Friday, 7 January 2022

How to obtain the most permanent hair reduction from LHR?

 

///////////// The efficacy of LHR also significantly depends on: /////////////////////


-- The colours of hair underneath the skin
Current IPL & laser are ineffective for blond, red, grey and white hair, but they are effective for natural brown & black hairs.

-- Density & diameter of DARK hair underneath the skin
The treatments are more effective on dense, thick, coarse & dark hair because they have more dark pigment that can absorb more light. The higher density of dark hair the better result. Either sparse or fine hairs cannot absorb enough light to destroy the follicles. Thus, LHR lose efficacy on either scattered hair or very thin, vellus hair.

-- The colour of the skin vs. the colours of hair underneath the skin
If the surrounding skin is lighter than the colour of the hair, the energy of the laser is concentrated mainly in the hair shaft, effectively destroying it without much affecting the skin.
If the skin contains dark melanin, melanin in both skin & hair will absorb laser light, thus less heat concentration in the hair.
The less pigment in the skin and the more darker pigment in the hair, the better result.

The darker the skin colour the higher risk of skin damage or burning, thus the lower energy setting and the less efficiency and less results.


-- Hairs of different areas & hormones

Results also vary among different areas and among different individuals.
Areas that aren't controlled by hormones, such as underarms, groin area, lower arms & lower legs, usually respond well to LHR.

For some individuals, hair of certain areas that are controlled by hormones, such as face, upper arms, chest, abdomen, back & inner thighs can become patchy after IPL or LHR.

Additionally, there have been cases LHR/IPL can stimulate hair of those areas that are controlled by hormones by turning fine, vellus hairs into coarse, terminal ones. Some individuals can end up looking harrier in some areas after LHR/IPL.

However, results vary among different individuals & different areas can have different results.


-- Phase of the hair growth cycle
The most effective result is when hairs are in the anagen phase. Why?
Any dark-colour objects (in this case, dark skin & hairs of all growth cycle including anagen) absorb light from laser and turn the light into heat and give off such heat to surroundings that have no dark pigments. Any colourless, red, blond, grey & white objects don't absorb light produced by the current LHR/IPL devices.
Only hairs in anagen phase are still in contact with the parts of colourless hair follicles containing colourless stem cells. Even though hairs in other growth phases absorb light from laser and give off heat to surrounding but they have lost contact with stem cells. If the stem cells aren't destructed, hairs will eventually grow back.



At any given time, not all hairs are in anagen phase. Therefore, multiple treatments are required to achieve the optimal appearance.


///////////// Types & Quantity of melanins (colours) found in human skins & hairs significantly affect efficacy of LHR: /////////////


Types of melanin found in human skins & hairs:

Eumelanin is found in the hair, skin, eyes and dark areas around the nipples. It is particularly abundant among black populations.

There are two types of eumelanin—brown eumelanin and black eumelanin—which chemically differ from each other.

Black melanin produces black colours when it is present in large quantities. A small amount of black eumelanin in the absence of other pigments causes grey hair.

Brown eumelanin may produce brown hair colours when it is present in abundance. A small amount of brown eumelanin in the absence of other pigments, hair may be blonde/yellow.
Eumelanin is present in the Caucasian and Negroid races, therefore in subjects with dark skin and dark hair.


Pheomelanin is also found in the eyes, hair and skin. This type of melanin provides pink and red colors and is the main pigment found among red-haired individuals. Pheomelanins are particularly concentrated in the lips, nipples, glans of the penis, and vagina. When a small amount of brown eumelanin in hair, which would otherwise cause blond hair, is mixed with red pheomelanin, the result is red hair. Pheomelanins is typical in the Celtic race, with pale skin, numerous freckles and auburn or carrot coloured hair.


Trichochromes (formerly called trichosiderins) are pigments found in red hair.



Our hair colour is determined by varying amounts of melanin, the pigment type, the density and distribution of the pigment granules. Different types of melanin, and the ratio of these pigments produces different hair colours. The mixture varies not only from one person to another, but also across one person’s body.

Although people with dark hair may still produce the yellow-orange pheomelanin, it is largely masked by the dark eumelanin pigment and cannot easily be seen. However, the red-yellow pheomelanin is believed to cause the warm, golden, or auburn tones found in some types of brown hair. The range of colours produced by melanin is limited to shades of yellow, brown, red, and black. Grey hairs contain only a few melanin granules, spread out through the hair. White hairs contain no melanin at all.

The whiter the skin colour and the more dark pigment there is, so the darker the hair colour the higher efficacy of LHR treatment. The less pigment in the skin and the more darker pigment in the hair, the better result.

The darker the skin colour the higher risk of skin damage or burning, thus the energy settings must be lowered and the less efficiency of LHR treatment.


Much like the difference in the heating of a car in sunlight, the darker car is hotter at the end of the day than the white car. This principle also holds true for laser hair removal.






All of the following 6 conditions must STRICTLY be followed in order to obtain optimum results from LHR:


1. Marquee clinical End Points which determine that the device settings are effective
The settings must be high enough that 
your follicles become inflamed after being hit by the light. That is when you see treated hair follicles become red & swollen.

The more pronounced follicle inflammation, the better & the sign to indicate some damages to your hair follicles. But the setting shouldn't be too high that can blister or burn you, therefore patch test is very important. Some hairs puke/jump out from follicles as soon as they get hit by the light. Generally, hair should fall out within a week or two after the treatment. If this isn't the case, it's not working.

The photos below show the signs of what effective treatments should look like:


The photos below show the signs of unwanted results from laser & IPL hair removal:


2. Your hair must be at the anagen phase
Timing between each treatment is very crucial for ultimate results from LHR. Any light-based therapies are effective to remove hair only in anagen phase of growth.
Different body areas have different hair growth cycles. In order to catch the most hair in the anagen phase during your LHR sessions, as soon as a significant percentage of the hair starts emerging from your skin, resume for the next session. For optimal results, it is recommended that your initial 1st & 2nd sessions are done at 4-8 week intervals to catch each cycle of hair growth. Then the subsequent 3rd to 6th sessions are between 6 weeks - 6 months apart. For clients with dark skin or lighter hair, it would take 6-8 sessions. Some people may be satisfied with their results sooner. Some may require more sessions. Results vary among different individuals & different areas can have different results. Following these guidelines should result in the greatest reduction of hair.


Under the skillful & experienced therapists coupled with appropriate type of powerful devices & the proper settings, clients should definitely see significant difference of their hair after each session.

Even if laser (& IPL) tends to have unpredictable results among different individuals, initially up to around 6-8 treatments within 1 ½ – 2 yrs are typically required to achieve maximum hair reduction, and I believe that further treatments can induce hair growth.

Once desired results are achieved, many people still require maintenance sessions around few treatment sessions annually. While in the maintenance phase, the ideal time to get a touch-up session is when you notice there are times when hair growth seems to be more aggressive. This is, as hair in the anagen p
hase, most effectively targeted.

Unfortunately, not all the unwanted hairs will be permanently removed by LHR. After prolonged dormancy, some unwanted hair can regrow even many years after a successful initial LHR course. If u want to have every single unwanted hair gone forever, Electrolysis is the only solution.

Another recommended alternative would be to START WITH LASER. Multiple LHR sessions will be required 
initially. Once desired results are achieved by laser, then you may choose to FINISH WITH ELECTROLYSIS. This is the fastest way to achieve the optimal appearance (be it total removal or just thinning of the hair, permanently).


3. Avoid under-treatments of both LHR and IPL

Under-treatment can:

3.1 stimulate hair growth

3.2 undermine ultimate/final results – You will get less ultimate results. Why?

Light properties, such as reflection and absorption, are SOLELY based on COLOR. This principle also applies to virtually all light technology & devices including laser, IPL, LED & diode.

LHR is most effective during your very first few sessions while your hair is still the most dense, thick, coarse & dark because they have more darker pigment that can absorb more light. Based on this principle, it is essential to apply the most effective energy settings, especially during very first few initial treatment sessions to obtain the most ultimate reduction result. (The higher density of darker hair the better result).

Every time you received treatment, dark pigments (AKA melanins) within your hairs are destroyed & weaken. Less reduction results in later sessions because less dark melanins absorb less light, thus less effective. Thus, initial patch tests are important to ensure your therapist can use high settings and avoid overtreating/burning you.

 

LHR & IPL lose efficacy on lighter, sparse, fine or thin hairs because they cannot absorb much light, & not enough to kill hair stem cells. Cells that contain DARK melanin, such as hair & skin cells, are destroyed. But hair follicles & hair stem cells that lack colour may remain intact. Thus some hairs will eventually grow back after some time, but such hairs will be lighter and finer (of course cells containing dark melanin have been destroyed).


Your chances of ultimate good reduction increase when the moral therapists use proper & high settings. If lower settings are kept applying on you, then your chances are lower and you may also end up with more hair.


4. Avoid both LHR and IPL treatments when majority of hairs are not in anagen
Thus as soon as a significant percentage of the hair starts emerging out of your skin, return for the next treatment. Do not resume the next treatment too early when hair isn't dense enough or do not wait until your hair is too long because these can ruin your final result.


5. Stop waxing, plucking, threading & other epilation methods that pull/tear/disturb hair underneath the skin and stop using any epilation creams that affect hair underneath the skin at least 4-6 weeks before your very first session, after and between each sessions.


Shaving with shaving cream that doesn't disturb hair under the skin (but not epilation/depilation cream) is ok. Clients can shave as often as they like when their skin is no longer inflamed/irritated while waiting to resume their next session.


6. Why age is important to your result?
It's recommended that the client should have completely gone through puberty before commencing laser/IPL hair removal, so that it allows enough time for full pattern of hair growth to be completely developed. That is around mid 20's for female and mid 30's for male.

Why wait? Remember laser (or IPL) works efficaciously when hair is dark, dense, thick & coarse.

 

 For more info, nearly everything clients need to know about IPL or LHR

 

 

Tuesday, 9 November 2021

When is my next laser hair removal session?

 
For LHR, timing between each session is essential, not only to obtain the most ultimate long-term result in hair removal/reduction, but also to minimise hypertrichosis risks. Your 1st & 2nd sessions should be between 4 to 8 weeks apart. Then subsequent 3rd to 6th session should be between 6 weeks to 6 months apart. 
 
Since laser/IPL works effectively for hair only in anagen, when to resume your next LHR session? Not too soon while more density of hair is still required & not too late when hair grow out too long. These can ruin your ultimate result. Resume next session as soon as majority of your hair start emerging out from skin. Good time to have treatment is when majority of hair is in anagen, only then u will get the most ultimate reduction result.
 
The most effective result is when hairs are in the anagen phase. Why?
Any dark-colour objects (in this case, dark skin & hair shafts of all growth cycle including anagen) absorb light from laser and turn the light into heat and give off such heat to surroundings that have no dark pigments, such as colourless follicles containing hair stem cells. Any colourless, red, blond, grey & white objects don't absorb light produced by the current LHR/IPL devices.
Only hairs in anagen phase are still in contact with the parts of colourless hair follicles containing colourless stem cells. Even though hairs in other growth phases absorb light from laser and give off heat to surrounding but they have lost contact with stem cells. If the stem cells aren't destructed, hairs will eventually grow back.

The subsequent IPL/laser hair removal session, the less the result.
 


 

 

 


 


 

Please wait around 4-8 weeks (not earlier and not later) after waxing, plucking, threading, epilation cream or other methods that affect or disturb hair underneath the skin, before starting/resuming your LHR session.

 

 

Other topics:

-- How to get the most permanent reduction from LHR

-- Nearly everything clients need to know about IPL or LHR

 

 

Wednesday, 3 November 2021

Concern about Scarring Post Electrolysis and Laser IPL Burns

 

Being well informed can help reduce your concern.

 

Scarring concern post electrolysis treatment:

https://hairtell.com/forum/t/pitted-scars-immediately-after-first-session/54663

https://hairtell.com/forum/t/red-dots-on-butt-1-month-after-electrolysis/54842

https://youtu.be/jFKcx7XQDTc

 

 


https://youtu.be/9--CRwOxb74

 


 

 

Scarring concern post IPL or laser burns:

https://hairtell.com/forum/t/hypopigmentation-after-laser-treatment-burns-photo/51382/8



You should be more concern about under-treatment and over-treatment of electrolysis hair removal and IPL or laser hair removal

-- One time of electrolysis over-treatment can cause scarring. How do you know that your are overtreated? It is obvious and noticeable. For examples, see photos posted by "pinksun" via forum: https://hairtell.com/forum/t/electrolysis-disaster-not-for-the-faint-hearted/54437 and Erin_Nicole's post via https://hairtell.com/forum/t/electrolysis-nightmare-pls-help/54738

 -- Multiple timeS of electrolysis under-treatmentS can also cause permanent scars because your therapist doesn't have the right skills and/or cannot see your hair because no proper visual aids and/or lighting, thus cannot remove your hair permanently within few attempts and have to treat the same follicles over and over. These scars take time to develop. It's scary and mostly concerned because it isn't obvious. How do you know that you are not under-treated? You shouldn't feel being plucked and you should see result. Permanent hair removal means you don't require multiple treatments that keep continuing forever.  The treatment eventually ceases 1 1/2 - 2 years, on average, after your first initial treatment, but a client must spend regular commitments.

-- One time of laser or IPL over-treatment can cause painful blisters and burns that result in hypo-pigmentation for upto 5 yrs

-- Multiple times of laser or IPL under-treatments can lead to excessive hair grow called hypertrichosis, instead of removing it.



What is scarring?
































Scars develop when both outermost layers (aka epidermis) + deeper layers are damaged.

No visible scars when only one of the two affected.


See scholar articles under wound healing topic.


Other links:

-- *** My services are for customers who are seriously looking to get permanent results in hair removal, whether it is totally hair removal or just a significant hair reduction. I provide result guarantee in permanent hair removal/reduction. Thus, ALL customers need to understand the following information: Customers Beware (explaining what normally expected post treatments, both electrolysis and laser/IPL)

-- How do you know if such laser treatment session is effective?

-- How can you tell whether your electrolysis hair removal is effective?

-- Why your age is one of the significant factors of your ultimate result?

-- How do you know when you are over treated by laser or IPL?

 

 

Friday, 6 August 2021

Booking


You can either
-- book online (cancelled/disable) or
-- contact me for more availability & flexibility
 
No extra charges if you actually finish the session earlier than your booking.


*** If you cannot come to the appointment, kindly please let me know as soon as possible.
 
If this is your first time with me, please read this before booking.

If any, please do not hesitate to contact me.


Thank you and see you soon,
        Nora
        Upwey Beauty
 
 

 Other link:

-- Any GPS will give you wrong directions => How To Get Here



Saturday, 31 July 2021

Treating Unwanted Hair From Inside Out

 
Most of the time, women have fine hair above their lips and on their chins, chests, abdomens, or backs. The growth of coarse dark hair in these areas (more typical of male-pattern hair growth) is called hirsutism. It is the excessive hair growth in androgen-dependent areas in females. 
Whereas hypertrichosis is termed for any excessive hair growth in any body areas that are not only limited to androgen-dependent.
 
Excessive hair growth can be other underlying health problem!

The number of hair follicles each woman has is genetically programmed before birth. Hair follicles exist on every part of the body except lips, palms and soles of the feet. Most of our body hair is fine and uncoloured. Hair growth is controlled by our sex hormones, with androgens, for example testosterone, mainly being responsible for stimulating hair growth and increasing the darkness of body and facial hair. Hair follicles in certain parts of the body are more sensitive to the effects of androgens. We call these areas “androgen-sensitive” areas of the body. These areas include the upper lip, chin, lower abdomen and pubic region, upper arms and inner thighs. Androgen levels speed the growth of hair as well as increase the thickness and darkness of hairs.
 
For some women this is simply genetic and their blood hormone levels are completely normal. Other women may have elevated androgens such as testosterone circulating in their blood causing their increased hair growth.

Women experiencing excess body hair that is more than a minor cosmetic nuisance should seek medical advice to exclude an underlying hormonal problem. This is more likely if a woman is also experiencing acne and/or irregular periods. A sudden increase in hair growth may be a cause for concern and indicates the need for medical assessment. 

** Excess hair is one of the consequences, not the cause. To cure the root cause is the ultimate option, but many times solutions aren't yet available.
 

Causes:

-- In most cases, the exact cause is never known.
-- imbalance level of androgens - The condition often runs in families (genetically related) or you may have a tumour that releases these hormones.
-- ovarian cysts, such as polycystic ovarian syndrome (PCOS) => Read this interesting story
-- problems with menstrual periods
-- hyperthecosis - A condition in which the ovaries produce too much androgens
-- tumor or cancer of the adrenal gland or ovary
-- over production of adrenal cortex hormone
-- lung cancer
-- pituitary disease
-- impaired thyroid
-- Cushing syndrome
-- congenital adrenal hyperplasia =>

A much less common medical condition causing excessive body hair growth is congenital adrenal hyperplasia. This is an inherited condition usually diagnosed in childhood but may become apparent later in life. It is diagnosed with specific blood tests.
-- diabetes
-- being overweight or underweight, such as anorexia nervosa
-- too much exposure to sunlight
-- constant rubbing/friction of the skin
-- chronic/ long-term itchiness and repeated scratching of the skin, such as lichen simplex
-- medications that can stimulate hair growth:

Examples are anabolic steroids, testosterone, glucocorticoids, cyclosporine (Sandimmune), minoxidil (Loniten, Rogaine), danazol (Danocrine), phenytoin (Dilantin), fluoxetine (Prozac, Sarafem), DHEA,
sodium valproate (used for epilepsy) and etc.
 
 
What tests should be done?
Women with mild to moderate increased hair growth that has developed very gradually and who have regular periods do not need any investigations. Women with more severe hirsutism and regular periods should have their blood androgen profile checked. Women with irregular periods, or who have stopped menstruating, need more extensive testing, including an ultrasound to evaluate the appearance of the ovaries.
 

Treatments:
-- Permanent solution => Electrolysis hair removal with medications, hormone therapy, weight loss, proper diets and regular exercises

-- Regular consumption of estrogen-rich food such as


         Examples of soy dishes
 
 
         Phytoestrogens

-- Other non-permanent solutions, such as laser, diode, IPL, waxing, shaving and etc.
 
 
Medical Treatments:
 -- Eflornithine cream (Vaniqa) is a cream which slows hair growth. It is available in Australia by prescription for delaying re-growth of unwanted facial hair in women following depilation such as waxing or plucking. It is applied twice daily to facial areas such as the upper lip or chin.

Studies following women for up to six months indicate that Vaniqa cream significantly reduces hirsutism in women with unwanted facial hair. Vaniqa works in two out of three women after about six to eight weeks of treatment. It works in women with light or dark hair and with light or dark skin colouring.

Because it is effective within a few weeks it works well with other treatments. Combining Vaniqa and laser therapy to treat hirsutism makes the laser more effective. Hair growth returns to its normal rate about 8 weeks after stopping the treatment. Side effects are few but may include acne, local skin irritation and rash. It must not be used in if you have severe kidney disease and is not recommended during pregnancy and breast feeding

-- Prescibed oral medications
Cosmetic management, such as electrolysis and LHR, is sufficient for most women but medical treatment is an option when hair growth is severe. For most women drug treatment is only a temporary measure.
Pharmacological (drug) treatment is recommended when hirsutism is severe or when cosmetic measures have failed. Around twelve months of any treatments (LHR or electrolysis) are necessary to decide if it is effective.
The drugs are only effective when they are used and the benefits fade when they are discontinued. They can be divided into two main categories–drugs that reduce production of the androgen hormone and medications that block androgen action (or anti-androgens). As these medications decrease the effect of androgen (testosterone) action, reduced libido is a common unwanted side effect.
 
  • Oral Contraceptive Pill (OCP)
    The OCP is ideal for women requiring regulation of their periods or contraception. The OCP stops eggs being released by the ovaries. This reduces the production of the androgen hormone and can reduce hair growth. There are oral contraceptive pills that contain a hormone with specific anti-androgen activity, and these have been shown to reduce hair growth over six months.
 
  • Cyproterone acetate
    Cyproterone acetate can be taken in a low dose as part of an OCP or alone in postmenopausal women. In women with acne and minimal hirsutism, the low dose in the OCP (2mg/day) may be adequate, but women with moderate to severe hirsutism usually require higher doses to achieve a satisfactory response . The most common side effects include lowered libido, diarrhoea, nausea, weight gain, breast tenderness, and headache.
 
  • Spironolactone
    Spironolactone is often used first in treating hirsutism, being as effective as cyproterone acetate. The recommended starting dose is 100mg twice a day and should be continued for at least six to twelve months to achieve the best outcome. In women with regular periods spironolactone may cause irregular bleeding, whereas in women with irregular periods, menstrual regularity may occur. If necessary, menstrual cycles can be regulated by also using an oral contraceptive pill.
 
  • Flutamide
    Flutamide has been shown to be as effective as cypterone acetate and spironolactone, reducing hair growth by seventy percent after a year of treatment. In high doses liver damage is a rare side effect. This has not been seen in the much lower doses commonly used for treating women with hirsutism. Flutamide is not currently available for the treatment of hirsutism in Australia.
 
  • Finasteride
    Finasteride blocks the conversion of testosterone to a more potent form. In one study hair growth was reduced by almost half after 6 months of treatment, and when combined with an OCP the effects were greater. It is not clear if finasteride is as effective as spironolactone, cyproterone acetate or flutamide. Side effects with finasteride have not been commonly reported but may include headache, depression, breast tenderness and decreased libido. Women who may become pregnant should not use finasteride as it can cause genital abnormalities in the male fetus. Finasteride is also used to treat hair loss so it might stimulate hair grow, instead of reducing it.
 
Some references are provided:



Monday, 5 April 2021

Customers Beware!

 

Customers Beware! (Abridged, easy-to-read version)

1. Electrolysis and laser hair removal (LHR) aren't for everyone. For non-exhaustive lists can be found under
other topics of this Blog.

2. Customers must understand that, in order to achieve results of permanent hair removal/reduction, your follicles must be inflamed after electrolysis or laser hair removal treatments. Once follicles & skin received trauma, they will heal by firstly inflame (
red & swollen); some scabs may form; post inflammatory hyperpigmentation (PIH) may also form. These are not permanent and are parts of normal skin healing process, unlike permanent scars. No follicular inflammation, no results!


Please note that, PIH can last from a few months upto around 2 years while gradually fading away. If you don't want to wait that long, there are quicker solutions for this PIH. But your hair is gone forever!

 

If scabs appear, do not scratch them away. This can cause scarring. Allow them to fall off naturally. Avoid any heat or frictions over the treated areas. For examples, avoid wearing chafing fabrics. Tight & chafing clothing may scratch scabs, create frictions & heat over the skin that still inflame causing prolonged healing process. Wear loose breathable natural fabrics such as cotton or linen.

 

3. For any light therapies, including laser and IPL hair removal, over-treated signs of blistering and/or burning will not appear straight after you are hit by the light beam, but few minutes or even few hours after that. This is the reason why patch tests must be performed for different areas at least few days prior to the treatment.


So how do you know that you are over-treated?
When light beam hitting your skin, you will feel like a hot rubber-band snap, without any lingering pain or heat. Your skin should cool down almost immediately. If it feels extremely hot and is not cooling down you MUST alert your therapist immediately. The heat & pain should go away almost immediately as soon as the pulse stopped & moved away from that treated spot.
Any lingering pain or burning sensation can result in blisters and/or burn.

Compared to the situation when you have extended sun exposure, such as when you go to the beach, you will only feel lingering heat but you won't see any skin reactions yet. Then within a day or two after that skin reaction either tanning, blistering, peeling or sun burn will start to appear. This is similar to burn caused by light therapies, such as Laser, IPL or LED.

 

4. For LHR, timing between each session is essential, not only to obtain the most ultimate long-term result in hair removal/reduction, but also to minimise hypertrichosis risks. Your 1st & 2nd sessions should be between 4 to 8 weeks apart. Then subsequent 3rd to 6th session should be between 6 weeks to 6 months apart. Since laser/IPL works effectively for hair only in anagen. When to resume next LHR session? Not too soon while more density of hair is still required & not too late when hair grow out too long. These can ruin your ultimate result. Resume next session as soon as majority of your hair start emerging out from skin. Good time to have treatment is when majority of hair is in anagen, only then u will get the most ultimate reduction result.




Other topics:

-- Care after Electrolysis/Laser Hair Removal Treatment (aloe vera containing no alcohol)

-- Quick fix for Post Inflammatory Hyperpigmentation (PIH) after electrolysis hair removal


-- Electrolysis PERMANENT Hair Removal (or Needle Epilation)

-- Diathermy or Removal of Superficial Red Capillaries, Telangiectasia, Spider Veins, Thread Veins, Cherry Angiomas, Red Moles & Vascular Blemish via Electrolysis

 

-- Laser Hair Removal (LHR)

 

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