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Why the Compression Vest is Mandatory for the Gynecomastia Patient

Posted on: December 17th, 2014
By: Miguel Delgado

Custom made Gynecomastia Surgery Recovery Vest In San Francisco, California

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

★★★★★ Ratings: 4.74 -118 Reviews

The Compression Vest Aids in Healing

Some San Francisco Bay Area men express concern, at the time of their consultation, about the requirement of wearing a compression vest after their gynecomastia surgery. They have heard the vest can be bulky and uncomfortable.

Dr. Delgado, a Board Certified Plastic Surgeon, who has specialized in gynecomastia since 1989, explains the necessity of the compression vest for proper healing. Although the vest may cause temporary discomfort, it plays an important role in the healing process. There are several advantages the vest provides including:
• Helping the skin contract
• Increasing the blood flow
• Preventing fluid collection
• Helping to control the amount of swelling
• Decreasing post-operative pain
• Aiding the chest tissues in binding together

New Vest Design Gives Relief

Understanding his male breast reduction patient’s reluctance to wear a compression vest, Dr. Delgado made it his mission to design a vest that would make the healing period more comfortable. His unique design has pockets for the drain bulbs. The pockets are detached when the drains are removed. Then there is a second vest that men graduate to that is thinner with a soft t-shirt type lining and has compression only over the chest area. These thinner vests are very popular with Dr. Delgado’s patients. Men who wear dress shirts do not complain about the vest being visible. The custom vests come in black and white.

Wearing the Vest 24/7

It is necessary to wear the vest for six weeks, only removing it for showering. It is recommended to have a second vest so that you have one while the other is being laundered. The vest needs to be worn snug, but not too tight. Once the six week period is up, men can return to normal activities.

Call or emailMen who are suffering from male breasts are invited to call (415 898-4161) or email (info@dr-delgado.com) for a personal consultation.


Bodybuilder + Steroids = Gynecomastia

Posted on: November 16th, 2014
By: Miguel Delgado

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

★★★★★ Ratings: 4.74 -118 Reviews

 

The use of Steroids among bodybuilders and men who compete in professional sports is not unusual. Steroids are known to increase muscle growth for the bodybuilder and performance can be enhanced for the athlete.

Up until 1990, steroid use was legal, and then Congress added steroids to Schedule 3, which puts it into the same category as controlled substances such as; heroin, cocaine, and LSD. Unless a doctor prescribes anabolic steroids for a medical condition, they are illegal to use.

Dr. Delgado warns his male breast reduction patients about using steroids and purchasing them online or by mail order. They come in many different forms, from pills, injections, creams and gels. Steroids are very potent and have many serious side effects. Some side effects are; impotence, infertility, heart attacks, mood swings, and an increase of bad cholesterol, liver cancer and development of the male breast.

Anabolic steroids convert into estrogen-like compounds in a process known as “aromatization,” resulting in a change of balance between estrogen and testosterone. The result of this change may be the development of breasts in men, and the testes may reduce testosterone production.

Many men hope that by stopping steroid use that their breasts will return to normal, unfortunately, once the breast tissue has formed male breast reduction surgery is the only way for it to be removed.
Dr. Delgado is quick to point out that not all men who take steroids will develop breasts, but it is not possible to predict who will. It has been noted that young men who may already have some degree of development may be more prone.

Arnold Schwarzenegger is credited with bringing bodybuilding to

Arnold Schwarzenegger

Arnold Schwarzenegger

life with his movie “Pumping Iron.” He did not admit to taking steroids at first, but said that you should do anything you can to get an advantage. In later interviews, he admitted to taking steroids and said he did not regret it, but back then it was legal.

If you have developed male breasts due to taking steroids, or even if you don’t know what caused them, call (415 898-4161) or email (info@dr-delgado.com) today for a personal consultation with Dr. Delgado to find out what options may be available to you.


Gynecomastia, a Side Effect of Risperdal, Leads to Multiple Lawsuits

Posted on: October 18th, 2014
By: Miguel Delgado

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

 

Gynecomastia is attributed to several different causes, and some remain unknown. Dr. Delgado tells his California male breast reduction patients from San Francisco, Sacramento, San Jose and beyond, that most are due to an imbalance of hormones, in particular increased levels of prolactin. Legal and illegal drugs are known to cause the development of male breasts.

In one of the country’s largest health care related settlements, Johnson and Johnson agreed to a settlement of $2.2 billion for the marketing of Risperdal “off-label.” “Off-label” use means a doctor can legally prescribe a drug for uses other than what the FDA approved it for, but the drug companies are not allowed to promote their drug for anything other than what it was approved for.

Risperdal is an anti-psychotic drug that was developed to treat schizophrenia and bipolar disorder in adults and adolescents. However, sales reps were rewarded large bonus’ for promoting the drug to pediatricians and other physicians for “off-label” use. They promoted Risperdal for; attention deficit hyperactivity disorder (ADHD), depression, sleeps difficulties and anxiety. Additionally, claims were made that j & j paid for doctors’ golf outings, and financially rewarding consulting deals.

Omnicare, which is the nation’s largest risperdallong-term care pharmacy, was implicated by a “whistle-blower,” one of their previous pharmacists, of being involved in “kickback for switches.” This is where pharmacists were “encouraged” to switch patients from approved drugs to Johnson and Johnson medications, which included Risperdal.

Some feel that the $2+ billion in fines is just a slap on the wrist. In a survey done by Stanford University and the University of Chicago, 54% of prescriptions for anti-psychotic drugs were for “off-label” uses and determined this was the result of good marketing.

Including global sales, between 2003 and 2010, Risperdal generated $24 billion in sales for johnson & johnson. Federal investigators state that j & j was aware that Risperdal could increase the risk of developing diabetes, stroke in the elderly, and development of breasts in boys, but chose to keep quiet about it.

As new evidence emerges, more individual and class actions lawsuits are being filed.

If you have gynecomastia and have taken Risperdal or other drugs, you are invited to call today (415 898-4161) or email (info@dr-delgado.com) to schedule an appointment with Dr. Delgado for an evaluation to determine what your options are.


Vitals.com Recognizes Dr. Miguel Delgado as a Top 10 Doctor!

Posted on: September 17th, 2014
By: Miguel Delgado

Vitals.com

Shopping online for almost anything has become the norm. From vacations, to appliances, books, restaurants, clothing and even for choosing doctors, dentists, medical plans and health care facilities. Consumers can give unbiased ratings and reviews which help people make informed decisions.

Vitals.com is one of the most highly regarded websites that gives ratings for the medical industry. Launched in 2008, Vitals.com has received several awards for outstanding performance in providing consumers with reliable information. Vitals.com has been quoted for medical statistics numerous times by various media sources such as; Fox News, NPR, The Wall Street Journal and Huffington Post.

The website, Vitals.com, gives detailed information on doctors including; biographies, hospital affiliations, board certifications and most importantly ratings and reviews by actual patients of the doctor. The patients rate the doctor on many different categories such as; ease of making an appointment, wait time, friendliness of the office staff, bedside manner of doctor, time spent with the patient, and follow-up care. Selecting a doctor is much easier with Vitals.com that now has over 3 million reviews and ratings.

Dr. Delgado was recently notified by Vitals.com that he is recognized as a Vitals Top 10™ Doctor. Out of 870,000 doctors, only 1% achieves this honor. The results are based on the ratings made by the doctor’s patients. Dr. Delgado was also awarded “Patient’s Choice Award, Fifth Anniversary” which reflects ‘excellence for care’ for five consecutive years. In addition, the “Compassionate Doctor Certification” was awarded to him.

As a gynecomastia specialist, compassion can’t be over-rated for men who suffer from this devastating condition. Dr. Delgado gets continuous comments from his California male breast reduction patients, from San Francisco, Sacramento, San Jose and beyond, who respond to the understanding and compassion that they receive from him.

Dr. Delgado appreciates all the great reviews from his patients that enabled him to win these awards.


“Puffy Nipples” are Gynecomastia

Posted on: August 11th, 2014
By: Miguel Delgado

Miguel A. Delgado, M.D.

Miguel A. Delgado, M.D.

San Francisco, California-“Puffy Nipples” are true Gynecomastia, states Dr. Miguel Delgado . When the nipple areola has a protuberance and fullness causing a dome shape, it is because of the dense Gynecomastia breast tissue under the nipple. This is the original placement of the breast bud during development in puberty; it can grow during adolescent years to various sizes.

“Puffy Nipples” are seen more often in younger men. The cone shape is due to the fact that there is very little fat and the excess gland makes for the embarrassing projection, known as “Puffy Nipples.”

 

Puffy Nipples

This young man is 17 years old, 5’6” and 140lbs. He has had gynecomastia since sixth grade, having dealt with years of teasing at school. As a result, his self-confidence suffered greatly and prior to surgery he never took off his shirt in front of others. His primary concern was to reduce the nipple protrusion.

 

Many San Francisco Bay Area patients from Sacramento, San Jose and beyond, ask what treatments are available as seen in this post on gynecomastia.org. You may need to become a member in order to read the posts, but there is no charge, and it is a great forum with many questions and answers posted by members and Board Certified Plastic Surgeons. In about 80% to 90% of young men with “Puffy Nipples,” once they pass puberty, will find their chests will resolve on their own without any treatment. For the few that continue to have “Puffy Nipples” into adulthood, they most likely will need male breast reduction surgery to remove the excess breast gland by surgical excision as in the treatment for “true gynecomastia.”

 

The good news is that while young, the skin has great elasticity. Once the fullness is removed, the nipple areola will shrink and flatten out nicely.

Many patients feel that the “Puffy Nipple” Syndrome improves when they are cold. This happens when a muscle in the areola is stimulated, then it contracts, tightens and flattens. However, the puffiness will return once the coldness or stimulation is removed, and the muscle relaxes.

Often “the light pull-through procedure” can be performed. This is a much less invasive procedure where the gland is removed with a small incision around the areola. The advantages of this method are many including; no need for post-operative drains, less time in surgery, faster recovery, a smaller incision resulting in a smaller scar and the scar heals to almost invisible at the edge of the areola.

 

The treatment of “Puffy Nipples” is very successful with an extremely high satisfaction rate. If you suffer from “Puffy Nipples,” you are invited to call (415) 898-4161 or email (info@dr-delgado.com) for a consultation with Dr. Delgado to learn what your options are.


Gynecomastia Adolescent’s and Skin Contracture

Posted on: July 13th, 2014
By: Miguel Delgado

 

Miguel A. Delgado, M.D.
Miguel A. Delgado, M.D.

 

San Francisco, California-Gynecomastia effects up to 60% of boys by the age of 14. The cause is not certain but usually is attributed to an imbalance of sex hormones brought on by puberty. Other causes may be the use of steroids, prescription drugs, heredity, marijuana, soy milk, and lavender oil, to name a few.

San Francisco Bay Area parents, including Sacramento, San Jose and beyond, need to be aware of the possibility that their son may be experiencing this condition so they can help him understand what is happening to his body. The breasts may look enlarged, or puffy nipples or he may have unusually large nipples.

Though it is a benign condition, many young men are embarrassed and humiliated, they try to hide their chests by keeping their shoulders hunched over and avoid situations where they need to remove their shirts, such as swimming or some sports. Classmates can be very cruel, taunting boys, especially in gym class where they need to remove their shirts.

For 80% to 90% of adolescent gynecomastia cases, the female type breasts will resolve by themselves usually within several weeks but can last up to three years. For the remaining 10% to 20%, the male breast may be a permanent condition. If the gynecomastia breast does not return to normal on its own, once a young man has gone through puberty, he could be a candidate for gyne surgery.

The big advantage for a young man to have male breast reduction surgery is the good quality of his skin, compared to the older man. In many instances, the skin will contract on its own avoiding a secondary surgery to remove loose skin. See the photos below of a young man with enormous breasts whose skin retracted nicely without additional surgery.

15 year old boy before Gynecomastia surgery

15 year old boy before Gynecomastia surgery

After Gynecomastia surgery

After Gynecomastia surgery

It is not unusual for a 16 year old to have gynecomastia surgery, and in some cases even younger, but it is a case by case decision made by the parents, their son and their surgeon. Consideration needs to be given to the fact that recurrence can occur due to continued hormone fluctuation if the patient has not completed puberty.

The age of the patient is not as important as the maturity. For the boy that has a clear understanding of what the surgery entails and wants to move forward may have an easier time than the boy who has developed emotional problems.

For a young man suffering from the effects of the gynecomastia, it is highly recommended that he see a Board Certified Plastic Surgeon that specializes in gynecomastia for a consultation with his parent(s) to find out what options are available to him.

In the search for information about gynecomastia, Miguel Delgado, M.D. recommends boys and their parents, and anyone suffering from man boobs visit www.gynecomastia.org, known as the web’s best resource for information on gynecomastia. On this website, they will find others who share their stories and offer support through the many forums on the site. In addition, there are numerous before and after pictures of men that have had the surgery. It also offers a directory of surgeons around the United States and beyond who specialize in male breast reduction surgery.

Dr. Delgado has specialized in male breast reduction surgery since 1988, treating young men in the greater San Francisco Bay Area; including Sacramento, San Jose and Los Angeles. He has a clear understanding of when it is appropriate to proceed with surgery. For an evaluation of your son, call or email today for a consultation (415) 898-4161.

 


Welcome!

Posted on: May 30th, 2014
By: Miguel A. Delgado Jr., MD

Dr. Delgado welcomes you to his new blog page on his newly revised and updated website for California gynecomastia patients, including Sacramento, San Jose and beyond.

Dr. Delgado, a Board Certified Plastic Surgeon, has been specializing in gynecomastia surgery since 1988 and is known worldwide for his expertise in male breast reduction. He is called upon frequently by patients and other surgeons for the most complex and complicated cases. He stays current with all the latest techniques and research developments so that he can offer his patients the best possible results.

Gynecomastia.org is the world’s best resource for information on gynecomastia. Dr. Delgado was a contributor since its inception in 1999. The site was created by Merle Yost, a psychologist who specializes in treating men who suffer from gynecomastia. He knows only too well what men are going through as he was patient of Dr. Delgado’s himself.

In 2010, Merle sold the site to Dr. Delgado who gladly took it over so that he was able to maintain its integrity, and has since updated and enhanced the site.

The purpose of this blog page is to present any new developments in  gynecomastia and answer questions that are presented to Dr. Delgado in his practice. You are invited to email Dr. Delgado with any questions you may have at info@dr-delgado.com or call (415 898-4161) for a personal consultation.


The Importance of Before and After Pictures of Gynecomastia Patients

Posted on: December 30th, 2013
By: Miguel A. Delgado Jr., MD

Before and After Gynecomastia Surgery

This 31-year-old San Francisco, CA man is 5’3” and 150lbs, having dealt with gynecomastia since adolescence. His father had the condition as well. He underwent glandular excision and suction-assisted lipectomy of the chest at Marin Cosmetic Surgery Center. His goal was to achieve “a better shape.”

San Francisco, California-It is interesting to note that all Board Certified Plastic Surgeons receive special training in the correct way to photograph patients before and after surgery. It is an exceptional tool for surgeons to accurately document their surgical planning. In addition, before and after pictures can play a vital part in helping a patient choose their surgeon.

Pictures show the patient what the surgeon’s aesthetic values are. The patient can see how organized and attentive to detail the surgeon is. If you do not see consistency and care in photographs, how do you know great attention to detail will be done in surgery?

For patients looking at a surgeon’s before and after surgery pictures of men with gynecomastia, there are a number of things to look for in determining the accuracy. Men should look for pictures of a man with a similar build and similar man boobs or moobs. Remember there are no two patients alike, so you will not find someone who looks just like you, but you should be able to get a good idea of the results you can expect. It is important to note that all of the photographs shown in Dr. Delgado’s photo albumsand displayed on his website have written consents from his patients. It is greatly appreciated that many patients are willing to share their pictures for other men to see what possible results they can expect. Sharing of pictures is by no means a requirement; all patients have the option to keep them private.

Hopefully the surgeon will show you different angles of each patient as looking at just one view may not give the true results, almost anything can be made to look good if it is from only one angle. The pictures need to be set up so that the background is consistent, such as a black drape. In addition, the positioning of the patient in the frame needs to be as close as possible for both the before and after picture. The lighting and color saturation need to be as close as possible for each picture. Body position should be identical with the arms down at the sides. If arms are raised even partially in one picture and not the other, it will change the look of the male chest, making it impossible to assess the surgical result.

Finding the right gynecomastia specialist can be very challenging for men. Some men have heard stories of plastic surgeons on gynecomastia.org that tried to remove their male breasts by liposuction alone, necessitating a secondary surgery. The only time that liposuction alone will reduce the male chest is for the man that has “pseudo-gynecomastia”, which means their gynecomastia is caused by fat only and not additional breast tissue as is the case for the man with true gynecomastia.

Now available to Dr. Delgado’s patients with “pseudo-gynecomastia” is an alternative to liposuction, CoolSculpting. CoolSculpting is a non-invasive procedure that will reduce the fat in the chest over a period of 2 to 4 months. This procedure reduces the cost of gynecomastia treatment.

For the man searching for the best top plastic cosmetic surgeon trained in gynecomastia surgery, viewing the before and after pictures of the surgeon’s patients will be extremely valuable in determining the surgeon’s skills. In addition, be sure to ask lots of questions such as; how many male breast reductions surgeries are done each year? How does the surgeon plan to do your procedure? Where will your surgery be done? If the surgeon has his or her own surgical suite, ask for a tour and note if it is organized and clean. Do you feel comfortable with the staff? Make sure the surgeon is Board Certified in Plastic Surgery and the surgical center is accredited. Call for a consultation today at (415) 898-4161 or email.

 


CoolSculpting for Pseudo-Gynecomastia

Posted on: November 30th, 2013
By: Miguel A. Delgado Jr., MD

CoolSculpting Logo

San Francisco, CA-Pseudo-gynecomastia is man boobs that are caused by fat alone. True gynecomastia is a combination of fat and breast tissue. As discussed in previous blogs, true gynecomastia must be treated by a combination of surgical excision of the breast tissue with liposuction of the fat. Many surgeons try unsuccessfully to remove true gynecomastia with liposuction alone causing revision surgery for many men; in fact, Dr. Delgado’s gynecomastia surgery is now up to 40% redo surgeries of this type. It is, therefore, highly recommended that men seek out the best top plastic cosmetic surgeon that specializes in gynecomastia to avoid needing a “redo” of their surgery. Revision gynecomastia surgery is more difficult because now there is scar tissue from the original surgery and in most cases the skin will have lost some of its elasticity.

For the man with pseudo-gynecomastia, liposuction can give great results and is a much less invasive procedure than surgical excision.

Now, Dr. Delgado has an even less invasive procedure than liposuction for pseudo-gynecomastia, in fact, it is a non-surgical procedure that does not involve needles, scalpels, scars or even any downtime!

Available now at Dr. Delgado’s “Non-Surgical Center of Excellence” is CoolSculpting, where other non-invasive treatments such as Ultherapy, PhotoFacial and more are offered.

CoolSculpting is a process where an applicator sucks an area of fat between two cooling panels and applies intense coldness. The fat cells are destroyed by the coldness without harming the surrounding muscles and tissue and then the dead fat cells are eliminated from the body naturally. The entire process lasts about an hour and many patients read a book, work on laptops or take a nap. Patients state that the treatment is not painful, but initially they feel pressure and coldness from the plates. The results are not evident immediately as the shedding of the fat cells is a process that takes time. The results from the treatment are first evident after 2 to 3 weeks, with continuing results for up to 2 to 4 months, at which time a secondary treatment can be done if desired.

CoolSculpting is an excellent treatment for smaller areas of fat that normally are hard to target with diet and exercise. Men with pseudo-gynecomastia may be excellent candidates for fat reducing of their moobs. Other areas that are popular are the love handles, and abdomen.

There are very few risks involved with CoolSculpting; redness, some bruising and temporary numbness, are noted with most patients returning to all activities shortly after the procedure.

It is important to note that CoolSculpting can be repeated to obtain the desired outcome, but it is not meant to treat large areas of fat. Liposuction remains a more effective procedure for the patient with larger amounts of fat to be removed.

Miguel Delgado, M.D.

Miguel Delgado, M.D.
San Francisco, CA

For the man with pseudo-gynecomastia, CoolSculpting is an exciting possibility for an alternative treatment to liposuction. It is important to remember, most men have true gynecomastia, which means surgical excision will be needed for the removal of breast tissue for the best result. Sometimes it can be difficult to determine how much breast tissue versus fat is on the male chest. It is recommended that the gynecomastia patient schedule a consultation with Dr. Delgado to determine the best course of treatment for ultimate results and to determine the gynecomastia costs. It is possible for the male breast reduction patient to schedule a combination of procedures to save time and expenses.  Call Today  415-898-4161 or email.


Gynecomastia.org Features “Minimally Invasive Male Breast Reduction” Blog by Dr. Delgado

Posted on: October 21st, 2013
By: Miguel A. Delgado Jr., MD

gynecomastia.org logo

San Francisco, CA-Gynecomastia.org is known as the world’s best resource for information about gynecomastia, also known as male breast reduction, moobs, man boobs, etc. Before the inception of gynecomastia.org in 1998, there was very little information available on the subject, and men suffered in silence, not aware of the prevalence of the condition.
With the advent of gynecomastia.org and other media outlets, gynecomastia is becoming recognized as a condition affecting about 60% of men at some point in their life. It has become a topic of the more you know, the more you want to know, for example watch for next month’s blog here on “CoolSculpting for Pseudo-Gynecomastia”.

In addition to the forums where men and young men can share stories and get support, the site offers a directory to help men find a gynecomastia specialist in their area. In addition to all these features, there is a huge photo gallery showing many before and after pictures of the member surgeons, including videos of patient’s experiences and results. There is a section on scientific articles covering topics from the history of the procedure, pathology, indications, treatment, etc.

Lastly, there is a blog section where the member surgeons can post on a variety of relevant topics, most recently a blog by Dr. Delgado. The recent post is on “Minimally Invasive Male Breast Reduction”. This is one of Dr. Delgado’s favorite topics that he refers to as the “light pull-through procedure”. This procedure has been around for a long time but has been greatly improved upon in recent years.

The blog explains that not all men are candidates for this procedure; it is for the man with puffy nipples and/or a small breast mound, no more than the equivalent of an A or B cup. There is a short 1 minute video showing some of the procedure, where tissue is being removed through a small incision after fat has been removed by liposuction. There are many advantages of this lesser invasive procedure including; no need for post-operative drains, a shorter amount of time in surgery, a faster recovery and with a smaller incision comes a smaller scar that heals to almost undetectable at the edge of the areolar.

Light Pull-Through Procedure

Light Pull-Through Procedure on San Francisco, CA patient

To determine if you might be a candidate for this minimally invasive procedure or CoolSculpting, call for a consultation with Dr. Delgado at his 450 Sutter Street, San Francisco office or his 165 Rowland Way, Novato office in Marin County, at 415 898-4161.

In examining gynecomastia.org, be sure to check back from time to time for updates on the blog page and additions to the articles page for current information on gynecomastia. The most popular feature, however, is the forums. At any given time,  there may be over 100 members’ or guests online, sharing stories, asking questions and giving first hand recommendations based on personal experience of such topics as; the best top plastic cosmetic gynecomastia surgeons, cost of male breast reduction treatment, social issues, opinions of over the counter treatments, etc. In order to participate, you do need to become a member, which helps preserve the privacy of all those who join. There is no cost to the members but there is a membership fee paid by the supporting surgeons which helps offset the cost of the maintenance of the website. The supporting surgeons are all Board Certified in Plastic surgery with a special interest in gynecomastia, with many participating in answering questions presented by the forum members.


 

__ Contact Us For a Consultation

To schedule a consultation with Dr. Delgado in San Francisco, California or Novato in Marin County call 415-898-4161. You may also send us a e-mail at info@DR-Delgado.com or fill out our quick contact form. Send photos of your chest for a complimentary virtual consultation TODAY. We have a complimentary travel package for out of town patients that include travel to and from the airport, four nights stay at the Novato Oaks Inn and travel from the hotel to the office.

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Dr. Delgado has offices in Marin and San Francisco for your convenience

San
Francisco

450 Sutter Suite 2433
San Francisco, California 94108
Phone: 415.989.2221

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Marin
County

165 Rowland Way #300
Novato, CA 94945
Phone: 415.898.4161

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