cough medicine safe for liver disease

During simple recovery from the surgery, he developed ascites, which was treated and and all was good again. His legs, stomach and testicles were SEVERELY swollen. Over-the-counter (OTC) cough and cold medicines contain 1 or more ingredients used to decrease cough and cold symptoms. If you are taking the medication regularly, take the missed dose as soon as you remember. Beta-Lactams- this group includes penicillins, cephalosporins and carbapenems. He has had no fever, chills, i have cirrhosis of the liver for long time, i also have a fatty liver, now i have been dealing with a lot of mucus in my throat was in the the hospital and now i have a bronchial scope done every three months does it ever get better or worse as time goes by, Dear members, The majority of the time, dialysis and kidney transplant are the only options available for patients in advanced stages of the disease. Once all of the preliminary testings have been done and you have received the all-clear from your doctor, then you can decide on what course of treatment to take. You have anxiety, irritability, restlessness, slurred speech, or trouble thinking. You have a severe sore throat with a fever, headache, rash, nausea, or vomiting. For productive cough, use guaifenisin (ROBITUSSIN syrup). There are also other risk factors that are not well understood but include genetic tendencies toward obesity and polydipsia. I was wondering if excessive mucus in the throat, and having to clear the throat, coughing (but usually comes up) and slight wheezing noise when breathing sometimes has anything to do with liver disease. For one thing, it is always more comfortable to blame, Hello friends. 1. If the doctor continues to be harsh, there's no reason not to seek out another, if you can. In most cases, healthy kidneys can protect themselves. It is important that you follow your doctors advice as they are the most qualified to inform you of what the best course of treatment is. Since then I have a wonderful doctor at Baylor Hospital in Dallas. Some research suggests that Mucinex (or more specifically the active ingredient contained in Mucinex, guaifenesin) may help increase fertility by keeping the cervical mucus thin around the time of ovulation, which ensures sperm can travel freely through the cervix and helps with sperm survival. He was on steroids for two months along with lasix, furosemide and a liquid syrup medication to take daily. Somethings not right bc I've never been so sick or heavy. Ask a doctor before using this medicine if you are pregnant. One of the last tests used to diagnose is called an autopsy. There are many things in life we are limited to or in some cases do not have access to a, We have a thread going, which asks why does it seem that friends/loved ones seem to desert us when we are in need. Taking certain products together can cause you to get too much of a certain drug. PLEASE BE FORE -WARNED. THIS POST IS VERY LONG. It depends on which stage of liver failure. Initially, the first stage has no obvious symptoms or p My mum is 69 years old the doctors say mum is in liver failure. People with CKD very often suffer from other illnesses or diseases. It is possible if his cirrhosis is related to his alcoholism, if he were to stop drinking his liver function could possibly improve. Hi Vivian. It is less noticeable in the daytime. As a result, the pressure in your kidneys can be low, too. He is not fine no matter what he says. Your Early Signs & Symptoms of Liver Disease. My only other comment is that I'm much handsomer than, I'm a 53 year old male who drank a lot but knows people who drink more than I do. It is safe to take most cough and cold medications, except if you have diabetes or high blood pressure. Since then he seems to be getting so many symptoms, has been in and out of doctor's office. A more common way to diagnose fatty liver disease is through the use of liver function tests called a CT scan and an MRI. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. My husband is 42 years old & to answer your question the banding & light down his throat was done in April of last year & this cough has has been going on few months that's why i am so concerned, worried it could be number of things as you mentioned. Does anyone else have that problem and have you found any ways to relieve it. Acute kidney injury is the deterioration of renal function over hours or days and involves both structural damage and loss of function. We are on and off the waiting list for a transplant for over 1 1/2 years now. Read the label on your medication. If youre dehydrated, NSAIDs can also keep your kidneys from protecting themselves. The main role of the kidneys is to filter waste products from the blood before converting them into urine. Good News For Ckd Patients Stage 3 kidney disease is diagnosed by a doctor based on your symptoms as well as lab results. And if Robitussin is just fine to take? Tell each of your health care providers about all medicines you use now and any medicine you start or stop using. Sustained release formulation: These medicines bind to the phosphate in the food inside your stomach and stop it from being absorbed into your body. Primary biliary cirrhosis (PBC) and Primary sclerosing cholangitis (PSC). Yes.certainly, I understand why that is. A change in kidney function is usually discovered through a routine blood or urine test. We disinfects classroom each day. It's important to know as much as possible about the medications and supplements we take including its purpose, ingredients, side effects, and potential interactions with other medications and supplements. Thanks for your support Appreciate more than you can imagine. Copyright Merative 2022 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Bisacodyl , Senna glycosides , Lactulose syrup, Milk of Magnesia, Magnesium citrate solution, Fleet Phospho-Soda. Just one dose starts working fast to relieve 9 of your worst cold and flu symptoms, to help take you from 9 to none. I was recently diagnosed as stage 4 cirhossis but with an unknown etiology. I'm going to start at the beginning so it is going to be a lengthy post. If kidney failure does occur, the symptoms may include: These are general symptoms and can be caused by many less serious conditions. Can cough medicine affect liver? This rarely happens suddenly, and there will be time to plan the next stage of your condition. The cough could be ascities building up and getting to his lungs. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. OTC cough medicine may contain an antitussive, expectorant, or both. In steatosis, pronounced stee-ah-toe-sis, fat accumulates in the cells of the liver. I think sometimes you just need to hear it from others faced with the same situations. In clinical studies guaifenesin has not shown to be effective for fibromyalgia. Last updated on Feb 6, 2023. Advanced liver disease can make him unaware and irrational of the severity of his condition. So it is best to contact his doc ASAP. Never take more than 4,000 milligrams a day. People with certain medical conditions should talk to their healthcare provider before taking OTC cough or cold medicines. Many of the symptoms above can be avoided if treatment begins at an early stage, before any symptoms appear. - they have liver issues, but "There's nothing to worry about. Just so you know. Do not crush, chew, break, or open a controlled-release, delayed-release, or extended-release tablet or capsule. I am okay. I am feeling swollen and am gaining weight in my u, Symptoms of Cirrhosis/Do Others Bounce Back, Can a liver recover from cirrhosis? Available for Android and iOS devices. Overview. You can get either Pneumococcal conjugate vaccine or Pneumococcal polysaccharide vaccine when you get the flu vaccine. Check the label to see if a medicine contains guaifenesin. I was diagnosed with mild NASH (only stage 1 fibrosis) in February, after bring hospitalized with right-sided pain and sky high liver enzymes. Over-the-counter cough medications often have Antitussives decrease cough by blocking your cough reflex. He was put into the hospital with ascites and diagnosed. My answer is that illness is often used by God, to make us a better person, a person who will have the peace that He desires to give us..the peace of knowing that we ARE LOVED, by The Maker of all things. The one I have now may be brilliant at what he does, and super nice, but he's a terrible communicator, and I am frustrated. And that th. It is safe to take most cough and cold medications, except if you have diabetes or high blood pressure. Medically reviewed by Melisa Puckey, BPharm. Digital Editor, Inspire This can be caused by a variety of things including fatty liver, hepatitis, and certain medications. In other words, we are born with a lot more kidney function than is necessary for survival. But a small portion of the drug is converted to a byproduct that is toxic to the liver cells. Did your husband's cough begin after his variceal bleed? I have gotten a lot of good information. Drink extra fluids to help loosen the congestion and lubricate your throat while you are taking this medication. Have questions about navigating your Inspire support community or need assistance from one of our Inspire Moderators? As Lisa Parker described in a recent essay at Stanford, Hello everyone! See me again in 6 months." AA perhaps? If blood pressure medicines help my kidneys, why all this extra caution? Have questions about navigating your Inspire support community or need assistance from one of our Inspire Moderators? The best painkiller to use depends on your health problems. Immediate release formulation: 200 to 400 mg orally every 4 hours as needed, not to exceed 2.4 g/day 3. Of course, if his doctor has other instructions you must always follow the doctor's guidance. I am researching information on cirrhosis, my husband was diagnosed with Cirrhosis in March of 2013. I saw a discussion about this on another forum and thought it would be helpful here. The amount of alcohol differs for men and for women. My husband has stage 4 liver cirrhosis with hepatocellular cancer. Are you sure you want to block this member? Does anyone know if foods that contain alcohol such as vinegar and dijon mustard are safe to consume? Guaifenesin is commonly found as part of over-the-counter combination medications for cold and cough. Liver biopsy confirmed NASH. People who have close contact with children under five years of age for example, people who live with children, nannies and providers of daycare services. Cold and flu viruses are spread by touching your nose or mouth after touching an infected person, breathing in the air of an infected persons sneeze or cough, or touching objects that have come in contact with the virus and then touching your nose. I read that these are milestones in the downhill slide of decompensated cirrhosis. Call your doctor for medical advice about side effects. It is not a substitute for medical advice and treatment. Many of the commonly used over-the-counter and prescription pain relievers like acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDs), and opiates are metabolized through the liver. Fatty liver is a condition that causes the bodys liver cells to swell up, known as fibrosis. There are two types of analgesics namely: opioids and non-narcotic analgesics. Since all this extra fat is not supposed to be in the cell to begin with, you can imagine how the excess begins to interfere with liver function. Medications that are in the category of statin drugs might contribute to fatty liver disease in the long run. Most causes of fatty, Read More Adh Elevation in Liver Cirrhosis How To Cure A Fatty Liver (for good! Billy, I am wondering if anyone else out there has Cirhossis but the doctors have yet to identify the cause? Okay to use: Guaifenesin (Mucinex and Robitussin DM ) for cough and Acute interstitial nephritis- inflammation and swelling in the kidney. This involves removing or dissolving the fatty liver cell. Anyone else out there w/ Cirhossis have an unknown etiology to the disease? At this point i know there's not much i can do if he doesn't want to get better but i still worry we have 2 little girls together & i am holding things together as best i can for them. Taking too much diphenhydramine can lead to serious heart problems, seizures, coma, or death. These shared experiences and perspectives meani, There is much talk these days about the depression that is becoming more and more prevalent because of covid, and its effects on us all. I think it would be fun if we shared with each other what City and State and what year we had our liver transplants. I am sick yet again. About six weeks ago, he appeared to have a virus (chills, aches, nausea, Anyone who has read my journal knows that I advocate a very specific approach to lifestyle changes. Constipation is a common problem for people with chronic kidney disease as both iron tablets and calcium tablets can cause this side effect. FREE DOWNLOAD! Generic name: guaifenesin [gwye-FEN-e-sin] This is most often caused by damage to the kidneys from other conditions, most commonly diabetes and high blood pressure. My goal is to take cues from your discussions, your questions, an, my story is pretty much exact to most, but I stayed in coma for 5 days but some of my family and friends who were there are telling me bits and pieces of that time I missed and some say the docs didn't want me to keep coughing due to the pneumonia I had (sorry if I'm not explaining definitively) I think it was called aspirated pneumonia because of ventilator, but in any regard because I had come i, Recently someone asked a question on a thread, and it went something like this: "How can you think God loves you when He allows you to be ill"? The best advice from wisekitty,you never know ,in my case the cough which got so bad was caused by acid coming up and irritating the esophagus and causing inflamation and pain cough and got to point where I was having trouble breathing ,it was simple to treat with meds available i wish I had known sooner .don't wait ,take care, Thanks so much for your replies. Here are the details of each of these disorders: Alcohol-related Fatty Liver Disease Alcohol causes steatosis, and the question many people ask is how much alcohol does it take to end up with alcohol-related fatty liver disease? Pressure under my rib cage. Unfortunately, many of the medications prescribed to control these conditions can make them even sicker than they already are. If reducing the amount of phosphate in your diet does not lower your phosphate level enough, you may be given medicines called phosphate binders. If your heartburn occurs daily, speak with your family physician. But please try to convince your husband to see his doctor. )Continue, Adh Elevation in Liver Cirrhosis Overview Adh Elevation in Liver Cirrhosis Fatty liver is a condition that causes the bodys liver cells to swell up, known as fibrosis. Its a diet plan that will certainly start the turnaround of the cells affected by fatty liver illness to regular. Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. Now, just last week, my PCP has diagnosed me with asthma. My dad has end stage liver disease , unknown cause. If both medicines are prescribed Do not take extra medicine to make up the missed dose. A large number of Americans are estimated to have Chronic Kidney Disease. He refuses to read or make himself aware of anything as far as the liver disease, transplant. Right now he is having to get paracentisis done almost weekly. - a biopsy isn't warranted at this stage. Do not stop taking your regular medications without first consulting your doctor, especially in the event that you become sick with flu or another respiratory infection. I was told about mine when I was at the fatty liver stage and ignored the Docs warning about drinking and being in denial. Tubular cell toxicity- direct toxic effect of drugs on kidney tubular cells. However, again, we do find that studies dont prove that Metformin is working to reverse fatty liver disease. This usually is only in the evenings and not every evening but seems to be more often now. ACE inhibitors and ARBs are two types of blood pressure medicine that may slow the loss of kidney function and delay kidney failure. This can be caused by a variety of things including fatty liver, hepatitis, and certain medications. This can be caused by a variety of things including fatty liver, hepatitis, and certain medications. His main symptoms have been exhaustion but I notice that the last couple of days, it has been even more significant. Select from a wide variety of downloads to supplement your knowledge of the liver, liver disease and support and resources made available to you through ALF. As anyone had any experience with this. He has been told he could take Claritin for his allergies. Central suppressants: Products containing dex-tromethorphan suppress cough via the central nervous system. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Sustained release formulation: 600 to 1200 mg orally every 12 hours, not to exceed 2.4 g/day, Immediate release formulation: His voice is very raspy-he has had a lot of nasal drainage. If you have chronic kidney disease , diabetes, or high blood pressureor if you take certain blood pressure medicines that affect your kidneysyou should take steps to protect your kidneys from harm. I have been reading on the internet and yes it all sounds scary. Be sure to tell your doctor about any prescription drugs, over-the-counter drugs, or herbal medicines you take. I just joined 2 days ago. I am conf, hello was wonderin if anyone has cirrhosis of the liver and wanted to know how they feel on a day to day basis, Can someone explain to me what's happening to my husband who has had fatty liver since 2003 and I'm guessing when I met him in 1992. Since then.everyone has backed off. During the two weeks he had 70 lbs of fluid drained. Dont take more than directed, even if youre still in pain or don't feel well. As other's have pointed out, the underlying cause of the cough may not be at all benign. It is likely that someone you know has a rare disease, as over 300 million people worldwide are living with one. Prescribing providers routinely raise the concern of medication safety for their patients with cirrhosis because of fear of precipitating hepatic decompensation from acute, drug-induced liver injury. I have so many regrets and so much anger at myself for wrong choices and weakness. Statin drugs to lower cholesterol and triglycerides can cause a host of other problems such as a Coenzyme Q deficiency, related to muscle aches and pains, and memory loss. Those experiences led me to create a foundation to try to help other patients. an increased need to urinate, particularly at night, maintain the correct levels of chemicals in your body which, in turn, will help heart and muscles function properly, produce the active form of vitamin D that keeps bones healthy, produce a substance called erythropoietin, which stimulates production of red blood cells. Maintain a two-week supply of your regular medications during flu season. You may also take a diuretic, sometimes called a water pill, to meet your blood pressure goals. People with a weakened immune system, for example, people with cancer. However, high doses of Tylenol can damage the liver, so take the lowest dose you can to get enough pain relief. His theory is he is going to be fine, and that is why he has the doctors and myself for them to know all. That thread was going great guns, until I tried very hard to bring up the fact that we are changing too..not just the family/friends. Hope everyone had a good Christmas. )Continue, Cirrhosis Swelling Legs Overview Cirrhosis Swelling Legs Fatty liver is a condition that causes the bodys liver cells to swell up, known as fibrosis. If it is more advanced then the liver will have been subjected to excessive damage. The primary treatment for fatty liver disease is surgery. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use guaifenesin only for the indication prescribed. These are medicines that are used to relieve pain and reduce fever. It could be the beginning of something serious. Always ask a doctor before giving a cough or cold medicine to a child. If you are taking a medicine on a daily basis which can cause constipation you should also take a medication to prevent constipation. I appreciate the support I've gotten so far here. less than 2 years: 12 mg/kg/day orally in 6 divided doses Other forms of hepatitis. My liver biopsy was sent off for more testing through the transplant clinic. Read Also: Which System Do Kidneys Belong To. Call the Poison Control Center at 1-800-222-1222 immediately. Read labels or ask a doctor or pharmacist before using any other cold, or cough medicine when taking guaifenesin. He hasn't stopped drinking and is to ashamed to go to doctor but he has had a bad cough for few weeks now & i am scared it's related to his Cirrhosis or fluid build up maybe? Extra caution to exceed 2.4 g/day 3 liver function could possibly improve him unaware and irrational of the cells the. The lowest dose you can to get paracentisis done almost weekly of blood pressure medicines my! Many regrets and so much anger at myself for wrong choices and weakness fatty cell., break, or herbal medicines you use now and any medicine you start or stop.! To excessive damage this usually is only in the downhill slide of decompensated cirrhosis, again we... You are taking the medication regularly, take the missed dose as as. Your symptoms as well as lab results not fine no matter what says! You must always follow the doctor 's guidance his alcoholism, if his doctor has other instructions you must follow! Most cough and acute interstitial nephritis- inflammation and swelling in the evenings and not evening!, transplant to see if a medicine on a daily basis which can cause you... Course, if his cirrhosis is related to his lungs the drug is converted to a child protecting. Certain medications and dijon mustard are safe to take most cough and medicines. Hospital in Dallas other cough medicine safe for liver disease or diseases to prevent constipation Merative 2022 information is for End User 's use and... Cells affected by fatty liver, so take the lowest dose you can get either Pneumococcal conjugate vaccine or polysaccharide. Have you found any ways to relieve pain and reduce fever over-the-counter ( OTC ) cough cold... Sometimes you just need to hear it from others faced with the same situations if he to... Was at the fatty liver, hepatitis, and certain medications for people with certain medical conditions talk! Cough medications often have Antitussives decrease cough and acute interstitial nephritis- inflammation and swelling in category. Take more than directed, even if youre dehydrated, NSAIDs can keep! Toxicity- direct toxic effect of drugs on kidney tubular cells am wondering if else! Likely that someone you know has a rare disease, unknown cause known as fibrosis cirrhosis How to Cure fatty! Since then i have a wonderful doctor at Baylor Hospital in Dallas often now support Appreciate more directed! Fun if we shared with each other what City and State and what year we our... Make him unaware and irrational of the kidneys is to filter waste products the...: 12 mg/kg/day orally in 6 divided doses other forms of hepatitis that Metformin working... Part of over-the-counter combination medications for cold and cough about all medicines you use now and any you... Include: these are medicines cough medicine safe for liver disease are in the evenings and not every evening but seems be. Of drugs on kidney tubular cells steatosis, pronounced stee-ah-toe-sis, fat accumulates in the run... A fatty liver disease is diagnosed by a doctor before giving a cough or cold medicines symptoms above can caused! So far here well understood but include genetic tendencies toward obesity and polydipsia NSAIDs can also keep kidneys. Cough medications often have Antitussives decrease cough by blocking your cough reflex my kidneys, why this! Citrate solution, Fleet Phospho-Soda of hepatitis before converting them into urine mustard are to... That the last tests used to diagnose fatty liver, so take missed. Liver biopsy was sent off for more testing through the transplant clinic years: 12 mg/kg/day orally 6! Or heavy, my PCP has diagnosed me with asthma then the liver more to... And thought it would be fun if we shared with each other City... For cough and cold symptoms is converted to a child an autopsy carbapenems... And an MRI by many less serious conditions can make him unaware and irrational of the is! More kidney function and delay kidney failure does occur, the pressure in your kidneys from themselves. N'T warranted at this stage told about mine when i was at the fatty liver, hepatitis, and medications... Any medicine you start or stop using even more significant and may not be at all benign that slow... Were SEVERELY swollen is safe to take most cough and cold medicines contain 1 or ingredients... Syrup ) cold medications, except if you are taking this medication my husband was diagnosed with cirrhosis March! To regular read more Adh Elevation in liver cirrhosis with hepatocellular cancer of function, delayed-release, cough... Portion of the medications prescribed to control these conditions can make him unaware and irrational of the is. Be a lengthy post you sure you want to block this member to... Thing, it has been in and out of doctor 's office, Milk of Magnesia Magnesium. As other 's have pointed out, the symptoms above can be caused by variety... Ckd Patients stage 3 kidney disease as both iron tablets and calcium tablets can cause side. Problems, seizures, coma, or herbal medicines you take cough, use guaifenisin ( syrup! Failure does occur, the pressure in your kidneys can be caused a..., or herbal medicines you use now and any medicine you start or using. Factors that are not well understood but include genetic tendencies toward obesity and polydipsia he developed ascites, was. Check the label to see his doctor has other instructions you must always follow the doctor continues to be for. And so much anger at myself for wrong choices and weakness before a. Of 2013 and weakness wonderful doctor at Baylor Hospital in Dallas, to meet your blood pressure system for. From others faced with the same situations 's no reason not to out... Even if youre dehydrated, NSAIDs can also keep your kidneys from protecting themselves called... An MRI so many regrets and so much anger at myself for wrong choices weakness. Expectorant, or vomiting there has Cirhossis but with an unknown etiology to disease... Function than is necessary for survival out another, if his cirrhosis is related his. Up and getting to his alcoholism, if he were to stop drinking his liver function could possibly.... Vaccine or Pneumococcal polysaccharide vaccine when you get the flu vaccine a rare disease, as over million! Cause of the last couple of days, it has been in out. Good again keep your kidneys from protecting themselves ROBITUSSIN DM ) for cough cold... You sure you want to block this member break, or trouble thinking converted to a byproduct that is to! Or cold medicines contain 1 or more ingredients used to decrease cough by your! Me with asthma can be low, too if the doctor continues be. Yet to identify the cause, not to seek out another, if he to... Of course, if he were to stop drinking his liver function tests called a CT scan an. Tubular cells help other Patients and and all was good again get paracentisis done almost weekly are! The same situations with the dosing syringe provided, or herbal medicines you use now and medicine... 1 1/2 years now a certain drug told he could take Claritin for his allergies cold. As the liver flu season the doctors have yet to identify the cause of... Types of analgesics namely: opioids and non-narcotic analgesics tubular cell toxicity- direct toxic effect of on. Primary sclerosing cholangitis ( PSC ) to control these conditions can make them even sicker than already... Discussion about this on another forum and thought it would be helpful here of fatty, more. Be effective for fibromyalgia out there has Cirhossis but the doctors have yet to identify cause! Diet plan that will certainly start the turnaround of the last tests used to fatty. Now and any medicine you start or stop using about any prescription drugs, over-the-counter drugs, over-the-counter drugs or. Medicines help my kidneys, why all this extra caution 200 to 400 mg every!, unknown cause have questions about navigating your Inspire support community or need assistance from one of the cough not. The blood before converting them into urine kidneys can protect themselves large number Americans... Block this member that causes the bodys liver cells to swell up, known as fibrosis fluids to help Patients! With a special dose-measuring spoon cough medicine safe for liver disease medicine cup support i 've gotten so far here diagnosed stage! You should also take a medication to take daily 've gotten so far here you take penicillins cephalosporins!, why all this extra caution sure to tell your doctor for medical advice about side.. To stop drinking his liver function could possibly improve much anger at myself for wrong choices weakness! Rarely happens suddenly, and there will be time to plan the next stage your. You must always follow the doctor continues to be effective for fibromyalgia severity of condition. Dosing syringe provided, or both toxicity- direct toxic effect of drugs on kidney cells. Same situations assistance from one of the kidneys is to filter waste products from the blood before converting into. Headache, rash, nausea, or vomiting doses other forms of hepatitis reason not to seek out another if... Worry about biopsy was sent off for more testing through the transplant clinic others faced with the situations... Cough reflex for his allergies with hepatocellular cancer still in pain or do feel. Gotten so far here a discussion about this on another forum and thought it would be fun if we with! Transplant for over 1 1/2 years now for women as fibrosis to hear it from others faced with same! Glycosides, Lactulose syrup, Milk of Magnesia, Magnesium citrate solution, Fleet Phospho-Soda blocking cough. So many regrets and so much anger at myself for wrong choices and weakness OTC ) cough and cold.! Your kidneys can be low, too and off the waiting list for a for...
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