FDA proposes new measures to crackdown on youth e-cigarette use

licsiren/iStock(WASHINGTON) -- The U.S. Food and Drug Administration put out a new proposal Wednesday for how it will crack down on the "epidemic-level rise in youth e-cigarette use." But some critics say the efforts do not go far enough in preventing young people from vaping.

In a statement from FDA Commissioner Scott Gottlieb released Wednesday, the FDA outlined a comprehensive plan to crack down on youth access to flavored e-cigarettes.

"Evidence shows that youth are especially attracted to flavored e-cigarette products, and that minors are able to access these products from both brick-and-mortar retailers, as well as online, despite federal restrictions on sales to anyone under 18," Gottlieb said in a statement.

"We also continue to be concerned about cigar use among youth — flavored cigars in particular — which our enforcement work shows are also being illegally sold to minors," he added. "With these concerns in mind, today, we’re advancing our policies aimed at preventing youth access to, and appeal of, flavored e-cigarettes and cigars."

Part of the proposal aimed at limiting teen access to e-cigarettes includes measures to keep them in a separate area in brick-and-mortar stores and require third-party, age- and identity-verification services when purchasing them online.

"The most recent data show more than 3.6 million middle and high school students across the country were current (past 30 day) e-cigarette users in 2018," Gottlieb said. "This is a dramatic increase of 1.5 million children since the previous year."

The FDA will also unveil its first television advertisement this summer aimed at educating children about the risks of e-cigarette use, according to Gottlieb.

But Harold Wimmer, president and CEO of the American Lung Association, said the FDA is not doing nearly enough to address the epidemic, pointing to the fact that the FDA is cracking down on flavored tobacco products and not mint and menthol, too.

"FDA’s latest proposal to address the e-cigarette epidemic falls far short of what is needed to end the e-cigarette epidemic," Wimmer said in a statement.

Wimmer called the FDA's efforts "half measures that will not protect our nation’s children from the predatory marketing practices of the tobacco industry."

"Until FDA is willing to take meaningful action by removing all flavored tobacco products, including mint and menthol, from the marketplace, America’s youth remain at high risk for a lifetime of addiction to tobacco products," he added.

Copyright © 2019, ABC Radio. All rights reserved.


Viral photo shows 'crazy mix of emotions a mom has about adding a new baby to the mix'

CokaPoka/iStock(NEW YORK) -- It's one of those moments that many moms of two or more kids knows, but can't be explained until you've actually been through it.

It's when your first baby is longer your only baby.

You know, of course, that you will love your second child just as much as you love your first. But there's a sort-of sadness at saying goodbye to the days when it was just you and your little one.

That experience is the reason photos of a mom introducing her toddler son to his new baby sister have been shared more than 50,000 times. The mom in the photos, Ashley Clarke, told "Good Morning America," "I think the picture, along with Jordan's [the photographer] words, perfectly captures the crazy mix of emotions a mom has about adding a new baby to the mix. Being excited for the new baby but also mourning what once was. And praying your first little love doesn't hate you forever for ruining the status quo."

Jordan Burch, the photographer who captured the images, told "GMA" she was initially "taken aback" when she realized how nervous Ashley was for Jackson [her 21-month-old son] to see her with a new baby.

"She was anxious from the minute I got there and when he came in and broke down, I knew it confirmed all her fears. But I also knew -- as a mom of four -- that's they'd all recover quickly."

Clarke explained to "GMA" much of her nervousness came from Jackson being a preemie.

"I struggled emotionally for at least a year as I kind of came to terms with everything," she said. "He's always been the little light that came from all the craziness. And I was so afraid to have Emma [her daughter] when he was only 21 months old. I felt like I was betraying him," she said.

Though Jackson's initial reaction was what his mom feared, the family did indeed recover quickly, as Burch predicted.

She went to a follow up session at the family's home shortly after the initial photos and Jackson gave his sister a hug.

"Now I can't imagine it any other way and I'm so glad they are close in age," Clarke told "GMA." "He's very good with her and she lights up when she sees him. Although he always tells me, 'No more babies. Only Emma.'"

Copyright © 2019, ABC Radio. All rights reserved.


Mom loses 185 pounds after realizing she was not in any family photos

Maggie Wells(NEW YORK) -- Maggie Wells woke up on New Year’s Day last year with what she described as a “bone-chilling” thought.

The 34-year-old mother of three weighed more than 300 pounds and refused, for the most part, to be in any family photographs. She said she realized at that moment that her kids would not have any photos of her to remember her by.

“I wasn’t afraid I was going to die because of my weight, but I was afraid that just if something happened, my kids would have no pictures to remember me,” Wells told ABC News' Good Morning America. “My son was 6 at the time and I think we had two pictures together.”

"I just woke up on New Year’s Day and that was the first thought that struck me immediately," she said.

Starting on Jan. 1, 2018, Wells changed her diet, cutting out all added sugars and reducing her daily carbohydrate intake. In the first month, she lost 24 pounds.

One year later, Wells has lost 185 pounds. She said she did it all on her own and through diet alone, only recently beginning to add exercise into her daily routine.

“I feel like I’m 15 years younger,” she said. “I don’t know how to describe it other than I feel like a brand new person.”

“I have mental clarity and literally a whole new lease on life,” she said.

Wells, the mother of a 6-year-old daughter, 8-year-old boy and 12-year-old stepson, said she lost the weight by just focusing each morning on the 24 hours ahead of her.

“I didn’t need to focus that I had to lose 200 pounds or even 20 pounds, I would just focus on 24 hours,” she said. “I would tell myself, ‘I only have to get through the next 24 hours. If I want [a specific food or drink] at this time tomorrow, I’ll allow myself to have it.’”

“That mindset is what still keeps me sticking to it,” Wells added.

Wells found success by following the ketogenic diet, a diet focused on eating foods high in fat and low in carbohydrates. She focuses on eating meats, vegetables and eggs in order to keep her diet simple and within her family’s budget.

“I don’t have time to be making substitute breads and all of those things,” said Wells, who works in the real estate industry. “I found that this diet can be done by anybody on any budget.”

As Wells began to lose weight and gain confidence, she became more open about her weight loss journey. She started a Facebook group called “Get It, Girl,” that now has more than 5,000 followers.

On the page, Wells shares her story of weight loss as well as photos showing the reality of her body transformed -- extra skin and all.

“Surgery is not an option for me, financially, so my body isn’t altered,” she said. “People are seeing [the] real deal of this is your body when you lose a lot of weight.”

Wells said the fact that she shares photos of herself on Facebook shows how much she has transformed, both physically and mentally.

“I could have lived the rest of my life being a bystander," she said, "and now I get to be a participant in my life and my children’s lives."

Copyright © 2019, ABC Radio. All rights reserved.


Amid measles outbreak, NY lawmakers propose bill that would allow teens to get vaccinated without parental consent

Davizro/iStock(NEW YORK) -- New York lawmakers are pushing for the power of change to rest in the hands of teenagers.

A new bill currently moving through the state legislature would allow for any teens over 14 to receive certain vaccines without parental approval.

The measure comes as New York is dealing with two of six measles outbreaks that have occurred so far this year, according to the Centers for Disease Control and Prevention.

In 2018, there were 17 measles outbreaks across the country. The CDC reports that many of the outbreaks that took place in New York and New Jersey during that time "occurred primarily among unvaccinated people in Orthodox Jewish communities."

If the proposed bill is passed, New York will be the latest state to pass such a law, joining others like Oregon, Pennsylvania and South Carolina, which already have similar laws.

New York Assembly member Patricia Fahy, one of the bill's lead sponsors, told ABC News that because of separate budget procedures "it's going to take a couple of weeks" to move forward in the process. She also warned that it might not be easy. "Because there has been such a strong anti-vaccination constituency, this will be an uphill battle," she said.

In a memo explaining their stance on the legislation, the New York chapters of the American Academy of Pediatrics said they "strongly" support it and that sometimes teens have an advantage over their parents with differentiating fact from fiction on the internet.

"In this instance, which is specific to immunization, young people are often more conscious about the misinformation on the internet and can in many cases disagree with parents who have bought into unfounded and dangerous anti-immunization diatribes and pseudo-science," the groups' memo reads. "These young people have a right to protect themselves from diseases that can easily be prevented by immunizations."

Part of the inspiration for the law appears to come from beyond state lines. Fahy told ABC News that 18-year-old Ethan Lindenberger of Ohio was "absolutely" a motivator in the proposal.

Lindenberger spoke in front of Congress on Tuesday, March 5, about how he defied his mother's wishes and got himself vaccinated.

"It was catching that [testimony that] drew our awareness to the issue," Fahy said.

Lindenberger told U.S. Senators that his mother, like many who are against vaccines, believed that the shots cause autism or brain damage, even though there has been substantial scientific evidence to the contrary.

"Over the course of my life, seeds of doubt were planted and questions arose because of the backlash that my mother would receive" when she spoke and posted online about her aversion to vaccinations.

He said that when he went into high school "and began to critically think for myself, I saw that the information in defense of vaccines outweighed the concerns heavily."

Lindenberger started getting his vaccines once he turned 18 because his home state of Ohio does not have a law allowing minors to be vaccinated without parental approval.

The 2019 guidelines put forth by the American Academy of Pediatrics state that the measles, mumps and rubella (MMR) vaccine should be given when a child is between 12 and 15 months old and then a second dose should be given later on, when they are between 4 and 6 years old. The guidelines also note that the MMR vaccine should be given any time after these ages if the person misses them.

Each person who gets vaccinated contributes to what's known as herd immunity, or the protection of a community from infectious diseases via mass vaccinations. It's a measure that makes vaccines more effective. For measles, herd immunity is achieved when 92 to 95 percent of the population is immunized.

Copyright © 2019, ABC Radio. All rights reserved.


Duchess Meghan wears high heels far into pregnancy. Dangerous or more power to her?

Neil Mockford/GC Images(LONDON) -- Meghan, the Duchess of Sussex, is due to give birth to her first child next month and she is still rocking heels... high ones.

She wore two different pairs of high heels to two events Monday as she stepped out with Prince Harry to mark Commonwealth Day.

Meghan, 37, has worn heels at nearly all of her official events during her pregnancy, including her trip in February to Morocco with Harry.

Many on social media have not surprisingly chimed in about Meghan’s pregnancy fashion choice.

"Poor Meghan. My feet hurt for her!" read one comment below Kensington Palace's Instagram post of photos of Meghan on Commonwealth Day.

"Those heels! Poor woman," wrote another person.

While wearing high heels may not be something all pregnant women want to do, there is no medical reason not to, according to Dr. Laura Riley, chair of obstetrics and gynecology at Weill Cornell Medicine and New York-Presbyterian in New York City.

"There are no guidelines," Riley told Good Morning America. "It comes down to comfort and common sense."

The comfort part of the equation comes if a pregnant woman is experiencing back pain or hip pain or "general discomfort" during their pregnancy, especially as they get closer to their due date.

In those cases, wearing high heels is not going to make the pain any better, according to Riley.

"We usually tell [pregnant] women to wear comfortable shoes," she said.

A woman's balance also changes during pregnancy, according to Riley. Due to that and carrying more weight on their body, walking in high heels may not be as easy and may possibly be dangerous for some pregnant women.

"The last thing you want to do is trip and fall because that can be dangerous, especially if you fall and hit your baby," Riley said, adding that pregnant women need to think about "minimizing risk and maximizing comfort."

The American College of Obstetricians and Gynecologists (ACOG) says on its website that high heels can further shift a pregnant woman's balance forward and "make you more likely to fall."

The college advises women to "wear shoes with good arch support" in order to ease back pain.

For someone like Meghan, who is a former actress and used to walking red carpets in high heels, wearing high heels in pregnancy may be comfortable and that's fine too, Riley noted.

"If she’s not having any of the symptoms, then there is no reason to change her behavior," she said of the duchess. "Good for her and I think she looks awesome."

Riley also pointed out that the public only sees snippets of Meghan's life at official events where she is wearing heels. She also applauded Meghan for holding onto her individual style during her pregnancy.

"Personally, I always think it’s important to look good while you’re pregnant, because if you look good, you feel good," she said.

Copyright © 2019, ABC Radio. All rights reserved.


Teen gets a surprise of a lifetime from the cast of 'Grey's Anatomy'

Make-A-Wish/Disney(LOS ANGELES) --  Meet Izzy.

The vivacious 17-year-old from Michigan is as fierce as she is determined.

Despite her adversities in life, she's taught herself how to play the piano and has dreams of becoming a doctor.

Izzy's love for the medical field was emboldened by the hit drama Grey's Anatomy in her early teens when she was diagnosed with Wilson's Disease, a genetic disorder that prevents the body from removing excess copper.

"I started watching the show four years ago when I got really sick and I didn’t go to school because I was so sick," Izzy told Good Morning America. "It was a really cool way for me to be able to escape the frustrations of the life I was living.”

Flash forward and here enters the cast of Grey's Anatomy, who came through with a big surprise thanks to Disney and Make-A-Wish Foundation.

While Izzy's original wish was to meet Dr. Grey herself, Ellen Pompeo, the cast went above and beyond by organizing a visit for Izzy and her family to a working set of Grey's Anatomy and spend the day with the entire cast.

"It was honestly pretty surreal and it took me a little while to process what it was like and that I was actually there," Izzy said. "It was honestly a really, really cool experience."

Izzy got the chance of a lifetime to roam the halls of Grey Sloan Memorial Hospital as an attending physician alongside Pompeo and Giacomo Gianniotti, who plays Dr. Meredith Grey's new love interest in the show, Dr. Andrew DeLuca.

After speeding across the studio lot to meet the wardrobe and props departments, Izzy even got to direct a scene, yelling "action!" on the set to kick it off.

"This was such a great day," Pompeo tweeted.

According to the National Institutes of Health, Wilson's Disease causes copper to build up in the liver, brain, eyes and other organs. Without treatment, high copper levels can cause life-threatening organ damage.

Izzy is also taking the time to educate people about her diagnosis, advocating for kids who have might be going through the same experience as she did.

"It took about five months for me to be able to be diagnosed and if I would have been diagnosed sooner, I would have been a lot healthier and would have been living a lot easier of a life than I do now," she told GMA.

By speaking about her illness, Izzy hopes to bring more attention to Wilson's Disease and hope for more people to be quickly diagnosed as a result.

Izzy affirmed, "I would have been a lot healthier and would have been living a lot easier of a life than I do now. And I know a lot of kids go a lot longer than needs to be diagnosed – they live with a lot more complications and if Wilson’s was more talked about...a lot of these kids wouldn’t be struggling as much as they are.”

Izzy told GMA after it was all over that it was hard to put the entire experience into words. She's thankful for Make-A-Wish for granting her extra special day, saying "The Make-A-Wish experience is almost exactly like what you saw in the video: a really cool, upbeat, fun experience that’s not something that kids feel bad about getting wishes that it’s not everything that they wanted because Make-A-Wish does the very best they can to grant a wish and then do a little bit more.”

This is the 18th Make-A-Wish fulfillment by the cast of Grey's Anatomy. Currently, more than 10,000 Disney wishes are granted every year through the Make-A-Wish Foundation, and the number continues to grow.

Disney is the parent company of ABC News and Good Morning America.

Copyright © 2019, ABC Radio. All rights reserved.


Creator of Netflix's 'Workin Moms' on how a postpartum moment fueled a binge-worthy comedy

Netflix(NEW YORK) --  Parents have been buzzing about Netflix's hilariously honest series, Workin' Moms, the binge-worthy comedy that totally nails a mom's post maternity struggles.

Show runner Catherine Reiter, who also stars in the show, spoke with Good Morning America about how her own realities as a mother inspired the series and the overwhelmingly positive feedback she's hearing from viewers around the world.

"It knocks me over a little bit," Reitman said. "I wrote this thinking, 'I'm going to expose myself both physically and emotionally.' So, [to hear], 'Oh my God, this is my story' or 'This is my wife's story,' it's really moving. It makes me feel that I'm supposed to be on this voyage."

Reitman, a mom of two boys, said she was an actress for over a decade before getting pregnant with her first son.

"I went back to work about six weeks after I gave birth which was crazy early and experienced some pretty bad postpartum depression, but didn't know it at the time," she said. "I would be driving, fantasizing that a car would hit me and put me in the hospital. [I thought] I would be in a coma and get taken care of and not have to worry about my responsibilities."

Reitman said she had her "ah-ha" moment while filming an indie film in Philly.

"I was away from my 6-week-old child, there were all these male comedians on set and they were teasing me," Reitman recalled. "They were saying 'Oh, is the baby calling the nanny mom yet?' I started crying in front of them. They went completely silent. It was awkward and hilarious and painful all in one."

Reitman shared her experience at work with her husband Philip Sternberg, who stars in and is executive producer on Workin' Moms.

"He said, 'You've got to write this,'" Reitman said.

The show is three seasons deep in Canada. The U.S. is currently experiencing season 1 on Netflix.

Workin' Moms follows four mom friends experiencing life after giving birth. The pilot reveals all-too-relatable moments from pumping in the bathroom, admitting to PPD (postpartum depression) and the nightmare of spilling breast milk.

"It represents the battle cry that so many mothers feel whether they're stay at home moms or working -- it's a battle to get to be seen as the person we were before we gave birth," Reitman explained.

Reitman said all four characters represent what it means to be a woman these days.

"Kate is my ambition, Anne is my anger. Frankie is my fear. Jenny is my vanity," she said, adding that the show touches on many points that no one is talking about.

"There's just an incredible amount of loneliness as a mother, all this solitude no one really speaks to," Reitman said. "There's an identity crises -- a lot of us become mothers and all of a sudden we're expected to become these selfless people. That's not a really natural process. That, for me, never felt organic."

She went on, "Even if you don't have a kid and you're in your 30's and life [is supposed to] look a certain way and it doesn't, that's what we were really trying to showcase."

Reitman hopes people can connect to her show on a personal level. As for her female viewers, she has a bit of advice.

"They're right to feel crazy because what we're doing is crazy," Reitman said. "The expectations on all of us to be full-time workers but pretend we don't have kids and to be full-time mothers and pretend we don't have a [career] is unrealistic and complicated and to look good while doing it all, it's a feat that not many can pull off."

"Have a lot of compassion for yourself and love for yourself and [try] caring less of what everyone else has to say," she added. "If you can find moments of success then you're ahead of the curve."

Copyright © 2019, ABC Radio. All rights reserved.


New study shows eye scan can reveal changes associated with Alzheimer’s disease

Fortunato Violi/iStockBY: DR. LEILA HAGHIGHAT

(NEW YORK) -- Ophthalmologists at Duke University have found that a special type of eye scan can pick up changes indicative of Alzheimer’s disease. Their results were published Monday in the journal Ophthalmology Retina.

The eye scan is called optical coherence tomographic angiography, or OCTA for short. Within less than a minute, OCTA takes a non-invasive picture of the retina -- the nerve cells in the back of our eyes that convert light from the outside world into nerve signals that the brain interprets into images.

“The retina has a dense spider web of blood vessels, and we were interested in the density of these blood vessels. Like is there just one string to the spider web, or twenty?” Dr. Sharon Fekrat, an ophthalmologist and retina specialist at the Duke Eye Center in Durham, North Carolina, as well as a senior author of the study, told ABC News.

The researchers scanned the eyes of 39 people with Alzheimer’s disease, 37 people with mild cognitive impairment, which can be a precursor to Alzheimer’s, and 133 people without either of those diagnoses. They found that the density of blood vessels was less, and thickness of one particular layer of the retina was thinner among people with a known diagnosis of Alzheimer’s, compared to the other groups.

Alzheimer’s is the most common form of dementia, and affects as many as 5 million Americans, according to the Centers for Disease Control and Prevention. For every additional 5 years of age beyond 65, the number of people living with Alzheimer’s doubles. It is rarer in younger people, although they can be affected by Alzheimer’s too. And the disease is on the rise -- 14 million American expected to be diagnosed with Alzheimer’s by 2060.

An Alzheimer’s diagnosis is currently made based on clinical history and cognitive testing, without relying on imaging studies or blood tests. Having a diagnostic aid like OCTA could potentially help with making an earlier diagnosis.

Dr. Fekrat believes that if more people in the earlier stages of Alzheimer’s could be recruited into clinical trials, there is a bigger potential for better treatments to be discovered. Similar findings were discovered in 2018. In that smaller study, performed at the University of Miami, OCTA also identified fewer numbers of small blood vessels in the eyes of people with Alzheimer’s.

So why may there be poor blood supply to the eyes of people with Alzheimer’s?

The new study’s authors propose reduced blood flow to the eyes may be because the protein that signals blood vessels to grow and proliferate is found at low levels in people with Alzheimer’s. It may get trapped in the deposits of another protein called amyloid that is commonly associated with in the disease.

One of the limitations of the new study is that 22 percent of the Alzheimer’s group studied was unable to complete the imaging study because of inability to focus long enough for its completion. OCTA is also not routinely available in eye doctor’s offices across the country.

“It can’t be used to diagnose Alzheimer’s disease quite yet. It will be many years before it goes into prime time,” Dr. Fekrat said. “We need to validate the study in larger groups of patients, and follow these patients with time.”

Dr. Leila Haghighat is an internal medicine resident from Yale New Haven Hospital who also works with the ABC News Medical Unit.

Copyright © 2019, ABC Radio. All rights reserved.


Flu season is on the rise, and a more severe strain dominates: What you need to know

JamesBrey/iStock(NEW YORK) -- Since the start of 2019, influenza has been steadily on the rise in the U.S., with the number of new cases currently above the national baseline. And while this flu season has not been quite as severe as seasons past, there has been a recent uptick in a less common flu strain, the H3N2 virus, now accounting for over 50 percent of new cases, according to recent data from the CDC.

There are two main groups of influenza viruses: influenza A and influenza B. The H3N2 strain belongs to the influenza A family.

“The H3N2 strain does appear to be more severe,” says Dr. Olaoluwa Fayanju, senior medical director of Oak Street Health in Cleveland, Ohio. “In addition to the typical symptoms of flu, which include fevers, chills, body aches, and rigors [shaking chills], it additionally has the potential of causing several severe complications, including very high fevers up to 103 or 104 degrees Fahrenheit.”

Dr. Fayanju also notes that people over 65 are at particularly high risk for complications. “The vulnerability caused by a flu infection allows other systemic diseases to take hold,” he says. These include diabetes, stroke, pneumonia, heart attacks, chronic obstructive pulmonary disease (COPD) and sepsis.

Populations at risk

Everyone is at risk, especially those who have not yet been vaccinated. However, as with the more common H1N1 virus, the elderly and very young children are at increased risk of developing complications. According to Dr. Fayanju, this is because young children have not been in the world long enough to develop the antibodies, or any kind of immunity to these viruses. People with chronic diseases, included diabetes, COPD and heart disease are also at increased risk of developing complications if they become infected.

What you can do to prevent infection

“Number one: get vaccinated,” says Dr. Fayanju. Even if you have not yet been vaccinated this season, it is not too late.

Dr. Fayanju emphasizes how important it is, especially with the uptick in this new, more severe strain.

“The flu vaccine includes an amalgam of subtypes and variants of influenza A and B, and is developed by scientists worldwide,” said Dr. Fayanju.

In previous years, the flu vaccine has been less effective against the H3N2 strain, according to the CDC. However, the flu vaccination this season appears to demonstrate similar effectiveness on H3N2 as it does with other strains. Dr. Fayanju also recommends other actions to prevent getting sick:

1. Wash your hands frequently with soap or hand sanitizer. “This is very important. I joke with my daughters to hum the happy birthday song for 30 seconds,” which is how long you need to thoroughly wash your hands of any pathogens. This is especially important after you touch surfaces that could be contaminated with flu, such as after taking public transportation. Avoid touching your mouth, eyes, or nose before you wash your hands.

2. Get lots of sleep, at least 6-8 hours per night

3. Stay hydrated

4. Stay active: exercise is a great way to stay healthy

5. Eat healthy foods

Predictions for the rest of the season

Each week, the CDC comes out with weekly flu statistics from across the country. Many experts think we may be hitting the peak of flu cases now, according to Dr. Fayanju, but with the recent increase in cases of H3N2, it is more difficult to determine how long the season will last. Therefore, it is important to get vaccinated if you have not already, to keep an eye out if you develop any symptoms of the flu, and to contact your doctor if you do.

Copyright © 2019, ABC Radio. All rights reserved.


Spike in cases of dangerous flu strain

nito100/iStock(NEW YORK) -- Deep into the flu season, 32 states are reporting high flu-like activity, according to the Centers for Disease Control and Prevention.  

So far, an estimated 26 million cases have been reported, resulting in nearly 350,00 hospitalizations and more than 30,000 deaths.

But what’s concerning is that more and more cases are involving a dangerous strain of the virus.

In the video below, ABC News chief medical correspondent Dr. Jennifer Ashton discusses the details of the H3N2 strain and what you and your family can do to protect yourselves:

Copyright © 2019, ABC Radio. All rights reserved.

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