Despite ongoing efforts to combat addiction, there has been evidence of clinics billing patients for treatments that may not guarantee their recovery.[1] This is a major problem as there are numerous claims of fraud in drug rehabilitation centers, where these centers are billing insurance companies for under delivering much needed medical treatment while exhausting patients' insurance benefits.[2] In California, there are movements and laws regarding this matter, particularly the California Insurance Fraud Prevention Act (IFPA) which declares it unlawful to unknowingly conduct such businesses.[2]
Alcohol rehab is often the only way that an individual who’s struggling with addiction can get help. There are rehab centers all over the country that offer individualized programs to treat alcoholism, regardless of how long the disease has been present. Alcohol treatment programs take many factors into consideration, including the person’s age and gender, and the extent and length of the addiction. Many alcohol rehab centers also offer various aftercare options and recommendations to help clients maintain their sobriety, such as group therapy.
FAQHow much alcohol causes addiction?How many days to get over alcohol addiction?How alcohol addiction starts?Will rehab cure alcohol addiction?How can alcohol addiction be treated?Can you beat alcohol addiction?Can you die from alcohol addiction?What causes alcohol addiction?What medication for alcohol addiction?How does alcohol addiction affect the family?
You can support your drug treatment and protect yourself from relapse by having activities and interests that provide meaning to your life. It’s important to be involved in things that you enjoy, that make you feel needed, and add meaning to your life. When your life is filled with rewarding activities and a sense of purpose, your addiction will lose its appeal.

The definition of recovery remains divided and subjective in drug rehabilitation, as there are no set standards for measuring recovery. The Betty Ford Institute defined recovery as achieving complete abstinence as well as personal well-being[21] while other studies have considered "near abstinence" as a definition.[22] The wide range of meanings has complicated the process of choosing rehabilitation programs. Alcoholic Starts Shaking On Stage | The Jeremy Kyle Show

From the comfort of your home you can connect with the greater Aftercare community via our private online social network site. As an alumnus of our alcohol recovery program, you can also participate in our refresher weekend getaways. As part of the Smart Recovery community we run an Aftercare program that hosts virtual meetings all across Canada, England, the USA and Australia.
Inpatient treatment programs require the patient to live at the facility for the duration—typically 30, 60, or 90 days—of treatment. The process often starts with detoxification. During this time, withdrawal symptoms are managed in a safe environment by qualified medical staff.  Medications may be administered to alleviate or prevent serious symptoms. Drug Rehab Near Me
Frequent meetings with an alcohol counselor are important for individuals to communicate and receive guidance during their recovery. Counseling opens a line of communication during the good times, as well as the difficult times. Your therapist will also be able to work with you on any underlying issues that may be triggering your drinking problem such as peers, family relationships, work or other circumstances. This will give you an opportunity to learn more about yourself, as well as how to keep your body healthy both inside and out.
Take an inventory of how you experience the craving. Do this by sitting in a comfortable chair with your feet flat on the floor and your hands in a comfortable position. Take a few deep breaths and focus your attention inward. Allow your attention to wander through your body. Notice where in your body you experience the craving and what the sensations are like. Notice each area where you experience the urge, and tell yourself what you are experiencing. For example, “My craving is in my mouth and nose and in my stomach.” Rehab for Drug Addiction I The Feed
Our alcohol treatment center is located in beautiful Malibu, California overlooking the Pacific Ocean. Our accommodations, treatment program, and renowned philosophy are simply the best. If you are ready to take control of your life, and overcome your alcohol addiction, pick up the phone and call us toll free (888) 920-8849. We look forward to helping you take proactive steps towards getting your life back. Our doors are open and we honor the opportunity to work with you.

Getting alcohol out of the addicted person’s system is the first part of recovery. People with a severe alcohol addiction can experience intense withdrawal symptoms. A supervised alcohol detox is usually necessary for people addicted to alcohol to prevent potentially fatal complications. Shaking, sweating, seizures, and hallucinations are possible alcohol withdrawal symptoms. Alcohol Rehabilitation Centers - What is it like going to in Rehab
State and local governments often offer rehab information and resources for local facilities and programs through their substance abuse or behavioral health divisions; the organizations to contact can be found through the Directory of Single State Agencies (SSAs) for Substance Abuse Services. In addition, the federal government’s Substance Abuse and Mental Health Services Agency (SAMHSA) provides an online search engine that can provide guidance to those seeking a facility.

Another difference involves the intensity of care. Residential rehab facilities often focus more on counseling and therapy, whereas inpatient rehab centers focus more on intensive medical care. Regardless of the necessary amount of time that’s needed for treatment, The Recovery Village’s inpatient rehabilitation centers (residential rehabilitation programs) can make the appropriate accommodations.

No matter where you are in your recovery, there is an addiction treatment center that can help you. For those just starting out and in need of medical treatment, alcohol detox may be the most appropriate. For those who have safely surmounted the challenge of acute alcohol withdrawal and have already made progress with the physical dependence associated with alcoholism, ongoing inpatient or outpatient alcohol rehab that offers therapy can help further the recovery journey.
For those searching specifically for drug rehabilitation, there are many treatment options available. Drug rehabilitation can include a variety of programs, levels of care and therapy options. Drug rehab centers can help those searching for help with comprehensive medical and emotional care. By working closely with clients to understand the underlying causes of addiction, a drug and alcohol treatment center can help clients heal by addressing the roots of substance use disorder.
Parents may also inadvertently contribute to children’s alcohol problems, especially if they model bad drinking behaviors. Kids who grow up in homes with a great deal of drinking may come to see the behavior as normal. If their parents drink as a coping mechanism for stress or anxiety, kids may come to do the same. In this case, the genes aren’t at the root of the problem; it’s the behaviors parents model that causes concern.
If you or a loved one is considering drug rehab or entering a drug rehab center, it’s vital that you find the right treatment program for your specific needs. Choosing the correct treatment will increase the likelihood that it will be useful. Furthermore, a rise in the opioid crisis has created an array of knockoff or unethical treatment centers who use deceptive marketing practices to solicit business.
Some factors are relatively straightforward – for example, location (unless you feel that you would benefit psychologically from knowing that you are as far away as possible from your dealer/s and your drug-taking environment, it is usually best to look for a facility relatively close to you) and cost (it may be that some specifically luxury facilities are outside what is affordable for you).
One of countless treatment centers in California, Sober Living by the Sea is actually one of the best in the state. They have over 25 years of experience and take a clinical approach to treatment. Part of their approach is uncovering any subsidiary mental disorders that may be associated with an addiction. Sober Living by the Sea also combines therapy with an array of activities such as hiking and swimming.
Professional assessments are always the best first step towards recovery, and they are especially important for anyone who feels they may have a problem with drinking. Since alcohol is legal, and drinking is culturally acceptable, many people who have an AUD (alcohol use disorder) might not realize the extent of their problem. A professional assessment is the only way to be sure.

Our highly qualified treatment team possess extensive clinical experience in treating alcohol addiction, and are able to deliver a wide range of established techniques to help you to address your alcohol addiction symptoms, and resolve the underlying causes and triggers for your alcohol addiction. We ensure that each individual who seeks support with us is placed at the centre of their alcohol addiction treatment and rehabilitation journey and is involved in any decisions that are made about their care. This ensures that you benefit from a truly collaborative and personalised treatment experience and the most positive outcomes for you as an individual. Our non-judgemental, highly compassionate addiction treatment environments provide you with the ideal setting in which to address your challenges and achieve and full and sustainable recovery. Rehab Drug and Alcohol Detox Treatment Centers | BLVD Treatment Centers
Having made the decision to reach out for help in overcoming addiction, you may feel overwhelmed by the variety of options available to you – and, of course, choosing the right rehab is absolutely crucial. You need a facility that will best suit your particular needs and wants – but how will you know what those are, when you have never been through this process before?
Rehabs.com is a comprehensive guide for the entire treatment process - from spotting issues to find and enrolling into rehabillation. Yet it’s more than that; it’s also an extensive educational resource that includes up to date statistics, policy and regulation information as well as a section on careers in the industry. If that’s not enough, this site also cover a list of hot button issues that can be found on the blog and in the infographics library. Boost Your Strength To Overcome Addiction - Sleep Hypnosis Session - By Thomas Hall
NOTE: This fact sheet discusses research findings on effective treatment approaches for drug abuse and addiction. If you’re seeking treatment, you can call the Substance Abuse and Mental Health Services Administration's (SAMHSA's) National Helpline at 1-800-662-HELP (1-800-662-4357) or go to www.findtreatment.samhsa.gov for information on hotlines, counseling services, or treatment options in your state. 
The first step toward recovery is admitting that the problem exists. We understand that this is often the most difficult step. If you suffer from alcohol addiction, coming to terms with the fact that alcohol has become a destructive force in your life is tough. Still, we urge you to face up to the reality as soon as possible. The sooner you do, the sooner you can begin your journey to a clean, healthy, and sober life. We encourage you to do it sooner rather than later. Drug Rehab Near Me
The intravenous use of heroin not only intensifies the response to this drug; it also increases the risk of overdose, communicable disease, tissue infection, blood vessel collapse, and accidental death. Heroin withdrawal is notoriously uncomfortable, driving many addicts back to the drug in spite of their resolve to quit. Medical detox can significantly reduce the physical and psychological discomfort of heroin withdrawal, making it possible to reach your recovery goals.
More good news is that drug use and addiction are preventable. Results from NIDA-funded research have shown that prevention programs involving families, schools, communities, and the media are effective for preventing or reducing drug use and addiction. Although personal events and cultural factors affect drug use trends, when young people view drug use as harmful, they tend to decrease their drug taking. Therefore, education and outreach are key in helping people understand the possible risks of drug use. Teachers, parents, and health care providers have crucial roles in educating young people and preventing drug use and addiction. Three Approaches to Treating Addiction by Dr. Bob Weathers

Even though our primary choice is to end the struggle of drug addiction through abstinence, we realize that for some this may not be possible. What makes Searidge Drug Rehab stand out from all other drug rehabs is that we understand there are some that may need further guidance with anti drug addiction medication. We work with caring physicians, psychiatrists and nurses that will give you compassionate care in a non-judgemental environment. Therefore, we are open and willing to work with you based on your individual needs and where appropriate, work with anti-addiction medications to assist you in controlling cravings that help prevent relapse. Pharmacotherapy treatments can help make things a little easier by taking the focus away from your drug addiction towards your counselling and alternative therapies so that you get better, faster.
Heroin is a semi-synthetic opiate that was first developed from morphine in 1874. At the end of the 19th century, heroin was produced on a commercial basis as a possible solution to the growing problem of morphine addiction. However, it soon became apparent that heroin itself was highly addictive. In 1924, the Heroin Act made it illegal to produce, import, or possess heroin in the US. Heroin is now illegally imported from Asia, South America, and Mexico. With the rise in prescription opioid abuse, heroin has also become more popular. According to the New England Journal of Medicine, the introduction of a form of OxyContin designed to deter abuse has led to a corresponding spike in heroin abuse, as opioid addicts turn to this street drug to get the same euphoric high.
The United States' approach to substance abuse has shifted over the last decade, and is continuing to change. The federal government was minimally involved in the 19th century. The federal government transitioned from using taxation of drugs in the early 20th century to criminalizing drug abuse with legislations and agencies like the Federal Bureau of Narcotics (FBN) mid-20th century in response to the nation's growing substance abuse issue.[47] These strict punishments for drug offenses shined light on the fact that drug abuse was a multi-faceted problem. The President's Advisory Commission on Narcotics and Drug Abuse of 1963 addressed the need for a medical solution to drug abuse. However, drug abuse continued to be enforced by the federal government through agencies such as the DEA and further legislations such as The Controlled Substances Act (CSA), the Comprehensive Crime Control Act of 1984, and Anti-Drug Abuse Acts. POWERFUL lesson from a drug & alcohol rehab

While there is no cure for any mental health disorder, including drug addiction, but many go on to lead incredible lives filled with hope and courage. Numerous research-based therapies and treatment interventions have been proven to be effective in treating those who are living with drug addiction. The key is receiving personalized treatment that is intensive and integrated. When long-term support, as well as therapeutic and spiritual interventions are applied, people struggling to overcome addiction do recover. Mental, physical, and spiritual wellness is central to recovery.


For most people, it takes one drink to produce an Antabuse reaction, therefore it's hard to get by mistake. You can have foods that have been cooked in wine, as long as they've been cooked the alcohol evaporates quickly. You have to be careful of some deserts that have a lot of uncooked alcohol in them. You also have to be careful of some cough syrups and cold preparations that can contain as much as 40% alcohol. Everything you think you know about addiction is wrong | Johann Hari

An average of about three months of residential treatment seems to be effective. The optimal treatment time seems to be similar in non-residential treatment, suggesting a combination of residential and non-residential treatment might be effective over that time. But completing the treatment program and actively participating seem to be more important than treatment setting or length.

Opioids: Methadone (Dolophine®, Methadose®), buprenorphine (Suboxone®, Subutex®, Probuphine® , Sublocade™), and naltrexone (Vivitrol®) are used to treat opioid addiction. Acting on the same targets in the brain as heroin and morphine, methadone and buprenorphine suppress withdrawal symptoms and relieve cravings. Naltrexone blocks the effects of opioids at their receptor sites in the brain and should be used only in patients who have already been detoxified. All medications help patients reduce drug seeking and related criminal behavior and help them become more open to behavioral treatments. A NIDA study found that once treatment is initiated, both a buprenorphine/naloxone combination and an extended release naltrexone formulation are similarly effective in treating opioid addiction. Because full detoxification is necessary for treatment with naloxone, initiating treatment among active users was difficult, but once detoxification was complete, both medications had similar effectiveness.

The euphoric high, exaggerated self-confidence, and energizing sensations of cocaine have made this drug one of the most popular substances of abuse in the US. Because cocaine acts on the brain’s natural reward circuitry, the drug is highly addictive, and withdrawal can cause an abrupt emotional “crash” into depression. The 2012 National Survey on Drug Use and Health listed cocaine as one of the country’s top three drugs of dependence, with 1.1 million American adults reporting addiction to cocaine or crack. Only marijuana and prescription pain medications were more widely abused.


Addiction can be either behavioral or substance related. An intense feeling of emotional need or physical craving characterizes them both. Both types of addiction carry a number of other similarities, but behavioral addiction does not possess the same physical symptoms that accompany drug addiction. Experts disagree on the similarities and differences between the symptoms and consequences of the types of addictions. Inside NHS detox centre - Victoria Derbyshire
Detox is not the expulsion of ‘toxins’ from your system,  but a reaction of your nervous system to the absence of alcohol. Withdrawal from alcohol and its sedative effects results in an overreaction of the nervous system. A number of severe symptoms can develop, such as disorientation, extreme anxiety, diarrhoea, very high blood pressure, delusions, heart rhythm changes etc. This is very dangerous if not supervised and monitored by personnel experienced in addiction recovery treatment. These symptoms can now be controlled in a safe way through proper medical attention and pharmacotherapy during the detox period. Our clinical staff has extensive experience dealing with alcohol detox and conducts the process in as much safety and as comforting an environment as possible. This is a vast improvement from a time before modern medicine when there was a death rate of 33% for those going through severe alcohol withdrawal. My experience overcoming alcoholism with Naltrexone "The Sinclair Method"
The United States' approach to substance abuse has shifted over the last decade, and is continuing to change. The federal government was minimally involved in the 19th century. The federal government transitioned from using taxation of drugs in the early 20th century to criminalizing drug abuse with legislations and agencies like the Federal Bureau of Narcotics (FBN) mid-20th century in response to the nation's growing substance abuse issue.[47] These strict punishments for drug offenses shined light on the fact that drug abuse was a multi-faceted problem. The President's Advisory Commission on Narcotics and Drug Abuse of 1963 addressed the need for a medical solution to drug abuse. However, drug abuse continued to be enforced by the federal government through agencies such as the DEA and further legislations such as The Controlled Substances Act (CSA), the Comprehensive Crime Control Act of 1984, and Anti-Drug Abuse Acts. POWERFUL lesson from a drug & alcohol rehab
Traditional alcohol treatment programs rely on evidence-based strategies such as psychotherapy, behavioral modification therapy, peer group counseling, nutritional counseling and 12-step programs. Rehabilitation begins with detox, a cleansing process that allows the patient to withdraw safely and comfortably from alcohol. After detox, the patient participates in a structured series of therapies that are designed to help him or her modify destructive behaviors and create a sober life.
There are a few ways a person can take drugs, including injection, inhalation and ingestion. The effects of the drug on the body can depend on how the drug is delivered. For example, the injection of drugs directly into the bloodstream has an immediate impact, while ingestion has a delayed effect. But all misused drugs affect the brain. They cause large amounts of dopamine, a neurotransmitter that helps regulate our emotions, motivation and feelings of pleasure, to flood the brain and produce a “high.” Eventually, drugs can change how the brain works and interfere with a person’s ability to make choices, leading to intense cravings and compulsive drug use. Over time, this behavior can turn into a substance dependency, or drug addiction.
The first stage is occasional use or binge drinking. This usually involves experimentation. If you like the taste or the way alcohol makes you feel, you might choose to drink again. However, at this stage, you can still exert control over your drinking, even if you do drink more than the recommended weekly amount. You might think that occasional binge drinking is harmless, but the reality is that it can have a negative impact on your health and put you at risk of alcohol poisoning. Furthermore, if you continue to binge drink regularly, it can lead to a bigger problem.
It is important that you know how to act when triggers or cravings present themselves. If you have a plan in place, it can help to prevent a full-blown relapse. It may be that you will get in touch with your counsellor or sponsor, or perhaps distraction will help. You might find that going for a walk or doing something else to keep you busy can help the cravings subside.

^ "Diagnostic and Statistical Manual of Mental Disorders: DSM-5 (5th edition)2014 102 Diagnostic and Statistical Manual of Mental Disorders: DSM-5 (5th edition) Washington, DC American Psychiatric Association 2013 xliv+947 pp. 9780890425541(hbck);9780890425558(pbck) £175 $199 (hbck); £45 $69 (pbck)". Reference Reviews. 28 (3): 36–37. 2014-03-11. doi:10.1108/rr-10-2013-0256. ISSN 0950-4125.
During alcoholism treatment, therapy teams provide lessons on relapse prevention. These lessons are designed to help people spot the people, places, and things that can drive them to return to drinking. With the help of these lessons, people can learn to both avoid and/or handle their triggers so they won’t pick up an alcoholic beverage when they’re under stress.

All drugs–nicotine, cocaine, marijuana and others–affect the brain’s “reward” circuit, which is part of the limbic system. This area of the brain affects instinct and mood. Drugs target this system, which causes large amounts of dopamine—a brain chemical that helps regulate emotions and feelings of pleasure—to flood the brain. This flood of dopamine is what causes a “high.” It’s one of the main causes of drug addiction. Making the Decision to Get Help - Alcohol Rehab Review


An individual who suffers from both mental illness and alcoholism will need to undergo different treatment. Because alcohol withdrawal symptoms cause a person to experience some psychiatric stress, an alcoholic with mental health issues will find it much more difficult to resist turning to drink. The NIAAA believes the some self-help groups, such as Alcoholics Anonymous, are not effective when it comes to treating people with a dual-diagnosis of both alcoholism and mental illness. This is because these groups tend to specifically focus on the actual addiction itself, rather than any underlying psychological problems. Anti-depressants are improving all the time and it is believed that while a self-help group may not be useful for a dual-diagnosis individual by itself, if the individual is on the appropriate medication and receiving the appropriate psychological therapy it can prove to be just as effective as with other alcoholic individuals.
Take an inventory of how you experience the craving. Do this by sitting in a comfortable chair with your feet flat on the floor and your hands in a comfortable position. Take a few deep breaths and focus your attention inward. Allow your attention to wander through your body. Notice where in your body you experience the craving and what the sensations are like. Notice each area where you experience the urge, and tell yourself what you are experiencing. For example, “My craving is in my mouth and nose and in my stomach.” Rehab for Drug Addiction I The Feed
After physical dependency comes addiction. At this stage, you are drinking because you have a physical and psychological need to do so, and not for pleasure or because you want to. You will crave alcohol and it will be interfering with your ability to enjoy life. It is likely to be having a negative impact on your relationships with others as well as on your health and finances. Even knowing the harm that it is causing will not be able to stop. You will be compelled to drink and will be powerless to resist.
Although Ecstasy declined in popularity after its introduction to the underground club scene in the 1980s and 1990s, a new generation of young users has discovered the drug. Many teens and young adults perceive Ecstasy as a non-addictive, relatively harmless psychedelic drug. However, Ecstasy can cause dangerous side effects, including nausea, vomiting, high blood pressure, dehydration, liver and kidney damage, an irregular heartbeat, and aggressive impulses.
Drug addiction is a condition that is characterised by repeatedly taking or administering drugs - whether these are illegal drugs such as heroin, cocaine, or MDMA/ecstasy, or legal prescription drugs - to the extent that you become both physically and psychologically dependent on these substances. Regardless of the type of drug addiction that you have developed, continued drug use can soon become a serious problem and can lead to a range of serious long-term consequences, and may even be fatal.
Drug rehabilitation is sometimes part of the criminal justice system. People convicted of minor drug offenses may be sentenced to rehabilitation instead of prison, and those convicted of driving while intoxicated are sometimes required to attend Alcoholics Anonymous meetings. There are a great number of ways to address an alternative sentence in a drug possession or DUI case; increasingly, American courts are willing to explore outside-the-box methods for delivering this service. There have been lawsuits filed, and won, regarding the requirement of attending Alcoholics Anonymous and other twelve-step meetings as being inconsistent with the Establishment Clause of the First Amendment of the U. S. Constitution, mandating separation of church and state.[23][24]
You may be wondering how much rehab costs and is it worth the price? Inpatient treatment is generally more expensive than outpatient treatment. Depending on the severity of your addiction, it may take some time to recover. The more time you spend in alcohol rehab, the more it will cost. Many people transition from detox to inpatient treatment, to continued outpatient treatment, and then to a sober living environment.
More good news is that drug use and addiction are preventable. Results from NIDA-funded research have shown that prevention programs involving families, schools, communities, and the media are effective for preventing or reducing drug use and addiction. Although personal events and cultural factors affect drug use trends, when young people view drug use as harmful, they tend to decrease their drug taking. Therefore, education and outreach are key in helping people understand the possible risks of drug use. Teachers, parents, and health care providers have crucial roles in educating young people and preventing drug use and addiction. Three Approaches to Treating Addiction by Dr. Bob Weathers
As the brain matures, experiences prune excess neural connections while strengthening those that are used more often. Many scientists think that this process contributes to the steady reduction in gray matter volume seen during adolescence (depicted as the yellow to blue transition in the figure). As environmental forces help determine which connections will wither and which will thrive, the brain circuits that emerge become more efficient. However, this is a process that can cut both ways because not all tasks are desirable. The environment is like an artist who creates a sculpture by chipping away excess marble; and just like bad artists can produce bad art, environments with negative factors (like drugs, malnutrition, bullying, or sleep deprivation) can lead to efficient but potentially harmful circuits that conspire against a person's well-being.
Genetics make up about 50% of the risk for alcohol dependence, but they by no means tell the whole story. Genetic history is often hard to distinguish, but if parents are regular heavy drinkers, or they drink to reduce stress and depression, it is likely that their children will grow up believing that these behaviours are normal and possibly harmless. But environmental influence doesn’t come only from the home; peer pressure from friends, colleagues and partners can also encourage new and difficult patterns of drinking which can lead to dependency or co-dependency.
We are also able to offer a tailored outpatient therapy package at our wellbeing centres, which is specifically designed to tackle alcohol addiction. In order to allow peace of mind, our therapy package offers a set amount of one-to-one therapy sessions, discounted rates, certainty of price for initial treatment, a personalised treatment plan, and further discounts for any additional therapy sessions that you may require following your initial treatment package. Priory’s outpatient therapy package for alcohol addiction consists of 12 one-to-one therapy sessions with our alcohol addiction specialists, which is the number of sessions that are recommended according to national guidelines. More information on the treatment and package price can be found by accessing our alcohol use disorder outpatient therapy package leaflet.
We offer each resident their own private room and bathroom to provide a personal space where they can recharge after a workout, reflect after a therapy session or take a nap. While group therapy sessions are an important part of our program at Searidge Alcohol Rehab, we respect and value the importance of a private room of one’s own. We strive to deliver the best alcohol recovery treatment possible to each and every resident while offering outstanding comfort and total privacy. Inpatient Rehab Centers Near Me Philadelphia PA
One of the brain areas still maturing during adolescence is the prefrontal cortex—the part of the brain that allows people to assess situations, make sound decisions, and keep emotions and desires under control. The fact that this critical part of a teen's brain is still a work in progress puts them at increased risk for making poor decisions, such as trying drugs or continuing to take them. Introducing drugs during this period of development may cause brain changes that have profound and long-lasting consequences. Transformations Drug & Alcohol Treatment Centers
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