PULSE #23: ഫാറ്റി ലിവർ - എന്ത് കഴിക്കരുത്? എന്ത് കഴിക്കണം? (Fatty liver - Diet)

This video is regarding the diet for a person with fatty liver disease. Here we discuss the topic broadly as general dietary pattern changes and specific foods to be avoided or included in the diet.
You may also watch our PULSE #10 episode regarding the causes of fatty liver and its future complications at • PULSE #10: ഫാറ്റി ലിവർ...
You may also watch the PULSE #19 episode regarding the lifestyle as well as exercise for fatty liver at • PULSE #19: ഫാറ്റിലിവർ ...
If you are interested in the Mediterranean diet or diet to prevent dementia, you may watch • PULSE #17: മറവിരോഗം തട...
Presented by: Dr Prasanth T S, Consultant Medical Gastroenterologist.
MD, DM, DNB (Med Gastro), MNAMS
Timeline:
00:25 About previous episodes on fatty liver
00:39 Introduction and other benefits of this diet
01:05 General dietary pattern changes
02:58 Carbohydrate-rich foods to be avoided - Processed white rice, white rice flour, maida
03:55 Red meat, fried foods, processed meat
05:09 Palm oil, Coconut oil, Butter, Ghee, Chicken with skin
05:35 Salt and its recommended daily intake
06:21 Over-the-counter herbal supplements: Can you use them?
06:35 What to eat?
06:37 Water, Green tea, Coffee
07:28 Carbohydrate-rich foods to be included - Brown rice, whole wheat, Oats
08:31 Pulses, beans, lentils
08:42 Milk, Eggs, Fish
09:35 How to take Chicken?
09:47 Extra virgin oil and other types of oil
10:06 Nuts and seeds
10:45 Fruits and vegetables to be included in the diet - Avocado, Cut fruits versus juice
11:16 Sambar, aviyal, thoran, salad, spinach
11:58 Vitamin E rich foods, Garlic, Turmeric
12:39 Conclusion
REFERENCES
1. Kasper P, Martin A, Lang S, et al. NAFLD and cardiovascular diseases: a clinical review. Clin Res Cardiol. 2021;110(7):921-937. doi:10.1007/s00392-020-01709-7
2. Francque SM, Marchesini G, Kautz A, Walmsley M, Dorner R, Lazarus JV, Zelber-Sagi S, Hallsworth K, Busetto L, Frühbeck G, Dicker D, Woodward E, Korenjak M, Willemse J, Koek GH, Vinker S, Ungan M, Mendive JM, Lionis C. Non-alcoholic fatty liver disease: A patient guideline. JHEP Rep. 2021 Sep 17;3(5):100322. doi: 10.1016/j.jhepr.2021.100322. PMID: 34693236; PMCID: PMC8514420.
3. www.med.umich.edu/pdf/gi/NAFL...
Michigan NAFLD booklet
4. Worm N. Beyond Body Weight-Loss: Dietary Strategies Targeting Intrahepatic Fat in NAFLD. Nutrients. 2020 May 6;12(5):1316. doi: 10.3390/nu12051316. PMID: 32384593; PMCID: PMC7284418.
5. Tang G, Xu Y, Zhang C, Wang N, Li H, Feng Y. Green Tea and Epigallocatechin Gallate (EGCG) for the Management of Nonalcoholic Fatty Liver Diseases (NAFLD): Insights into the Role of Oxidative Stress and Antioxidant Mechanism. Antioxidants (Basel). 2021;10(7):1076. Published 2021 Jul 5. doi:10.3390/antiox10071076
6. Zhang S, Fu J, Zhang Q, Liu L, Meng G, Yao Z, Wu H, Bao X, Gu Y, Lu M, Sun S, Wang X, Zhou M, Jia Q, Song K, Xiang H, Wu Y, Niu K. Association between nut consumption and non-alcoholic fatty liver disease in adults. Liver Int. 2019 Sep;39(9):1732-1741. doi: 10.1111/liv.14164. Epub 2019 Jun 26. PMID: 31162803.
7. Hayat U, Siddiqui AA, Okut H, Afroz S, Tasleem S, Haris A. The effect of coffee consumption on the non-alcoholic fatty liver disease and liver fibrosis: A meta-analysis of 11 epidemiological studies. Ann Hepatol. 2021 Jan-Feb;20:100254. doi: 10.1016/j.aohep.2020.08.071. Epub 2020 Sep 10. PMID: 32920163.
8. Mokhtari E, Farhadnejad H, Salehi-Sahlabadi A, et al. Spinach consumption and nonalcoholic fatty liver disease among adults: a case-control study. BMC Gastroenterol. 2021;21(1):196. Published 2021 May 1. doi:10.1186/s12876-021-01784-8
9. Goodarzi R, Sabzian K, Shishehbor F, Mansoori A. Does turmeric/curcumin supplementation improve serum alanine aminotransferase and aspartate aminotransferase levels in patients with nonalcoholic fatty liver disease? A systematic review and meta-analysis of randomized controlled trials. Phytother Res. 2019 Mar;33(3):561-570. doi: 10.1002/ptr.6270. Epub 2019 Jan 17. PMID: 30653773.
10. Soleimani D, Paknahad Z, Rouhani MH. Therapeutic Effects of Garlic on Hepatic Steatosis in Nonalcoholic Fatty Liver Disease Patients: A Randomized Clinical Trial. Diabetes Metab Syndr Obes. 2020;13:2389-2397. Published 2020 Jul 7. doi:10.2147/DMSO.S254555
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Please note that this video is for educating the public and is not a replacement for a proper clinical examination by a qualified doctor.
All comments for improving the video are welcome.
Picture attributions:
Pixabay License. Free for commercial use.

[@nalininaliyatuthuruthyil4629]

വളരെ വിശദമായി പറഞ്ഞു തന്നു thanks ❤👍🙏

[@lijiyabanu6105]

Thank u sir, useful

[@ramiproductions]

Thank you for sharing great information...what a speech👏👏👏, Super 👌

[@PULSEMediTalks]

Thank you for the comments...

[@nasserusman8056]

Thank you very much for your valuable information ♥️👍👍

[@PULSEMediTalks]

Thank you so much for your valuable comments and time....Keep following us....

[@reenachandran169]

എല്ലാം നന്നായി പറഞ്ഞു തന്നു . Thank you Sir ❤

[@PULSEMediTalks]

ഞങ്ങളുടെ വീഡിയോ താങ്കൾക്കു ഇഷ്ടമായി എന്നറിഞ്ഞതിൽ വളരെ സന്തോഷം. തുടർന്നും കാണുക.

[@ratnamramakrishnan7056]

Thank you Sir for sharing this valuable information

[@PULSEMediTalks]

Thank you so much for your valuable comments....Keep following us and recommend us to your friends....

[@ajithas9617]

Thakyousir👍

[@saliniub255]

Great talk
Doctor I have a few doubts..
Regarding maida.. When we eat food with maida.. Will it be safe if we take it along with lot of vegetables?
Also whats the safety of Virgin coconut oil?

[@PULSEMediTalks]

Thank you so much for your interest in the topic.
Regarding maida, it's better to eat whole wheat rather than maida as it contains chemicals that are used during the processing. Maida has calories but it has less nutritive value. Also even if you add a lot of vegetables along with maida, it may not be equivalent to the benefits of whole grains.
Virgin coconut oil is not superior as it contains the same amount of saturated fat.

[@ridumonridu4452]

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[@ridumonridu4452]

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In 3
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[@rajanchangaroth4269]

Very useful information. Thanks

[@PULSEMediTalks]

Glad it was helpful!

[@padminibabu6331]

Thank you doctor for give the information

[@PULSEMediTalks]

Thank you so much for your time. Keep following our channel...

[@hishampp733]

നന്നായിട്ടുണ്ട് 👍

[@chandrikad5296]

Thank you sir 🙏

[@lillykuttyjacob5180]

Thanku sr

[@krishnamurali5247]

I have second stage fatty liver, Does i want to worry about the same. Do i want to consult doctor immediately, or take follow up for reverse the fat

[@PULSEMediTalks]

You have to follow whatever mentioned in the talk. Also please go and see a doctor and do the check ups to know the correct status...

[@noushadvkn6455]

Thanks 🙏 sir good expansion

[@PULSEMediTalks]

Thank you so much for the comments...

[@sumeshcs1142]

Sir eniku recurrent uti vanapol scan cheythapozha fatty liver Garde 2 kandath ..Cholesterol normal anu .no sugar.. bp vary cheyarudu 140 /92 oke age 38 ...weight 69... height 178cm ..no bakery items ..no alcahol ..enittum fatty liver varanula reason enthanu dr? Uric acid udayirunila but epo uric acid kooditudu

[@PULSEMediTalks]

Replied to your another question...Thanks for the query

[@jessyjob2179]

Thank you doctor for explaining dietary matter in very simple terms

[@bindupillai8406]

Veendum check cheytho ?

[@jibinv310]

Hlo sir
Usg scaning eduthapol ente liver size 13.9 ann kanikkunne
Age 19
Ith normal ano..

[@PULSEMediTalks]

Yes...Normal if your height is also normal for age...

[@ushanandakumar4749]

Thanks a lot Dr❤❤❤

[@PULSEMediTalks]

Welcome. 😊
Please keep watching.

[@manzoorbeema5716]

Thankyou sir 🎉🎉🎉

[@PULSEMediTalks]

Most welcome

[@sumeshcs1142]

Sir uric acidiem fatty liver nem randum koodi patiya food diet vedio ayi cheyan പറ്റുമോ ?

[@PULSEMediTalks]

You can see our video on uric acid also...

[@PULSEMediTalks]

czcams.com/video/NDoT4kJAfGM/video.html

[@gammadinesh7934]

Iam reallyconfused there is no comparisons ,in youtube many persons ars talking for control fatty liver etc. If you listen youtube ,all do called foctors saying all diffrent some doctors coconut oil supr. You are telling should not usecoconut, some doctors saying eat minimum 3 eggs everyday.i think.for thesake,stop it ,

[@PULSEMediTalks]

Thanks for your reply. All these facts I presented are based on the current medical literature. Not my personal experience.

[@bansuriravi6202]

During Aug 2023 my liver size was 14. I took the following diet.
2 spoon rice , sprouted small gram, small type fish, nuts ( almond, wallnut, cashew, pistashio, pumpkin seed, chia seed , apple, pomegranate mixed juice ) . Chicken once in a month. Routine workout 1 hr. No sugar. My SGPT rose to 47 which was 27 two months before . These nuts also cause deposit of fat in liver, I presume. Thanks my liver moved from G 1 to G2. The reason is unknown.

[@PULSEMediTalks]

What about your diabetes or lipid profile or other risk factors....Follow a diet which is the usual regimen....which is less in calories as mentioned in the talk. Please show a doctor and get evaluated for the causes of fatty liver other than the fatty liver due to lifestyle...

[@MrSuresh1541]

Opt Autophagy 16 / 8 window

[@nazarmusthafs854]

Tamil vegetables only chemical it is healthy for liver?

[@PULSEMediTalks]

Chemicals are not good...Try to wash vegetables with good amount of water to remove maximum amount of chemicals...Try to get local vegetables like വാഴപ്പിണ്ടി, വാഴക്കൂമ്പ്, മുരിങ്ങയില, ചീര, etc.....

[@saramakk5856]

Very good.

[@PULSEMediTalks]

Thank you so much...

[@user-lj2lr5qm6g]

Thanks sir

[@PULSEMediTalks]

You are most welcome.
Please watch our other videos as well.

[@noushadvkn6455]

Omega 3 fat fish oil ulla gold tablet kazikkaan pattumo

[@PULSEMediTalks]

ഒരു ഡോക്ടറെ കാണുക...അതിനു ശേഷം മതി മരുന്നുകൾ...

[@vpsheela894]

Nandi

[@urmilak8791]

Thank you sir

[@PULSEMediTalks]

Glad that you liked our video. ☺️
Please share with others.

[@aleyammavarghese2404]

Dr can we eat Ayala fish in fatty liver

[@PULSEMediTalks]

Yes ..you can...

[@diffwibe926]

കൊള്ളാം, 👍👍മനസിലാക്കിയുള്ള അവതരണം 🎉🎉🎉

[@PULSEMediTalks]

നന്ദി...

[@mansa2379]

Mild fatty infiltration of liver ഇത് ഏത് stage ആണ് sir dr consulting veno

[@PULSEMediTalks]

താങ്കളുടെ സംശയത്തിന് നന്ദി.
താങ്കൾക്കു ഗ്രേഡ് 1 ഫാറ്റി ലിവർ ആകാനാണ് സാദ്ധ്യത. കരളിന് വേണ്ടിയുള്ള രക്തപരിശോധനയും കൊളസ്‌ട്രോളിന്റെ പരിശോധനയും ചെയ്യേണ്ടതും അതിനു ശേഷം ഒരു ഡോക്ടറെ കാണിക്കുന്നതും നന്നായിരിക്കും. വിഡിയോയിൽ പറഞ്ഞിരിക്കുന്നത് പോലെ ആഹാരക്രമം പാലിക്കേണ്ടതാണ്. കൂടാതെ 6 മാസം മുതൽ ഒരു വർഷത്തിനകം വീണ്ടും രക്തപരിശോധനയും കരളിന്റെ സ്കാനും (ഫൈബ്രോസ്‌കാൻ) ചെയ്യുന്നത് വളരെ ഉചിതമായിരിക്കും.

[@shaheensyed2879]

Naf ld। Ennu parazyal edan upper ebdomen vedana pole varunnad idilano

[@PULSEMediTalks]

എന്താണ് ചോദിച്ചത് എന്ന് മനസ്സിലായില്ല. വയർ വേദന ഉണ്ടെങ്കിൽ ഡോക്ടറെ കാണുക.

[@nazarmusthafs854]

Ration ari thinnunna pavam kooli ppanikkaran ee food engine thinnum dr

[@PULSEMediTalks]

ചോറിൻ്റെ അളവ് കുറച്ചിട്ട്...മീനോ പയറോ കടലയോ കൂടുതൽ ആയിട്ട് കഴിക്കുക.....കൂടാതെ കുറച്ചു അവിയലും...ഇത് തന്നെ മതി......ഇത്രെയും ചെയ്താൽ തന്നെ fatty liver അസുഖം നല്ലത് പോലെ കുറയും...കൂടാതെ അമിതമായി ശരീരഭാരം ഉണ്ടെങ്കിൽ അതും കുറക്കുക.......

[@annasam4493]

Excellent message Dr 👏

[@PULSEMediTalks]

Thank you very much, for your feedback.

[@athirashinu4967]

Fruits il banana ulpeduthan pattumo

[@PULSEMediTalks]

yes

[@babysanthosh6795]

hello sir jaggery kazhikamo

[@UshaRani-sf4lg]

No

[@PULSEMediTalks]

പഞ്ചസാര കഴിക്കുന്നതിലും നല്ലത് jaggery ആണ്. എന്നിരുന്നാലും jaggery കൂടുതൽ കഴിക്കുമ്പോൾ നാം ദിവസേന കഴിക്കുന്ന ഊർജത്തിൻ്റെ അളവ് കൂടും അതും അമിത വണ്ണം കൂടാതെ fatty liver ഉണ്ടാകുന്നു...എല്ലാം മിതമായി കഴിക്കുന്നതാണ് നല്ലത്....

[@shareef916]

Njan teat chaidu appo SGPT 104 undu doctore kanano

[@PULSEMediTalks]

Go and see a doctor

[@anua2363]

Sir എനിക്ക് Hepetitis C Treatment ആണ് ഫുഡ് എങ്ങനെ കണ്ട്രോൾ ചെയ്യണം. Fatty liver വരാൻ സാധ്യത ഉണ്ടോ

[@PULSEMediTalks]

Food ഈ വീഡിയോയിൽ പറഞ്ഞതുപോലെ കൺട്രോൾ ചെയ്യണം...ഫേറ്റയിവേർ വരാൻ സാധ്യത ഉണ്ട്...

[@anua2363]

@@PULSEMediTalks Thanks

[@shollyxavier4342]

👍

[@PULSEMediTalks]

Thank you so much....

[@sreevasstholoor6016]

✌🏼

[@PULSEMediTalks]

Thank you

[@mazhathulli5797]

👍🏻

[@PULSEMediTalks]

🙏

[@Peekiri]

Banana kayikamo fatty lvr ullavark pls reply

[@PULSEMediTalks]

കഴിക്കാം. പക്ഷേ അധികം ആകരുത്

[@miniharikumar5066]

👍👍👍

[@PULSEMediTalks]

Thank you so much for the nice gesture ..

[@varshaz7510]

Fatty liver ethra naalu eduth aanu develop akune

[@PULSEMediTalks]

5 to 10 years...

[@sajithamanaf2782]

👌👌👌👌

[@PULSEMediTalks]

Thank you so much..

[@srkarunajoseph5447]

Has cheese got carbohyrate?

[@PULSEMediTalks]

No carbohydrate in cheese..

[@noushadvkn6455]

Vitamin E tablets kazikkaan pattumo

[@PULSEMediTalks]

Only after consulting a doctor...

[@daisysb5535]

👍👍

[@PULSEMediTalks]

Thank you.

[@babyn2593]

Thankyou sir

[@PULSEMediTalks]

We are delighted to hear from you. Hope you will follow the advice and spread the information to others.

[@smithamanilal]

nice

[@PULSEMediTalks]

Glad that you liked our video.
Please share it with your family and friends.

[@zennoosworld2648]

Pal kudikkamo

[@PULSEMediTalks]

കുടിക്കാം...കൊഴുപ്പ് കുറഞ്ഞ പാല്‍

[@MrSuresh1541]

Why are you hesitant to mention home made coconut oil? How can you know whether the virgin olive oil is genuine or not, be more sensible sir.

[@PULSEMediTalks]

The food ingredients you prepare at home is the best rather than buying from outside...Regarding olive oils it's the best oil as far as studies are concerned. It's not regarding the purity of the oil but based on the fatty acid content of the oil that matters first. Second thing is the purity. Whatever we are discussing in the talk is based on evidences and not based on our opinion. Hope it's clear.

[@balamanio6980]

ആപ്പിൾbanana kazhikkaamo

[@PULSEMediTalks]

കഴിക്കാം...

[@jiljajose4999]

ഏത്തപ്പഴം daily കഴിച്ചാൽ കുഴപ്പമുണ്ടോ?

[@PULSEMediTalks]

No problem

[@rajanpavoorv1522]

സൂര്യകാന്തി എണ്ണ ഒറിജിനൽ കിട്ടാൻ വഴിയുണ്ടോ ഒരു ലിറ്റർ എണ്ണക്ക് എത്ര കിലോ സൂര്യകാന്തി വേണ്ടി വരും

[@PULSEMediTalks]

No idea...

[@bansuriravi6202]

Not Umi but bran (Thavidu)

[@PULSEMediTalks]

Bran is good...as it contains fibre in rich amounts...

[@mr.machu816]

Anik fatty liver und. Nja kothab thosha annn kayikal

[@PULSEMediTalks]

ആഹാരത്തിൻ്റെ അളവ് കുറയ്ക്കുക...അതാണ് നല്ലത്...കൂടാതെ വ്യായാമം...

[@sureshkt7160]

പാലിൽ കൊഴുപ്പ് ഉണ്ടോ ഇല്ലയോ എന്ന് ങ്ങിനെ അറിയും

[@PULSEMediTalks]

അറിയാൻ വളരെ പ്രയാസമാണ്

[@ushaprem4406]

ഹെമോഗ്ലോബിൻ 18 ആണ് അത് കൂടുതലാണോ അങ്ങിനെ യുവർക്ക് ഈ പറഞ്ഞ ആ ഹാരം കഴി ക്കാമോ സർ 🙏🏽🙏🏽🙏🏽

[@PULSEMediTalks]

ഒരു ഡോക്ടറെ കാണിച്ചു ഹീമോഗ്ലോബിൻ കൂടിയതിൻ്റെ കാരണം കണ്ട് പിടിക്കണം. ഈ ആഹാരരീതി ആർക്കും സ്വീകരിക്കാവുന്നതാണ്.

[@vpsheela894]

Homeo medicine coffee is not good

[@PULSEMediTalks]

Studies say coffee is good...but prefer black coffee without sugar...

[@shami396]

🩷

[@vpsheela894]

Banana is good for health

[@PULSEMediTalks]

Yes. Take banana that is not over-ripe.

[@ahammedkuttythachothil8328]

​@@PULSEMediTalks😢😢

[@joyalbabu8745]

Chicken curry കൂട്ടാമോ

[@PULSEMediTalks]

കഴിക്കാം...Daily വേണ്ട... ആഴ്ചയിൽ ഒരു തവണ...

[@joyalbabu8745]

@@PULSEMediTalks fatty liver sgpt 53 kuzhappamundo

[@mohananp8180]

മത്തിയും ചൂരും കഴിച്ചാൽ യൂറിക് ആസിഡ് കുടില്ലേ ഇതു കേട്ടപ്പോൾ ആകെ കൺഫ്യൂഷൻ ആയി.

[@PULSEMediTalks]

താങ്കളുടെ ചോദ്യത്തിന് വളരെ നന്ദി. യൂറിക് ആസിഡ് നെ കുറിച്ചുള്ള ഞങ്ങളുടെ വീഡിയോ കണ്ടു നോക്കൂ.... czcams.com/video/NDoT4kJAfGM/video.html

[@jayasreebalachandran677]

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[@shijithkumarp7837]

Lacto intorence ഉള ആൾക്ക് പാൽ കഴിക്കാൻ പറ്റില്ല.
അത് പറഞ്ഞില്ല

[@vipinkumar-rb3gu]

കഴിക്കരുത് യൂറിക് കൂടും.

[@SubaithaZubair]

😊

[@riyadiycraft9343]

Nannattud

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Thank you

[@user-kt1ow1rg9m]

😢

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👍

[@SajeeraV]

കോഫിയിൽ ശർക്കര ചേർക്കാവോ

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വേണ്ട

[@ashmil653]

No

[@nazarmusthafs854]

Thinnalum chavum illengilum chavum

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എന്നാലും ആഹാരം കുറച്ചാൽ ആയുസ്സ് കൂടും എന്നാണ് എല്ലാ പഠനങ്ങളും പറയുന്നത്...

[@entekeralam2284]

ചില ഡോക്ടർ മാർ വെളിച്ചെണ്ണ ഉപയോഗിക്കാൻ പറയുന്നു

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Use any oil in moderate amounts only

[@lizysunny6413]

Kura u tuber onnum tammil. Oru connection illa

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Thank you for your comments.

[@jacksont277]

ചുരുക്കി പറഞ്ഞാൽ പശു പോലെ പുല്ല് തിന്നാൽ ഒക്കെ

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അങ്ങനെ അല്ല

[@shafeekancy5052]

thank u sir

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Welcome

[@saramakk5856]

Very good.

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Thank you so much...

[@sumeshcs1142]

Sir eniku recurrent uti vanapol scan cheythapozha fatty liver Garde 2 kandath ..Cholesterol normal anu .no sugar.. bp vary cheyarudu 140 /92 oke age 38 ...weight 69... height 178cm ..no bakery items ..enittum fatty liver varanula reason enthanu dr? Uric acid udayirunila epo uric acid kooditudu

[@PULSEMediTalks]

Weight normal undaayaalum fatty liver varaan saadhyatha undu...Anyway show a doctor and get evaluated for other reasons of fatty liver ...continue same modified ifestyle...

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What is the cause of recurrent UTI...

[@neseerarasak4709]

👍

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🙏

[@user-cz6wm1fm4p]

👍👍

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