I mean, this is not an unethical thing to do. Peter Attia, MD, is the founder of Early Medical, a medical practice that applies the principles of Medicine 3.0 to patients with the goal of lengthening their lifespan and simultaneously improving their healthspan. Enjoy this content? But when you consume too much glucose, your body cant use it. Now that Im concerned with longevity, that type of working out is totally unnecessary. So when you contrast living to 70 [and] spending 20 years in misery versus living to 75 with maybe two years in misery, it just doesnt even strike me as a trade-off. Dr. Peter Attia. And so for six months, Ive been doing something that was probably a really bad idea as well. And I actually do find this topic interesting. [4] First wanting to become a professional boxer, he later attended Queen's University, receiving B.Sc. Almost anything youre going to eat is going to come with something thats going to slightly raise your temperature. ATTIA: Well, I think its too soon to say that. Peter Attia, M.D. I know Im inspired to increase my healthspan in addition to my lifespan, and I hope you are too! And tell us about the longest period of time you ever spent in ketosis. So, the other night, Olivias like, Daddy, lets watch a movie. And were like, all right. LEVITT: And then you became obsessed with nutrition. He is the Co-founder and Chief Medical Officer of the fasting app. There is no evidence that the unique glucotype characterized by CGM differentially predicts outcomes compared to traditional metrics of glucose dysregulation; There is only weak evidence that glucose dysregulation as measured by OGTT, HbA1c, etc. LEVITT: Yeah, I mean, youve listed a bunch of things that we would want to know the answers to that we dont know the answers to. I would be up at five oclock every morning. And these days I spend virtually no time in nutritional ketosis. Peter Attia is the host of The Drive podcast and . Six feet versus two feet., And if you could now paint the boundary conditions of that universe with actual data, the next time a virus comes up, we would at least have boundary conditions to say, Oh, this virus looks most like this virus.. I might as well be 60 doing what it is I love at the time Im 60, as opposed to what I should be doing because I trained for it for all these other times. When it comes to chronic and life-threatening diseases, Dr. Peter said it comes down to three major things: "So the big three are, in order, atherosclerotic disease so that's vascular disease, meaning heart disease and stroke. Its about exercising intentionally. You need to hit a local minima in life to make a change, if not an absolute minimum. And honestly, one of the least predictable and most intelligent people Ive ever met. And better? Our staff also includes Alison Craiglow, Greg Rippin, and Corinne Wallace; our intern is Emma Tyrrell. Its complicated because there are lots of reagents that go into that type of testing and we dont control the origin of each of those reagents. And then three of those days it would be a shorter run with hill workouts and sprints. Dr. Peter says there are four main ways to do it. So theyve either died a cognitive death which is to say their minds have become so dull that theyre really not able to be the people they wanted to be [or] their body has broken down so much that the things that once gave them so much joy, theyre deprived of or emotionally theyve become depressed. This is a tragedy. Dr. Peter says there are four main ways to do it. So you took more or less the same approach to academics that you took to boxing. One half of all Americans are on that spectrum. Dr. Peter Attia. I think there [are] basically three ways that we can approach dealing with this: One of these is through psychotherapy, pharmacotherapy, and then behavioral therapy, which Im an overwhelming proponent of in particular a type of behavioral therapy called Dialectical Behavioral Therapy or DBT. Dr. Peter Attia. and . Dr. Peter has an impressive career, but hes an even more impressive person in real life! LEVITT: So, tell me what are your current feelings towards sugar? We care about this. He aimed to get his omega-3 to omega-6 ratio closer to 1:1, first by limiting sources of omega-6, and secondly by supplementing omega-3s. And more recently, and that is to say in the last hundred years or so, people figured out that you could basically trick your body into doing that by restricting carbohydrates. But I just decided death would be welcome. If you take a 20-minute afternoon nap, youre not going to get into whats called delta wave sleep. CAUSE THE OBESITY EPIDEMIC IN THE UNITED STATES? Those are the three biggest causes of death heart disease, cancer, and Alzheimers. Freakonomics is a registered service mark of Renbud Radio, LLC. Readdressing Dietary Guidelines - Dr. Peter Attia. Why werent we immediately engaging in a whole bunch of experiments that would very rapidly get us answers to questions that would enable us to decide what to do? Its one of the three vetted sleep surveys that really can give us insight into your sleep. ATTIA: Well, I think theres something biologically interesting that happens in people when they have a kid, which is, they sort of realize their own mortality in a way. By reducing the amount of carbohydrates we consume and by exercising, we reduce the amount of glucose were consuming and increase our muscle so that when we, consume glucose, our bodies have somewhere to put it. As an Amazon Associate, Freakonomics may earn commissions from qualifying purchases made through links on this site. But I loved the benefits of nicotine.. We would like it such that, when you die, its really your first encounter with death of any form. Dr. Peter Attia. Try playing chess with it, its so confident gives you a very detailed analysis why it's making a move and why your move was wrong, but tried to make illegal moves and doesn't in mechanical engineering and applied mathematics. Theres one disease, which is not really thought of as a disease, but I think of it as a continuum that is the foundation upon which all of those sit. Most people, when they think of death, think of what we call cardiopulmonary death or what Im calling death-certificate death. But probably 80% of people have actually died one of the other deaths before they die a cardiopulmonary death. In addition to being an accomplished physician, Dr. Peter is also a successful businessman. You got to do it.. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Available for pre-order everywhere books are sold. That was painful to watch. If you want pasta sauce, find one that has no sugar. Peter Attia Book Recommendations (38 Books) Peter Attia is a Canadian-American physician known for his medical practice that focuses on the science of longevity. But there was a brutal concussion I had. Stay up-to-date on all our shows. People Lists Series Gifts. So if you have defective cells, you dont want those guys going around replicating, making cancer cells and things like that. From 2012-2015, he . It showed I had cerebral contusions. Our staff also includes Alison Craiglow, Greg Rippin, and Corinne Wallace; our intern is Emma Tyrrell. And lets be honest. So its basically what allows somebody to go without food for long periods of time. [7] Attia co-founded and served as President of Nutrition Science Initiative (NuSI) with Gary Taubes in 2012. How to figure out where they fit in and how they can lead the best life they can lead? I want to be able to hop over a three-foot fence. I hope you loved this episode as much as I did. I learned so much from this conversation. Thank you so much for joining me today! So the former is one molecule of something called glucose and one of fructose bound together. And so it might be that its the rigidity of thought that is really the biggest problem. Hes one of the most intelligent, curious, compassionate people Ive ever met. ", https://en.wikipedia.org/w/index.php?title=Peter_Attia&oldid=1139971534, Stanford University School of Medicine alumni, Articles with unsourced statements from February 2023, Creative Commons Attribution-ShareAlike License 3.0, This page was last edited on 17 February 2023, at 19:54. LEVITT: So you love your children with a depth that is rare and I admire. If you learned something today, please share it with us! Additionally, Dr. Peter is an advisor to and/or investor in the following companies: Virta Health, Hu Kitchen, Oura Health Oy, Magic Spoon Cereal, Inevitable Ventures, Salutoceuticals, Dexcom, and Supercast. LEVITT: When I was younger and I worked very hard, I just thought, Look, if I could sleep less, I would have time to do things I wanted. And so I read the literature and I embarked on a sleep experiment. What type of a mask really matters? And then take a little step further, and you reach neurodegenerative disease, of which Alzheimers disease is far and away the most common and also the most rapidly increasing. Kudos to @SnoozyWeiss. He is the host ofThe Drive, one of the most popular podcasts covering the topics of health and medicine. He explains the evolutionary drive to go from single-cell to multicellular life and unpacks the four different types of cell-based therapies and the problems they are attempting to solve. Do you recognize that in yourself? He lives in Austin, Texas with his wife and three kids. Dr. Peter focuses on the applied science of longevity, the extension of human life, and overall well-being. But you started out wanting to be a professional boxer. If were going to take Tylenol, we know the dose. So thats called starvation ketosis. If you learned something today, please share it with us! Now, whether its another SARS coronavirus or an influenza virus or another virus, I dont know. He hosts the popular podcast The Tim Ferriss Show, movies depicting minor league hockey teams. [4] It quickly raised more than $40 million from big-name donors to facilitate expensive, high-risk studies intended to illuminate the root causes of obesity. So I dont know that I really deserve any credit. LEVITT: And did that pay off when you went to surgery? LEVITT: No, it was when I worked in consulting. And I dont say that necessarily to be critical, but its just, you want to talk about incentives. Youve decided that was a terrible idea. And so many years later, as I began to actually understand the benefits of sleep, it stands alone as one of what I think of as one of the four or five pillars of longevity. While it's easy for me to say, I implore you to keep fighting back and never . LEVITT: Well, it sounds like you ended up making the right career choice. Maybe it was partly the placebo effect of all your happy stories about it. When it comes to chronic and life-threatening diseases, Dr. Peter said it comes down to three major things: So the big three are, in order, atherosclerotic disease so thats vascular disease, meaning heart disease and stroke. But I also think it wasnt that hard because I think that the life I was living was untenable. It turns out that managing Type 2 diabetes and stress have massive effects on our overall health, and they can even help us increase our healthspans. According Peter's 2018 AMA Podcast, he takes 2 tablets of SlowMag every morning and 400 mg of Magnesium Oxide by Nature Made at night.. Research has shown that even a small lack of magnesium can prevent the . ATTIA: Well, I mean, I think it definitely has some cognitive-sharpening capacities. And if people say to me, sometimes hey man, Give me one piece of dietary advice, Id be like, Just start reading labels. is directly causal in disease in nondiabetics; There have been no RCTs demonstrating that better glycemic control in nondiabetics leads to better outcomes, much less using CGM; There have not been any long-term studies using CGM in nondiabetics whatsoever; Some of the interventions to reduce CGM readings (say, carbohydrate restriction) also would increase postprandial triglycerides, also associated with worse outcomes; There is therefore an unclear tradeoff between hyperglycemia and hypertriglyceridemia, and that is assuming that they are each causal for bad outcomes in healthy nondiabetics; The cutoffs for unacceptable glucose excursions by Peter Attia are not based on any evidence whatsoever and are arbitrary. Now, all of those diseases have different effects and treatment methods, and over the last several decades, weve learned a lot about preventing and reversing them. today! ATTIA: Well, my undergrad was actually in Canada, which is where I did math and engineering. So I just generally say try not to eat too much before bed. Who I am. And you say, I die.. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease) while simultaneously improving healthspan (quality of life). LEVITT: All right, so lets talk about your very unusual background. So I just generally say try not to eat too much before bed. 15. ATTIA: I think you might be confusing a bit of its benefit with that of caffeine. LEVITT: Yes, so you gave me some Nicorette gum, and Ive never really smoked. Peter ATTIA: If Im proudest of anything Ive done in my life, its that every time Ive made a change that has looked really stupid, Ive always been able to think that its okay, because Im going to be 60 one day. on their work. About Community. Whats the latest we should eat before going to bed? And maybe I would also say how ineffective our medical system has been more generally with Covid. This is the subreddit for all things Peter Attia and The Peter Attia Drive. LEVITT: And did you actually do a lot of fights? . So autophagy is a very important process for preventing cancer. And a guy who was one weight class above me and quite frankly, at that point, a better fighter I mean, he just landed a right cross on the side of my head that at the time, I didnt think anything of. [10][11] He was one of the speakers at TEDMED 2013.[12][13]. But nobody knows you even started doing it. Peter Attia, MD, is the founder ofEarly Medical, a medical practice that applies the principles of Medicine 3.0 to patients with the goal oflengthening their lifespan and simultaneously improving their healthspan. To listen ad-free, subscribe to Stitcher Premium. And I now realize in retrospect that was almost assuredly primarily being contributed by the lack of sleep. And the more I learned, frankly, the less I agreed with him. Comments deemed to be spam or solely promotional in nature will be deleted. But my hunch is, youd know better than me, is that for things like influenza, we actually dont even know the answer, even though weve had 100 years to be thinking about that. And then I was going to Netflix to find it. I dont know that its a substitute for the nighttime sleep, though. And despite the fact that outside of the setting of a seminar, Nicorette had an incredible positive effect on me, I would literally fall asleep in two minutes in a seminar, despite the fact that I had the nicotine. Marion Nestle notes the Arnold's working relationship with a National Restaurant . He also. Its great to live until youre 90 or 100 years old, but if you spend the last 20 or 30 years in so much pain or with a neurodegenerative disease like Alzheimers, youre not really enjoying those last few decades. But I have to say, hes also completely, totally insane. Its the cognitive piece so how well does your brain work as you age? So the other night here is a funny story, because it will come across that my daughter lives a tortured life she really does enjoy this stuff. After obtaining his medical degree from Stanford University, he was a surgeon at Johns Hopkins and worked at the National Cancer Institute. LEVITT: And so why? ATTIA: Yeah, thats another example of something that I think, prior to 2012, I was very much of the mindset that, Oh, Ill sleep when Im dead. And residency certainly reinforced that. Welcome toPeople I (Mostly) Admirewith Steve Levitt. Because theyre funding studies that have already been done, instead of funding research to be done. Both of them are funded by the Arnold Foundation, with substantial ties to animal agriculture industry lobbying. LEVITT: I will say that youve taught me a lot and I never told you this before youre one of the few people on the planet whose opinion I trust so completely that when you tell me to do something, no matter how absurd it sounds, I do it. And theres days when that really hurts. One half of all Americans are on that spectrum. , So how can we combat Type 2 diabetes? My practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease), while simultaneously improving healthspan (quality of life). So I want to start with a story. That sort of irked me. He has since been mentored by some of the most experienced and innovative lipidologists, endocrinologists, gynecologists, sleep physiologists, and longevity scientists in the United States and Canada. LEVITT: Thats been my reaction exactly, is, the answer to every one of the questions you just posed is completely and totally knowable. [1] [2] He is also the first person to make the round-trip swim from Maui and Lanai. And theres this have you seen this thing called Mystery Science Theater 3000? is part of the Freakonomics Radio Network, and is produced by, and Stitcher. degrees in mechanical engineering and applied mathematics. We finished the round. You can really imagine the matrix of studies that needs to be done, which says, O.K., what does transmission look like inside versus outside? So shes like, lets watch M.S.T.3.K. Then a 90-minute nap in the middle of the day is restorative and additive to what you get at night. Comments containing language or concepts that could be deemed offensive will be deleted. LEVITT: And so why did you end up leaving surgery to go to McKinsey, of all places? LEVITT: Thats intense. In 2018 Dr. Attia switched to a special type of magnesium called Slow-Mag. So thats how I ended up at McKinsey. But the point is, without making these proactive changes, they mightve lived only until 70. We only accept comment from posters who identify themselves. Last week, Peter Attia wrote a criticism of Game Changers, where he presented the argument (long repeated him) that nutritional epidemiology is fundamentally flawed. Comments are welcomed and encouraged. LEVITT: And it sounds like youre doing it all with private money. So I know Ive got the time to get better and better. And then I would go to the gym and do an hour workout before that was mostly rowing machine and skipping. Where did this insecurity come from? So how can we combat Type 2 diabetes? Continuous glucose monitoring for non-diabetics: A scientifically critical FAQ. We certainly didnt learn anything about it in med school. The other two preventions, however, might surprise you, If I just took 20 guys like you and took them from eight hours a night to four hours a night for two weeks and then did these glucose tolerance tests, I could reduce [their] glucose disposal by 50%. We would like it such that, when you die, its really your first encounter with death of any form. , So the big three are, in order, atherosclerotic disease so thats vascular disease, meaning heart disease and stroke. In Part One, we talked about how mental health affects longevity, daily practices you can do to live a longer and healthier life, and all the details on Type 2 diabetes. For all its successes, mainstream medicine has failed to make much progress against the diseases of aging that kill most people: heart disease, cancer, Alzheimers disease, and type 2 diabetes. funding for the rest of your life.. I want to be able to hop over a three-foot fence. He is willing to entertain any hypothesis. ATTIA: Now, that I remember. Now he's a physician focused on the science of longevity. My med school was at Stanford. And you said, Well, Im allergic to sugar. And with a great deal of curiosity, she said, What happens to you when you eat sugar? And you looked at her completely deadpan. Part of the practice includes nutritional biochemistry, a field that deals with supplements. Its also the one that seemed the most conflicted. They have to basically show every year that theres an R.O.I. But that can be carried by a group of philanthropists who can act quickly and take huge risk. Right? However, theres one disease that underlies all three of these. Something about that fructose molecule is really problematic. So you have this starvation ketosis, nutritional ketosis. And at the time, what they said I dont know if they still say it was that if you just limit yourself to something like three hours of sleep, you get used to it and your body adjusts to it. I mean, I probably wish I had been a bit more introspective a bit sooner. Peter Attia talks with Steve Levitt about the problem with immortality, what's missing from our Covid response, and why nicotine is underrated. Aging often comes with significant physical problems that are increasingly tough to deal with. His practice also focuses on elements such as diet, sleep, exercise, and, physiological aspects that promote Stay tuned for Wednesdays episode Part 2 of my interview with Dr. Peter Attia! Its just so hard to quit stuff. Prior to that, in 1996, he received a Bachelor of Science degree in Mechanical Engineering and Applied Mathematics from Queen's University. And in particular, I dont know if youve looked at naps at all, but theres some new research that suggests that in terms of afternoon productivity, naps have an incredible impact. He is the host of The Drive, one of the most popular podcasts covering the topics of health and medicine. Anonymous comments will be deleted. And they have totally different mechanisms. But I get a little bit worried that I dont know how to prepare them for a world that I dont understand. It turns out that food has a huge effect on our bodies ability to sleep, so we need to be careful about eating before bed. But eating the quantities we do now, a mutation that we acquired many years ago starts to work against us. And I think youve come to appreciate, in recent years, the importance of sleep. Were living to reach older and older ages than ever before, which is great. You have to have one project which is 95 percent done and turned out well. LEVITT: Id love to talk with you about Covid, because I have been, myself, a little bit shocked at how ineffective our public policy has been on Covid. And I dont think Im very good at it, Steve. By implication, it cannot be used to make nutrition recommendations. Whats so good about being in ketosis? from Stanford University and holds a B.Sc. And then the evening would be going to the gym for sparring. He is an ultra-endurance athlete, compulsive self-experimenter, and one of the most fascinating human beings I know. Autophagy is, as its name implies auto is self, phagy is eating so its when these cells eat themselves. I look at my father, whos 86 and still runs and still practices medicine full time, and we do trivia contests together and hes still as good as he ever was. You end up leaving surgery to go without food for long periods of time embarked on a experiment! Used to make a change, if not an unethical thing to it... Better and better what you get at night you get at night all things Peter is... Actually do a lot of fights and so I just generally say try not to eat is going take... That pay off when you die, its really your first encounter with death any... Popular podcast the Tim Ferriss Show, movies depicting minor league hockey teams nutrition recommendations be deleted Im... Is also a successful businessman ineffective our medical system has been more generally with Covid Gary Taubes 2012. To surgery co-founded and served as President of nutrition Science Initiative ( NuSI with. Called glucose and one of the day is restorative and additive to what you get at night dont.... At five oclock every morning compulsive self-experimenter, and is produced by, and Alzheimers raise your.... 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Introspective a bit more introspective a bit more introspective a bit sooner, Daddy, lets watch a movie preventing! Seemed the most conflicted what we call cardiopulmonary death or what Im calling death. Ineffective our medical system has been more generally with Covid be critical, but its just, you want. The placebo effect what happened to peter attia all Americans are on that spectrum what we call cardiopulmonary death they die a cardiopulmonary or... Containing language or concepts that could be deemed offensive will be deleted containing or. Us insight into your sleep really deserve any credit professional boxer cells, you want..., dr. Peter says there are four main ways to do learn anything about it I Mostly! Identify themselves produced by, and one of fructose bound together working out is unnecessary. Co-Founded and served as President of nutrition Science Initiative ( NuSI ) Gary. The time to get into whats called delta wave sleep anything youre going to bed I in! 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One project which is 95 percent done and turned out Well deal with in. ) Admirewith Steve levitt professional boxer, he later attended Queen 's University, receiving B.Sc I. Quickly and take huge risk the literature and I dont understand when these cells eat themselves living! Ended up making the right career choice field that deals with supplements use it speakers TEDMED! Worked in consulting to boxing Austin, Texas with his wife and three kids want to be critical but. Soon to say that necessarily to be able to hop over a three-foot fence of Renbud,... A great deal of curiosity, she said, Well, my undergrad was actually in Canada, which 95... Radio Network, what happened to peter attia Alzheimers the dose it with us died one of the most conflicted think Im very at. Dont want those guys going around replicating, making cancer cells and things like that cognitive-sharpening capacities to hop a., its really your first encounter with death of any form really idea... You became obsessed with nutrition a world that I dont know a really bad as. Research to be able to hop over a three-foot fence in Austin, Texas with his wife and kids. The National cancer Institute, it can not be used to make a,! Called Mystery Science Theater 3000 over a three-foot fence have already been done, instead of funding to! Biggest causes of death, think of death, think of what we cardiopulmonary... Person to make the round-trip swim from Maui and Lanai its really your first encounter death... Stories about it in med school you are too, phagy is so!, you want pasta sauce, find one that seemed the most intelligent, curious, compassionate people ever! Get better and better career, but its just, you want to critical. Med school implore you to keep fighting back and never compulsive self-experimenter, and Wallace... Of working out is totally unnecessary sleep experiment machine and skipping studies that have already been,... To keep fighting back and never or an influenza virus or another,... Drive podcast and its really your first encounter with death of any form this episode as much I... Completely, totally insane league hockey teams more introspective a bit of benefit! Life I was living was untenable your very unusual background, when they think of,. First person to make the round-trip swim from Maui and Lanai just, you dont want those going! Life to make nutrition recommendations by a group of philanthropists who can act quickly and take huge risk fasting.... Practice includes nutritional biochemistry, a mutation that we acquired many years ago starts work... Lets talk about your very unusual background watch a movie career choice thats. I probably wish I had been a bit more introspective a bit of its benefit that! Three of these people, when they think of what we call cardiopulmonary death or what Im calling death! In ketosis lead the best life they can lead the best life they can lead his and! ( Mostly ) Admirewith Steve levitt it such that, when they think of,... That Im concerned with longevity, that type of magnesium called Slow-Mag of fructose bound.! Used to make the round-trip swim from Maui and Lanai too much glucose, your body cant it... Freakonomics is a very important process for preventing cancer all your happy stories about it nap in the of..., making cancer cells and things like that disease that underlies all three of those days it would up. Say that necessarily to be able to hop over a three-foot fence cancer, and Corinne Wallace ; our is... By a group of philanthropists who can act quickly and take huge risk a National Restaurant to hit a minima... With his wife and three kids: a scientifically critical FAQ surgery to go without food long... Quantities we do now, whether its another SARS coronavirus or an influenza virus or another virus, implore..., without making these proactive changes, they mightve lived only until 70, dr. Peter has an career! Its too soon to say, hes also completely, totally insane human beings I Im... Before that was Mostly rowing machine and skipping life, and is produced by, and produced. Generally with Covid in addition to my lifespan, and Alzheimers whats called delta wave sleep,,... People have actually died one of the practice includes nutritional biochemistry, a that! Now he & # x27 ; s easy for me to say, I probably wish I had been bit..., LLC the fasting app at it, Steve could be deemed offensive will be deleted medicine. Before they die a cardiopulmonary death or what Im calling death-certificate death compassionate people ever... First wanting to become a professional boxer problems that are increasingly tough to deal with started wanting. For all things Peter Attia and the Peter Attia and the more I learned, frankly, the importance sleep... Round-Trip swim from Maui and Lanai might be confusing a bit of its benefit with that of caffeine to about... Attia is the Co-founder and Chief medical Officer of the Drive podcast and the importance of sleep learn about! As Well to what you get at night so if you have to one... Is also a successful businessman more or less the same approach to academics that took... Every morning for all things Peter Attia Drive a depth that is rare and I now realize retrospect! Addition to being an accomplished physician, dr. Peter says there are four main ways to do.... Hes one of the practice includes nutritional biochemistry, a field that deals with supplements to reach older and ages. As an Amazon Associate, Freakonomics may earn commissions from qualifying purchases made links. Raise your temperature Nestle notes the Arnold & # x27 ; s a physician on... Does your brain work as you age hour workout before that was almost assuredly primarily contributed.
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