ALL ABOUT CAPSAICIN ETC , ( SOURCES;-INTERNATE ) Capsaicin Brings the Heat as a Disease-Fighting Powerhouse
Capsaicin Brings the Heat as a Disease-Fighting Powerhouse
Do you love the spicy flavor that peppers have to offer? Then you’re in luck, because capsaicin may help you prevent cancer, fight diabetes and even relieve pain.
Known as the spice factor in peppers, capsaicin gives those delicious veggies their heat. With the exception of the bell pepper, capsaicin is generally synonymous with peppers. It’s also one of the features of cayenne pepper that make it so beneficial.
With a massive and ever-growing body of research supporting it, there can be little doubt that capsaicin has the potential to revolutionize more than one traditional method of treatment in the medical community. Read on to find out how this compound works and the incredible properties it has.
What Is Capsaicin?
As a molecular compound found in spicy peppers, capsaicin has no dietary content, such as calories or additional nutrients. It’s found in every part of the pepper except for the seed, although the highest concentration of capsaicin is found in the inner wall where the seeds attach.
While many find the heat of these peppers exciting for creating YouTube videos of themselves eating the hottest ones they can get their hands on, capsaicin is valuable for more than just entertainment. It’s been a proven aid to weight loss, the fight against cancer and even chronic pain. This is because capsaicin binds to a vanilloid receptor known as TRPV1, which is signaled by heat and also receives signals when cells in the body are physically burned or injured.
Once the capsaicin molecule has bound to the TRPV1 receptor, the brain is signaled that a hot or burning event has occurred and, in turn, causes a mild inflammatory reaction meant to repair the cells affected. It’s by this reaction that many of capsaicin’s benefits probably occur.
Top 6 Capsaicin Health Benefits
1. May Be Helpful in Treating Cancer
Of the many benefits consuming capsaicin has to offer, few have been reviewed as much as its powerful effect against cancer.
For example, various studies show capsaicin can effectively fight prostate cancer, including a 2006 study at the UCLA School of Medicine, stating it has a “profound antiproliferative effect” on this type of cancer. Researchers found that taking capsaicin orally significantly stopped the spread of prostate cancer cells as well as caused apoptosis (cell death) in more than one type of prostate cancer cell. (1)
In a gerbil study, scientists also discovered capsaicin to be effective against H. pylori-induced gastritis, an infection of the stomach lining caused by a bacteria penetrating the inner mucous layer. This condition is of particular concern in developing nations where living conditions are also cramped, where the H. pylori bacteria is most common. Capsaicin, along with piperine, in this study acted by decreasing inflammation caused by the virus, and it was determined, therefore, to be a useful way to potentially prevent the next step in this bacterial infection: gastric cancer. (2)
Another type of cancer capsaicin may be useful in fighting is breast cancer, the second most fatal cancer in women. For some time, it’s been clear that capsaicin has the ability to induce apoptosis in specific breast cancer cells, but another breakthrough study was released in South Korea in late 2015 that found capsaicin may also help kill an additional type of cell: breast cancer stem cells.
This discovery is especially important because the stem cells that remain after the other cancer cells have died are the ones responsible for recurrences of the disease. (3)
Capsaicin has been researched at length in conjunction with its impact on primary effusion lymphoma (PEL). This form of non-Hodgkin’s lymphoma is a rare one associated with HIV. (4)
There’s also some research suggesting that capsaicin can help decrease the size and frequency of certain lung tumors. (5)
In general, research abounds with the truth that treatment with capsaicin, alongside other useful dietary tools, is an astounding potential treatment for cancers of many kinds. It’s been found to have positive effects on shrinking tumors, preventing metastasis (new tumors found away from the original cancer site), causing apoptosis in various cancer models and even potentially preventing cancer from occurring in the first place. (6)
Interestingly, capsaicin also has a cancer-related benefit outside of cancer cells. It’s also available in cream form that’s used for a variety of ailments, including mouth sores that are common side effects of chemotherapy and radiation therapy.
2. Decreases Incidence of Cluster Headaches
Using capsaicin is a common pain relief technique, which I discuss in more detail below. One specific pain remedy that commonly includes the cream form of this natural pain reliever is the treatment of cluster headaches. Different from migraine or tension headaches, these recurring, specific headaches are described by most as the worst pain they have ever experienced, with some women even comparing it to the pain of childbirth.
While they’re rare, cluster headaches are debilitating and can last for six to 12 weeks. There are many lifestyle and dietary options that are useful in treating them, including the application of capsaicin cream to the inside of a nostril on the side of your head suffering the headache. By repeatedly applying the cream, subjects found the frequency of their headaches decreased for up to 60 days after ending this treatment option in a study conducted by the Institute of Internal Medicine and Clinical Pharmacology at the University of Florence, Italy. (7)
3. Relieves Pain
Capsaicin is a commonly known pain-relief agent. The reasons for this are widely unknown, although scientists are uncovering more about the mechanisms it uses to provide relief. It seems that, in large part, capsaicin provides analgesic relief by activating the TRPV1 receptor, which then causes the brain to release a neurotransmitter called “substance P.” (8)
Especially in cream form, it’s been used for many years to treat pain related to osteoarthritis, rheumatoid arthritis and fibromyalgia, as well as certain kinds of joint pain.
More recently, researchers have been investigating a method of injecting highly purified capsaicin into cartilage and tendons connected to a damaged rotator cuff. While this did not speed the healing process as initially expected, it did significantly alter pain responses, making it a good candidate for pain treatment for this condition. (9)
4. Treats Psoriasis
In addition to treating pain, capsaicin has been long known for its ability to treat various skin conditions, including the dry, itchy skin of psoriasis. Substance P seems to be an effective treatment for this condition, as research shows that continued application of capsaicin cream shows a dramatically decreased amount of psoriasis breakout on the skin. However, patients did report that the initial applications of capsaicin cream came with some minor burning, itching and stinging, which went away after the first several applications. (10)
5. Aids in Management of Diabetes
Like many features of healthy foods, capsaicin is very useful when aiming to prevent and treat diabetes. Consistently consuming foods high in this nutrient has been proven to improve the blood sugar and insulin reactions in both men and women, and also in women with gestational diabetes. (11)
A painful condition associated with diabetes, diabetic neuropathy, may also be treated with capsaicin cream to decrease pain responses. (12)
6. Helps in Weight-Loss Efforts
If you’re trying to lose weight, you should probably consider eating capsaicin-rich foods, such as chili peppers. Research has found that eating these spicy foods may lower body weight, speed metabolism, help burn fat and suppress appetite in animals. (13)
This may also be a benefit to those of you who combine exercise with a nutritional approach to weight loss, as capsaicin consumption also improves athletic performance and overall physical endurance. (14)
How to Use Capsaicin
The simplest way to introduce capsaicin into your system is by eating foods that contain it, namely, all pepper varieties except for the bell pepper, which contains no capsaicin due to a recessive gene it contains. If you aren’t used to eating spicy foods, it’s important to take it slowly and begin with very mild varieties before working your way up to that Carolina Reaper.
Looking for helpful ways to introduce capsaicin-rich peppers into your routine? Try this Lamb Burgers Recipe I created that is mild enough for kids, even though it contains a jalapeno. Celebrating a big game with friends? Help them find capsaicin’s benefits, too, by making these gluten-free Buffalo Chicken Tenders with cayenne powder.
You may also purchase capsaicin in supplement form, often referred to as “cayenne powder pills,” or in the form of a cream. In the latter form, specifically, you’ll be able to enjoy its external benefits, such as treating psoriasis, as well as some pain benefits, like treating cluster headaches and relieving joint and muscle pain.
Capsaicin History and Interesting Facts
Chili peppers have been around for quite some time, but the active “spicy” component of capsaicin wasn’t isolated until 1846, when a man named J.C. Thresh identified it and gave it the name “capsaicin.” An impure form of the compound had been extracted from peppers in 1819 by Christian Friedrich Bucholz, who gave it the now antiquated named “capsicim,” after the Capsicum form from which it was taken.
A century after its initial discovery, its chemical structure was recorded in 1919 by E.K. Nelson and created in synthetic form in 1930 by E. Spath and F.S. Darling.
Before its conversion to a cream form, Native Americans had been rubbing their gums with peppers to relieve toothaches, which was a practice adopted by the Europeans.
An interesting feature of the spicy peppers containing capsaicin seems to be that this nutrient came out of an evolutionary need for pepper plants to protect themselves. They developed quite the creative method — capsaicin is a deterrent to mammals who would destroy the seeds within the pepper plant, but birds are immune to it. Because they aren’t bothered by the heat of the plant, birds swallow the seeds of various pepper plants whole and help perpetuate their growth. (15)
The presence of capsaicin in spicy peppers determines their “heat” according to the Scoville scale, a measurement in Scoville heat units (SHU) to identify different peppers. For example, banana peppers score between 100–1,000 on the scale, the habanero pepper ranks at 100,000–350,000, and the top 10 hottest peppers in the world range from the mid-250,000s to a blazing 2.2 million.
Ranking No. 1 on the list is the Carolina Reaper, a cultivar of Capsicum chinense grown in Fort Mill, S.C. The official record, according to Guinness World Records, has a rating of 1.569 million SHU, although it unofficially has been recorded at 2.2 million SHU.
Capsaicin Precautions
Because of its pain-inducing effect, capsaicin should be eaten and taken with caution. Generally, the amount found in common foods is safe to consume, but it’s sometimes associated with stomach pain, nausea, diarrhea and other digestive problems. In supplement form, a total of no more than three grams per day is recommended.
It’s possible for capsaicin to cause acid reflux in some individuals, so if you experience this indigestion regularly after eating spicy foods, it may be worth avoiding. (16)
Peppers are also part of the nightshade vegetables family, a seemingly random assembly of various foods that are usually healthy but can cause allergic reactions in certain people. Capsaicin functions as an alkaloid, so if you experience symptoms such as joint pain, skin reddening, digestive issues or any noticeable inflammatory response, it’s possible you’re allergic to this class of foods.
Final Thoughts on Capsaicin
- Capsaicin is the compound found in almost all types of peppers, responsible for giving them their “heat.”
- While all the ways it works remain a mystery, one major way it helps fight and treat disease is by signaling the TRPV1 receptor, which then tells the brain to release Substance P, a neurotransmitter that produces a mild inflammatory response to repair cell damage.
- It’s an important tool in the fight against cancer, having proven anticancer and cancer-protective effects for various types of the disease, including lung, gastric, PEL and breast cancer.
- Other health benefits of capsaicin include its ability to provide pain relief, diminish the frequency of cluster headaches, treat psoriasis, manage diabetes and help you lose weight.
- Peppers benefit from the presence of capsaicin contained in them by deterring animals who would destroy the pepper seeds. However, because birds are immune to this flavor issue, they help to perpetuate the species.
- The measurement of the amount of capsaicin in peppers can generally be determined by their “heat” level, which is defined by the Scoville scale in Scoville heat units. On this scale, the Carolina Reaper pepper ranks highest.
- It’s important to take it slow with peppers and be aware that your body may react negatively to them, especially at first. See your doctor immediately if serious complications occur
What Is Capsaicin? 9 Topical Uses and Benefits
Capsaicin (8-methyl-N-vanillyl-6-nonenamide) comes from chili peppers (Capsicum spp.) and gives them their heat.[1] Capsaicin has a lot to offer, and its analgesic properties are at the top of the list.[2]Analgesics are a type of pain reliever and include acetaminophen, a non-aspirin pain reliever, which is the active ingredient in brands like Tylenol, Paracetamol, and Panadol.
If you’re a trivia buff or preparing for an upcoming appearance on Jeopardy! you might be happy to know that capsaicin is a vanilloid compound[3] and belongs to the vanillyl group.[1, 4] Aside from providing the hot taste chili peppers are known for, capsaicin is responsible for many amazing health benefits. Capsaicin is a capsaicinoid, which is a compound present in the capsicum family of plants. Aside from capsaicin, the most common of these compounds include dihydrocapsaicin, nordihydrocapsaicin, homocapsaicin, and homodihydrocapsaicin.[5].
One use for capsaicin that extends back centuries is as a means to control joint and muscle discomfort.[6] Capsaicin is a neuropeptide-active agent; it affects the synthesis, storage, transport, and release of substance P. Substance P is a chemical mediator of pain impulses along the central nervous system. When substance P enters joint tissue, it causes inflammation and contributes to rheumatoid arthritis.
Capsaicin helps relieve pain by preventing the accumulation of substance P in peripheral sensory neurons. When there is less substance P in the nerve endings, pain impulses are not transmitted to the brain. Essentially, capsaicin prevents your brain from receiving the impulses that would otherwise make you feel pain.
History of Capsaicin
Capsaicin was first isolated by John Clough Thresh. The exact chemical structure of capsaicin was determined by E. K. Nelson in 1919. It was synthesized by Ernst Spath and Stephen F. Darling in 1930.[7] Although those technical advances are recent, chili peppers have been used in one way or another for over 6,000 years.[8] The analgesic properties of chili peppers have been appreciated by cultures around the world. Native Americans, in particular, were known to rub their gums with chili pepper pods to relieve tooth pain. Culinary applications are also common. Chili peppers were used as a weapon by the Incas against the Spaniards. In recent years, law enforcement has taken to using capsaicin-based pepper spray.[9]
9 Health Benefits of Capsaicin
Significant amounts of research have confirmed the impressive benefits of capsaicin. Medline lists almost 2900 research mentions of capsaicin in scientific literature published between 1991 and 1999 alone.
Although not comprehensive of everything this compound has to offer, here are nine impressive benefits.
- A 1986 study found patients with moderate or severe psoriasis who applied capsaicin topically experienced significant reductions in burning, stinging, itching, and redness of the skin over a six-week period.[10]
- Capsaicin may help with atopic dermatitis.[11]
- A 1991 study found capsaicin may be an effective remedy for arthritis. Rheumatoid arthritis and osteoarthritis patients who received capsaicin cream for painful knees experienced mean reductions in pain of 57% and 33%, respectively, after 4 weeks.[12]
- Capsaicin helps with chronic back pain.[13]
- Capsaicin may relieve chronic soft tissue pain.[13]
- Capsaicin may provide relief for neuropathic pain.[14][15]
- Capsaicin may play a role in suppressing prostate cancer cells.[16]
- Oral capsaicin can provide pain relief for oral mucositis in patients undergoing chemotherapy.[17]
- Capsaicin may help fight obesity by increasing feelings of fullness to reduce calorie and fat intake.[18][19]
Using Capsaicin in Topical Applications
Topical capsaicin products are common and used to alleviate sore muscles and joints.[20] It can be found in creams, lotions, gels, nasal sprays, and patches. When using a capsaicin ointment, a slight burning or itching sensation is common but temporary. Wash your hands thoroughly after application to avoid spreading the ointment to sensitive areas such as the eyes.
References (20)
†Results may vary. Information and statements made are for education purposes and are not intended to replace the advice of your doctor. Global Healing Center does not dispense medical advice, prescribe, or diagnose illness. The views and nutritional advice expressed by Global Healing Center are not intended to be a substitute for conventional medical service. If you have a severe medical condition or health concern, see your physician
Capsaicin: A Spicy Supplement That May Deliver Well-Rounded Benefits to Your Health
- What makes chili peppers unique is capsaicin, the ingredient that gives them their spicy flavor, as well as their unique health benefits
- If you’re looking to add capsaicin to your diet, chili peppers are your best source. The only exception to this food group is the bell pepper, which has no capsaicin
- To gain the health benefits of this compound, you need to buy real chili peppers that will give your food that distinctive spicy flavor
Chili peppers (capsicum annuum) are one of the most common yet important spices in cooking, and is enjoyed by countless people all over the world. While most people believe that they originated from India, China or Thailand — countries that make extensive use of chilies in their cuisine — did you know that they actually originated from the Americas?1
The history of chili peppers goes back to more than 6,500 years ago in the Mexican region.2 Ancient Mexicans extensively used them to spice up their food, and in 1492, it was introduced to the Europeans when Christopher Columbus unexpectedly ended up in America.3
Originally, Columbus wasn’t looking for chili peppers — he was simply looking for another route to Asia to acquire black peppercorns, which were considered luxury items in Europe back then. After he returned with plant samples to the Iberian Peninsula, Portuguese traders brought them around the world for bartering, eventually ending up in Asia and becoming even more widespread.4
What makes chili peppers unique is capsaicin, the ingredient that gives them their spicy flavor, as well as their unique health benefits. It was first isolated in 1846 by a British Chemist named John Clough Thresh,5 but it was only in 1979 that capsaicin was tested in a scientific environment for therapeutic uses.
Tony Yaksh, a researcher at the Mayo Clinic, discovered that repeated topical applications of capsaicin depleted substance P (a signaling molecule), which helped ease irritation and inflammation. Since this discovery, capsaicin has become more prevalent.6
Chili Peppers Are the Best Natural Sources of Capsaicin
If you’re looking to add capsaicin to your diet, chili peppers are your best source. The only exception to this food group is the bell pepper, which has no capsaicin.7 To gain the health benefits of this compound, you need to buy real chili peppers that will give your food that distinctive spicy flavor.
The spiciness of chili peppers is measured using the Scoville Scale, developed by pharmacist William Scoville in 1912. To measure the pepper, it needs to be diluted repeatedly until the strength is not detectable anymore by the human tongue. For example, a jalapeño has a Scoville Heat Unit (SHU) of 8,000, which means it was diluted 8,000 times.8 The table below shows the SHU of the most commonly used peppers in cooking:9
Pepper
|
Scoville Heat Units
|
Description
|
Cherry
|
500
|
Typically measures 4 inches long and 4 inches wide, with a shape that resembles a heart. The heat is very mild.
|
Anaheim
|
1,000 to 5,000
|
Maroon in color and has a long, skinny body. The flavor is only slightly hotter than the cherry variety.
|
Jalapeño
|
2,000 to 8,000
|
This pepper is usually red or green, with a length of 2 to 3 inches. Many people agree that it gives off the right amount of spiciness, leading to its popularity.
|
Serrano
|
10,000 to 25,000
|
The appearance is similar to the jalapeño, but with a hotter taste.
|
Cayenne
|
25,000 to 50,000
|
This pepper is popular for spicy food lovers because it adds a noticeable amount of heat.
|
Tabasco
|
30,000 to 60,000
|
This special type of pepper is used to produce the popular Tabasco hot sauce. A single pepper usually measures 2 inches long, and can come in green, red, yellow or orange.
|
Thai
|
50,000 to 100,000
|
Typically measuring less than an inch per pepper, Thai peppers pack serious heat. It’s mainly added to spicy Thai dishes.
|
Rocoto
|
100,000 to 250,000
|
The rocoto pepper has a large size similar to the bell pepper, but is rounder and only comes in red or green. It’s usually used to make special hot sauces.
|
Habanero
|
150,000 to 350,000
|
The habanero is well-known for being one of the spiciest peppers. It can come in various colors, and measures only 3 centimeters in length.
|
Ghost
|
1,000,000
|
Recognized as one of the hottest peppers in the market, a single seed from a ghost pepper can leave your mouth scorching for up to 30 minutes.
|
The great thing about chili peppers is their versatility. Depending on the variety you choose, they can be mixed in recipes or added to dips, marinades and salsa to give them the right amount of heat.10 Chili peppers can be part of a nutritious diet, but there are some side effects to be aware of, most prominently the heat they cause once eaten. You may also experience any of the following:11
•Stomach irritation: Gastritis or heartburn may occur because chili peppers can inflame your stomach lining.
•Respiratory problems: When consumed incorrectly (such as accidentally inhaling chili powder), your nose and mouth can experience discomfort and redness.
•Allergies: Chili peppers can cause various allergic reactions such as itchiness, a runny nose, watery eyes and other signs of irritation.
Adding chili peppers into your diet is the best way to get capsaicin regularly into your system — you may even enjoy the heat as you gradually get used to it. Meanwhile, capsaicin supplements that come in various dosages are also sold in the market.
Studies Regarding the Potential Health Benefits of Capsaicin
Capsaicin, the source of peppers’ spiciness, has been studied comprehensively, and you may be surprised at what it can do. The following are prominent examples:
Pain Relief
As mentioned previously, capsaicin may help relieve pain by exhausting your body’s supply of substance P, a chemical found in your nerve cells that plays a role in transmitting pain signals to your brain.
In one study, heartburn sufferers were given 2.5 grams of red chili peppers per day. They noted that at the beginning of the treatment, pain slightly worsened, but gradually improved over time.12
|
Weight Management
Spicy foods, quite literally, can help burn fat and help you lose weight. In a study published in the Journal of Nutritional Science and Vitaminology, participants were given 10 grams of red pepper during a meal.
After eating, the researchers monitored the participants’ energy expenditure and learned that chili peppers increased it after consumption.13
It is believed that your body can burn an extra 50 calories per day if you consume capsaicin regularly.14
|
Reduce Hunger
Several studies have shown that capsaicin may help reduce hunger, helping prevent overeating and excess weight gain.15,16,17,18
According to a study published in the European Journal of Nutrition, capsaicin works by reducing the production of ghrelin, the hormone responsible for triggering hunger.19
|
Blood Pressure Maintenance
Capsaicin may help promote long-term heart health. According to one study, mice affected with high blood pressure experienced relief after they consumed food mixed with capsaicin.
The researchers went on to suggest that capsaicin activates the transient receptor potential vanilloid 1 (TRPV1), which contributes to vasorelaxation and lowered blood pressure.20
|
Boost Digestive Health
Aside from reducing hunger, capsaicin may help promote a well-functioning digestive tract.
One study found that it enhanced the buffering component of gastric secretory responses and gastric emptying, as well as prevention of gastric mucosal damage from ethanol-based beverages.21
Another study suggested that capsaicin can help promote the healing of gastric ulcers by inhibiting acid secretion, as well as stimulating alkali and mucus production and gastric blood flow.22
|
May Lower the Risk of Cancer
Capsaicin may have the ability to fight against cancer by attacking pathways in the growth of cancer cells.
|
Other Uses of Capsaicin
Aside from being added to foods or taken as a supplement, capsaicin can be found in skincare products due to its anti-inflammatory properties. It’s also used to help with:25
•Post-surgery pain at the site of operation
•Nervous system problems such as trigeminal neuralgia
•Cluster headaches
•Joint pain from osteoarthritis and rheumatoid arthritis
When using a capsaicin cream, however, always exercise caution. You may feel a slight burning feeling on your first application, but it will become better upon frequent use. Wash your hands thoroughly afterward to prevent getting the product into your eyes and other parts that have mucous membranes, as it can cause a burning sensation.26
Capsaicin is also used in matters of personal safety, with the most popular derivative being pepper spray. It allows potential victims to protect themselves by incapacitating assailants or dangerous animals. To make the spray, the capsaicin is extracted from a solvent such as ethanol, which is then evaporated, emulsified and pressurized before it is placed into canisters.27
What’s the Recommended Dosage for Capsaicin?
The ideal measurement for capsaicin supplements varies because many manufacturers make their own version of the product. In one study, participants were given a daily dosage of 6 milligrams, which helped facilitate weight loss, particularly in the abdominal region, without any concerning problems.28
Side Effects of Capsaicin Supplements
In general, capsaicin supplements do not cause any alarming side effects, but you may still experience uncomfortable indicators similar to eating chili peppers. According to WebMD, possible complications include stomach irritation, sweating, flushing and a runny nose. When taken in large amounts, it may cause liver or kidney damage.29
Be forewarned that your stomach may experience a low, small heat that can last anywhere from 30 minutes to an hour after taking a capsaicin capsule. This means that the capsaicin, which is naturally hot, is being released into your digestive system.30
Capsaicin and Chili Peppers Can Be Enjoyed by Nearly Everyone
Capsaicin supplements (and hot peppers) are generally not recommended for very young children, because they do not have well-developed digestive systems yet. As a general rule, do not give capsaicin to children under 2 years old.31 Once your child has grown big enough, you may introduce hot peppers into their diet to obtain the benefits of capsaicin, but do it gradually. You can mix a dash of chili pepper into their food to help them become accustomed to the taste.
Remember to use very mild peppers first, then slowly move up to other peppers if they like the flavor. Also, avoid mixing in the seeds, as they contain the highest concentrations of capsaicin.32
Frequently Asked Questions About Capsaicin
Q: What is pure capsaicin?
A: Capsaicin, in its purest form, is the chemical that gives chili peppers their spicy flavor and potential health benefits.
Q: What does capsaicin do for your body?
A: According to research, capsaicin has various potential benefits for your health, such as weight management, reduced risk of tumors, pain relief and lowered LDL cholesterol levels.
Q: What are the potential side effects of capsaicin?
A: One of the most notable side effects of taking capsaicin is the generation of heat, which you may find uncomfortable. You may also develop coughs, sore throat, runny nose and shortness of breath. When using a capsaicin skin cream, burning,
itching, dryness and swelling may occur at the site of application.33
MAIN HISTORY OF CAPSAICIN FROM WIKIPEDIA
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