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Acid Reflux & GERD

Acid reflux occurs when stomach acid flows back into the esophagus. GERD is the chronic, frequent form of the condition, and over time it can damage the esophagus.

What is acid reflux?

Acid reflux happens when the muscle at the bottom of the esophagus — the lower esophageal sphincter (LES) — doesn’t close properly, letting stomach contents flow back up into the esophagus and irritate it (MedlinePlus). Doctors also call this backflow acid regurgitation (NIDDK). It can cause heartburn, a burning feeling in the chest, or an unpleasant sour taste in the mouth caused by stomach acid (NHS). Occasional acid reflux is common (MedlinePlus), and infrequent heartburn can often be controlled with lifestyle changes and the right use of medicines (American College of Gastroenterology).

What is GERD?

Gastroesophageal reflux disease (GERD) is the chronic form: reflux that happens often — typically two or more times a week — and leads to inflammation and possible damage to the esophagus (MedlinePlus). In GERD the LES is often weakened, or relaxes at the wrong times, so stomach contents flow back again and again (NIDDK). Common symptoms include:

  • Persistent heartburn or burning chest pain
  • Regurgitation of food or sour liquid
  • Difficulty swallowing (dysphagia)
  • A feeling of a lump in the throat
  • Night-time symptoms such as cough, laryngitis or worsening asthma

The American Medical Association’s What Doctors Want Patients to Know series notes that GERD affects about 20% of U.S. adults and is caused by stomach acid flowing back through a weakened “antireflux barrier” — often the LES or a hiatal hernia. Symptoms range from heartburn to serious complications such as damage to the esophagus, aspiration and, rarely, cancer (American Medical Association).

Side by side

Six approaches compared

For every condition we look at the same six approaches: what each involves, what it typically costs, and what a patient can realistically expect.

ApproachWhat it involves Estimated costWhat to expect
Conventional medicine (AMA) Step by step: lifestyle and diet changes first, then antacids, H2 blockers or proton pump inhibitors (PPIs). Testing, endoscopic procedures or surgery for cases that don’t respond. About $120–$360 a year for mild GERD on over-the-counter medicine; $400–$1,500 a year with a prescription PPI and a yearly specialist visit; $10,000–$25,000 without insurance if surgery is needed. Discount-card listings (SingleCare, updated October 31 and November 1, 2026) showed, without signing up, about $7.99 for 30 delayed-release omeprazole capsules, about $10.28 for 30 delayed-release pantoprazole tablets and about $7.98 for 60 famotidine tablets, against average retail prices of about $170, $153 and $90. Medicare’s procedure price lookup (2026 national averages) shows the average patient share for an upper endoscopy with biopsy at about $123 at an ambulatory surgical center and $209 in a hospital outpatient department, and for laparoscopic fundoplication surgery about $1,226 and $1,938; you may need more than one doctor and additional costs may apply. Still unpriced: specialist visits, reflux testing and other endoscopic procedures. Other costs: being researched. Most people improve within weeks of starting lifestyle changes and a PPI. Some need long-term medicine, follow-up testing or a procedure.
Chiropractic Adjustments to the mid-back and neck, posture correction and soft-tissue work, aimed at the nerves and muscles involved in digestion. A complement to medical care, not a replacement. About $55–$100 a follow-up visit and $90–$200 for a first visit without insurance; ten visits run about $550–$750. Insured costs vary by plan. Some people report less heartburn, but evidence is limited — mostly small studies and case reports. There is no standard chiropractic treatment for GERD.
Acupuncture Fine, sterile needles at points along the Stomach, Spleen and Liver pathways, usually alongside medical care rather than instead of it. About $100–$120 for a first visit and $80–$100 for follow-ups without insurance. A typical course of 6–12 sessions runs $600–$1,200 or more; community clinics can be $25–$50 a session. Many people notice improvement after a few sessions. Research suggests acupuncture added to conventional medicine relieves symptoms better than medicine alone.
Herbal medicine Being researched — coming soon.
Massage therapy Gentle work on the diaphragm (myofascial release), abdominal massage and relaxation techniques to ease pressure on the stomach and reduce stress. About $100–$150 a session, typically once or twice a week. May ease symptoms for some; one small study of diaphragm release found fewer symptoms and less need for PPIs. Evidence is still early.
MBHA Wellness Coach Being researched — coming soon.

Approach 1 of 6

Conventional medicine (AMA)

The AMA does not prescribe specific drugs. Its guidance lines up with the American College of Gastroenterology guidelines and everyday clinical practice, which recommend a stepwise plan tailored to each patient (ACG guideline, PMC).

1. Lifestyle and diet

2. Medicines

  • Antacids (such as calcium carbonate or magnesium hydroxide) for mild, occasional symptoms — not for everyday use or severe symptoms unless you have talked with your doctor (NIDDK).
  • H2 blockers (such as famotidine) lower the amount of acid the stomach makes, and can help heal the esophagus, though not as well as PPIs (NIDDK).
  • Proton pump inhibitors (such as omeprazole or pantoprazole) treat GERD symptoms better than H2 blockers and can heal the esophageal lining in most people with GERD (NIDDK).
  • The choice depends on how often and how badly symptoms occur. If you need an over-the-counter medicine more than twice a week, see a doctor, who may suggest a prescription medicine instead (American College of Gastroenterology).

3. Procedures

  • Surgical repair (such as fundoplication) for selected patients whose symptoms continue despite medicine (AMA).
  • Endoscopic therapies in specialized cases.

What the AMA stresses

  • See a doctor early if symptoms persist or get worse, to prevent complications.
  • Decide together: patient and provider weigh lifestyle, other conditions and medication risks.
  • Long-term management with regular check-ins, because GERD can change over time (AMA).

What it costs

Estimates run from about $120–$360 a year for mild GERD managed with an over-the-counter PPI, to $400–$1,500 a year for a prescription PPI plus a yearly specialist visit, and $1,500–$5,000 in a year that includes a diagnostic endoscopy. For most people, prescription PPIs are the main long-term cost (Colonoscopy Cost Guide).

Typical U.S. out-of-pocket costs for GERD care
ItemWith insuranceWithout insurance
Antacids (e.g. Tums), OTC$5–$15 a month, usually self-paid
H2 blockers (e.g. famotidine), OTC$10–$25 a month
OTC PPIs (e.g. omeprazole)$10–$30 a month
Generic prescription PPIsOften $0–$15 a month$4–$25 a month with coupons
Brand-name PPIs (Nexium, Dexilant)Cost estimate being researched$200–$350 a month; Dexilant $300+
Prescription H2 blockersCost estimate being researched
Primary care visitCost estimate being researched
Gastroenterologist visitCost estimate being researched$200–$600
Upper endoscopy (EGD)$200–$800$800–$3,500
24-hour pH monitoringCost estimate being researched$600–$2,500
Nissen fundoplication (surgery)$2,000–$6,000$10,000–$25,000
LINX deviceCost estimate being researched$8,000–$20,000
TIF (endoscopic procedure)Cost estimate being researched$7,000–$18,000

Sources: Colonoscopy Cost Guide — GERD, Colonoscopy Cost Guide — PPIs (both updated May 2026). Estimates only; prices vary by plan, provider and location.

What drives the cost: how severe and long-lasting the GERD is; generic versus brand-name drugs (generic PPIs under $25 a month, brand-only drugs like Dexilant over $300 a month, Colonoscopy Cost Guide); and insurance, which can cut costs dramatically. Bottom line: mild to moderate GERD treated with over-the-counter or generic prescription medicine usually costs a few hundred dollars to about $1,500 a year; surgery costs $10,000–$25,000 without insurance (Colonoscopy Cost Guide).

How well it works — what to expect

The American Gastroenterological Association’s 2022 expert review recommends a personalized, stepwise approach, with the care plan made together with the patient (AGA clinical practice update, 2022 (PubMed)):

  • First line: education on weight, lifestyle and diet, and a 4–8 week trial of a PPI for troublesome heartburn or regurgitation without warning signs. The AGA advises doctors to stress that PPIs are safe for treating GERD, and to review within 12 months whether continued PPI use is appropriate when GERD hasn’t been confirmed by testing (AGA).
  • Second line: if a PPI doesn’t help enough, or warning signs are present, an endoscopy and, in many cases, wireless pH monitoring off medicine to confirm or rule out GERD (AGA).
  • Advanced options: for people with GERD confirmed by testing, transoral incisionless fundoplication (TIF) is an effective endoscopic option in carefully selected patients (AGA). Newer endoscopic procedures such as anti-reflux mucosal ablation (ARMA) are also offered: short-term studies show ARMA can resolve symptoms, improve quality of life and reduce or end medicine use for many patients (Yatharth Hospitals).
  • Surgery: laparoscopic fundoplication and magnetic sphincter augmentation (LINX) are effective options for people with proven GERD (AGA), but surgery is more invasive, and complications are more likely than with medicines (NIDDK).

With medical management, expect improvement within weeks of starting a PPI and lifestyle changes, then adjustment to the lowest dose that works (AGA). Some people need long-term therapy; others can taper off once symptoms are controlled.

With ARMA or a similar endoscopic procedure, the procedure takes about 30 minutes, usually under sedation, with little downtime. Relief often appears 1–2 months later, once the treated tissue heals. Risks are generally low, though some people need a repeat treatment (Yatharth Hospitals).

In short: conventional GERD treatment works for most people. Results are individual — some reach complete remission, others need ongoing therapy or repeat procedures — so the AMA’s guidance stresses shared decisions, monitoring and adjusting treatment over time.

Find a medical doctor in our directory

Approach 2 of 6

Chiropractic

Chiropractic care for acid reflux focuses on spinal alignment, nerve function and the muscles that support digestion. It is a complementary approach, not a replacement for medical treatment (Doctor Guide Online).

What a chiropractor may do

What it costs

  • Without insurance: many follow-up visits cost about $55–$100; first appointments commonly cost about $90–$200 because they include a longer consultation and examination (The Pricer).
  • With insurance: there is no meaningful national average — it depends on your plan’s network, deductible, copay or coinsurance and any yearly visit limit (The Pricer).
  • National averages: about $65–$100 for a follow-up and $75–$300 for a first visit (BetterCare).
  • Extras such as X-rays may be billed separately and can make a first visit cost more; ask why imaging is being recommended (The Pricer).
  • A course of care: ten visits at $55–$75 each cost about $550–$750, and packages can lower the per-visit price (The Pricer). California prices tend to run above the national average (GoodRx).
  • Medicare: Part B covers only adjustments of the spine to correct a subluxation, and doesn’t cover other services or tests a chiropractor orders, such as X-rays; after the Part B deductible you pay 20% of the Medicare-approved amount (Medicare.gov).

Before you start, ask for a written estimate for the whole course, ask about package or cash rates, and check your insurance and any pre-approval it needs.

How well it works — what to expect

A 2015 review of 21 published studies found that most chiropractic treatments for digestive conditions, including GERD, reported mild to moderate improvement, with no harms reported (narrative review, PMC). But large, high-quality trials are lacking and results are inconsistent (Chiropractors.media); much of the rest is case reports and practitioner experience.

  • Some people report less heartburn and better digestion, but results vary.
  • There is no standard, proven chiropractic treatment for GERD — it is not a cure.
  • Use it alongside medical care, and don’t stop a prescribed medicine without talking to your doctor.
  • Look for a chiropractor experienced with digestive complaints who will coordinate with your medical team.

Find a chiropractor in our directory

Approach 3 of 6

Acupuncture

How acupuncture approaches reflux

Acupuncture comes from Traditional Chinese Medicine, which sees health as a balance of the body’s energy, or qi. In that tradition, acid reflux reflects an imbalance in the digestive pathways (meridians) of the Stomach and Spleen.

Researchers have proposed several ways acupuncture might help: by influencing the vagus nerve, which helps regulate stomach acid; by reducing inflammation in the gut; by improving the tone of the lower esophageal sphincter; and by encouraging the gut to move food along so acid doesn’t build up. These are working theories, still being studied.

What the research says

A 2017 systematic review and meta-analysis of 12 trials and 1,235 patients found that acupuncture combined with conventional medicine improved symptoms more than conventional medicine alone, and that acupuncture appears to be effective and safe for GERD (Zhu et al., Acupuncture in Medicine, 2017). An earlier study of 60 people with reflux found acupuncture reduced acid and bile reflux about as well as omeprazole, a standard medicine (PubMed).

Studies of how it might work point to effects on the nervous system, on how food moves through the gut, on sensitivity of the digestive organs, on inflammation, and on the gut’s bacteria and lining (Takahashi, Journal of Gastroenterology, 2006 (PubMed), The Anatomical Record). A 2022 review found acupuncture may help relieve functional dyspepsia (indigestion), which GERD can cause, though more research is needed to confirm it (Frontiers in Neuroscience, 2022).

Keep in mind: research on acupuncture for GERD is still limited, the authors call for larger trials, and doctors don’t recommend it as a standard treatment. It is best used alongside medical care.

What a visit is like

  • First consultation: the practitioner asks about your symptoms, habits and health history and builds a personal treatment plan.
  • Treatment: thin, sterile needles are placed at chosen points. Most people feel a dull ache, tingling or light pressure — generally not pain.
  • Rest: the needles stay in for 20–30 minutes while you relax.
  • Course: many people notice a difference after a few sessions. Wear loose clothing and eat a light meal beforehand.

Safety

Acupuncture is considered safe when given by a licensed, experienced practitioner. Mild, short-lived bruising or soreness where needles were placed is possible; serious problems are rare with sterile technique. Tell your acupuncturist about any bleeding disorder or pacemaker, and every medicine you take. Talk to your doctor before starting, especially if you take reflux medicine or have severe symptoms — acupuncture works best as part of a coordinated plan, not a replacement for medical care.

What it costs

Without insurance, acupuncture averages about $112 for a first visit and $80 for each follow-up, though prices range from $15 to $400 for a first visit and $15 to $300 for follow-ups depending on location and provider (GoodRx). Digestive conditions such as GERD usually need several sessions, so many practitioners price toward the higher end.

In the Bay Area, private clinics generally charge $100–$120 for a first visit and $80–$100 for follow-ups. For example, Heaven Man Integrated Acupuncture offers acupuncture and Chinese herbal medicine for digestive complaints including GERD, with individual treatment plans. (Named as an example, not an endorsement.)

  • Provider type: community acupuncture clinics, treating several people in one room, can cost $25–$50 a session (GoodRx).
  • First visit: usually costs more, because it includes a full health history.
  • Insurance: Medicare covers acupuncture only for certain chronic conditions, and coverage for GERD is limited, so most people pay out of pocket (GoodRx).
  • Course length: GERD may take 6–12 sessions or more, so a full course can run $600–$1,200 or more.

Ways to save: ask about package rates, try a community clinic, check your insurance before booking, and ask whether the clinic offers a sliding scale.

Find an acupuncturist in our directory

Approach 5 of 6

Massage therapy

Massage and other hands-on therapy for reflux focus on the diaphragm — the breathing muscle that, along with the lower esophageal sphincter, normally helps keep stomach contents out of the esophagus (NIDDK) — as well as easing the abdomen and reducing stress.

How it may help

Techniques you may hear about

  • Myofascial release: gentle, sustained pressure on the tissue around the diaphragm, held for several minutes, with some techniques done while you take deep breaths (Martínez-Hurtado et al., 2019).
  • Abdominal massage: slow, circular strokes over the belly to support digestion.
  • Acupressure, Shiatsu or Tui Na: pressure on specific points to calm the nervous system and the stomach (Integrative Healthcare).
  • Breathing with fascia work to relax and lengthen the diaphragm.

What it costs

Expect about $100–$150 a session, usually once or twice a week. Self-massage between sessions costs nothing once a therapist has shown you how.

How well it works — what to expect

A small 2019 trial in Spain randomly assigned 30 people with non-erosive GERD to diaphragm myofascial release from a physiotherapist or to a sham treatment, in four sessions over two weeks. Four weeks after treatment ended, the myofascial release group had fewer symptoms, better quality of life and used less PPI medicine than the sham group; the authors call these findings preliminary (Martínez-Hurtado et al., Scientific Reports, 2019). That is encouraging, but it is early, small-scale evidence. Massage is best seen as a supportive therapy that may ease symptoms and stress for some people.

  • Position: sit or lie comfortably, but not completely flat.
  • Pressure: gentle to moderate — no deep pressure just below the breastbone.
  • Safety: have reflux checked by a doctor first, and avoid deep abdominal work if you have an ulcer, inflammation or another reason to avoid it.

Find a massage therapist in our directory

Still being researched: Herbal medicine, MBHA Wellness Coach. We add each approach once its costs and results are sourced. Are you a practitioner with experience treating Acid Reflux & GERD? Tell us.

In their own words

Wellness and lifestyle testimonials

Please read first. These are personal experiences people have shared — from people like you and me. They are not medical advice, MBHA makes no medical claims, and we do not claim that any product or approach heals or cures. Results vary. Never stop or change a prescribed medicine without talking to your doctor, and see a doctor about reflux that is frequent, severe, or comes with trouble swallowing, weight loss or chest pain.

I have a good friend whose 14-year-old daughter, Anne, has been having stomach discomfort for 2 years. When she was 12 and the problem was just beginning, she was seen by lots of doctors, and finally wound up at Scottish Rite Children’s Hospital in an effort to discover the cause of the problem. Testing gave no results, and the pediatrician finally recommended that Anne take two Zantac each day. She’s been on Zantac for 2 years. When Anne’s family tried the energy water system, Anne’s mom noticed that she wasn’t taking her Zantac as much. After 2 weeks of energy water, Anne has only taken one Zantac. Her stomach is doing great. An adult friend of mine was on two Axids each day to keep her stomach and esophagus from burning. She’s been drinking energy water for a month and only takes an Axid if she eats very spicy food in the evenings. In other words, her day-to-day stomach problem has virtually disappeared.

— Elaine

I enjoy eating citrus fruits. One night, I had an orange right before bedtime. Not a good idea! I woke up a few hours later with bad reflux and heartburn. I took an antacid for relief. I later heard that energy water was helpful with these problems. I decided to test it on myself. Another night I ate an orange at bedtime. I followed it with an energy water chaser of about 2 glasses. I had no reflux or heartburn that night or the next morning!

— Kenneth

I have acid reflux. I have learned to eat lighter evening meals, less acid, etc. Even though I frequently have heartburn, using a mini taped to my esophagus relieves the heartburn immediately, and no more TUMS! My doctor gave me a prescription for a very expensive medicine but I have not had to fill it.

— Name withheld

I am 72 years old. I have been living with acid reflux for a long time. I have tried all kinds of medicine and had special pills prescribed for me by my doctor, but nothing seemed to help. I have taken many Maalox tablets and lots of bottles of mineral water and was giving up hope of finding anything that would work for me. My husband was finding it hard to live with me as I was so irritable and had trouble finding something to eat that would not give me heartburn. By chance I heard about the energy water system from a friend. I was already wearing power insoles in my shoes to take away the discomfort from my legs and hip, and I would not be without them now as they helped my problem. So I was willing to try the system to help me with my digestion. I wish today that I had found the energy water earlier, as it has changed my whole life and I can eat anything without a problem. I drink a glass before I eat and 1½ glasses after I eat, and I also take a glass before I go to bed. This for me has solved my problem. It has given me more energy and also cleared my dry skin. I never liked drinking water before, but now it is easy. It has changed my whole outlook on life because I feel so much healthier.

— Lucy

I have a friend who was sleeping on four pillows, taking double doses of a prescription drug, and still couldn’t eat anything after about 5 p.m. For 2 weeks she only drank energy water, slept under the quilt and wrapped up in the travel pad while watching TV. She called me, very excited, and said, “I’m down to one pillow, no prescription, and I had a hamburger at 8:30 last night and didn’t get acid reflux!”

— Chary, RN

I have had great relief using the back flex on my chest for quick relief. Also, since I’ve been on the sleep system (under the FIR comforter, plus we have a FIR comforter over our mattress pad so we’re sandwiched in FIR), I have not had to take any prescription medicine for this problem.

— Maryann

Every night in Florida from January to March I was troubled with acid reflux. I kept my energy water bottle alongside the bed and it helped. It was so amazing to me that after being home again, it took me three weeks to realize I had not been bothered with acid reflux in the night. I believe it is the difference between the energy water bottle and the energy water system hooked to my sink in Wisconsin, which is so much more valuable — and now of course, the optimizer is even better!

— Char, Wisconsin

In 1996 I developed a stomach acid problem which caused tremendous burning in my chest. My doctor prescribed Losec to reduce the pain, to take once a day. Being open to alternative approaches to health, I ventured on a journey to find a natural means to resolve this miserable condition. Using natural products I did find temporary relief with magnets and far-infrared products. I also began taking enzymes and noticed some improvement. Then came energy water. After reading Your Body’s Many Cries for Water I became aware that my condition may be related to dehydration. I began drinking 3 litres of energy water each day. My condition started to improve after 3 weeks. I still needed the Losec every second or third day; eventually I was down to once or twice a week. My water optimizer arrived in early June and we began spinning our energy water. Two weeks ago I suddenly realized that I had not taken a Losec in 3 weeks. I started to eat foods that would normally bring on the problem, but had no burning or gas. It has now been 6 weeks since I have taken a Losec pill. My goal was to get off this drug, as the long-term effects are unknown. By the way, Losec was costing me $140 a month (CDN).

— Kieron, West Vancouver, British Columbia

Recently a friend of mine noticed a 90% reduction when drinking enzymes! She also noticed increased energy, which was a mixed blessing — she needed to stop drinking any near bedtime as it was keeping her up later.

— Name withheld

While serving at a father-and-son banquet, a friend told me she had been unable to sleep at night because of acid backing up in her throat. She would sleep a couple of hours each in three different chairs through the night, and was unable to eat anything except crackers and dry cereal. I took her a comforter, a long-john top, a sample quilt and an optimizer, as she had filtered water in her home. Overnight she reported that she began sleeping through the night, and she has gradually returned to a normal diet. She was taking $175 of prescription medication, and her physician had said she might need surgery for this condition. After 13 nights of good sleep, she left on a trip to Florida.

— Name withheld

I had been on prescription drugs for acid reflux for 5 years. It took me about three months of drinking lots of optimized energy water and sleeping on the whole sleep system, but since April 1, 2003 I have not taken a pill or had any reflux. My husband also has acid reflux from time to time, and when the water does not do it, he uses the PM on his chest for about 15 minutes and that totally clears the problem.

— Ruth

I had been taking Nexium daily for about 4 years for acid reflux. In July 2005, I started taking 1 oz. of enzymes and one Lactoferrin. I am now able to go up to 3 days before I need a Nexium.

— Cathy

I suffered from acid reflux and was taking Nexium for it. After 2 weeks on the energy water I was able to stop the medication. I rarely have a problem any more, but when I do, wearing the far infrared helps. If it’s too hot for the long johns, I’ll put an elbow wrap on my upper chest.

— Beth

I used to keep the 500-count Costco antacids in the bathroom, and every time I went there I would take 2–3. After we were on the sleep system my reflux went away. If I had a big rare steak smothered in mushrooms cooked in butter, it would come back — all I had to do was put my Flex (with far-infrared) on my chest and it would take care of it.

— Dan

My husband and I heard about the water for the first time last week. We are so excited to finally find water that gave me instant relief from years of acid reflux from my first sip of gravity-fed water. We bought our own immediately and my health has been steadily improving since then.

— Marilyn

I have public water, and I filter it through the energy water system and then optimize it. The water becomes almost “silky” smooth. I got relief immediately — the same day I started the water and the supplements I had no heartburn that night. After three days my wife put it to the test with her famous chili, and no heartburn. Even with Prilosec, I used to get bad heartburn and acid reflux from the chili. I know everyone reacts differently, and I was so pleased with my results.

— Tom

An end to needing pharmaceuticals for GERD was, for me, a pleasant surprise starting in late 2004, when I started taking Lactoferrin, thinking it would boost my immune system. I had been dependent on medications for GERD since the days when Prilosec was still a brand-name drug, then on to Nexium or whichever was covered by insurance at the time. After I began sleeping in a sleep system, hot flashes disappeared in a few weeks, and there was some effect on GERD but not enough to stop the pills. Once I went on Lactoferrin, within a few months I had gone from daily pharmaceuticals to a few times a week, to rarely, and then none. It has now been at least five years with none. There are never any symptoms as long as I don’t forget the Lactoferrin for more than a day.

— Name withheld

Shared with first names only. Lightly edited for length and spelling.

Member stories

Living with Acid Reflux & GERD? Share your experience

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Sources

This page is for education only and is not medical advice. Costs are typical U.S. ranges and estimates; yours will depend on your provider, location and insurance. Talk with your doctor before starting, stopping or combining any treatment. In an emergency, call 911. See our disclaimer.

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