen, and elasticity) and how fractional CO2 laser and radiofrequency create micro-injury to stimulate healing and potentially improve symptoms including urinary issues. 00:00 Podcast Welcome 00:21 Infections Can Overlap 00:41 Painful Intercourse Overview 01:04 Young Patients on Birth Control 02:06 Postpartum Low Estrogen 02:48 Perimenopause and Menopause Care 03:53 How Low Estrogen Changes Tissue 04:46 Laser and Radiofrequency Explained 05:52 Real Life Impact and Options 06:56 Atrophy Analogy and Wrap Up https://www.turnermedicalarts.com/ https://www.youtube.com/@thevaginadoctor

    8 min
  7. Apr 16

    Sleep Wellness & Sleep Wisdom with Sleep Expert Dr. Young

    Sleep Specialist Explains Sleep Apnea, Wearables, Ferritin, REM Behavior Disorder & Why Pills Aren’t Real Sleep A sleep-medicine and neurology specialist joins the podcast to discuss his path from art school to medicine, his own sleep apnea diagnosis, and how sleep medicine overlaps with neurology. He explains common sleep disorders he treats, why women are often underdiagnosed for sleep apnea, and the limitations and risks of over-relying on wearables, emphasizing trend tracking and age-appropriate interpretation. The episode compares sleep-testing options, outlining polysomnography as the gold standard and home sleep testing as a practical first step, and highlights restless leg syndrome and ferritin targets as potentially life-changing when addressed. They cover REM behavior disorder, its causes, safety strategies, and treatments like melatonin and clonazepam. The conversation reviews sleep apnea risk factors, CPAP alternatives, hormone effects on sleep, and argues that sleep reflects overall mental and physical health, warning against long-term use of sedative “sleeping pills.” 00:00 Meet Dr Shien Young 00:43 From Art to Medicine 03:50 Neurology and Sleep Apnea 06:05 How Patients Get Diagnosed 08:34 Wearables and Sleep Data 14:42 Best Sleep Testing Options 17:43 Beyond Apnea Restless Legs 19:23 Micro Arousals and Mindset 21:42 REM Behavior Disorder Explained 28:02 Treating REM Behavior Disorder 30:04 Sleep Apnea Risk Factors 32:24 Anatomy Behind Apnea 33:51 Women Underdiagnosed 34:24 Hormones And Sleep 38:10 Ferritin And Dopamine 39:43 Who Needs Testing 40:37 Home Study Basics 42:46 Beyond CPAP Options 44:20 CPAP Comfort Mindset 47:53 Wellness Simplified 53:24 Pill Mill Medicine 55:24 Cialis And Off Label 58:15 Sedatives Not Sleep 01:01:42 Two Week Rule https://www.dryoungsleephealth.com/ Links To All Platforms: https://www.thevaginadoctorpodcast.com/Subscribe On YouTube:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@TheVaginaDoctorFollow Us On Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thevagina_dr⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Turner Medial Arts:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.turnermedicalarts.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

    1h 3m
4.8
out of 5
16 Ratings

About

The Vagina Doctor Podcast w/ Duncan Turner MD - It all starts here. Welcome to the podcast that unites mavericks in medicine & in life. It will take a deep dive into the historical silliness of medicine & the setbacks and lack of progression in women’s health. Our goal is to find guests that have challenged the status quo and have created their own movement. With over 4 decades in this profession, no progress exists without challenging the status quo. What do I know? I am just a Vagina Doctor! Let us know your questions & comments! Contact Us: karen@turnermedicalarts.com

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