Best ASam Podcasts (2024)

1
S2 Ep17: #28 Alcohol-Associated Liver Disease with Dr. Lamia Haque Helping Patients Liver Longer 1:06:12

5d ago1:06:12

1:06:12

Maximize your treatment of alcohol-associated liver disease. Learn how to evaluate liver disease in patients with alcohol use disorder (AUD), choose AUD medications that are safe and effective, and identify patients who may be eligible for early liver transplantation. We’re joined by Dr. Lamia Haque, @lykhaque (Yale School of Medicine). Claim CME f…

1
S2 Ep16: #27- Recap: ACAAM Lightning Round 59:14

12d ago59:14

59:14

Spark your learning We cover clinical pearls from graduating addiction medicine fellows by covering ACAAM’s annual lighting round presentation. Learn about tianeptine, buprenorphine starts in patients with acute hepatitis, vaccinations for persons who inject drugs, and more! Claim CME for this episode at curbsiders.vcuhealth.org! Listening to this …

1
S2 Ep15: #26 Addressing adulterants (xylazine) in the drug supply with Dr. Raagini Jawa and Tehya Johnson, NP 1:01:27

19d ago1:01:27

1:01:27

Expand your practice to include wound care for xylazine-related wounds and learn how to talk to your patients about harm reduction for xylazine. We are joined by Dr. Raagini Jawa (@Raaginizzle, UPMC) and Tehya Johnson, NP (@TehyaRJohnson, Boston Health Care for the Homeless). Claim CME for this episode at curbsiders.vcuhealth.org! By listening to t…

1
S2 Ep14: #25 Methadone in the Clinic with Dr Ruth Potee and Dr David Frank 1:05:41

27d ago1:05:41

1:05:41

OTP yea you know me Make methadone a part of your practice. Learn how the methadone system in the US works and how you can play an active role in improving care for people with opioid use disorder treated with methadone. We’re joined by Dr. Ruth Potee @DrRuthPotee (website) and Dr. David Frank @highway_dave Claim free CME for this episode at curbsi…

1
S2 Ep13: #24 Treating OUD in the Fentanyl Era: ASAM Treatment Week with Dr. Melissa Weimer 54:35

10M ago54:35

54:35

Keep saving lives by prescribing methadone and buprenorphine. Learn how initiations of each have changed in the era of high-potency synthetic opioids (HPSOs) like fentanyl and how to continue to provide person-centered care to people with opioid use disorder. We’re joined by Dr Melissa Weimer, @DrMelissaWeimer (Yale University). This episode is in …

1
S2 Ep12: #23 Opioid Overdose Treatment and Prevention with Dr. Alex Walley 1:00:27

11M ago1:00:27

1:00:27

Prevent opioid overdoses in your community! We discuss opioid overdose prevention and treatment so you can counsel patients who use substances on ways to decrease their risk of overdose. We discuss optimal ways to respond to hospital overdoses, ideal doses of naloxone, and how to monitor a patient experiencing an overdose clinically. We’re joined b…

1
S2 Ep11: #22 Low Key Pearls for Low Dose Bup With Amelia Goff FNP and Eleasa Sokolski, MD 51:59

11M ago51:59

51:59

Accelerate your knowledge on low-dose buprenorphine starts for individuals with opioid use disorder. We cover the physiology of how low-dose starts work, different 4-7 day protocols, and how to troubleshoot challenges patients may face. We’re joined by Dr. Eleasa Sokolski, MD (Oregon Health and Sciences University) and Amelia Goff, MSN, FNP (Oregon…

1
S2 Ep10: #21 Racism and Inequities in Addiction Medicine with Dr. Myra Mathis 46:08

11M ago46:08

46:08

Gain insight into how racialized US drug policies, the War on Drugs, and media portrayals of substance use impact our patients in ongoing ways. Learn how you can take action and intentionally promote equity as a clinician! We’re joined by Dr Myra Mathis, @DrMyraMathis (University of Rochester Medical Center) Claim free CME for this episode at curbs…

1
S2 Ep9: #20 Extending Knowledge of LAI Buprenorphine with Dr. Ken Lee 50:21

12M ago50:21

50:21

Learn about long-acting injectable (LAI) buprenorphine for the treatment of opioid use disorder with Dr. Ken Lee, an addiction medicine provider in Canada. We go over the basics of using LAI buprenorphine, tips and tricks for troubleshooting with patients as well as newer protocols that Dr. Lee and his colleagues use. Claim free CME for this episod…

1
S2 Ep8: #19 Return to Use Prevention Counseling with Dr. Eve Lasswell, PsyD 54:39

12M ago54:39

54:39

Jumpstart your knowledge on how to counsel patients in primary care to help decrease their risk of returning to substance use! Learn how to help patients identify triggers, develop plans on how to navigate high-risk situations & so much more! We are joined by psychologist Dr. Eve Lasswell PsyD at the University of California San Diego! Claim free C…

1
S2 Ep7: #18 Urine Drug Testing with Dr. Timothy Wiegand 1:02:37

12M ago1:02:37

1:02:37

Interpret urine drug tests (UDT) like a toxicologist! Learn how to approach interpreting positive opiates, opioids, and benzodiazepines in UDT. We discuss the nuances of interpreting UDT, false positives, and how to counsel a patient prior to ordering the test. We’re joined by Dr. Timothy Weigand @TwToxMD (University of Rochester Medical Center). C…

1
S2 Ep6: #17 Caring for People with Criminal Legal Involvement and SUDs with Dr. Lisa Puglisi 1:04:54

1y ago1:04:54

1:04:54

Learn to take a trauma-informed criminal legal history, tailor your MOUD prescribing to meet the needs of patients impacted by the criminal legal system, and advocate for high-quality care in the carceral system and the community. We’re joined by Dr. Lisa Puglisi, @pugleesa (Yale University) Claim free CME for this episode at curbsiders.vcuhealth.o…

1
S2 Ep5: #16 Distilling Inpatient Alcohol Withdrawal with Dr. Shawn Cohen 57:09

1y ago57:09

57:09

Distill the management of inpatient alcohol withdrawal down to its core with Dr. Shawn Cohen (@ShawnCohen_MD, Yale University). This episode is full of practical pearls, and we discuss the ins and outs of managing alcohol withdrawal in the hospital setting. Learn how to triage patients in the hospital, which benzodiazepines to select, the pathophys…

1
S2 Ep4: #15 Buprenorphine for Chronic Pain with Dr. Will Becker 51:09

1y ago51:09

51:09

Crush chronic pain with buprenorphine. Learn how to assess chronic pain and opioid use disorder (OUD) in patients on long-term opioid therapy, when to consider buprenorphine, and how to make the switch. We’re joined by addiction medicine and pain management expert, Dr. William Becker (Yale School of Medicine). Claim free CME for this episode at cur…

1
S2 Ep3: #14 Getting to the Heart of Injection Drug Use Associated Infectious Endocarditis with Dr. Ayesha Appa 58:09

1y ago58:09

58:09

Bring some heart to the care of people with IDU-IE. Learn how to provide person-centered care addressing both the acute infection and SUD and when/how to advocate for surgical treatment. We’re joined by Dr. Ayesha Appa @AyeshaAppaMD, (UCSF) Claim free CME for this episode at curbsiders.vcuhealth.org!…

1
S2 Ep2: #13 What to Expect: Managing Opioid Use Disorder in Pregnancy with Dr. Terplan 58:48

1y ago58:48

58:48

Manage opioid use disorder in pregnancy. Learn how to counsel patients about the importance of medication and medication options, how to think about neonatal abstinence syndrome and recommendations for the postpartum period. We are joined by Dr. Mishka Terplan, on Twitter @do_less_harm (Friends Research Institute). Segments Intro, disclaimer: 0:00 …

1
S2 Ep1: #12 Listener Q & A on Substance Use Disorders 1:04:19

1y ago1:04:19

1:04:19

Put on your Primary Care Cat-Hat We are thrilled to be back to kick off season 2! Carolyn Chan, MD (@CarolynAChan) soon to be at the University of Cincinnati, Shawn Cohen MD (@ShawnCohen_MD) at Yale University, Kenneth Morford MD at Yale University, and Natalie Stahl MD (@NanouTheNomad) at Greater Lawrence Family Health Center are back and on this …

1
Terapi Ayat Ruqyah Al-Quran Untuk Meredakan & Menyembuhkan Berbagai Jenis Penyakit Sakit Kepala Versi Bahasa Arab Podcast Edition 3:13:31

1+ y ago3:13:31

3:13:31

Terapi Ayat Ruqyah Dari Kitab Suci Al-Quran Untuk Meredakan Dan Menyembuhkan Berbagai Jenis Penyakit Sakit Kepala Dalam Bahasa Arab Serta Menjadikan Sistem Syaraf Kepala Menjadi Lebih Sehat. --- Support this podcast: https://podcasters.spotify.com/pod/show/jannahfirdausmediapro/support

1
The Noble Quran Healing To Relieve Toothache and Improve Dental Health Arabic Edition Podcast Version 14:16

1+ y ago14:16

14:16

Ruqya Healing Verse from The Noble Quran To Relieve Toothache and Improve Dental Health In Arabic Languange --- Support this podcast: https://podcasters.spotify.com/pod/show/jannahfirdausmediapro/support

1
Terapi Ruqyah Al-Quran Untuk Menghilangkan Segala Jenis Penyakit Sakit Gigi & Meningkatkan Kesehatan Gigi Versi Bahasa Arab Podcast Version 21:24

1+ y ago21:24

21:24

Terapi Ruqyah Ayat Dari Kitab Suci Al-Quran Untuk Menghilangkan Segala Jenis Penyakit Sakit Gigi Dan Meningkatkan Kesehatan Gigi Dalam Bahasa Arab Versi Podcast. Sakit gigi adalah kondisi ketika bagian dalam atau sekitar gigi dan rahang terasa sakit atau nyeri. Tingkat keparahan nyeri tersebut bisa bervariasi, mulai dari ringan hingga berat. Sakit …

1
The Noble Quran Healing to Relieve Stomach Ache & GERD Plus Improve Stomach Health Arabic Edition Podcast Version 33:02

1+ y ago33:02

33:02

Ruqya Healing Verse from The Noble Quran to Relieve Stomach Ache & GERD Plus Improve Stomach Health In Arabic Languange Podcast Version Gastroesophageal reflux disease (GERD) occurs when stomach acid repeatedly flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophag…

1
Terapi Ruqyah Ayat Al-Quran Untuk Menyembuhkan Asam Lambung (GERD) & Menghilangkan Segala Penyakit Perut Podcast Version 11:00

2y ago11:00

11:00

Tadabur Terapi Ruqyah Ayat Penyembuh Dari Kitab Suci Al-Quran Untuk Menyembuhkan Asam Lambung (GERD) Dan Menghilangkan Segala Jenis Penyakit Perut Serta Meningkatkan Kesehatan Sistem Percernaan Tubuh Manusia. GERD (gastroesophageal reflux disease) atau penyakit asam lambung disebabkan oleh melemahnya katup atau sfingter yang terletak di kerongkonga…

1
ASMR Spiritual Healing Suara Alam Nyanyian Merdu Kicauan Burung Dan Kokok Ayam Pada Pagi Hari Dari Desa Pelutu Pulau Bali Podcast Edition 5:22

2y ago5:22

5:22

Suara Alam Nyanyian Merdu Kicauan Burung Dan Kokok Ayam Dari Desa Pelutu Di Pulau Dewata Pada Pagi Hari...............menjadikan jiwa serta pikiran lebih fresh lebih segar --- Support this podcast: https://podcasters.spotify.com/pod/show/jannahfirdausmediapro/support

1
ASMR Spiritual Healing Sound of Subak Traditional Agricultural Irrigation Water System From Bali Island Podcast Edition 13:57

2y ago13:57

13:57

Subak is the water management (irrigation) system for the paddy fields on Bali island, Indonesia. It was developed in the 9th century. For the Balinese, irrigation is not simply providing water for the plant's roots, but water is used to construct a complex, pulsed artificial ecosystem. The system consists of five terraced rice fields and water tem…

1
S1 Ep11: #11 Smoking Cessation: It’s Not a Drag with Dr. Panagis Galiatsatos 1:04:44

2y ago1:04:44

1:04:44

Tackle smoking cessation by offering your patients evidence-based treatment options. We discuss pharmacotherapy, mindfulness, and practical tips on how to manage short-acting nicotine replacement therapy to help your patient stop smoking. We are joined by Dr. Panagis Galiatsatos from Hopkins (@Panagis21).…

1
ASMR Spiritual Healing Suara Subak Sistem Air Irigasi Pertanian Tradisional Bali Podcast Edition 54:24

2y ago54:24

54:24

Subak adalah sebuah organisasi yang dimiliki oleh masyarakat petani di Bali yang khusus mengatur tentang manajemen atau sistem pengairan/irigasi sawah secara tradisional, keberadaan Subak merupakan manifestasi dari filosofi/konsep Tri Hita Karana. Tri Hita Karana berasal dari kata "Tri" yang artinya tiga, "Hita" yang berarti kebahagiaan/kesejahtera…

1
S1 Ep10: #10 The ABCs of CBT: Psychosocial Interventions 101 with Dr. Carla Marienfeld 54:11

2y ago54:11

54:11

Integrate motivational interviewing into your busy practice, and learn the basic principles of cognitive behavioral therapy. This episode highlights common psychosocial interventions for individuals with substance use disorders. After this episode, you will feel empowered to connect patients to these evidence-based resources. We’re joined by Dr. Ca…

1
S1 Ep9: #9 A Joint Conversation: Cannabis Use Disorder with Dr Deepika Slawek 47:22

2y ago47:22

47:22

Partner with your patients to address cannabis use disorder. Learn how to talk through someone's motivations for cannabis use, treat cannabis withdrawal, address cannabis use disorder, and the eternal importance of harm reduction in cannabis use. Dr. Deepika Slawek @DeepikaSlawekMD (Einstein Medicine Bio) joins us on this can't miss episode!…

1
S1 Ep8: #8 Back to Basics: A Stigma-Free History with Dr. Jeanette Tetrault 48:31

2y ago48:31

48:31

Challenge stigmatizing terms and level up your patient-centered language! Learn how to create an inviting environment to discuss substance use and substance use disorders (SUDs), how our word choices directly affect patient care and a three-step approach to taking a comprehensive SUD History. Let’s RIP-TEAR it up with our expert, Dr. Jeanette Tetra…

1
S1 Ep7: #7 Do the OBOT: Buprenorphine for OUD in the Clinic with Dr. Christy Soran 51:25

2y ago51:25

51:25

With this buprenor-FINE episode, you’ll become a master at office-based treatment of opioid use disorder with buprenorphine. We’ll cover the efficacy of buprenorphine, a guide to starting it, and what to think about when continuing therapy in a person-centered way. We’re joined by Dr Christine Soran, (UCSF) the medical director of the oldest bupren…

1
S1 Ep6: #6 Get Hip to Sedative-Hypnotic Use Disorders with Dr. Ximena Levander 48:39

2y ago48:39

48:39

Decrease your anxiety managing sedative-hypnotic use disorders! By the end of this episode, you will have practical tips on how to discuss benzodiazepine use, plan a taper, and support your patient throughout the process. We’re joined by Dr. Ximena Levander, @XimenaLevander (OHSU).By The Curbsiders Addiction Medicine Podcast

1
S1 Ep5: #5 Amp Up Your Treatment of Stimulant Use Disorder with Dr. Paxton Bach 1:01:18

2y ago1:01:18

1:01:18

Amp up your learning on stimulant use disorder! We are joined by Dr. Paxton Bach (@PaxBach) who is the Co-Medical Director for the British Columbia Centre on Substance Use and Director of their Clinical Addiction Medicine Fellowship Program. We discuss commonly used stimulants, how to recognize when someone is “overamping,” different treatment opti…

1
S1 Ep4: #4 Wrapping Our Heads Around Alcohol Use Disorder Meds w/Dr. Alyssa Peterkin 51:22

2y ago51:22

51:22

Get comfortable treating alcohol use disorder (AUD). In this episode, we discuss the diagnosis of AUD strategies to help patients develop therapeutic goals and options for pharmacotherapy. We are joined for this episode by Dr. Alyssa Peterkin (BU), an internal medicine and addiction medicine physician who encourages us to venture into offering phar…

1
The Holy Quran Healing To Remove Suicide Feelings & Reconcile Restless Heart Plus Improve Spiritual Health Arabic Version Podcast Edition 4:29:51

2y ago4:29:51

4:29:51

This Muslim holy book also has many other names according to its function and use. One of the names and characteristics of The Holy Qur'an that has been widely discussed lately is Ash-Syifa or as The Healer of All Diseases. In many studies, The Holy Qur'an has properties as an antidote to both physical illness and spiritual diseases. Reading and li…

1
Terapi Ruqyah Ayat Suci Al-Quran Penghilang Perasaan Bunuh Diri & Penentram Jiwa Yang Resah Versi Bahasa Arab 4:29:51

2y ago4:29:51

4:29:51

Kitab suci umat Muslim ini juga memiliki banyak nama lain yang sesuai dengan fungsi dan kegunaannya. Salah satu nama dan sifat Al-Quran yang belakangan banyak dibahas yakni Asy-Syifa atau sebagai sang penyembuh segala penyakit. Dalam banyak penelitian, Al-Quran memiliki khasiat sebagai penawar penyakit baik jasmani maupun rohani. Salah satunya sepe…

1
S1 Ep3: #3 Harm Reduction: Partnering with Patients w/Dr. Kim Sue 50:06

2y ago50:06

50:06

Step up harm reduction strategies in your clinical practice! We discuss partnering with patients who use substances and methods to keep patients safe and healthy. Dr. Kim Sue (@DrKimSue, Yale University), the National Harm Reduction Coalition Medical Director, joins us. We discuss safer injection practices, stimulants, alcohol, nicotine use, and mo…

1
S1 Ep2: #2 Get in the Spirit of Ambulatory Alcohol Withdrawal 49:10

2y ago49:10

49:10

Master the management of ambulatory alcohol withdrawal! We discuss the pathophysiology of alcohol withdrawal as well as the triage and treatment of this disease in the ambulatory setting. We’re joined by our bird-loving guest Dr. Stephen Holt (Yale University), an addiction medicine and internal medicine doc who teaches us a set of practical pearls…

1
S1 Ep1: #1 Methadone for Opioid Use Disorder - Find Your Rage with Dr. Ruth Potee 51:41

2y ago51:41

51:41

Supercharge your knowledge on using methadone for the treatment of opioid use disorder! We discuss treatment goals, and how to start or continue methadone in the hospital. We’re joined by guest Dr Ruth Potee, addiction medicine physician, full-scope family medicine doc, feminist, and expert composter. She inspires us to be strong advocates for our …

1
S1 Ep1: Trailer - The Cursbiders Addiction Medicine 3:03

2y ago3:03

3:03

Curbsiders Addiction Medicine is THE podcast for all things addiction medicine. This series will discuss the ins and outs of caring for patients who have substance use disorders. We want to reduce the stigma around substance use as well as myth-bust and demystify common addiction medicine topics. We use expert interviews to cover core addiction med…

1
The Noble Quran Healing For Deep Sadness & Depression plus Improve Spiritual Health English Edition Podcast Version 2:15:20

2+ y ago2:15:20

2:15:20

Allah SWT (God) has revealed The Noble Quran as a guide for mankind and jinn race (demon) until the end of time, giving us a guide to help us through hardship, depression and deep sadness. Some surahs and verse from The Noble Quran are valuable reading during depression and anxiety, as their meanings and messages can help alleviate stress and depre…

1
Best Herbal Medicine From Nature For Faster Broken Bone Healing English Version Podcast Edition 25:19

2+ y ago25:19

25:19

Best Herbal Medicine From Nature For Faster Broken Bone Healing Plus Improve Bone Health English Version Podcast Audiobook Edition If you have ever experienced a bone fracture or have been diagnosed with one, then you know how long the process of healing can be. A lot of people want to know how to heal broken bones faster. Aside from following the …

1
Terapi Ruqyah Spiritual Ayat Suci Al-Quran Untuk Menghilangkan Kesedihan Hati Yang Mendalam (Deep Sadness) Versi Bahasa Indonesia Podcast Edition 1:00:38

2+ y ago1:00:38

1:00:38

Audiobook Terapi Ruqyah Spiritual Ayat Suci Al-Quran Untuk Menghilangkan Kesedihan Hati Yang Mendalam Dalam Bahasa Indonesia Edisi Podcast Bersumberkan Dari Al-Quran Dan Al-Hadist. Ada beberapa surat penenang hati dalam Alquran, salah satunya yang disampaikan oleh Sheikh Abduldaem Al-Kaheel Ibnu Adam dalam bukunya yang berjudul “Al-Quran The Healin…

1
Life of Prophet Muhammad SAW The Last Messenger & Prophet of God English Edition Podcast Version 2:52:16

3y ago2:52:16

2:52:16

Prophet Muhammad SAW, may the mercy and blessings of God be upon him, is the man beloved by more than 1.2 billion Muslims. He is the man who taught us patience in the face of adversity, and taught us to live in this world but seek eternal life in the hereafter. It was to Prophet Muhammad SAW that Allah SWT (God) revealed The Noble Quran from The 7t…

1
Terapi Ruqyah Ayat Syifa Penyembuh Berbagai Penyakit Fisik Mental Spiritual Edisi Bahasa Arab Podcast Version 3:06:47

3y ago3:06:47

3:06:47

Salah satu nama Alquran ialah asy-Syifa yang berarti obat penyembuh. Allah berfirman, Wahai manusia! Sungguh, telah datang kepadamu pelajaran (Alquran) dari Tuhanmu, penyembuh bagi penyakit yang ada dalam dada dan petunjuk serta rahmat bagi orang yang beriman. (QS Yunus [10]: 57). Pada ayat lain, Katakanlah, ‘Alquran ialah petunjuk dan penyembuh ba…

1
Ayat Al-Shifa The Healing Verses from Holy Quran For Body Healing & Mental Health Healing Podcast Version 1:06:24

3y ago1:06:24

1:06:24

Ayat Al-Shifa The Healing Verses from Holy Quran For Body Healing and Mental Health Healing Arabic Languange Edition Podcast Version Centuries ago, Allah SWT (God) sent down Quran to mankind as a book of Guidance. Quran and its superior wisdom are definite evidence that it is the word of Allah. In addition, the Quran has many miraculous attributes …

1
Islamic Folklore The Fruit of Repentance Is Sweet English Edition 2:13

3+ y ago2:13

2:13

A tyrant ruler once left his castle to walk around the streets of his realm in order to enjoy himself. As he was walking, he came across a number of gardens and decided to enter one of them. After spending a short while looking at the garden’s beautiful trees, he became thirsty, and so he asked the owner of the garden, who was sitting nearby, for a…

1
Holy Quran Healing Surah 048 Al-Fath The Victory For Mind, Body & Soul English Edition Podcast Version 20:07

3+ y ago20:07

20:07

Allah’s Messenger (صلى الله عليه وآله وسلم) was traveling on one of his journeys, and `Umar bin Al-Khattab (رضي الله عنه) was traveling along with him at night. `Umar asked him about something, but Allah’s Messenger (صلى الله عليه وآله وسلم) did not answer him. He asked again, but he did not answer. He asked for the third time, but he did not answe…

1
Terapi Ruqyah Surat Yasin Penyembuh Berbagai Penyakit Medis Dan Spiritual Edisi Bilingual Bahasa Inggris Dan Bahasa Indonesia Podcast Version 1:03:35

4y ago1:03:35

1:03:35

Holy Quran Healing Terapi Ruqyah Surat Yasin Penyembuh Berbagai Penyakit Medis, Fisik, Mental, Pikiran Dan Spiritual Edisi Bilingual Dalam Bahasa Inggris Dan Bahasa Indonesia. --- Support this podcast: https://podcasters.spotify.com/pod/show/jannahfirdausmediapro/support

1
The Holy Quran Healing Surah Yasin For Mind, Body & Soul Bilingual Edition English Spanish Podcast Version 1:13:14

4y ago1:13:14

1:13:14

The Holy Quran Healing Surah Yasin For Mind, Body & Soul Bilingual Edition In English and Spanish Languange Podcast Version. Quran is the best Marvel and blessing of Allah SWT which He bestowed upon humankind. On recitation of each word of the Holy Quran, there is a reward for a believer. Other than the reward on the general text of the Quran, some…

1
Holy Quran Healing Surah Taha For Stress Relief & Soul Relaxation Podcast Edition 27:30

4y ago27:30

27:30

For Muslims, The Holy Qur'an has always been a means to help reduce stress and anxiety. The Qurʾan describes itself as a remedy for ailments that are in the heart. O mankind! There has come to you instruction from your Lord and healing for what is in the breasts and guidance and mercy for the believers (Qurʾan 10:57). A recent study in the Journal …

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