Prednisone Alternatives For Dog: What to Give Your Pet Instead? (2022)

Steroids are an important class of medication that have been used to treat human conditions for decades. This class of drugs proves to be just as effective in handling veterinary allergies and inflammatory diseases.

Steroids, such as Prednisone, are employed to alleviate pet allergies and treat asthma-like symptoms, among other conditions.

However, despite its usefulness, Prednisone is not intended for long-term use. Prednisone therapy requires a list of alternatives ready to prevent Steroid addiction.

What is Prednisone?

Prednisone Alternatives For Dog: What to Give Your Pet Instead? (1)

(Video) Steroids in Dogs and Cats: should you avoid prednisone? (essential guide!) - Pet Health Vet Advice

Prednisone is an oral steroid used to treat autoimmune and inflammatory conditions. It’s a glucocorticoid that diminishes the effects of the immune system by inhibiting the migration of polymorphonuclear leukocytes and reversing increased capillary permeability that is indicative of an inflammatory process.

Prednisone is used in humans and the veterinary population to treat asthma, gout, COPD, Meniere’s disease, lupus, shingles, hives, allergies, and even migraine and cluster headaches. Its immunosuppressive activity may be exercised in organ transplantation, preventing graft rejection.

The medication has also been employed as an antitumor drug and adjunct to cancer therapy. Prednisone is said to manage hypercalcemia caused by cancer activity.

Prednisone may be used to prevent heart failures in patients with renal insufficiency and high blood pressure.

Prednisone is synthetic, FDA-approved, and has a delayed release pattern.

Can Dogs Take Prednisone?

Glucocorticoids are the most common steroids used to treat canine inflammatory disorders and CBD is commonly used to treat allergies on dogs.

When treating a dog with a steroid, it’s crucial to keep the duration of its use in mind. Prednisone may be administered systematically (orally), topically, or by infusion. In any case, the steroid should only be used for short periods to prevent dependence and side effects.

(Video) Prednisone for Dogs - Uses, Benefits, and Side Effects | Dr. Tammy Powell Deep Dive

The safest way to take Prednisone to your dog is to apply it topically, using a patch, gel, or cream. Prednisone eye drops may also be used to treat itchy, red eyes associated with an allergy. Long-term use of Prednisone is not advised.

Prednisone for Dogs Dosage

Prednisone Alternatives For Dog: What to Give Your Pet Instead? (2)

The prednisone dosage depends on the condition it is to be used to treat. It also depends on the severity of the inflammation or allergy and the use of other veterinary medications. Generally speaking, a low dose of Prednisone is needed for anti-inflammatory actions, while a much higher amount is required to suppress the immune system but is a lot more difficult to wean off.

The dosage range for anti-inflammatory and immunosuppressive action is 0.5-1.0mg/lbs (1) (2). For a dog weighing 50 pounds with a mild rash, administer 25mg of Prednisone once a day for three days, then taper the medication by adjusting the dose to once in two days before finally ceasing the medication.

However, if it is used as an immunosuppressive agent following surgery, you may use 50mg of prednisone for a similar duration.

Prednisone dosage should not be extrapolated to Prednisolone because the former undergoes metabolism by the liver, called the first-pass effect.

Side Effects of Prednisone for Dogs

The side effects of prednisone in dogs may be divided into short-term and long-term effects. The long-term effects remain even after the medication is no longer in use.

(Video) The Best PREDNISONE Alternative

Short term effects of Prednisone:

  1. Frequent urination and thirst: Prednisone is a drug that influences the production of cortisol by the adrenal glands positioned on the kidneys. These glands are also responsible for the sensation of thirst and water balance. Stimulation of these glands will cause an increase in thirst, which will then spur frequent urination.
  2. Increased appetite and weight gain: cortisol stimulates the metabolism of fats and carbohydrates, releasing stored energy for your cells to boost your activity. However, your brain receives a signal to increase food intake leading to weight gain.
  3. Slower wound healing: when a dog’s skin is cut, the blood vessels in that area immediately constrict to reduce the amount of blood lost. The blood loss triggers the immune system, which sends leucocytes to the injury site. Prednisone prevents the migration of leucocytes involved in wound healing and inflammation.
  4. Higher risk of infection: while the immune system remains compromised, foreign or opportunistic pathogens that make up the microbiome may increase and initiate an infection.

Long term effects of Prednisone:

  1. Diabetes: long term administration of high doses of prednisone is known to cause hyperglycemia in dogs. The elevated blood sugar levels persist one week to four months after discontinuation of prednisone (3). Studies suggest that prednisone overuse may irreversibly damage the pancreatic cells responsible for glucose metabolism.
  2. Bone demineralization: cortisol causes calcium to be absorbed from the bone into the blood, a process called demineralization of bone. This demineralization is peculiar to the lumbar spine. A dog population was treated with 2mg/kg of Prednisone for 30 days and witnessed a 14% loss in bone mass (4).
  3. Behavioral changes: dogs treated with Prednisolone and its analog display more aggressive tendencies, especially in the presence of food. They are also more restless and more prone to barking than dogs being treated with other classes of medications. Prednisone use is also associated with aversiveness and reduced confidence in canines (5).
  4. Adrenal insufficiency: overstimulation of the adrenal glands, caused by overuse of corticosteroids, will reduce the production of cortisol. This may be likened to dependence. In this case, once Prednisone is ceased, an adrenal crisis may occur (6).

Alternatives to Give Your Dog Instead of Prednisone

Yucca Shidigera

Yucca shidigera is a Native American plant grown for ornamental purposes. Aside from its aesthetical uses, it may relieve pain, reduce inflammation, improve digestion and circulation. It is also rumored to treat high blood pressure, diabetes, arthritis, amongst others.

Turmeric

Turmeric is said to have anti-oxidant, anti-inflammatory, and healing properties in humans and dogs. The spice is also safe for coloring in both human and dog food. The question of its anti-inflammatory potency in dog food is directly linked to its dosage.

Dog treats typically contain a sparse amount of turmeric as a flavor enhancer or even to improve the color of the treat. Still, these dosages are too little to sprout any anti-inflammatory properties.

Unfortunately, no studies have been performed using higher doses of turmeric, so it’s difficult to ascertain whether turmeric will indeed reduce inflammation in dogs.

CBD Oil

Prednisone Alternatives For Dog: What to Give Your Pet Instead? (3)

(Video) Steroid Therapy for Pets

CBD oil is a natural extract obtained from Cannabis sativa. It only contains trace amounts of THC in its natural form, so you won’t get high off of it. A good quality CBD oil for your dog has the potential to relieve itching, inflammation, pain, and restlessness. In a recent study, CBD was administered to a canine population. The scientists observed that the dogs experienced a slight upregulation of IL-10, an anti-inflammatory cytokine, and a more pronounced downregulation of IL-6 and 1L-8, the pro-inflammatory cytokines (7).

Thus we may infer that CBD can modulate the immune system. This may become a novel therapy for allergies and immune reactions in pets.

CBD and Prednisolone: Can They Be Taken Together?

Both Prednisone and CBD are potentially effective options for pet allergies. However, concomitant use of these medications is not advised. Prednisone inhibits cytochrome P450, just like CBD.

This means that CBD may delay the systemic clearance of Prednisone. The increased serum Prednisone levels increase the risk of long-term side effects, even with short-term use.

However, since pulse therapy is advised with corticosteroids, CBD may fill the spaces. When administering CBD and Prednisone, ensure that you cease one treatment before initiating the other. Certain types of drugsand CBD shouldn’t be mixed or administered within the same day, and Prednisone is one of them.

Conclusion

Prednisone is an oral steroid used to combat inflammation and allergic reactions in dogs. While it can be a decent source of relief when used short-term at appropriate doses, long-term use or giving Prednisone without prior consultation with a veterinarian can do more harm than good.

If you’re looking for natural alternatives to Prednisone for your dog, try natural health supplements like turmeric or CBD oil. CBD is the most versatile and best-researched anti-inflammatory compound of all alternative options mentioned in this article. It’s also the only compound that regulates the functioning of your dog’s endocannabinoid system — which is its first line of defense against environmental stressors.

(Video) The facts about your dog and prednisone

With a properly working endocannabinoid network, your dog’s immune system may return to balance, bringing desired results in a longer period — but with a better safety profile.

Sources:

  1. Sauerbrey, M. L., Mullins, M. N., Bannink, E. O., Van Dorp, T. E., Kaneene, J. B., & Obradovich, J. E. (2007). Lomustine and prednisone as a first-line treatment for dogs with multicentric lymphoma: 17 cases (2004-2005). Journal of the American Veterinary Medical Association, 230(12), 1866–1869. [1]
  2. Weinfurter, M. (2021). Prednisone for Dogs: Side Effects, Dosage, And Alternatives. Relievet. Retrieved from: https://www.relievet.com/blogs/tips/prednisone-for-dogs-side-effects-dosage-and-alternatives
  3. Zeng, Y., Ricordi, C., Lendoire, J., Carroll, P. B., Alejandro, R., Bereiter, D. R., Tzakis, A., & Starzl, T. E. (1993). The effect of prednisone on pancreatic islet autografts in dogs. Surgery, 113(1), 98–102.
  4. Costa, L. A., Lopes, B. F., Lanis, A. B., De Oliveira, D. C., Giannotti, J. G., & Costa, F. S. (2010). Bone demineralization in the lumbar spine of dogs submitted to prednisone therapy. Journal of veterinary pharmacology and therapeutics, 33(6), 583–586.[2]
  5. Notari, L., Burman, O., & Mills, D. (2015). Behavioural changes in dogs treated with corticosteroids. Physiology & behavior, 151, 609–616. [3]
  6. Broersen, L. H., Pereira, A. M., Jørgensen, J. O., & Dekkers, O. M. (2015). Adrenal Insufficiency in Corticosteroids Use: Systematic Review and Meta-Analysis. The Journal of clinical endocrinology and metabolism, 100(6), 2171–2180. [4]
  7. Gugliandolo, E., Licata, P., Peritore, A. F., Siracusa, R., D’Amico, R., Cordaro, M., Fusco, R., Impellizzeri, D., Di Paola, R., Cuzzocrea, S., Crupi, R., & Interlandi, C. D. (2021). Effect of Cannabidiol (CBD) on Canine Inflammatory Response: An Ex Vivo Study on LPS Stimulated Whole Blood. Veterinary sciences, 8(9), 185. [5]

FAQs

What can I give my dog in place of prednisone? ›

If you're looking for natural alternatives to Prednisone for your dog, try natural health supplements like turmeric or CBD oil. CBD is the most versatile and best-researched anti-inflammatory compound of all alternative options mentioned in this article.

Can I give my dog Benadryl instead of prednisone? ›

To provide quick relief, however, it is sometimes better to give him an antihistamine. Benadryl (diphenhydramine) is not approved, but it is an antihistamine that has been used for many years and is safe when used in controlled doses by a veterinarian.

Is there a natural alternative to steroids for dogs? ›

In a nutshell, yucca can act as a sort of steroid alternative through the action of its steroidal saponins, which help stimulate the body in using and making its own corticosteroids and related hormones, according to Herbs for Pets.

What can you give a dog as an anti-inflammatory? ›

Nonsteroidal anti-inflammatory drugs, or NSAIDs, help reduce swelling, stiffness, and joint pain in humans, and they can do the same for your dog.
...
There are some of the available NSAIDs just for dogs:
  • carprofen (Novox or Rimadyl)
  • deracoxib (Deramaxx)
  • firocoxib (Previcox)
  • meloxicam (Metacam )
  • grapipant (Galliprant)
23 Jan 2022

What is the closest thing to prednisone over the counter? ›

Common over-the-counter anti-inflammatory drugs for arthritis include ibuprofen, naproxen, and diclofenac gel.

What is equivalent to prednisone? ›

Corticosteroid Dose Equivalents
Equivalent DoseSteroid
1.5 mgDexamethasone (long-acting)
8 mgMethylprednisolone (intermediate-acting)
8 mgTriamcinolone (intermediate-acting)
10 mgPrednisone (intermediate-acting)
4 more rows
18 Apr 2019

Can you buy over-the-counter steroids for dogs? ›

Hydrocortisone cream, when used sparingly, is an option to relieve your pet's itching. OTC hydrocortisone is a mild corticosteroid that helps reduce swelling, redness, and itchiness. It's readily available and inexpensive.

What happens if you take a dog off prednisone too quickly? ›

Weaning a dog too fast off steroids may cause what's known as an Addisonian crisis. The symptoms of this though are quite vague, including lethargy, loss of appetite, intermittent vomiting, and diarrhea, shaking, increased drinking and increased urination and episodes of weakness.

Which Benadryl is safe for dogs? ›

Most diphenhydramine (Benadryl) tablets are 25 mg, which would be the appropriate size for a 25-pound dog. Smaller dogs will require you to cut or divide these 25-mg pills. In this case, children's Benadryl in the chewable tablets may be a good option.

What is a natural prednisone? ›

Natural steroids typically refer to compounds found in plants, herbs, and other natural sources that mimic human hormones or steroids. Supporters of natural steroids claim they act in the body like anabolic steroids. These are compounds that build and repair muscle by increasing the production of testosterone.

Can dogs stay on prednisone for life? ›

Some long-term uses of prednisone will be prescribed for life. For example, if your dog has a serious health condition, long-term prednisone usage is unavoidable. However, your vet will weigh the benefits against the risks before prescribing the medication for a longer period.

What does gabapentin do to dogs? ›

Gabapentin is a medicine given to dogs to control and treat seizures, help with pain, and assist with treating anxiety. Different doses of gabapentin can be administered according to the pet's needs. Some adverse effects of gabapentin include lethargy, diarrhea, and anxiety.

Is Benadryl an anti-inflammatory for dogs? ›

Benadryl reduces many of the symptoms of allergic reactions in dogs, including inflammation, watery eyes, headaches, itching and sneezing, and other symptoms.

What do vets prescribe for inflammation? ›

Veterinary nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used to control fever, pain, and other signs of inflammation in animals.

Does Benadryl help dogs with pain? ›

Benadryl doesn't relieve dog pain, so you should talk to your vet about other treatment options.

Is there a safer alternative to prednisone? ›

They include methotrexate, Arava, and the anti-TNF drugs such as Enbrel, Humira, and Remicade. These are very strong drugs as well and must be used with caution, but sometimes they can have good effects when taken in small amounts or as a short-term alternative to prednisone.

Is there an over the counter for prednisone? ›

You cannot buy prednisone over the counter. You need a prescription from a licensed doctor in order to buy prednisone pills.

What is the best alternative to steroids? ›

Other Legal Alternatives to Steroids
  • Creatine.
  • D-aspartic acid (DAA)
  • Zinc.
  • Magnesium.
  • Vitamin D.
  • Dehydroepiandrosterone (DHEA)
17 May 2022

Is hydrocortisone equal to prednisone? ›

20 mg hydrocortisone and 25 mg of cortisone acetate each provide a mineralocorticoid effect that is approximately equivalent to 0.1 mg fludrocortisone.
...
Prednisone
Equivalent doses (mg)5
Antiinflammatory activity relative to hydrocortisone*4
Duration of action (hours)12 to 36
13 more columns

Is hydrocortisone the same as prednisone? ›

Prednisone is 4 to 5 times more potent than hydrocortisone and has a longer duration of action, perhaps 12 hours or more. Dexamethasone is 40 to 50 times more potent than hydrocortisone and even longer-acting, 18 to 24 hours. Both of these glucocorticoids are given when a prolonged action is desired.

What can I give my dog for swelling at home? ›

Below are our top picks for what is the best over-the-counter anti-inflammatory for dogs in 2022:
  1. Pupper Omega.
  2. Paws & Pals Salmon Oil. ...
  3. Zesty Paws Wild Alaskan Salmon Oil. ...
  4. Amazing Nutritionals Omega 3 Chews Pure Fish Oil. ...
  5. Vital Pet Life Salmon Oil. ...
  6. Nutri-Vet Fish Oil Softgels. ...
  7. PetHonesty Omega Salmon Oil.
8 Jul 2022

How much Benadryl can I give my dogs? ›

Benadryl dosage for dogs.

According to the Merck Veterinary Manual, the safe dosage is 2-4 milligrams of medication per kilogram of weight, or 0.9 to 1.8 milligrams per pound. This amount can be administered two to three times daily, depending on your dog's symptoms.

Is prednisone for dogs the same as for humans? ›

For many species, including dogs and humans, the two drugs are interchangeable, but cats and horses absorb prednisolone better than prednisone. The FDA (U.S. Food & Drug Administration) has approved some prednisolone products for use in dogs, cats, and horses.

What are the worst side effects of prednisone in dogs? ›

Long-term use or high doses may lead to more serious issues. Prednisone can impact the gastrointestinal tract, causing vomiting, diarrhea, and GI ulceration or bleeding. Dogs may develop a pot-bellied appearance as well as poor haircoat or loss of hair, all signs of Cushing's syndrome.

How does prednisone make a dog feel? ›

Short-term use of prednisone or prednisolone is unlikely to cause adverse effects. The most-common side effects in dogs include increased thirst, urination, and appetite. Because drugs like prednisone and prednisolone suppress the immune system, your pet may be more susceptible to infections.

What are symptoms of prednisone withdrawal? ›

If you abruptly stop taking prednisone or taper off too quickly, you may experience withdrawal symptoms, including:
  • Severe fatigue.
  • Weakness.
  • Body aches.
  • Joint pain.
  • Nausea.
  • Loss of appetite.
  • Lightheadedness.
  • Irritability or mood swings.

How long does Benadryl take to work in dogs? ›

It will usually take 30 minutes for Benadryl to take full effect, and you want your pup calm and anxious-free. In terms of what form of Benadryl, that's entirely up to your vet. It doesn't really matter if you use the brand name medication or not.

What are the side effects of giving a dog Benadryl? ›

Common side effects associated with using Benadryl for dogs include: Drowsiness. Dry mouth. Urinary retention.
...
Rare side effects include:
  • Diarrhea.
  • Vomiting.
  • Decreased appetite.
  • Increased appetite.

Can I give my dog 50 mg of Benadryl? ›

Official answer. The general dose of Benadryl (diphenhydramine) is 2 to 4 mg/kg up to three times day. If your dog weighs 25 lbs (11.3 kg) the dose of Benadryl would be 22.6mg to 45.2mg up to three times a day. Benadryl tablets are available in 25mg and 50mg strength.

What foods act like steroids? ›

Learn More About Natural Steroids
  • Celery. Expert nutritionists say that the scent of celery stimulates testosterone production in men. ...
  • Spinach. ...
  • Quinoa. ...
  • Eggs. ...
  • Fava Beans. ...
  • Avocados. ...
  • Extra Virgin Olive Oil And Coconut Oil. ...
  • Foods High In Vitamins C, A, and D, Zinc, and Magnesium.
18 Aug 2022

Which food contain steroids? ›

The steroid patterns of pork, meat products, fish and poultry resemble those known for beef. Milk and milk products reflect the hormone profile of female cattle with high amounts of progesterone, which accumulates with increasing milk fat content. Milk products supply about 60–80% of ingested female sex steroids.

What is the fastest way to reduce inflammation in the body? ›

Simple rules of thumb for anti-inflammatory eating:
  1. Eat more plants. Whole plant foods have the anti-inflammatory nutrients that your body needs. ...
  2. Focus on antioxidants. They help prevent, delay or repair some types of cell and tissue damage. ...
  3. Get your Omega-3s. ...
  4. Eat less red meat. ...
  5. Cut the processed stuff.
13 Aug 2019

What do you do when an old dog's back legs give out? ›

If your dog's back legs suddenly collapse, plan on an emergency vet visit at a local pet emergency hospital or your regular veterinarian's office. Sometimes dogs with IVDD can recover without surgery, but other cases require IVDD surgery in dogs.

Is prednisone hard on a dog? ›

With long term use of prednisone, dogs may also experience poor wound healing and muscle weakness. They may develop hard plaques or spots on their skin called calcinosis cutis. Due to increased hunger, dogs may develop a tendency for obesity. The dog may also be vulnerable to demodectic mange and fungal infections.

Can prednisone cause kidney failure in dogs? ›

Using them with steroids can compound negative side effects and lead to gastrointestinal ulcers, hemorrhage, kidney damage, and in extreme cases, death. They should almost never be administered in tandem. The one exception is in the case of immune-mediated hemolytic anemia (IMHA).

Does gabapentin relax a dog? ›

In some dogs (and in many cats), gabapentin may also help relieve anxiety. In fact, a 2021 study in Vet Record demonstrated that gabapentin reduced fear response in dogs with storm phobia. Gabapentin is also one of the “go to” drugs for pets who are anxious about a vet visit.

What does trazodone do for dogs? ›

In dogs, trazodone has been used in the treatment of anxiety disorders, alone or in combination with other behavioral medications. The drug enhanced behavioral calmness and reduced anxiety thereby improving patient welfare with few side effects.

Is human gabapentin the same as dog gabapentin? ›

Although gabapentin functions pretty much the same in humans and dogs, we still shouldn't give medication prescribed for one to the other. This is always a good rule of thumb. If your dog has been prescribed gabapentin, it's because they need it.

What is a natural prednisone? ›

Natural steroids typically refer to compounds found in plants, herbs, and other natural sources that mimic human hormones or steroids. Supporters of natural steroids claim they act in the body like anabolic steroids. These are compounds that build and repair muscle by increasing the production of testosterone.

Can you buy over the counter steroids for dogs? ›

Hydrocortisone cream, when used sparingly, is an option to relieve your pet's itching. OTC hydrocortisone is a mild corticosteroid that helps reduce swelling, redness, and itchiness. It's readily available and inexpensive.

How do I wean my dog off of prednisone? ›

As a dosage, it is usually given in a "blast" initially and then tapered off gradually. An example of prednisone instructions would be something like this: Give 1/2 a tablet twice a day for five days, then give 1/2 a tablet once a day for five days, then give 1/2 a tablet every other day until all the medicine is gone.

How long can a dog stay on prednisone? ›

Long-term prescriptions last about three to four months. In critical conditions, the treatment period may increase. Various factors play an essential role in deciding how long your dog stays on prednisone. Some long-term uses of prednisone will be prescribed for life.

Is there an over the counter prednisone? ›

Can You Buy Prednisone Over the Counter? You cannot buy prednisone over the counter. You need a prescription from a licensed doctor in order to buy prednisone pills.

What is the closest supplement to steroids? ›

What Are the Closest Legal Supplements to Steroids?
  • D-Bal Max.
  • HGH X2.
  • Clenbutrol.
  • GenF20Plus.
  • Brutal Force HBULK.
11 May 2022

Does Benadryl help dogs with pain? ›

Benadryl doesn't relieve dog pain, so you should talk to your vet about other treatment options.

Can I give Benadryl to my dog? ›

Benadryl is safe to give your dog for allergies, anxiety, motion sickness, and vaccine side effects. Though a typical Benadryl pill is 25 mg, you should only give your dog 0.9-1.8 mg per pound of weight. Make sure that the Benadryl you're giving your dog only contains diphenhydramine.

What does gabapentin do to dogs? ›

Gabapentin is a medicine given to dogs to control and treat seizures, help with pain, and assist with treating anxiety. Different doses of gabapentin can be administered according to the pet's needs. Some adverse effects of gabapentin include lethargy, diarrhea, and anxiety.

What happens if dog stop prednisone suddenly? ›

If your dog suddenly stops taking prednisone or prednisolone, it can lead to dangerously low levels of cortisol which can be very severe or even fatal.

What are the worst side effects of prednisone in dogs? ›

A prednisone overdose in dogs can cause itching, weakness, loss of hearing, depression, anxiety, increased blood pressure, heart problems, and seizures. That's why it is very important to follow your veterinarian's dosage instructions.

What are symptoms of prednisone withdrawal? ›

If you abruptly stop taking prednisone or taper off too quickly, you may experience withdrawal symptoms, including:
  • Severe fatigue.
  • Weakness.
  • Body aches.
  • Joint pain.
  • Nausea.
  • Loss of appetite.
  • Lightheadedness.
  • Irritability or mood swings.

Can my dog be on steroids for life? ›

Should Dogs Take Systemic Steroids Long Term? Systemic steroids should not be used for long term treatment due to the high risk of serious side effects. If oral steroids are required for a longer duration, your dog's condition should be re-evaluated and different treatment options should be considered.

Is prednisone hard on a dog? ›

With long term use of prednisone, dogs may also experience poor wound healing and muscle weakness. They may develop hard plaques or spots on their skin called calcinosis cutis. Due to increased hunger, dogs may develop a tendency for obesity. The dog may also be vulnerable to demodectic mange and fungal infections.

Is human prednisone the same as dog prednisone? ›

For many species, including dogs and humans, the two drugs are interchangeable, but cats and horses absorb prednisolone better than prednisone. The FDA (U.S. Food & Drug Administration) has approved some prednisolone products for use in dogs, cats, and horses.

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