Administration of anesthesia can affect the menstrual cycle, resulting in a delay or even complete cessation. The impact may vary depending on the type of anesthesia used, duration, and underlying health factors. Hormonal fluctuations caused by stress, pain medication, and surgical procedures also contribute to menstrual irregularities.Clascoterone (Winlevi) is an androgen receptor inhibitor labeled for the topical treatment of acne vulgaris in patients 12 years and older. Drug. Starting dose. Dose form. Cost *. …Primary ovarian insufficiency (POI): This condition, also known as premature ovary failure, causes your estrogen levels to drop and ovaries to stop working before age 40. People with POI — about 1% of females under age 40 — have irregular or missed periods. Premature or early menopause: The average age of menopause is 52.Dec 4, 2018 · I've been taking it for about 2 to 3 months now. I take 600mg three times a day and my period is now a week late. Added 4 Dec 2018: As an added note, pregnancy tests are negative. Added 4 Dec 2018: Another note: I'm only taking 600mg Gabapentin and 800mg ibuprofen three times a day, along with the occasional muscle relaxer. What Is Winlevi? This new medicine is the first of its kind: a topical anti-androgen cream, which means it "blocks the effects of male sex hormones (androgens)," says New York-based ... WINLEVI cream can cause serious side effects, including: local skin reactions. WINLEVI cream may cause local skin irritation including itching, burning, skin redness or peeling. symptoms of a disorder where the adrenal gland does not make enough of certain hormones (adrenal insufficiency) during treatment with WINLEVI. For people without insurance, the average retail price of a 60 gm 1% tube of Winlevi cream is $790. If applied properly to the affected area, that's enough medicine to last 30 days. The daily cost then averages to $26; a year's Winlevi treatment will cost over $9,000. There is no generic version of Winlevi, so people without insurance may ...Applies to: salicylic acid topical and Winlevi (clascoterone topical) Application of clascoterone topical and salicylic acid topical to the same areas may cause excessive irritation, redness, scaling, or drying of the skin. Talk to your doctor if you have any questions or concerns. It may be advisable in some cases to have a rest period in ...Eating a balanced diet can also reduce the inflammation and stress in your body, which can affect your menstrual cycle. Also, avoid processed foods, caffeine, and alcohol, which can interfere with hormonal balance. 4. Get Regular Exercise. Exercise is an excellent way to regulate your hormones and improve your overall health. Regular physical ...Winlevi (clascoterone) cream is an androgen receptor inhibitor indicated for the topical treatment of acne vulgaris in patients 12 years of age and older. COVERAGE CRITERIA The requested drug will be covered with prior authorization when the following criteria are met:Bloating, pelvic pain, fatigue and frequent urination are all symptoms for both periods and UTIs. During your period, it can be difficult to differentiate between period blood and blood in your urine. Menstrual cramps can also be confused with pelvic pain. However, painful urination is NOT a period symptom and should be taken as a clear sign of ...The most common side effects of WINLEVI cream include reddening, scaling or dryness, and itching of the skin being treated. These are not all of the possible side effects of WINLEVI cream. Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1- 800-FDA-1088. Clascoterone (Winlevi) is an androgen receptor inhibitor labeled for the topical treatment of acne vulgaris in patients 12 years and older. Drug. Starting dose. Dose form. Cost *. Clascoterone ... While your period might not directly affect your tattoo, supplements or medications you could be taking to suppress the discomfort of period cramps very well could. Over-the-counter pain medications commonly used for menstrual cramps, such as Ibuprofen and Naproxen, can thin your blood and inhibit its ability to clot, which could lead to more ...Anesthesia’s Potential to Affect Ovulation. Ovulation, a key phase in the menstrual cycle, might experience alterations due to anesthesia-induced stress and hormonal fluctuations. Changes in ovulation timing can subsequently impact …But we do know that if people get sick, or undergo stress, it can affect your menstrual cycle. If you have weight gain or weight loss, that could also affect your menstrual cycle. So it wouldn't be the craziest thing for a vaccine to temporarily affect an individual's menstrual cycle." ... "Started menstrual cycle 36 hours after the vaccine ...Winlevi is authorized for use in pediatric patients aged 12 to less than 18 years, as the data reviewed by Health Canada demonstrated the safety and efficacy of Winlevi for patients in this age group. ... Acne primarily affects the face (in 99% of cases) but can also affect the body (in 50% of cases). Acne develops with sebum over-production in ...Winlevi is authorized for use in pediatric patients aged 12 to less than 18 years, as the data reviewed by Health Canada demonstrated the safety and efficacy of Winlevi for patients in this age group. ... Acne primarily affects the face (in 99% of cases) but can also affect the body (in 50% of cases). Acne develops with sebum over-production in ...Hormonal issues are some of the things that can affect your period. Your thyroid and pituitary glands are instrumental in controlling ovulation. If you have a problem with your pituitary gland or a thyroid disorder like hypothyroidism or hyperthyroidism, you could have irregular or non-existent periods. 3. Endometriosis.Share your questions, frustrations and triumphs! ... Winlevi- how long does it take to work and what is your routine like? Just started the samples given by the derm. It will be $75 a month from the discount pharmacy. Wondering if I should just pull the trigger and get the monthly supply to see how it works. How long did it take to notice a ...The following are general skin care tips to help clear hormonal acne: Avoid irritating your skin: Over-washing, over-exfoliating, or squeezing your skin can irritate acne. Avoid infection: Try not to touch your face and wash makeup applicators to decrease skin exposure to bacteria. Perform regular, gentle skin care: Try to wash your face twice a day with a mild cleanser and after exercise or ...Even though interest rates are usually quoted on an annual basis, they are typically calculated over shorter periods, either monthly or daily. This is known as the periodic rate. I...Less than 25 percent of women notice an abnormal vaginal discharge or a burning sensation when they urinate. Chlamydia typically does not make you miss your period. Unfortunately, when chlamydia is left untreated, it can cause serious and permanent damage to a woman's reproductive system. Untreated chlamydia can travel up the reproductive ...Does inflation make you feel, well, down? If you're concerned about investing during inflationary periods, here are some investments you should know about. The College Investor Stu...The FDA states that there’s no data to evaluate the risks associated with Winlevi use in pregnant women. But Dr. Hartman says that because there’s low systemic absorption, this is a decision he’d leave up to patients. Dr. Clark agrees: “Theoretically, there’s no reason it couldn’t be used in pregnancy, since it’s not systemically ...According to Dr Sgroi, changes to our menstrual cycle while travelling all come down to our hormones shifting. "Part of that has all got to do with the hormones and the interplay between how the hormones from the brain interact with the development of the lining of the womb and also ovulation.".Breastfeeding but not exclusively. Using a bottle. When your baby starts sleeping for longer stretches throughout the night. Going longer than four hours at any point during a feed. The reason why many women do not get a period is that your body does not release hormones in your body that prepare you for a new pregnancy.Regular use of Winlevi Cream can help clear existing acne and prevent new blemishes from forming, giving you a clearer and more vibrant complexion. Acne can be a frustrating and confidence-damaging skin condition. But with Winlevi Cream, you can take control of your skin and say goodbye to acne for good.Tell your doctor if the irritation is too bothersome, because they might be able to adjust your dosage. Bottom Line. Winlevi and tretinoin are both topical medications used to treat acne. They work differently, and could potentially be used together. Both Winlevi and tretinoin can cause skin irritation such as redness, stinging, and swelling.Noticeable reduction in acne as early as Week 4. Clear or almost clear skin at Week 12. Reduced pimples, whiteheads, and blackheads at Week 12. The most common side effects of WINLEVI cream include reddening, scaling or dryness, and itching of the skin being treated. These are not all of the possible side effects of WINLEVI cream.WINLEVI cream is for topical use only. WINLEVI cream is not for ophthalmic, oral or vaginal use. 3 DOSAGE FORMS AND STRENGTHS . Cream 1%. Each gram of WINLEVI cream contains 10 mg of clascoterone in a white to almost white cream. 4 CONTRAINDICATIONS . None. 5 WARNINGS AND PRECAUTIONS . 5.1 Local Skin ReactionsJoin Hands with Us on Your Wellness Expedition - Where Expert Health Guidance Paves Your Path. ... Can Winlevi Really Affect Your Period? Unveil the Truth How Long After Taking AZO Can I Breastfeed? Does Ozempic Make You Pee Out Sugar? Understanding Caregiver Burnout: Signs, Symptoms, and Coping Strategies ...The answer is yes. Surprisingly, probiotics can affect your period in many ways. In this post, learn about the ways that probiotics can affect your menstrual cycle. Keep in mind that many other factors are involved in having a healthy period.Hormone-producing cysts can cause irregular periods. Also talk with your doctor about any medications you're taking. Certain antidepressant drugs and anti-anxiety medications, for example, can affect menstruation. Lifestyle and environmental factors can have an impact on your periods, too. In some cases, high levels of stress may disrupt your ...Mood and Menstrual Cycle: Key Takeaways. Your menstrual cycle and period can clearly affect your mood. Hormone balance is key to feeling better before, during, and after your period. Eating a balanced diet, getting enough sleep, and reducing stress can help. Exercise and mood-supporting supplements may also be helpful.An election period is a window of time during which a person can take a certain action. An election period is a window of time during which a person can take a certain action. In t...Most of us will experience changes in the length of our cycle, fluctuations in flow and even changing PMS symptoms. From stress to travel to synching up with your besties to the changing of seasons, a lot of factors can determine when you start your period. Seasonal changes affect a lot of things: your metabolism, mood, and even your periods.People in the active ingredient group had, on average, 39-40 fewer lesions at three months. People who only received the cream had, on average, 23-29 fewer lesions at three months. Taking the active ingredient was associated with fewer lesions. Winlevi was well-tolerated and there were few adverse events.Luckily, "The changes that happen with drops in estrogen around the time of menopause are inevitable, but hormonal acne doesn't have to be," according to Rodney. Oral medications (like birth control and spironolactone), topical treatments, in addition to preventing stress, can reduce the effects of hormonal acne.For most women, menopause happens during one's forties or early fifties as part of the natural aging process, but amenorrhea (the absence of a period) can also occur as a side effect of ...Research suggests that cocaine can affect your period as well as various aspects of a woman’s menstrual cycle. One study using rhesus monkeys found that nearly half of the monkeys who were administered cocaine regularly had an abnormal menstrual cycle duration with several episodes of amenorrhea, or the absence of a period for at …Last year, period-tracking app Clue's data science team analyzed 7.5 million cycles and found zero correlation between period start dates and phases of the moon. "I think that the women who feel ...Key Points. - A kidney infection does not directly affect the menstrual cycle. - It can indirectly impact the menstrual cycle due to its effects on the body. - A kidney infection can cause a delay or irregularity in the period. - The body's response to infection can lead to changes in hormone levels.For example, NSAIDs, hormonal birth control, and antidepressants can alleviate menstrual symptoms like cramping, heavy bleeding, and mood swings. Contact your doctor if you believe you need a prescription medication to manage period symptoms. Some common medications can affect your period. From NSAIDs to chemotherapy, OTC and prescription ...For example, NSAIDs, hormonal birth control, and antidepressants can alleviate menstrual symptoms like cramping, heavy bleeding, and mood swings. Contact your doctor if you believe you need a prescription medication to manage period symptoms. Some common medications can affect your period. From NSAIDs to chemotherapy, …Policy. The evidence that COVID-19 vaccines can have a direct effect on menstrual cycles is still evolving. That said, several studies have shown an association between the vaccines and menstrual ...A Diet Too Low In Fats. A diet too low in fat can also throw your menstrual cycle off whack. Eating an appropriate amount of fats is also essential in balancing hormones. One study found that a lack of omega-3 fatty acids, a type of fat and essential nutrients that can be found in fatty fish and some nuts and seeds, can contribute to irregular ...Phentermine is not directly associated with hair loss, though weight loss, especially if it occurs quickly, can lead to hair loss (alopecia). Does phentermine affect your period? While phentermine does not directly affect hormone levels in the body, losing a significant amount of weight can cause a fluctuation in hormone levels.Yes I had the same exact issue with Winlevi. I had been on Spiro from July 2020- October 2021, gradually increased from 25mg to 100mg. Skin moderately improved but side effects became too much for me- periods every 18-21 days plus spotting most other days, bad menstrual cramps throughout the month, migraines, slow metabolism.The best way to get vitamin D is through sun exposure. You should expose your face, hands and arms to the sun, three or more times a week, for 10-20 minutes, depending on your skin, the season, and the distance from the Equator. The best time of day for this is between 10am-2pm. Most importantly, this exposure to the sun should be without ...urbazon/E+/Getty Images. The biggest way in which the flu could affect your period, experts tell Bustle, is through its symptoms, like poor sleep. "If somebody is ill and doesn’t eat much, or ...decreased adrenal gland hormones --nausea, vomiting, stomach pain, loss of appetite, feeling tired or light-headed, muscle or joint pain, skin discoloration, craving salty foods. Serious side ...Cortisol the "Stress Hormone". The hormone behind most stress-related conditions is cortisol. Cortisol is released by the adrenal glands during times of stress, which is the reason it has been dubbed the "stress hormone.". The body needs cortisol to power through demanding situations, whether it's dealing with hectic schedules and ...Jan 27, 2023 · Zoloft is an effective antidepressant but can have unwanted side effects during a woman’s cycle. These effects may include: Heavier bleeding. Cramping. Irregularity. Amenorrhea (absence of menses) Weight gain. Sometimes, these issues can be alleviated by changing dosage levels or switching to a different medication. Update: Week 6 of using Winlevi. Went from 6-7 active spots daily to 1-2 active spots WEEKLY. Using with other products (layering 30-60 mins after) haven't caused any issues!My hormonal acne, however, is very unhappy with my decision and has returned with a vengeance. My derm has prescribed Winlevi, but I've just realized it's considered a topical alternative to spiro. I cannot find any research on Winlevi's possible effects on menstrual cycles/female fertility or even if you can use it while pregnant. 2 Steps 2X Daily. Once in the morning. Once in the evening. WINLEVI needs to be applied to your skin twice daily to be effective—just a fingertip amount (approximately one gram) once in the morning and once in the evening. The most common side effects of WINLEVI cream include reddening, scaling or dryness, and itching of the skin being treated. Treatment Options. Depression can cause problems with your period such as a late period or a missed period. This link between mental health and reproductive health makes sense when you consider that nature does everything it can to create favorable conditions for reproduction. If a woman is chronically stressed, anxious, sad, …Bloating, pelvic pain, fatigue and frequent urination are all symptoms for both periods and UTIs. During your period, it can be difficult to differentiate between period blood and blood in your urine. Menstrual cramps can also be confused with pelvic pain. However, painful urination is NOT a period symptom and should be taken as a clear sign of ...Side Effects. Redness, itching, peeling, or dryness of the skin may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Remember that this medication has ...Summary. Diabetes can affect normal menstruation, and menstruation can affect diabetes control. It's a Catch-22 situation that can make life challenging for people living with diabetes. Prior to your period, increases in progesterone can lead to temporary insulin resistance and a spike in your blood sugar.Yes, the topical medicine Winlevi has been reported to cause perioral dermatitis as a side effect. Ask Your Own Dermatology Question Customer reply replied 1 year agoHere are five reasons why those numbers on the scale seem to inch up during your period. Plus, doctors explain how to combat that weight gain and bloating to make your time of the month a little ...Taking Iron During Your Period. A woman's natural iron regulatory system increases absorption of iron from her diet during times of blood loss. Her normal absorption rate of 1-milligram increases to 1.5-3 milligrams per day. It is the female body's natural response to blood loss. It can be difficult to meet the increase in iron through ...Clascoterone (Winlevi) is an androgen receptor inhibitor labeled for the topical treatment of acne vulgaris in patients 12 years and older. Drug. Starting dose. Dose form. Cost *. Clascoterone ...I just upped my effexor dosage to 225mg. usually my period starts every 24 days but this month im 5 days late and counting. i dont think im pregnant. no symptoms. no dramatic life changes mentally or emotionally. is it the meds? A doctor has provided 1 answer. A member asked:There is a connection between reproductive health and urinary tract infections, but a UTI will never directly affect your menstrual period. Classic UTI symptoms include frequent urination, difficulty urinating, or an urge to urinate even when the bladder is empty. In addition, some people feel a burning sensation in their genital area when they ...1 INDICATIONS AND USAGE. WINLEVI (clascoterone) cream is an androgen receptor inhibitor indicated for the topical treatment of acne vulgaris in patients 12 years of age and older. 2 DOSAGE AND ADMINISTRATION. Cleanse the affected area gently. After the skin is dry, apply a thin uniform layer of WINLEVI cream twice per day, in the morning and ...I just upped my effexor dosage to 225mg. usually my period starts every 24 days but this month im 5 days late and counting. i dont think im pregnant. no symptoms. no dramatic life changes mentally or emotionally. is it the meds? A doctor has provided 1 …A urinary tract infection (UTI) does not directly affect your period. Illness, stress, age, pregnancy, and hormonal changes could affect your period. The only effective method of treating UTIs is antibiotics, which must be prescribed by a healthcare provider. You should see a healthcare provider if you have a UTI or any menstruation issues.Post about your favourite products, ask for advice about your routine, discuss the various things that affect your skincare, and above all else stay positive and considerate of your fellow community members! ... There hasn't been any literature or studies on Winlevi withdrawal. Perhaps it was something totally unrelated that you're dealing ...Yes it’s a really new drug and I don’t know why these side effects aren’t listed online on the Winlevi website because it’s clearly from Winlevi. I’m at the type of person who literally never has a missed period it’s always on time. Reply. Prestigious_Ad4941.Many women crave cold and fizzy drinks during menstruation, and Coca-Cola can be a go-to beverage. However, it is important to be mindful of how much Coca-Cola you are consuming during this time of the month. 1-2 cans per day - This amount is considered moderate and should not negatively impact your menstrual cycle.As of this year I'm officially off of birth control for good. My skin has always had active acne, and when my derm told me about winlevi I figured I might as well try it. I've been using winlevi twice a day everyday for 3 weeks now, and I've missed my period. As of today my period is 6 days late, and I am typically always on time.Ozempic, a medication prescribed mainly for managing type 2 diabetes, works by increasing the production. Can Winlevi Really Affect Your Period? Unveil the Truth. Winlevi, a topical cream hailed as a revolution in acne treatment, has piqued the curiosity.The condition is characterized by mood swings, anxiety and depression, among other symptoms. The emotional stress of PMS can intensify certain symptoms of Lyme disease, including depression and brain fog. Many women also have to deal with sleep disturbances near the end of the menstrual cycle. This, in turn, aggravates emotional and mental ...2. Can probiotics affect your menstrual cycle? Yes, probiotics have been found to promote hormonal balance linked to regular menstrual cycles and a lower risk of period-related symptoms such as premenstrual syndrome (PMS), abdominal cramps, breast tenderness, and mood swings. 3.Some side effects that have been reported include: • Lighter periods. • Heavier periods. • Irregular periods. • Missed periods. A 2021 study performed, in part, to determine whether COVID-19 caused changes in menstruation in women of childbearing age found several such side effects. In the study, 25 percent of women (out of 177 ...In addition, your HIV drugs could cause you to have heavier periods. Having HIV can affect your periods in less direct ways too, though: Stress. Weight loss. Anemia. Poor nutrition. Infections. You may have spotting or heavy bleeding if you have lesions on the cervix caused by human papillomavirus, aka HPV.People in the active ingredient group had, on average, 39-40 fewer lesions at three months. People who only received the cream had, on average, 23-29 fewer lesions at three months. Taking the active ingredient was associated with fewer lesions. Winlevi was well-tolerated and there were few adverse events.“During pregnancy there is a dramatic increase in estrogen and progesterone levels, [which] for many women helps clear up their skin,” explains Carmen Castilla, MD, a board-certified dermatologist...4. Winlevi - So the part where you apply Winlevi comes the next morning. You should apply a pea-sized amount of winlevi to the affected areas of the skin. It is important to apply Winlevi only in the morning and to avoid using it with any other topical acne medications, as this can increase the risk of skin irritation. 5.Nobody in my family is completely bald thank god. I'm curious though if using Winlevi next year along with nizoral and derma rolling would have any positive effect on the hair since I know Breezula is a 7.5% concentration where as Winlevi is only 1%. Archived post.Applies to: benzoyl peroxide topical and Winlevi (clascoterone topical) Application of clascoterone topical and benzoyl peroxide topical to the same areas may cause excessive irritation, redness, scaling, or drying of the skin. Talk to your doctor if you have any questions or concerns. It may be advisable in some cases to have a rest period in ...One potential effect of Semaglutide on periods is irregular menstrual cycles. Some individuals may experience changes in the length, frequency, or intensity of their periods while taking this medication. If you notice any significant changes in your menstrual cycle, it's essential to discuss them with your healthcare provider. 2. Amenorrhea.Cervical, ovarian, uterine, and vaginal cancers can all cause heavy periods and irregular bleeding throughout the month. Your doc can help rule out this possibility. Other Causes of Abnormal BleedingInfections can sometimes affect the menstrual cycle and cause delays in the arrival of your period. Certain infections, such as pelvic inflammatory disease (PID) or sexually transmitted infections (STIs) like chlamydia or gonorrhea, can cause inflammation and disrupt the normal functioning of reproductive organs.
It can be very stressful to board a busy plane when you’ve got a particularly heavy period and realise you’re trapped in the window seat. If you can, try to book an aisle seat in advance or .... Sniffles app.com
Zoloft is an effective antidepressant but can have unwanted side effects during a woman’s cycle. These effects may include: Heavier bleeding. Cramping. Irregularity. Amenorrhea (absence of menses) Weight gain. Sometimes, these issues can be alleviated by changing dosage levels or switching to a different medication.Even though interest rates are usually quoted on an annual basis, they are typically calculated over shorter periods, either monthly or daily. This is known as the periodic rate. I...Yes, 50 yr old using spirinolactone and winlevi (winlevi only since early 12/2022 and only 2x/week at night). Never missed a period and now I haven't had one, nor have I had any PMS symptoms like I normally do. No menopausal symptoms either. It's weird.But we do know that if people get sick, or undergo stress, it can affect your menstrual cycle. If you have weight gain or weight loss, that could also affect your menstrual cycle. So it wouldn't be the craziest thing for a vaccine to temporarily affect an individual's menstrual cycle." ... "Started menstrual cycle 36 hours after the vaccine ...A Diet Too Low In Fats. A diet too low in fat can also throw your menstrual cycle off whack. Eating an appropriate amount of fats is also essential in balancing hormones. One study found that a lack of omega-3 fatty acids, a type of fat and essential nutrients that can be found in fatty fish and some nuts and seeds, can contribute to irregular ...Haha I’m reading through your thread, I experience the same effects and I live in Phoenix, AZ! 😆It may be due to the dryness of Arizona. I break out every time I try to start Winlevi and my skin starts peeling only over a span of few days. I’m going to try my old tretinoin regimen and maybe oral spironolactone.Period Pain. Many changes in your body can happen when you start to exercise regularly. You may have sore muscles, lose weight, sleep better, and gain strength. But what you may not expect is that regular exercise can also cause changes in your menstrual cycle, like spotting after exercise. The changes may be subtle or …Rumor has it that taking vitamin C for periods can affect your hormones and even make your period come sooner. But the evidence on this comes mainly from animals, with limited relevance to humans. For example, an October 2012 study in the Journal of Clinical Gynecology & Obstetrics found that rabbits given high levels of …Period Symptoms vs. Gut Health Issues. Your menstrual cycle can also affect your gut, and diseases you may not think are related to hormones. irritable bowel syndrome, inflammatory bowel disease, Crohn's Disease, and other digestive symptoms may worsen or change throughout your menstrual cycle. Some women experience flu-like symptoms with PMS ...Having breast cancer can have impacts large and small, including changes to your hormones and your period. That said, a missing period isn't necassarily a sign of breast cancer —in fact, some ...Cautions. May induce local irritation (eg, erythema, redness, pruritus, scaling, dryness); limit concomitant use with other potentially irritating topical products that have a strong drying effect or have high concentrations of alcohol, astringents, spices, or lime. HPA axis suppression.A recent study conducted in 2021 by Singh et al. of over 150 women discovered that those who have low Vitamin D levels are more likely to experience irregular cycles. The characteristics of these irregularities are a prolonged follicular phase, late ovulation, a longer-than-average menstrual cycle (over 35 days), and even an absence of ...Our doctor said you can actually use it for 3 months. They say it because its imported and it has to do with shipping or something. 2. lari_36. • 2 yr. ago. I asked my derm about it - she said the "expiration" date the pharmacy writes on it is 1 month because that is the extent of use done for the clinical trials.By day 14 or 15, ovulation begins with a surge in estrogen and lutenizing hormone. The following phase lasts until the last day (28 on average) and is called the luteal phase. During this phase ....
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