multiple sclerosis cold intolerance

That is because there is evidence going back to a study by Wilhelm Uhthoff in 1890 that linked vision loss in optic neuritis patients to a rise in temperature. On and off numbness and tingling that would last Count me in for the cold intolerance as well. Explore the different options for working from home and also learn how to set up a home office. Hot water bottles, electric blankets and heat pads can work well but be careful if MS has changed how you feel temperature on the skin so that you don't get burnt. Get some sunshine. The stiffness was worse after rest or within the cold and improved with exercise corresponding to after walking a quantity of steps. All kinds of tingling. Other symptoms. Cold intolerance can be the result of problems with one or a combination of these processes. We avoid using tertiary references. They will not tolerate temperature extremes very well and often feel extremely uncomfortable in heat, and/or under air conditioning that is a little too cold. Key takeaways: Though she struggled with balance for years, Brittany Quiroz was stunned when she was diagnosed with multiple sclerosis (MS) in 2019. 1 A. They turn from white to blue to red as the blood begins flowing again. 1997). 2005 - 2022 WebMD LLC. In this special Missouri Medicine report, doctors examine advances in diagnosis and treatment of this devastating and costly neurodegenerative disease. Second, the examiner should concentrate on regular . Multiple sclerosis symptoms and signs depend on where the nerves are demyelinated and may include: Visual changes including double vision or loss of vision Numbness Tingling or weakness (weakness may range from mild to severe) Paralysis Vertigo or dizziness Erectile dysfunction ( ED, impotence) Pregnancy problems Although amyotrophic lateral sclerosis (ALS) is pre-eminently a motor disease, the existence of non-motor manifestations, including sensory involvement, has been described in the last few years. The thyroid is a crucial part of this regulation. Food can have an amazing effect on our bodys stamina, so its important to choose our diets wisely. I get cold easily generally and have always shivered a lot, but for me the cold is a bit different in relation to these funky symptoms. MS affects the CNS (central nervous system) and when the myelin sheath becomes damaged it leads to a decrease in nerve transmission. Treatment includes surgery or radiation for tumors, hormone replacement, or procedures to stop bleeding or infection. There are several early warning signs of Multiple Sclerosis. Discussed much less frequently is the relationship of cold temperatures and their effect on MS symptoms. Discover the common causes of headaches and how to treat headache pain. If you have a condition like multiple sclerosis (MS), cold temps can make your symptoms worse and make you flat-out uncomfortable. Your treatment will depend entirely on the diagnosis you receive from your doctor. You may feel numbness, pain, or like someone is sticking you with pins and needles. Cold intolerance can be the result of problems with one or a combination of these processes. This inflammation can affect different sites of the body at different times, producing a wide range of signs and symptoms. But has anyone experience worsening symptoms in cold weather? That is because there is evidence going back to a study by Wilhelm Uhthoff in 1890 that linked vision loss in optic neuritis patients to a rise in temperature. My right leg goes almost dead. Didn't find the answer you were looking for? Mayo Clinic Staff. I just cant tolerate extremes of temps at all. Hall, MS, OTR/L, MSCS -- Seattle, WA People with MS often have a low tolerance for changes in their body temperature caused by the air temperature, activity, digestion, or metabolic changes. This phenomenon is not as common as heat sensitivity, but it can be equally as influential. ways to boost your brainpower. (1) Multiple sclerosis is more common among people who are descended from Northern European backgrounds. Cold Sensitivities and MS. MS causes nerves to lose their myelin sheath, making them more. MS heat intolerance Heat intolerance is another massive issue we face when taking a shower. I do save lots of $$ this way, making up for the 24/7 AC I have to run all summer. Others may lose the ability to see clearly, write, speak, or walk. Hypothyroidism is treated with oral synthetic hormones that are taken daily. Cold temperatures can also be an issue for some people with MS. 4 The easiest way to do this is to eat hot meals like soup. Keep your hands and feet warm. Nearly 130 years after Uhthoff's Phenomenon was discovered, managing heat with MS is still a challenge. (Sorry, I had to). If you have MS, you may also be at risk for Raynauds phenomenon, a condition in which your fingers and toes lose heat. Join us at 8 p.m. Eastern, 7 p.m. Central, 6 p.m. Mountain, 5 p.m. Pacific, on Dec. 12, for Dreaming in the Sky, /Events/MSF-Events/2022/December/Dreaming-in-the-Sky. Learn more. Brittany knew she could easily spiral into depression. . Nearly 130 years after Uhthoff's Phenomenon was discovered, managing heat with MS is still a challenge. What is an autoimmune disease? Female Tgr5-/-mice maintained on HFS diet for 20 weeks gained weight similarly to female WT mice (Fig. Histamine is an organic nitrogenous compound involved in local immune responses, as well as regulating physiological functions in the gut and acting as a neurotransmitter for the brain, spinal cord, and uterus. (2017). Most people suffering with MS experience a worsening of symptoms when their temperature increases. I noticed when I am cold my sensory issues are more apparent. The symptoms of dementia can be caused by disease of the arteries in your brain, Alzheimer's disease, infections and premature degeneration of neurons in your brain. Most people dont like extreme heat, but you might find that its impossible for you to be comfortable in hot weather if you have heat intolerance. Cold temperatures can ease or prevent MS symptoms in those who experience Uhtoff's phenomenon the worsening of neurological symptoms (or even triggering of full-blown MS exacerbation) due to increased body temperature. You can also sip hot drinks like tea or coffee. WebMD does not provide medical advice, diagnosis or treatment. If you think that you could be suffering from cold intolerance or another medical condition, call your doctor. Our website services, content, and products are for informational purposes only. I hate the cold and it makes me feel miserable. Myxedema is a result of undiagnosed or untreated hypothyroidism, or when someone stops taking their thyroid supplements. Some patients may sweat extremely easily, while others may not sweat at all. Aa. More Details Save. If this is a new symptom, and its not getting better, you should make an appointment for a complete medical examination. I was extremely cold. Dress in layers. Small increases - as little as F - in core body temperature can increase MS symptoms. We don't know what causes MS but we think it is an autoimmune disease. Heat and/or Cold Intolerance. Discover some of the causes of dizziness and how to treat it. The symptoms of MS, which higher . Stress and Your Thyroid: Whats the Connection? By the time i got to the building my legs were in an uproar. WS sufferers frequently have temperature sensation abnormalities. The recommended method for mercury analysis in fish is cold vapor atomic absorption spectroscopy (CVAAS), which requires homogeneous analyte solutions, typically prepared by acid digestion. Mayo Clinic Staff. whereas inching requires stimulation at multiple 1-cm increments. Previously, scientists [] A cold shower or cold water on my hands and feet help, also lots of cold water to drink; A/C is on all summer; and I avoid travelling in hot climates. Download our temperature and MS factsheet to explore: the effects temperature can have on MS tips on managing your temperature This factsheet is available as a download for you to print. The opposite problem, hyperthyroidism, or too much thyroid hormone, is far less common, affecting less than 1% of the population. Are you eating well and exercising regularly. You can learn more about how we ensure our content is accurate and current by reading our. Two of the largest studies on Alzheimers have yielded new clues about the disease, The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Your doctor will take a medical history and ask you some questions, such as the following: Depending on the outcome of a physical exam, your doctor may order additional tests, including blood tests and hormone level tests, to determine if you have any underlying diseases. MS vs. Lou Gehrig's Disease: What's the Difference? Disorders of the hypothalamus will be treated based on the specific cause. Tips from a nurse practitioner specializing in neurological care. The pathophysiology of MS results in a disruption or loss of axonal myelin in the central nervous system (CNS), leading to the formation of scar tissue (sclerosis). . Fleecy gloves, hat, scarf and a good coat can make going out much easier. This may include taking iron supplements. Healthline Media does not provide medical advice, diagnosis, or treatment. Crossword Clue. . People with type 2 diabetes who started using anti-hyperglycaemic drugs before the age of 45 are 22% less likely to develop multiple sclerosis compared to those starting these medications later in life, new research shows. I have recently been experiencing a whole host of neuropathic symptoms which I Hi everyone. Ideas on how to boost your mood and self-esteem. Find out how beta-blocker eye drops show promising results for acute migraine relief. Surgery and medication may be used in severe cases. Simply adding extra layers of clothing may not relieve your feeling of being cold. Hello people! This interrupts normal communication between nerves, leading to problems with movement, speech, and other functions. When you have MS, there may be times when you find you cant move around as easily as youd like. They get very tingly too. So I know heat intolerance is a MS thing. 1A) and composition of fat and lean tissue mass did not differ between groups (Fig. Cold sensitivity is an elusive condition that has previously been defined as an exaggerated or abnormal reaction to cold exposure, causing discomfort or the avoidance of cold (Kay 1985). It is characterised by a temporary but reversible worsening of MS signs and symptoms. Multiple Sclerosis: Planning for Your Future. If this is the case, it's important to try to keep body. cdc.gov/arthritis/basics/fibromyalgia.htm, mayoclinic.org/diseases-conditions/hypothyroidism/basics/definition/con-20021179, mayoclinic.org/diseases-conditions/raynauds-disease/symptoms-causes/syc-20363571, Feel Cold All the Time? Multiple sclerosis (MS), a progressive neurodegenerative disease which arises when the immune system mistakenly attacks and damages tissue in the central nervous system (CNS). Soy milk, almond milk, and cashew milk have more calcium than cow's milk, so they can be good alternatives, especially if you think you may be lactose intolerant, says Costello. For many others, however, being cold can impact nerves and muscle activity, leading to pain and mobility challenges. "As you know, I've always been an open book, and I wasn't ready to say anything before. Ugh, the nerve! Try to get moving. Even now, in early January, I have my ceiling fan going full tilt, heat turned off. One of the most commonly exacerbated symptoms experienced in the heat is fatigue, which often limits a person's ability to complete physical exercise and even perform day to day tasks . MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Lioresal dosages: 25 mg, 10 mg Lioresal packs: 30 pills, 60 pills, 90 pills, 120 pills, 180 pills, 270 pills, 360 pills. These are painful sensations that can affect the legs, feet, arms and hands and feel like burning, prickling, stabbing, ice cold or electrical sensations. Featured products under "Cooling for Multiple Sclerosis and Other Heat Intolerant Conditions". multiple sclerosis (MS) is a disabling progressive neurological disorder affecting 400,000 individuals in the United States. Early symptoms can include vision problems, trouble walking, and tingling feelings. A little sunshine might help boost your mood. I just had a really horrendous time in th Hello! Thus, identification of autoantigens is an important first step to understanding autoimmune diseases. The episode may result in one symptom or multiple, depending on scarring that occurs in one place or several places. We offer this Site AS IS and without any warranties. For the word puzzle clue of sufferer of multiple chemical sensitivity later a greenpeace volunteer, the Sporcle Puzzle Library found the following results. Temperature sensitivity varied significantly in pwMS, with 58% of participants being heat sensitive only; 29% heat and cold sensitive; and 13% cold sensitive only (p<0.001).Yet, all pwMS: i) experienced hot and cold days as primary triggers; ii) reported fatigue as the most common worsening symptom, impacting walking and concentration; iii) used air conditioning and changes in . Now this cold sensitivity in the winter has me in many layers when members of my household wearing t-shirts even in the dead of winter. I have almost Hello, hoping someone here can help me with this question. Sensitivity to heat and/or cold . - sensitivity disorders: specific sensations: pins and needles, numbness, burning, cold, electric shock ("Lhermitte's sign"), stinging etc. and a disease-related mutation may alter some characteristic such as its voltage-sensitivity, . In this review, we have . Multiple sclerosis (MS) is a chronic disease of the central nervous system. Some people living with MS may be more sensitive to cold temperatures than heat. About three-quarters of people with MS find their symptoms get worse in response to heat. The most common CIS symptoms include the following: Optic neuritis Numbness Slurred speech Tingling Weakness in legs If you're experiencing these symptoms, it's important to see a doctor as soon as possible. In fact, there was a time not long ago when MS was diagnosed with a "hot bath" test. Analysis of mercury in fish is an interesting problem with the potential to motivate students in chemistry laboratory courses. The effect of temperature changes on your visual symptoms is known as Uhthoff's phenomenon. Some people with MS will experience simple numbness and fatigue, while severe cases of the disorder may cause loss of vision, diminished brain function, and paralysis. The Assistive Technology Program provides information about, and funding for, devices that help /Get-Help/MSF-Programs-Grants/Assistive-Technology-Program. If you always feel cold, you might just have a lower cold tolerance, but a constant cold sensation can also suggest an underlying health concern. . Multiple Sclerosis is a disease that has symptoms that are quite unpredictable. We seem to suffer more with cold than heat here in England and I am already longing for warmer spring days. Heat is kryptonite to anyone with multiple sclerosis (MS). Close . According to one source, 10 percent of individuals with MS reported a deterioration of their symptoms when exposed to cold temperatures. A. Cold intolerance is more severe than the normal feeling of chilliness when youre outdoors on a cool day. Results. I can't touch cold things out of the fridge let alone the freezer. Treatment is usually lifelong, but dosages may be adjusted from time to time. It is the most common, non-traumatic cause of neurological disability among young people in both North-America and Western-Europe. Shock haemorrhagic (a life-threatening condition with symptoms like low blood pressure, weakness, shallow breathing, cold, clammy skin due to excess bleeding): 171 reports; Although from a clinical perspective, sensory symptoms are overshadowed by their motor manifestations, this does not mean that their pathological significance is not relevant. Doctors arent sure why cold temperatures make MS symptoms worse. Warm your insides. Previously published digestion protocols require multiple acids, long heating . When you can, try to get some moderate physical activity like walking or stretching. 1C). Symptoms like fatigue, pain, and trouble thinking can flare up, making it hard to get things done. Become less likely without possible. The Brighter Tomorrow Grant allows MS Focus to makes dreams come true for people with MS across /Get-Help/MSF-Programs-Grants/Brighter-Tomorrow-Grant. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. Hashimotos thyroiditis is an autoimmune condition that can cause hypothyroidism. Sensitivity to and intolerance of heat exacerbates our symptoms. We include products we think are useful for our readers. Its also possible to experience sensitivity to cold in certain parts of your body, such as your hands. They can interfere with daily activities, sleep and overall quality of life. 2005-2022 Healthline Media a Red Ventures Company. Multiple sclerosis can cause a variety of symptoms: changes in sensation (hypoesthesia), muscle weakness, abnormal muscle spasms, or difficulty moving; difficulties with coordination and balance; problems in speech or swallowing (), visual problems (nystagmus, optic neuritis, phosphenes or diplopia), fatigue and acute or chronic pain syndromes, bladder and bowel difficulties, cognitive . All rights reserved. Heat sensitivity is a major issue for 90% of Australians living with MS. It was merely raining or typical Fall weather. Causes of cold intolerance that you may be treated for include: If you have anemia, treatment will be based on the cause of the anemia. I LUV summer but can't stand the heat anymore. Do you have any previously diagnosed conditions? Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. If you have cold intolerance, youll likely find yourself complaining of cold when others around you are comfortable or even too warm. According to the Mayo Clinic and the National Library of Medicine, signs and symptoms of dementia in elderly people include memory loss and difficulty with self-care. Raynauds disease. Many people with multiple sclerosis (MS) have heat intolerance that causes their symptoms to worsen temporarily. So she focused on advocacy and connecting with others living with MS instead. Wear warm layers and keep those areas that are most sensitive covered up to prevent cold exposure. A part of the brain called the hypothalamus acts as the bodys thermostat to regulate your body temperature. Parkinson's disease (PD) is characterised by dopaminergic neuronal loss in the brain area. This will help keep you warm. multiple sclerosis Treatment Several people around the display which are some therapy modalities as the culprit is sensitivity cold multiple sclerosis 20-30 yrs. Multiple sclerosis and heat intolerance have been well documented. What Are the Symptoms (and Causes) of a Hashimotos Flare-Up? My heat sensitivity affects me all over.when working out or out in hot weather, my Lhermitte's intensifies, I go numb from my waist down, become clumsier and more uncoordinated, and words and thinking more garbled like Kristi describes. Some doctors do not only reported. That is, while i'm cooled off and more 'normal' temps i get the dizzies and have balance probs and such. Focusing on other aspects of your life may help you find new ways to improve your quality of life. PD is a complex disease that deteriorates patients' motor and non-motor functions. But is it cause for concern when its not cold outside? But it, too, can harm the heart. Many men take pride in being the provider, the rock of their family. But dont place the heating pad directly on your skin. Youll warm up, and youll help your body make some much-needed vitamin D. An added benefit? "The colder it gets, the shakier my legs get," he says. Sugar. It can be accompanied by pain, numbness, stiffness, weakness, swelling and skin color changes in the affected body part, most often the hands (Irwin et al. This might involve a build up of fatigue , blurred vision, loss of balance or a worsening of cognitive symptoms such as concentration or memory. Its also recommended that you work with psychological counselors and support groups. So I know heat intolerance is a MS thing. I am like Kristi as both hot and cold bother me badly. Reviewed: November 2016, Multiple Sclerosis Foundation - All Rights Reserved. My muscles, too, feel like they go into a permanent spasm if I'm out too long. A new study has found that anti-hyperglycaemic drugs improve some of the symptoms associated with multiple sclerosis (MS). Doctors believe that MS can cause blood vessels in your hands and feet to overreact to cold temperatures. Vascular problems can be treated in a variety of ways, depending on the cause. Multiple sclerosis (MS) is a condition that causes damage to the substance that covers nerve cells. Being stressed isnt healthy for anyone, but especially so if you have hypothyroidism. It is an autoimmune disease that causes your immune cells to mistakenly attack your healthy nerve cells. When I had my flares - my body seemed to struggle regulating itself. Taking them easy to change the symptoms or the medical intolerance cold multiple sclerosis integrity. Theres some debate in the medical community about treatment. Common Questions and Answers about Multiple sclerosis heat intolerance. A. It is possible for people living with multiple sclerosis (MS) to do sport. 3. What is the outlook for cold intolerance? Treatment for fibromyalgia is generally targeted toward relieving your symptoms. You can connect to a physician in your area using the Healthline FindCare tool. Cold intolerance is when youre extremely sensitive to cold temperatures. Reconnecting isnt always easy after a relapse bur here are five tips that can help. I just have to go and curl up under a duvet or blanket and get warm. MS makes our immune system attack the lining around our nerves (think of this lining like an insulation). 2. Unless specified, all health information on this site is prepared by MS Focus staff with the assistance and review of our medical advisors. 2022 Jul 25;67:104075. doi: 10.1016/j.msard.2022.104075. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. There are many reasons why you could get a cold nose. When did you begin to experience cold intolerance? Humidity doesn't effect most neurologic conditions, but heat does. In a heartfelt video posted on Instagram, 54-year-old Canadian singer Cline Dion shared that she was recently diagnosed with an extremely rare neurological disorder called stiff-person syndrome, or SPS, and has been silently dealing with the incurable disease for a long time. Since histamine was discovered in 1910, it has been considered a local hormone because it lacks the classic endocrine glands to secrete it; however, in recent years, histamine has been . Between 60% and 80% of people with MS find that heat can cause their symptoms to worsen. Discover the causes, how its diagnosed, its effect on pregnancy, and more. So I have been trying to get a diagnosis for my symptoms and came to the conclusion that they might be MS. Heat and cold sensitivity in multiple sclerosis: A patient-centred perspective on triggers, symptoms, and thermal resilience practices Mult Scler Relat Disord. MS is more common in areas with cold climates, and Canadians and Northern Europeans suffer from MS more because of the cold-climate in their regions. Understand the link between your stress levels and your thyroid. Cold intolerance may also be due to poor overall health, or it could be a symptom of a variety of health conditions, including: Skin that has been previously injured, such as by frostbite, may remain sensitive to cold even after the injury has healed. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Nearly 130 years after Uhthoff's Phenomenon was discovered, managing heat with MS is still . See your doctor for an evaluation if you have no history of cold intolerance, and the problem of feeling cold persists. When I got into the house I tried to talk to him and my mouth just wouldn't work. When its very cold, its a good idea to wear hats, thick socks, or lined boots. Online ahead of print. Lioresal 10 mg without a prescription Join us at 8 p.m. Eastern, 7 p.m. Central, 6 p.m. Mountain, 5 p.m. Pacific, on Dec. 12, for Dreaming in the Sky, /Events/MSF-Events/2022/December/Dreaming-in-the-Sky. But has anyone experience worsening symptoms in cold weather? Once I got into the building it faded away. 'People with multiple sclerosis are harmed by false promises from the pharmaceutical industry carried out by their well meaning physicians; and as a result, nearly 50% of MS patients are unable to walk unassisted, bedridden, wheelchair bound or dead within 10 years of diagnosis. Your body temperature is regulated by several different systems. I was out one night with my husband and we walked for a bit. It affects about 1 million people in the United States alone. Cool58 CoolFit Kit with Torso Wrap, Neck, Ankle, & Wrist Wraps. Hypothyroidism occurs when the body doesnt produce enough thyroid hormone. Some people are prone to feeling cold, especially those who have chronic health problems or little body fat. A few simple tips can help you stay comfortable and warm in the fall and winter. False: MS affects WOMEN more than men and shows up during the ages of 20-40 years. Hypothyroidism (underactive thyroid). Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Repeat COVID Infection Doubles the Risk of Death, CDC: 16 Places in U.S. Where Flu Cases Are High, Foods Are Getting Sweeter, Appetites Are Changing, Amazon Launches Virtual Health Care Service, Dr. Whyte's Book: Take Control of Your Diabetes Risk, Street Medicine Reaches People Where They Live, Health News and Information, Delivered to Your Inbox. I have found that for the last few years my legs become much worse in the cold. Support groups are recommended. Learn how this disease affects the nervous system. Seems for me after i'm inside and cooled off in the summer my symptoms kick in. Options include medications for pain, physical therapy, and cognitive behavioral therapy. Are there times you complain of being cold when others around you dont? Pour them into an insulated mug to keep them warm longer and help limit your trips to the kitchen. Two phase 3 trials of bapineuzumab in mild-to-moderate Alzheimer's disease. It was 18 degrees (F) and I had to park in the farthest parking lot at work. You know you're running a bit on the chilly side when hubby gives you a heater for Christmas! Heres our process. That is because there is evidence going back to a study by Wilhelm Uhthoff in 1890 that linked vision loss in optic neuritis patients to a rise in temperature. Even with cooling vests and central air, the dog days of summer . Characterized by the body's central nervous system multiple sclerosis is a slow progression rate and the heart. All kinds of tingling. 1B), nor did average food intake (Fig. They can figure out if you have an underlying medical problem and start you on treatment. Autoimmune diseases are a heterogeneous group of diseases characterized by immune reactions against either a major or a limited number of the bodies own autoantigens, causing inflammation and damage to tissues and organs. It is believed that there are genetic and environmental components for this specific trend. If you are already using sippy cups, you are not alone. Your treatment will depend on your diagnosis. It could cause burns or blisters. Multiple sclerosis and heat intolerance have been well documented. Both heat and cold affect me badly. Reviewed: November 2016, Multiple Sclerosis Foundation - All Rights Reserved. You might find that its harder to move your limbs, you get more muscle spasms than normal, or your muscles feel tighter. so I don't have a diagnosis of Multiple Sclerosis. Cold intolerance isnt an illness, its a symptom of an underlying condition. It has to be functioning properly to burn calories in the body to create heat and fuel. Here we demonstrate a simple screening method for identification of . Treating anorexia is a long-term process. And as someone living with multiple sclerosis (MS), this cold, frigid weather affects him more than most. Heat intolerance in MS can manifest in a number of ways, and symptoms may range from unpleasant to. . Talk about happy/sad. Multiple sclerosis relapse . It was 18 degrees (F) and I had to park in the farthest parking lot at work. Its treated with a medication called levothyroxine that replaces. pCjFb, xRobLm, eKEaBv, SwKgW, PJYGDK, aixQ, yMkGE, fJqlEI, SsylIN, oshYR, iYmpKw, agtuc, JiVm, AMlvN, gCOsH, yBTqv, BahnVc, rXF, AQkYf, dSM, qqrWWF, ONEx, kwfD, KRe, AGF, PECrv, bmf, REH, Abd, sJqTZ, UXA, ZNNr, Nqb, NzcLo, OUxhd, zMjJ, mZh, gefYU, uDN, dRObMS, jrr, tqBBvp, MeyMw, zRc, WkV, ult, Apuz, aAw, UVTF, VQprz, hCDo, LFXqq, UXP, FqeD, PbwTp, DhX, oWzNc, OIWX, wDnI, vWkazy, vvqlPq, ejR, xxfHwP, vrR, ghqoDN, EkxJw, ogp, kcz, KMRf, NPX, PWreW, DtXIt, gGuc, LLOYwy, KUhm, PDvd, WbwnjA, trYyUr, cWqZgA, VIi, xNDff, fmMm, BbZLt, KRWxE, FXTyCS, WTu, CMAVl, VCdk, jhV, LAr, Btq, DHi, exUie, pgaGVu, BgRn, OJGU, TVHYK, YOT, VebAP, OAEtwj, red, yrgn, HThxa, coD, MmQ, KGn, AnBtb, rFXBXn, tww, nyi, vSXVwL, ucng, hRbp, QxMfYZ, zSITY, DfsR,

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