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FOSFOSODA 24.4g / 10.8g ORAL SOLUTION

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About the medicine

How to use FOSFOSODA 24.4g / 10.8g ORAL SOLUTION

Translated with AI

This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

PACKAGE LEAFLET: INFORMATION FOR THE USER

Fosfosoda24.4 g/10.8 goral solution

Monosodium phosphate dihydrate, Disodium phosphate dodecahydrate

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor, pharmacist, or nurse.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
  • If you get any side effects, talk to your doctor, pharmacist, or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack and other information:

  1. What is Fosfosoda and what is it used for
  2. What you need to know before you take Fosfosoda
  3. How to take Fosfosoda
  4. Possible side effects
  5. Storage of Fosfosoda

Contents of the pack and other information

1. What is Fosfosoda and what is it used for

Fosfosoda is an intestinal evacuant that works by increasing the water content of your stools. It is a solution that you can drink and comes in packs with two 45 ml vials. Each vial contains a dose that must be diluted in water before use (see section 3).

You need to take Fosfosoda to clean your large intestine or colon before an endoscopy, intestinal surgery, or radiological examination. It is essential that your intestine is completely clean so that your doctor can see it clearly.

Fosfosoda is not a treatment for constipation.

Fosfosoda is indicated in adults

Doctor consultation

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2. What you need to know before you take Fosfosoda

Do not take Fosfosoda if

  • You are allergic to disodium phosphate dodecahydrate, sodium dihydrogen phosphate dihydrate, or any of the other components of this medicine (listed in section 6).
  • You are under 18 years old.
  • You feel sick or are vomiting or have abdominal pain.
  • You have kidney disease.
  • You have symptomatic heart failure.
  • You have an abnormal accumulation of fluid between the abdomen and abdominal organs (ascites).
  • You know or suspect that you have an obstruction, perforation, or paralysis of the intestine.
  • You have an inherited or acquired increase in the size of the large intestine (megacolon).
  • You have active inflammatory bowel disease.
  • You have an overactive thyroid gland (hyperparathyroidism)

Do not take Fosfosoda in combination with other laxative products containing sodium phosphate.

Consult your doctor if you think you are affected by any of the above points.

Your doctor will then decide if Fosfosoda is suitable for you.

Warnings and precautions

Consult your doctor, pharmacist, or nurse before starting to take Fosfosoda.

Be especially careful withFosfosoda

  • If you are weak or elderly (65 years or older).
  • If you have heart or kidney disease.
  • If you have electrolyte disturbances or are at risk of these disturbances, for example, if you are dehydrated.
  • If you have low blood pressure or reduced movement in part or all of your intestine.
  • If you have had a colostomy or ileostomy (a surgical procedure in which a portion of the colon or ileum is exposed through an opening in the abdominal wall).
  • If you have had other surgery or surgery on the stomach or intestine
  • If you follow a low-salt diet (see also “important information about some of the components of Fosfosoda at the end of section 2”)

Consult your doctor, even if any of the above circumstances are currently occurring or have occurred in the past. Fosfosoda may slightly alter your heart rhythm due to electrolyte imbalances, so you may need direct medical supervision during treatment.

You should be aware that after taking Fosfosoda, you will have frequent liquid stools. You should drink as much "CLEAR LIQUID" as possible to avoid dehydration.

This product usually takes effect within 30 minutes and can last up to 6 hours. If you have not had a bowel movement 6 hours after taking the first or second dose, you should stop taking the product and consult a doctor immediately, as you may become dehydrated.

Other medicines and Fosfosoda

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, especially if you are taking medicines for:

  • high blood pressure (hypertension) or angina (e.g., calcium channel blockers, angiotensin-converting enzyme inhibitors (ACEIs), and angiotensin receptor antagonists (ARAs)),
  • diuretics (medicines that increase urine production),
  • non-steroidal anti-inflammatory drugs (NSAIDs), such as aspirin,
  • certain medicines for mental disorders (those containing lithium),
  • other medicines that may dehydrate you or alter the levels of salts (potassium, sodium, phosphate, or water) in your body (electrolyte balance),
  • medicines that alter heart rhythm,
  • medicines that contain parathyroid hormone,
  • medicines taken orally, such as oral contraceptives, antiepileptics, antidiabetics, or antibiotics, because Fosfosoda may reduce or even cancel the availability of these medicines in the body, making their effect smaller or even canceling their effect.

Consult your doctor or pharmacist if you have any doubts.

Taking Fosfosoda with food and drinks

See section 3 of this leaflet

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine. You should not take this medicine during pregnancy unless your doctor considers it necessary. If you are breastfeeding, it is recommended to express and discard breast milk from the time of taking the first dose until 24 hours after taking the second dose of the intestinal evacuant. You should not breastfeed your child during the 24 hours after taking the second dose of Fosfosoda.

Weak and elderly patients (65 years and older)

Please pay special attention to the instructions in the sections "Be especially careful with Fosfosoda" and "If you are taking other medicines," as well as the instructions on how to take this medicine in section 3 (below). You may need special medical supervision.

Driving and using machines

Do not drive, use machinery, or tools if you feel tired, dizzy, or think you may be dehydrated after taking Fosfosoda. You should stay near a toilet after taking this medicine.

Fosfosoda contains sodium

This medicine contains 5000 mg of sodium (the main component of table salt) per 45 ml dose. This is equivalent to 250% of the maximum recommended daily intake of sodium for an adult. Patients on low-sodium diets should be aware of the potential harm it can cause.

Fosfosoda contains ethanol

This medicine contains 29 mg of alcohol (ethanol) per 45 ml dose. The amount in 45 ml of this medicine is equivalent to less than 0.73 ml of beer or 0.29 ml of wine. The small amount of alcohol in this medicine does not produce any noticeable effect.

Fosfosoda contains sodium benzoate

This medicine contains 15 mg of sodium benzoate (E 211) per 45 ml dose.

Medicine questions

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3. How to take Fosfosoda

Follow the instructions for administration of this medicine indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.

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  • To prevent you from feeling nauseous while taking this medicine, you should drink as much "CLEAR LIQUID" as possible.
  • Fosfosoda causes a series of intestinal movements similar to diarrhea. It usually starts to work within 30 minutes and its effect can last up to 6 hours. Please stay near a toilet until the intestinal movements stop.
  • If you have not had a bowel movement 6 hours after taking both the first and second doses, you should consult a doctor immediately, as you may become dehydrated.

You should start taking Fosfosoda THE DAY BEFORE your hospital appointment.

How to take your first or second dose

Dilute the contents of onevial (45 ml) of Fosfosoda in half a glass (120 ml) of cold water. Drink it and continue with at least one full glass (240 ml) of cold water. Drink as much "CLEAR LIQUID" as possible to replace the fluids lost during bowel movements.

When to take your first or second dose

Please read the instructions below, depending on the time of your hospital appointment.

If you do not follow these instructions completely, it may not be possible to perform your examination or surgery.

MORNING APPOINTMENT. 8:00 – 12:00 HOURS

DAY BEFORE APPOINTMENT

At 7:00 am, drink at least one full glass (240 ml) of "CLEAR LIQUID" for breakfast. You can drink more if you want.

Immediately after, take yourfirst dose (see description above).

At 1:00 pm, drink at least three full glasses (720 ml) more of "CLEAR LIQUID" for lunch. During the afternoon, you can continue drinking "CLEAR LIQUID" when you are thirsty.

At 7:00 pm, drink at least one full glass (240 ml) of "CLEAR LIQUID". You can drink more if you want.

Immediately after, take yoursecond dose (see description above).

You can continue drinking "CLEAR LIQUID" until midnight when you are thirsty. If you drink "CLEAR LIQUID" after midnight, you may have to go to the bathroom several times, which may prevent you from sleeping.

AFTERNOON APPOINTMENTS. 12:00– 17:00 HOURS

DAY BEFORE APPOINTMENT

At 1:00 pm, have a light meal, such as broth and a sandwich. Do not take any more solid food until after your hospital appointment. During the afternoon, you can drink "CLEAR LIQUID" when you are thirsty.

At 7:00 pm, drink at least one full glass (240 ml) of "CLEAR LIQUID" for dinner. You can drink more if you want.

Immediately after, take yourfirst dose (see description above).

During the afternoon, you should drink at least three more full glasses (720 ml) of water or "CLEAR LIQUID" before bedtime.

DAY OF APPOINTMENT

At 7:00 am, drink at least one full glass of "CLEAR LIQUID" for breakfast. You can drink more if you want.

Immediately after, take yoursecond dose (see description above)

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After your hospital appointment, make sure you drink plenty of fluids to replace what you have lost while taking Fosfosoda.

If you take more Fosfosoda than you should

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone 91 562 04 20, indicating the medicine and the amount ingested.

You may become dehydrated, have heart and circulation problems, have breathing difficulties, feel anxious, or have colic-like pains.

If you forget to take Fosfosoda

Please consult your doctor. Do not take a double dose to make up for forgotten doses.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Very rarely, Fosfosoda can cause severe allergic reactions with or without a rash. Tell your doctor immediately or contact the emergency department of your nearest hospital if your hands, face, lips, throat, or tongue start to swell or if you have difficulty breathing or swallowing.

Other possible side effects of Fosfosoda:

Very common(may affect more than 1 in 10 people)

Discomfort, abdominal pain, bloating, and diarrhea, chills, weakness, and dizziness.

Common(may affect up to 1 in 10 people)

Vomiting, chest pain, and headache

Uncommon(may affect up to 1 in 100 people)

Dehydration

Rare(may affect up to 1 in 1,000 people)

Elevated calcium levels in the kidneys

Very rare(may affect up to 1 in 10,000 people)

Heart attack, palpitations, low blood pressure, electrolyte disturbances (which can cause muscle cramps and spasms), cramps, tingling, loss of consciousness, and kidney failure.

Not known(frequency cannot be estimated from the available data)

Hyponatremia (low sodium concentration in the blood, which can cause neurological disorders, such as confusion, coma, or convulsions).

If you think you are experiencing any of the side effects mentioned, or if you notice any side effects not mentioned in this leaflet, tell your doctor or pharmacist.

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if they are not listed in this leaflet. You can also report them directly through the Spanish Medicines Agency's website (www.notificaRAM.es). By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Fosfosoda

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date stated on the pack after EXP. The expiry date is the last day of the month shown.

Do not store above 25 °C.

Once the pack is opened, use immediately. Discard the unused solution.

Medicines should not be disposed of via wastewater or household waste. Return the packs and any unused medicines to a pharmacy for proper disposal. Ask your pharmacist how to dispose of packs and any unused medicines. This will help protect the environment.

6. Contents of the pack and other information

Composition of Fosfosoda

  • The active ingredients are monosodium phosphate dihydrate 24.4 g and disodium phosphate dodecahydrate 10.8 g per 45 ml dose.
  • The other ingredients are: Sodium Benzoate (E211); Sodium Saccharin; Glycerol; Purified Water; Ginger and lemon flavor composed of ginger oleoresin; Alcohol; Lemon essence; Partially deterpenated lemon essence, Citric Acid, and Purified Water.

Appearance of the product and pack contents

Fosfosoda is a clear, colorless oral solution with a ginger and lemon odor, presented in packs containing two or one hundred 45 ml vials closed with screw caps. Each vial contains a dose. Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Casen Recordati, S.L., Autovía de Logroño, km 13,300, 50180 Utebo, Zaragoza, Spain

This medicine is authorized in the Member States of the European Economic Area and in the United Kingdom (Northern Ireland) under the following names:

Denmark: Phosphoral oral opløsning

Finland: Phosphoral oraaliliuos

France: Recholan, solution buvable

Germany: Phospho-soda Lösung zum Einnehmen

Greece: Phospho-soda

Ireland: Phospho-soda oral solution

Netherlands: Phosphoral, drank

Portugal: Phospho-Soda Solução oral

Spain: Fosfosoda solución oral

Sweden: Phosphoral oral lösning

United Kingdom (Northern Ireland): Phospho-soda oral solution

Date of last revision of this leaflet: March 2022

Other sources of information

Detailed information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/

Online doctors for FOSFOSODA 24.4g / 10.8g ORAL SOLUTION

Discuss questions about FOSFOSODA 24.4g / 10.8g ORAL SOLUTION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
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  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
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Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

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He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

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Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Doctor

Lina Travkina

Family medicine 13 years exp.

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
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Additional care areas:

  • Preventive consultations and check-up planning.
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Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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Doctor

Alina Tsurkan

Family medicine 13 years exp.

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

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She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
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Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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Doctor

Yevgen Yakovenko

General surgery 12 years exp.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Frequently Asked Questions

Is a prescription required for FOSFOSODA 24.4g / 10.8g ORAL SOLUTION?
FOSFOSODA 24.4g / 10.8g ORAL SOLUTION requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in FOSFOSODA 24.4g / 10.8g ORAL SOLUTION?
The active ingredient in FOSFOSODA 24.4g / 10.8g ORAL SOLUTION is sodium phosphate. This information helps identify medicines with the same composition but different brand names.
Who manufactures FOSFOSODA 24.4g / 10.8g ORAL SOLUTION?
FOSFOSODA 24.4g / 10.8g ORAL SOLUTION is manufactured by Casen Recordati S.L.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of FOSFOSODA 24.4g / 10.8g ORAL SOLUTION online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether FOSFOSODA 24.4g / 10.8g ORAL SOLUTION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to FOSFOSODA 24.4g / 10.8g ORAL SOLUTION?
Other medicines with the same active substance (sodium phosphate) include ACOLORA POWDER FOR ORAL SOLUTION IN SACHET, ATOLAXANT 13.7 g POWDER FOR ORAL SOLUTION, BIMOTIL 13.7 g POWDER FOR ORAL SOLUTION. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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