In 2020, 78% of American adults said the coronavirus pandemic was a major source of stress in their lives. Even before then, many of us were living with a huge amount of stress and anxiety, which isn’t good for our health.
If you’re spending countless hours worrying about things, this can also have an impact on your quality of life. While you can certainly try some lifestyle changes, marijuana for stress can be beneficial as well.
Are you now interested in hearing more about marijuana for anxiety and stress? Then read on. In this article, we’ll discuss how medical marijuana can help you relax.
It Interacts Positively With Your Endocannabinoid System
The endocannabinoid system is something that’s present in all animals, both vertebrates and invertebrates. This system is responsible for maintaining homeostasis in your body. In other words, it can help balance and control things like your moods, stress, appetite, pain, inflammation, memory, immunity, metabolism, and even fertility.
We’re able to make endocannabinoids on our own, which bind to endocannabinoid receptors. But as you might’ve already guessed, we need some extra help at times.
The cannabis plant has over 110 cannabinoids, which can also bind with our endocannabinoid receptors. The most well-known cannabinoids are THC and CBD, although more are being researched and coming to light as promising compounds for a number of ailments.
Considering that stress is a type of imbalance in your body, medical marijuana’s cannabinoids can bind to your endocannabinoid receptors and help reduce your stress level by balancing things out again.
It Raises Serotonin Levels
Often, people who have anxiety also have depression. A study found that when you use marijuana in low doses, it can potentially have an antidepressant effect. This is because it can help increase your levels of serotonin, which is an important hormone related to our moods and happiness.
If you’re able to ease your symptoms of depression, then this in turn can help with stress and anxiety. Think about it: if you aren’t feeling down and you feel more content and happy with life, then those invasive and stressful thoughts won’t be as prominent.
Do note that this only seems to work in low doses. If you consume large quantities of marijuana, then this can actually backfire and worsen your depression (and therefore, anxiety).
It Mellows You Out
There’s a reason why stoners are stereotyped as people who are extremely laid back, with not a care in the world. A study found that 70% of cannabis users over-estimated the time that’d passed when actively consuming it.
If you feel like the majority of your stress comes from feeling like you don’t have enough time in the day, medical marijuana might be useful. It can help mellow you out and take things at a slower and less stressful pace.
It Can Help With Your Sleep Quality
It’s no secret that most people with anxiety don’t sleep well. You’re probably familiar with staying up all night, tossing and turning with multiple thoughts swimming in your head. As a result, you get poor quality sleep, if you’re even able to fall asleep at all.
As you might’ve guessed, this can quickly become a vicious cycle that’ll deteriorate both your mental and physical health. In turn, your anxiety levels could likely skyrocket.
What’s great is if used correctly, medical marijuana can help with sleep. Keep in mind that you need to start with very low doses and don’t use it every night, as it’ll end up having negative effects on your sleep.
Marijuana helps with sleep quality through 2 of its major cannabinoids: THC and CBD. As we all know, THC causes drowsiness, which makes you fall asleep more easily. CBD can help with chronic pain and also reduces daytime drowsiness, which helps regulate your sleep-wake cycle.
If you have sleep apnea, medical marijuana can help here as well. Some small studies have shown that weed can help ease symptoms.
In any case, medical marijuana is worth a try before resorting to sleep aid medications, as there are far fewer side effects.
Use Medical Marijuana in Moderation
Do note that while medical marijuana can help with stress, you should use it in moderation. In fact, a study has shown that it produces the best effects if you take a low dose of it.
In this study, there were 3 groups of participants: one received a low dose of THC capsules, another received a moderate dose of THC capsules, and the last received placebos. The group with the low-dose THC capsules reported that they had less stress after the test, plus their stress levels dropped much quicker afterward.
However, the group that received the moderate dose of THC had negative moods both before and during the test.
Seeing as this has the opposite effect of stress relief, we’d recommend only using medical marijuana (or any THC products for that matter) in small quantities. That way, you’ll get the best results possible. Experiment with the different forms of medical marijuana to find what works for you.
Try Medical Marijuana for Stress
It might seem unconventional, but using medical marijuana for stress just might be the key to reducing your stress levels. Of course, you should pair it together with a healthier lifestyle, such as eating a better diet, exercising more, and getting more sleep.
By improving all aspects of your life, you’ll have a better chance at decreasing stress and improving your quality of life. So if you’re at your wit’s end, give medical marijuana a try. Your life just might be completely transformed!
If you want to read more about health and wellness, don’t forget to check out the rest of our blog posts!
Nursing hacks: adapting to different patient characteristics for improved patient outcomes
Through the ages, nurses have always been seen as caring, compassionate, knowledgeable, and efficient. It can be one of the most rewarding professions, depending on what the individual nurse puts into it in terms of effort, creativity, and passion. Healing, caring, and being a pillar of strength when patients and their families are going through tough times is not always easy, but receiving a big smile from a patient as they acknowledge the efficiency and compassion they have been treated with is reward enough for most nurses.
By making an effort to get to know their patients and learn about their small habits, their families, their life situations, and their likes and dislikes, nurses are more likely to deliver personalized treatment and build trusting relationships with their patients.
Nurses who work in a hospital environment gradually gain experience in the different clinical wards, learning about the various types of nursing such as surgery, maternity, and general medical experience, eventually graduating to the more specialized nursing areas such as neurology and oncology.
Not only are the different sections in hospitals quite diverse in terms of the nursing requirements, but the differences between ethnic groups, cultures, and languages spoken may present a few challenges when dealing with patients. In addition, people at different stages of life have different needs.
Nursing, therefore, is not as straightforward as it sounds. Besides theoretical knowledge and practical skills, nurses need to be adaptable and versatile to achieve the best possible outcomes for their patients. For a deeper understanding of the ethical and theoretical perspectives of nursing, Wilkes University offers online ABSN programs for aspiring nurses who show potential for critical thinking and leadership in diverse clinical environments, emphasizing comprehensive education in a condensed timeframe.
We discuss some of the soft skills nurses require when administering a more holistic level of care.
Good communication skills are key to an effective nurse-patient relationship. When treating patients, nurses need to have the ability to explain to their patients what treatment they are administering and how it is going to benefit them. Efficient communication with patients can instill a sense of hope and reduce feelings of anxiety, thus improving the success of their treatment. It is apparent from a study done by AM Legg et al. in 2014, where they examined the effects of patients’ emotional reactions on their health outcomes and the effectiveness of communication regarding their healthcare options.
In the case of language barriers, where the patient doesn’t fully understand the details of their illness and treatments, they are likely to panic or become anxious. It may be necessary to involve a colleague who can assist with interpretation when communication barriers get in the way of effective treatment. Many clinical institutions recognize that having a good mix of multilingual personnel in their employ is beneficial, particularly in this type of situation.
Where there are alternative methods of treatment, patients can be involved in the decision-making process, and ultimately, if the patient is of sound mind and decisions need to be made, they should be allowed the final say in their healthcare options.
In addition to good communication, nurses should show their patients that they respect them as individuals, their wishes, and their right to confidentiality and privacy. By effectively communicating the patient’s condition and the methods of intervention being used, the nurse demonstrates their respect for the patient’s ability to understand the situation and take part in the decisions around their healthcare.
Relatively easy access to computerized medical records empowers today’s medical staff to make crucial and timely decisions based on the patient’s medical history as well as current information such as medication and chronic diseases. When equipped with sound information about the patient’s medical details, nurses can provide a more holistic treatment, and it may also open channels for more effective communication with the patient and give nurses some insight into how they should approach the patient. For example, patients with behavioral issues or underlying chronic illnesses may need special care.
Still on the subject of medical records, a personalized form of medical treatment known as precision medicine is making its debut in medical circles. This form of intervention takes body genetics, bodily substances, and lifestyle into account when formulating a specialized treatment plan for patients.
Personal circumstances play a role in a patient’s attitude towards their personal health and wellbeing. Unfortunately, not all patients have a caring support system provided by family or friends, and the loneliness of their situation can affect how well they respond to treatment. In these situations, a little extra compassion from a nurse can make all the difference.
Subtle observation or spending an extra five minutes chatting with a new patient helps the nurse establish whether their patient has some support or whether they come from a situation that is not ideal, perhaps even abusive. A little extra care, like helping them search for a TV channel or providing them with something interesting to read, will help to take the patient’s mind off their problems and leave them feeling a bit more cared for.
Patient diversity and adaptation of nursing interventions
We’re all different, thankfully. What works for one patient doesn’t necessarily work for the next, and this becomes evident when nurses interact with them and get different reactions. We examine some of the characteristics of the various groups of patients and how nurses use their skillsets to achieve optimum results.
Caring for people with mental health issues or dementia
Nurses working in mental health institutions require training on handling people with mental health or behavioral problems. However, when patients with current mental health issues are admitted into a general hospital environment, the nurses do not necessarily have the specialized training to handle these people. In cases like this, it is wise to involve a mental health practitioner to assist. Depending on their level of understanding, the patient should be informed as to why they are there and how their treatment will benefit them. They need to understand that the nurse is there to help them.
The various forms of dementia generally affect elderly patients as they gradually slip away into a world of their own. With the onset of Alzheimer’s or dementia, patients are usually aware that it is happening to them and what the long-term effects will be. They may need antidepressant medication to help them deal with this knowledge, as well as a great deal of compassion. Patients with dementia need to be bathed, dressed, fed, and exercised as their ability to do these things for themselves diminishes. They can sometimes be very difficult to handle, and nurses may need assistance when dealing with these patients.
When conversing with someone mentally confused, it is best to agree with what they say and encourage them to express their thoughts and feelings. Keep the conversation going, and don’t laugh at them; however, you may laugh with them. Dealing with these patients can be likened to interacting with very young children. They become innocent once more and are generally a pleasure to nurse.
Many nurses specialize as family nurse practitioners, as it offers a diverse scope of opportunity and is usually immensely rewarding. Family nurses deal with pregnant mothers and newborn babies, children of varying ages, young adolescents, adults, and the elderly. Each age group comes with its own distinct differences and many similarities.
Nursing newborn babies takes special skills and knowledge. Nurses need critical observation skills in order to pick up the slightest indication that there may be something amiss. They also have to be extremely careful when working with soft, delicate limbs and work gently with the mother as she adjusts to her newly born addition to the family while recovering from the birth experience.
Small children who are not feeling well and may be a little nervous or stressed also need special skills. The nurse who becomes a friend, entertains, and explains their illness and what they can expect is likely to have success with their young patient.
Teenagers are very different, and there is probably no hard and fast rule when dealing with the different personalities. It takes perception to know whether you’re getting through to them or just simply irritating them. A professional yet friendly manner is the best place to start.
Adults are capable of understanding their diagnosis and prognosis and are generally cooperative. Once again, a friendly, professional attitude is best. Establishing a rapport with the patient is ideal, and it takes practice and sometimes a good deal of patience to understand the different personality types and how to interact with them for the best results.
Caring for the elderly
When reaching their end-of-life stage, many people become depressed and tired of living and dealing with the aches and pains that come with aging. While caring for our aging population, nurses are careful and gentle, aware of the prevalence of arthritic joints, fragile bones, a tendency to bruise easily, and general frailty. People over the age of 75 suffer from a multitude of chronic ailments, so managing chronic medication, regular monitoring of vital signs, and pain management become priorities when treating elderly patients. Elderly people whose long-term health prospects start looking quite bleak will often become anxious or depressed, and if not treated promptly, other health issues will begin to manifest.
In spite of this, caring for the elderly can also be a rewarding experience for nurses. Seeing a wrinkled face light up with a smile when you do something for them or say some kind words makes the day worthwhile. Being there with them in their last moments is sad but often a relief, knowing they are no longer suffering. Nurses who care for the elderly have a special, compassionate side to them and reap many rewards.
Nurses who work with patients in their home environments may have flexibility in terms of hours worked and more autonomy as they will be working on their own. This type of nursing is conducive to forming mutually beneficial personal relationships between nurse and patient, and nurses who work in their patients’ homes tend to form closer bonds with their patients, reaping the rewards of seeing their patients thrive under their personal supervision. Home nurses are typically employed to care for elderly patients who need constant attention or for patients who are chronically or terminally ill. They may be called upon to assist in the short term when new mothers need help with their newborn babies.
Home nurses usually work through agencies, meaning there is a line of reporting, and the nurse is not working entirely on their own and doing as they please. Home nurses are required to conform to the standards set by the agency and have the agency’s support in the event of disagreements or complaints.
Ethnic, cultural, and religious diversity
This article would not be complete without discussing how nurses deal with people from other cultures and ethnic backgrounds. To begin with, there needs to be open and honest conversations about the differences. Striking up a conversation about the culture or language spoken by the patient, asking questions in a friendly manner, and sharing interesting information about each other’s cultures and ethnic differences helps the nurse establish open communication with the patient and enables them to show their respect for other cultures or religions.
Many religions have specific beliefs around some medical procedures, and nurses should avail themselves of this knowledge beforehand, particularly if they are working in an area that has a large diversity of religions and cultures. By making an effort to learn about the different practices and beliefs, particularly regarding the more dominant cultures in the area, nurses are empowered to show an interest and gain the respect of their patients.
Successful patient outcomes
From the above, it is evident that communication and respect are key factors in successful nurse-patient relationships. Knowledge of the patient’s personal circumstances, cultural or religious beliefs, and medical history is important when making decisions that affect their health care. Nurses have the power within them to affect their patients’ health and wellbeing positively.
Combining IPL with Other Treatments: How to Optimize Your Skin Care Regimen
The quest for flawless skin has led many to explore a myriad of treatments, and among the most sought-after is the IPL (Intense Pulsed Light) photofacial. This non-invasive procedure, known for addressing a plethora of skin concerns, often paves the way for questions about its integration into broader skincare routines. Specifically, can IPL be effectively paired with other treatments? And if so, how can one do it safely and effectively? In this guide, we will delve into the synergy of combining IPL with other popular skincare procedures, offering insights on maximizing results while ensuring skin health.
Before diving into combinations, it’s pivotal to understand the workings of IPL at its core. IPL photofacial is a technology that utilizes intense pulses of light to penetrate deep into the skin. This light causes collagen and blood vessels below the epidermis to constrict, reducing redness, age lines, and even sun damage. The distinct advantage of IPL lies in its versatility: it’s suitable for tackling various issues like sunspots, rosacea, and enlarged pores.
One of the key attributes of IPL is its non-ablative nature, meaning it doesn’t damage the surface of the skin. Instead, it offers a gentler approach, treating the deeper layers. This characteristic not only results in minimal downtime but also makes it a potential candidate to be paired with other treatments. However, as with any skincare procedure, the key to success is understanding its dynamics and knowing how and when to complement it with other interventions.
In the subsequent sections, we’ll explore the array of treatments that can be harmoniously paired with IPL, ensuring that you’re equipped with the knowledge to craft an optimal skincare regimen.
Popular Treatments to Combine with IPL
While IPL stands as a formidable treatment on its own, combining it with other procedures can amplify results and target multifaceted skin concerns. However, it’s essential to recognize which treatments are complementary and which might be contraindicated. Let’s delve into some of the popular treatments often paired with IPL:
Chemical Peels: This treatment involves the application of a chemical solution to exfoliate and eventually peel off, revealing rejuvenated skin underneath. When combined with IPL, chemical peels can further enhance skin texture and address pigmentation issues. However, spacing is crucial, as immediate succession might increase skin sensitivity.
Microdermabrasion: A minimally invasive procedure, microdermabrasion exfoliates the skin’s outer layer, promoting new skin growth. Pairing this with IPL can provide a more in-depth rejuvenation, addressing both surface imperfections and deeper skin concerns.
Microneedling: This involves creating micro-injuries using tiny needles, which boosts collagen production. When followed by IPL, the combined collagen-boosting effects can be quite remarkable, leading to plumper, more youthful skin.
Facials: A classic skincare treatment, facials can be customized to cater to various skin concerns. When done before an IPL session, facials can prep the skin, ensuring it’s clean and hydrated, leading to more effective IPL results.
Botox or Fillers: While these injectables target wrinkles and volume loss, they don’t address skin texture and pigmentation. Incorporating IPL sessions alongside can offer a holistic approach, tackling skin texture, tone, and structure simultaneously.
It’s essential to remember that while combining treatments can offer synergistic results, the sequencing, spacing, and individual skin needs play a pivotal role. Always consult with a skincare professional to tailor a regimen best suited for your unique requirements.
Benefits of Combining Treatments
Combining IPL with other skincare treatments isn’t just about capitalizing on the latest trend; it’s about optimizing the advantages each treatment brings to the table. By understanding these benefits, you can make informed decisions about your skincare journey. Let’s break down some of the compelling reasons to consider combination treatments:
Holistic Skin Enhancement: While IPL is adept at addressing various skin concerns, pairing it with another treatment can provide a more comprehensive solution. For instance, while IPL works wonders on pigmentation, combining it with microdermabrasion can elevate results, addressing both skin texture and tone.
Time Efficiency: For those with a busy lifestyle, combining treatments can reduce the number of sessions and visits required, providing multiple benefits in a singular appointment.
Enhanced Results: Some treatments can set the stage for others. A facial can cleanse and prep the skin, allowing IPL to penetrate more effectively. Similarly, the collagen-boosting properties of microneedling can be further amplified when followed by an IPL session.
Cost-Effectiveness: In the long run, combining treatments can be more cost-effective. Instead of multiple sessions of one treatment, a strategic combination might offer quicker and more lasting results, saving both time and money.
Addressing Multi-faceted Concerns: Skin concerns are seldom isolated. One might experience dryness along with pigmentation or fine lines alongside skin laxity. Combining treatments ensures that multiple issues are addressed simultaneously.
Boosted Confidence: With enhanced and accelerated results, one can experience a significant boost in self-confidence. The visible improvements can be motivating and reaffirming.
While the benefits are numerous, it’s essential to approach combination treatments with caution and awareness. Individual skin needs and concerns should always be at the forefront, ensuring that the chosen treatments align with your skincare goals.
When contemplating multiple treatments, especially in close succession, safety should always be paramount. Here are some essential factors to keep in mind:
Risk of Over-treatment: Doubling up might sound efficient, but there’s a risk of over-treating the skin, which can lead to sensitivity, prolonged redness, or even damage. It’s essential to have adequate spacing between sessions to allow the skin to recover fully.
Individual Skin Reactions: Everyone’s skin is different. Some might experience heightened sensitivity when treatments are combined, while others might tolerate it well. It’s crucial to be observant and communicate any discomfort or unexpected reactions to the practitioner.
Professional Expertise: Always ensure that the treatments are being administered by trained and experienced professionals. Their expertise will determine the correct sequencing, intensity, and duration of treatments.
Customizing Your Skincare Regimen
A successful skincare regimen is tailored to individual needs and concerns. Here are steps to ensure your treatments are personalized:
Skin Assessment: Start with a thorough assessment, either through a dermatologist or a skincare expert. They can evaluate skin type, concerns, and recommend the most effective treatments.
Treatment Sequencing: It’s not just about which treatments to combine but also about the order. Some treatments prepare the skin for others, while some should be spaced out.
Adjusting to Feedback: Listen to your skin. If it feels overly sensitive or shows signs of irritation, it might be worth reconsidering the combination or frequency of treatments.
Aftercare and Maintenance
The journey doesn’t end once the treatment is over. Aftercare is paramount to ensure lasting results and healthy skin:
Sun Protection: Especially after treatments like IPL, the skin can be more sensitive to UV rays. Ensure you’re diligent with sunscreen and avoid direct sun exposure.
Hydration: Keep your skin hydrated both internally by drinking water and externally with moisturizers, especially after exfoliating treatments.
Avoid Irritants: After treatments, it’s best to avoid products with potential irritants like alcohol or strong acids. Stick to gentle skincare products.
Regular Check-ins: Schedule regular follow-up appointments to assess the skin’s progress and adjust treatments as necessary.
In the realm of skincare, there’s no one-size-fits-all. While combining IPL with other treatments can offer transformative results, it’s all about understanding, customizing, and adapting. With a patient-centric approach, guided by professional expertise and a keen awareness of one’s skin, the journey can be both rewarding and revitalizing.
Are there any effective topical treatments for cellulite?
Cellulite is a widespread aesthetic issue that primarily affects women. On the thighs, buttocks, and other parts of the body, the skin is bumpy and dimpled. Although there are several cellulite treatments accessible, such as diet and exercise, some individuals may choose topical creams as a non-invasive alternative. One such product is CelluAid Cream, which advertises that it uses a combination of natural substances to lessen the appearance of cellulite.
However, the efficacy of such treatments is often disputed, and many individuals are unsure whether they can really reduce cellulite. The issue of topical cellulite treatments will be covered in this article, along with the data supporting its efficacy. In order to assist you decide whether CelluAid Cream is the correct choice for you, we will also look more closely at the product and its components.
What aggravates cellulite’s appearance?
Cellulite is a widespread disorder that mostly affects women. Skin that appears lumpy and dimpled on the thighs, buttocks, and belly are its hallmarks. Even while cellulite is not unhealthy for you, it may nonetheless be embarrassing and make you feel self-conscious. You may be wondering what causes cellulite to seem worse if you have it. The following are some elements that may encourage the development of cellulite:
- Genetics: Unfortunately, some individuals are more genetically predisposed to developing cellulite than others. You could be more prone to getting cellulite if members of your family do.
- Age: As we become older, our skin grows thinner and loses suppleness, which may make cellulite more obvious. Cellulite develops as a result of the breakdown of the collagen and elastin fibers in our skin over time.
- Hormones: Cellulite growth may also be influenced by hormonal changes. For instance, estrogen may lower circulation and increase fat accumulation in the body, which can make cellulite more noticeable.
- Unhealthy diet: Eating a diet rich in processed foods, sugar, and saturated fats may help to cause cellulite. These meals may increase the amount of fat deposited in the skin and cause the body to become inflamed.
- Not exercising enough: Regular exercise helps enhance circulation and lessen the appearance of cellulite. Lack of exercise may increase your risk of developing cellulite or exacerbate pre-existing cellulite.
Are there any effective topical treatments for cellulite?
Millions of individuals across the globe, mostly women, suffer from the prevalent ailment known as cellulite. Skin that appears lumpy and dimpled on the thighs, buttocks, and belly are its hallmarks. Even while cellulite is not unhealthy for you, it may nonetheless be embarrassing and make you feel self-conscious. As a result, a lot of individuals look for ways to lessen or get rid of cellulite. Topical creams or lotions are a therapy option that is often taken into account. These products claim that by enhancing the firmness and texture of the skin, cellulite would look less noticeable. However, there is disagreement among specialists on the efficacy of topical therapies for cellulite. According to certain research, several components in topical treatments may reduce the appearance of cellulite. Caffeine, for instance, has been shown to increase blood flow and decrease the buildup of fat cells in the skin. Vitamin A in the form of retinol may also aid to thicken skin and lessen the visibility of dimples.
Antioxidants, such as green tea extract and vitamin C, are also often contained in cellulite treatments and may help to protect the skin from harm and encourage the creation of collagen. Forskolin and yohimbine, two chemicals used in certain products, are said to break down fat cells. Many specialists are still dubious regarding the efficacy of topical cellulite treatments in spite of these assertions. Some claim that the chemicals in these lotions cannot permeate the skin deeply enough to significantly reduce cellulite. Others draw attention to the little scientific data that backs up the promises that these items’ producers make.
There are various cellulite treatments outside topical creams, such as massage, laser therapy, and radiofrequency treatments. Although they may also be more costly and time-consuming, these techniques may be more successful than creams in reducing the appearance of cellulite. In the end, a mix of healthy lifestyle practices, including consistent exercise, a balanced diet, and keeping a healthy weight, will help to decrease the appearance of cellulite. Topical treatments could be helpful, but they’re not likely to be a magic fix for cellulite. Before attempting any new product or technique, it is crucial to speak with a healthcare practitioner, as with any kind of therapy.
Do creams for cellulite work?
While certain lotions could temporarily lessen the look of cellulite, there isn’t much data to back up their long-term efficacy. Additionally, the efficiency of these creams may differ from person to person and from instance of cellulite to case of cellulite. The efficacy of topical treatments for cellulite, however, is often contested. There isn’t any proof to support the long-term efficacy of these lotions, despite some research suggesting that certain chemicals, including caffeine and retinol, may temporarily reduce the appearance of cellulite. It’s crucial to do study and choose a cellulite cream with components that have been scientifically verified if you’re thinking about utilizing one. It’s crucial to keep in mind that although topical treatments may help reduce the appearance of cellulite, they cannot take the place of a balanced diet and regular exercise.
A topical medication called CelluAid Cream makes the promise that it will lessen the appearance of cellulite. Caffeine, retinol, and shea butter are among the natural constituents in the cream. Retinol may assist to boost collagen formation and improve skin texture, while caffeine is thought to promote circulation and decrease inflammation, as per CelluAid reviews. Shea butter is renowned for its hydrating qualities, which may enhance skin suppleness and lessen the appearance of dimples.
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