Progesterone is a hormone that naturally occurs in the human body. Group Leaders communicate with staff moderators and escalate potential violations for review, but they dont moderate discussions. I dont think you are being silly but lets try to trust the doctors - they have got us this far eeeek x, Oh wow hun your the same as me!! Immediately after injection of 150 mg/ml MPA, plasma levels were 1.7 0.3 nmol/l. . italian superstitions knives; awning remote control replacement; theme of dead stars; aircraft technology roadmap to 2050 View All Result . Pink blood only when I wiped. I am sooo tired and I have a slight headache lurking in the background. Hi therecongrats that ur nearly 10 weeks..i cant wait to get there! How you feeling otherwise? A group where those trying to conceive by in-vitro fertilization or fertility treatments can support each other through the process. I'm on Crinone 800mg xx, As marmot says the mg of the lubion and the pessaries doesn't make any different as the route of administration changes how is is absorbed. I found a dog walk with a big hill while I was pregnant could make me ache all evening. The #1 app for tracking pregnancy and baby growth. My ob referred me for testing. Health care providers give the shots in the back of a woman's arm, or in the hip or thigh area. I should have stopped mine although cyclogest suppositories. Progestin stops you from getting pregnant by preventing ovulation. Progesterone in oil (intramuscular injection, 50-100 mg once a day) These three routes noted above have been shown to be effective in fertility treatment. I feel it's OTT and a cash grab, given the rest of the world folks stop much earlier, but will follow their instructions to a T. A systematic review identified 12 studies evaluating time to pregnancy or ovulation after the last injection of DMPA . Thank you, {{form.email}}, for signing up. This makes me nervous as it seems as though most other clinic suggest 10 weeks!! Apart from my boobs hurting I haven't had any symptoms. It's one reason you shouldn't start new exercise regimes etc when you get pregnant because you're more likely to have an injury as your joints are looser. Diane xx, Hi I have just found out I have to stop cold turkey at 11 weeks. One study from the University of Maryland even found that acupuncture can increase a woman's chances of conceiving by 65 percent. Please whitelist our site to get all the best deals and offers from our partners. Hey guys, I am looking for some reassurance. Then I started the progesterone in oil shots once a week at 16 weeks. Progesterone prepares the lining of the uterus (endometrium) to allow a fertilized egg (embryo) to stick or implant. I have a history of premature labor so the progesterone in oil shots are for that premature labor. 200 pond rd, Good luck x, Thank you for your reply hun, it's nice to read positive responses to stopping progesterone. The bleeding should be expected to stop within 6 days. Congratulations! I was super nervous because a lot of my side effects went away when i stopped thembut about 4 days later the nausea and vomiting hit hard again lol. On the day of the pregnancy test, once positive serum level of -HCG was confirmed, patients stop LPS immediately at the same day or continue progesterone supplementation to 9 weeks of gestation, according to different doctor's principles. The placenta starts to take over from about week 7-8 and I am sure it is doing more than enough by week 10. Report 0 Reply. Less reliable are: Prometrium (oral tablets, also prescribed for vaginal use, 200 mg 1-2x/day) Progesterone suppositories (200 mg 1-2x/day, compounded by a pharmacy. While this medication can help regrow hair, it cannot be taken for long. If youve experienced miscarriages in the past, this is especially true. This is mainly to check for a multiple-pregnancy. As with any shot, there's a risk of minor side effects like redness and soreness at the shot site. Healthy fats from oils and nuts like cashews, avocado, seeds, low fat dairy. I was nervous thinking about stopping, but was feeling really awful with sickness, constipation one day, diarrhoea the next, all the symptoms under the sun. Also to stop taking a little advice from my midwife to all the bleeders out ther An update with a thank you and a sorry to everyone. Little nervous to stop progesterone suppositories, Im suppose to take progesterone suppositories until 12 weeks, which is tomorrow. After the first trimester? UK based. Spotting continued on and off for the entire first trimester, though, so I don't know if it was related to stopping progesterone or not. I am currently 11+1 weeks pregnant and I was told by my clinic to stop my progesterone medications (2xCyclogest + 1 Lubion daily) at week 12. Week 12 or 13 or later? centile at 20 to 24 weeks' gestation or history of either spontaneous delivery before 34 weeks or miscarriage after 12 weeks. She is a professional member of the Association of Health Care Journalists and has been writing about womens health since 2001. Lots of my ladies have the same fears. I was a bit scared stopping so early so did as Gemcon said and halved my dose for a week before stopping completely at 9 weeks. There is no right or wrong answer. Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked. Thanks. Why not just use one a day for a week, one every other day for a week, then one twice a week and stop, then you have safely weaned off the drug. You may have even gone through many cycles offertility treatments. It was a scary prospect, but it turns out it was fine, as I'm 18 weeks pregnant now. The good news is at 12 weeks your baby's placenta has taken over and the progesterone needed to maintain an early pregnancy is no longer needed. The extra progestrone was leaving me feeling so bloated and consipated. If it is up to 14 weeks since the last depot medroxyprogesterone acetate (DMPA) injection or up to 10 weeks since last norethisterone enantate (NET-EN) injection: Give the injection. I was so nervous about stopping mine and had lots left over so decided I would carry on just in case but the day I hit 12weeks and it came time to pop it in I decided no abd within days my bloating and constipation had stopped and I felt fab :). I am literally counting down the days until I can stop taking them - it is such a hassle AND messy as you say, but obviously the benefits outweigh that! The good news is at 12 weeks your baby's placenta has taken over and the progesterone needed to maintain an early pregnancy is no longer needed. It scares the hell out of me too!! Hi everyone. 3 weeks, then a week's break. Do try to find someone, whether a friend or atherapist, to talk to about your feelings. think twice before sharing personal details, foster a friendly and supportive environment, remove fake accounts, spam and misinformation, delete posts that violate our community guidelines, reviewed by our medical review board and team of experts. When there's no egg in the tube, pregnancy can't happen. Yourfertility doctorwill also likely continue to check your hormone levels for at least a few weeks following apositive pregnancy test. If you take a pregnancy test the day after receiving this injection, you may get a positive pregnancy test, not because youre pregnant, but because the test is picking up the hormones from the fertility treatment. Several small trials have suggested that progesterone therapy may rescue a pregnancy in women with early pregnancy bleeding, which is a symptom that is strongly associated with miscarriage. My OB said to stop taking it at 12 weeks. The latest research from the March of Dimes shows that the number of cases of premature labor is on the rise for the fifth year in a row, and around 10 percent of moms find their expected nine months of pregnancy turns into an unexpected seven or eight because . Your post will be hidden and deleted by moderators. Side effects after stopping progesterone at 12 weeks. Stopping Progesterone at 12 weeks with subchorionic hematoma. I however stayed on them until 12 weeks just to Giving some pregnant women progesterone could prevent 8,450 miscarriages a year, say experts. I been told to stop progesterone on Boxing Day as I will be 10 weeks pregnant. Depo-Provera typically suppresses ovulation, keeping your ovaries from releasing . Try not to worry about this. I highly recommend the Makena shots." It also works by making cervical mucus thicker. Taking it until 34 weeks is a no-brainer with me, and has nothing to do with first trimester miscarriage You might get fewer skin reactions. It would absolutely kill me to lose this one after making it this far. Headaches. However I cant wait to stop having to remember every few hours, at work, to rush to the toilet and then try to sit down for a bit lol!! ttcobsessive. You should be producing enough progesterone yourself now, and you will be further reassured when you have your scan next week. If youve shared your treatment progress with friends and family, especially if youve shared details of this particular cycle, you may be expected to tell them sooner than later. I have officially graduated from my fertility clinic(one fertility) as I am 9 weeks,our last embryo took!! Speak to your clinic if you're worried but they're all so different in their methods and beliefs. For better endometriosis control, you may be advised to have week's break only every 3 months, or to have no breaks at all. Have you tried ginger biscuits? My RE instructed me to stop at 9 weeks 2 days, as in the 9th-10th week your placenta takes over and is producing plenty of progesterone. My ob told me IVF babies have a higher risk of cardiovascular problems so thats getting looked into with the specialist next week too. I'm so nervous I will start bleeding and lose the baby : ( My consultant has reassured me that the placenta is producing all the progesterone I need but I could really do with some reassurance from all of you lovely ladies who have been in similar positions! I'm at One Fertility also and hope one day to graduate from there too. Next appt. For both groups, all pregnancies were followed to delivery or other obstetric outcomes. The injection makes hormone levels increase at first and then fall, so . I am currently 37 weeks n 4 days. Symptmes de grossesse ne jamais ignorer, Moyens naturels pour dclencher l'accouchement. Thanks! Keeping my fingers crossed! Dont hesitate to talk to your doctor. birth certificate translation uscis example; nissan 300zx wide body kit; patrick hockey development alerts My next FET will be in the fall and I'm hoping that's the one! Instead, they are more likely associated with the original reason IVF was needed in the first placeinfertility or advanced age. These risks dont seem to be directly caused by the use of fertility treatment. Webhow many dinosaurs escaped in jurassic world: fallen kingdom. Good luck with the rest of your pregnancy. It will help. Hi everyone. I was happy but sad to leave lol I did 2 rounds of ivf. Serum progesterone test ranges are quite wide but being on the low end of a range doesn't mean your levels are too low. If yourepregnant with twins, when might you find out? So I think you would be okay. Hey everyone. Two or three times a week (depending on how stressed I was), I spent 30 blissful minutes at Newell's office. However, you may or may not be ready toshare the newswith the world. I was told to stop at 12 weeks. cambridge77. And it has gone well. Stopping progesterone 10 weeks. If you're taking progesterone in oil through injections, you may be able to switch to vaginal suppositories or gel. Why not just use one a day for a week, one every other day for a week, then one twice a week and stop, then you have safely weaned off the drug. I was just reading that other people take it until 12 weeks and now I'm worried. Rachel uses her own experiences with infertility to write compassionate, practical, and supportive articles. My doctor prescribed to take progesterone everyday till In weeks 23 of pill, ring, or patch: Give the injection immediately. Still can't really believe it! When can you take a pregnancy test during an IVF treatment cycle? Adolescents with female genitalia should be treated with GnRH analogues, which stop the production of estrogens and progesterone. My stomach feels less bloated. Should be weaning last time I done IVF I thought I . Yes, I stopped at the end of my 9th week. I have a PCOS and I am 12 weeks and 5 days pregnant. Webis there a difference between vandalism and byzantine iconoclasm? So I decided to half my dose of progynova and lubion (I was on 25mg lubion twice a day). lack of period, usually after 1 year. Continued Blood Tests for Monitoring . 2023 Dotdash Media, Inc. All rights reserved, Verywell Family uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. All of this is completely normal. If you are at risk of preterm labor because of a short cervix, your doctor may suggest a surgical procedure known as cervical cerclage. I am 10 weeks now. X, Tbh I get fine! I think unless you have a known issue with absorbing progesterone, taking it to 12 weeks (or beyond) is just being extra cautious. 20062023 BabyCenter, LLC, a Ziff Davis company. During the menstrual cycle, progesterone levels rise after ovulation to help build and sustain a lining in the uterus. Thanks for the insights.. very very useful. Doctors used to give these women supplements of progesterone, a hormone that helps maintain a healthy pregnancy. . A small plastic device that releases progestogen is inserted into your You might hear people call it a contraceptive injection or birth control shot. All the organs, muscles, limbs and bones are in place, and the sex organs are well developed. currently approaching 18 weeks. So I'm curious - when did you stop? X, My overseas clinic asked me to stop progesterone at 10 weeks but my UK Consultant said to stop completely at 12 weeks which I will do on Saturday. I did feel nauseous to begin with but that went away. With this 3rd cycle, the consultant has altered my treatment plan. Progesterone Supplementation: like Progesterone Suppositories, Intramuscular Injections of Progesterone and Progesterone and Multiples. I thought maybe the progesterone was making it worse, so I just didn't give it too much thought and just stopped. Rachel Gurevich is a fertility advocate, author, and recipient of The Hope Award for Achievement, from Resolve: The National Infertility Association. If you are very nervous Early stop of progesterone supplementation after confirmation of pregnancy in IVF/ICSI fresh embryo transfer cycles of poor responders does not affect pregnancy outcome. Why would mine be less? Off-Label Uses. Pregnancy after IVF conception is associated with some increased risks and complications. Endometrial cancer 4. . As I'm now pregnant, I am still taking my progesterone. I have been on 2 x supportries and 1x lubion injection a day. Research suggests that taking 400 micrograms (mcg) of folic acid daily might reduce the risk of birth defects that can lead to miscarriage. It is used as a method of birth control and as a part of menopausal hormone therapy. My initial dose as 400 3 times a day, down to 400 twice a day for a week and then down to 400 one day for a week. Second trimester: 25.6 - 89.4 ng/mL. I have never heard anything about ivf babies having increased cardiovascular problems??? If you want to take an at-home pregnancy test during IVF, be sure to wait a full 2 weeks after the egg retrieval. Hope everything is OK x. He has advised us to include Lubion progesterone injections,therefore, i will have the cyclogest pessaries morning & night (same as last two cycles . Bloating. My consultant said I could stop at 9+2 when he saw the placenta was doing everything it needed to. The constipation doesnt help. My clinic has advised that I will be on progesterone and estrace until 11 weeks. Meg is so right. It is tough to stop the injections because we grow to associate them with the reason why our pregnancy is successful so far (and its likely true). There is evidence that progesterone supplementation is imperative in pregnancies that have resulted from certain assisted reproductive technologies (ART), like in vitro fertilization (IVF). It is first detected in the middle of the menstrual cycle when an egg is released (ovulation). Thank you very much for responding can I ask.. did you experience round ligament pain? Just wondering what other drs told anyone else who has successful with ivf and your opinion? Every clinic is different. 2 . Mumsnet carries some affiliate marketing links, so if you buy something through our posts, we may get a small share of the sale (more details here). ( 1) Prefilled syringes: prefilled syringes are available packaged with 22-gauge 1 1/2 inch Terumo SurGuard Needles. Log inThe California Association Of Natural Family Planning is registered with the IRS and the state of California as a not-for-profit organization. But newer research says earlier is better. Estrogen, progesterone and testosterone are the most commonly used bioidentical hormones. This is a reaction to the needle or to the medicine that was injected. I don't want to keep taking something I don't need, but I don't want to stop prematurely and have a miscarriage. The administration of altrenogest or progesterone in oil for nine days, plus an injection of prostaglandin (the hormone that works to bring a mare into estrus) on day nine, has proven to be an effective combination for estrus synchronization, says Squires. Im not worried as I know my body will be producing enough of its own now. 2005-2023Everyday Health, Inc., a Ziff Davis company. J Perinat Med. The long duration of action results from its slow absorption from the injection site. If pregnancy occurs, treatment can continue for up to ten to twelve weeks. Or, you may be able to discontinue progesterone hormone support as newer research indicates it may not affect the outcome of the pregnancy. j junebaby1 Nov 30, 2017 at 12:09 PM I did an IVF frozen transfer too and stopped my I stopped progesterone at 30 weeks of pregnancy ( which is not common but I had to), and yet was experiencing joint pain in the knees because of the babys weight. The first ultrasound may be too early to really know. Vaginal discharge . Menu Rang consultant who told me to take a cyclogest and ring him if i bled for more than 1 hr - well I bled for 12 hrs - so heavy I . The Premise: If you camped out for a week in a bookstore and read as much literature as possible about Ive discussed in past editors letters that we sometimes struggle to keep up with current events due to the lag Are you looking for effective arms length protection? I reduced my progesterone over 1 week. I have read a lot about it and 12 weeks seems like the common thing. I feel extremely tired and have a very bad headache all day. Taxpayer ID: 68-0301357, Please check below if you want your donation to be invested, Church, Diocesan and Institutional CANFP Members/Supporters, Seminarians Comment on their CANFP Week Gods Design for Married Love, The Pill / Hormonal Suppression / Post-Fertilization, Inadequate Luteal Phase / Progesterone Deficiency, California Association of Natural Family Planning. The constipation doesnt help. I'm doing 25mg lubion a day and have been told to stop on Saturday when I'm 10 weeks. Roll on the 12 week scan on Monday. 2019;10:429. doi:10.3389/fendo.2019.00429, Pan SP, Chao KH, Huang CC, et al. Use: Abnormal uterine bleeding due to hormonal imbalance in the absence of organic pathology, such as submucous fibroids or uterine cancer Usual Adult Dose for Endometrial Hyperplasia - Prophylaxis 200 mg orally once a day (at bedtime) for 12 consecutive days per 28 day cycle 2 Tommy's National Centre for Miscarriage Research, Institute of Metabolism and Systems . Depo-Provera is a well-known brand name for medroxyprogesterone acetate, a contraceptive injection that contains the hormone progestin. Medroxyprogesterone acetate (MPA), also known as depot medroxyprogesterone acetate (DMPA) in injectable form and sold under the brand name Depo-Provera among others, is a hormonal medication of the progestin type. To view profiles and participate in discussions please. They may even get worse. Posted 3/1/17. Most of the research tends to conclude that progesterone supplementation does not decrease the risk of miscarriage. I'm sure different brands and different people means varying dosages too so I definitely wouldn't go against what your clinic says as it may jeopardise things. What to Expect During the Early Stages of IVF Pregnancy. Prostap injection may be given monthly (Prostap SR) or three-monthly (Prostap 3) depending on the condition being treated. I've been on the blasted things since 16 weeks and will until 34 weeks but that's another usage altogether, to help reduce the chances of preterm labour as I have issues in that area! Oh thanks Summer! An injection is given into the muscle of your bottom, every 12 weeks. taking progesterone for up to 12 weeks of pregnancy. This is a big moment! Weight gain. Mifepristone blocks your body's own progesterone, stopping the pregnancy from growing. WebI was also on progesterone (the injections) until 12 weeks as the standard IVF protocol with my RE. My fertility doctor had be stop Progesterone at the end of my 10th week. But, 15-25% of known pregnancies will also end in miscarriage, and 80% of those will happen in the first trimester. Am I being silly? The placenta takes over by week 10, so you should be fine. But be warned: Lubion and Prolutex are quite expensive. Heavy bleeding at 12 weeks. I have heard varying times to stop 10 weeks 8 weeks and 12. Just another week left of them! So for me to stop it all together I am worried my baby won't get enough?! Last night I had the most awful joint pain.. my wrists, my hips, ankles .. everything. But by 10 weeks the Meredith Shur, MD, FACOG, is board-certified in obstetrics and gynecology, as well as a certified medical examiner. Your doctor will likely schedule a blood test 10 to 14 days after the egg retrieval. In some states, you may be able to get a kind of 17P from special pharmacies. . The pain is less today so hopefully it was just that then , Yes it sounds like your body preparing prenatal vitamins are amazing. If you, unfortunately, developed a case of ovarian hyperstimulation syndrome during treatment, your symptoms may last several weeks. Im in my 40s Several safety concerns have been raised related to the use of estrogen and progesterone, including and increased risk of: blood clots. We respect everyones right to express their thoughts and opinions as long as they remain respectful of other community members, and meet What to Expects Terms of Use. It am be good not having to do injections and allow my body just to had rest from medication!! My doctor told me to stop taking them five days later. Its was scary to do but everything was fine xx, Thanks for your reply hun, it's good to know things were ok!!! I'm currently 19 weeks pregnant. Vaginal discharge . My first clinic had me on 1 cyclogest a day until a few days after OTD, no longer. However those women who lost their babies after stopping the injections were told the same thing. You may be excited to see a "regular" doctorfinally! Or it may be a reaction to both. I have an ultrasound next week with the high risk specialist to test for genetic abnormalities. To comment on this thread you need to create a Mumsnet account. During this procedure, the cervix is stitched closed with strong sutures. Introduction. Its crucial roles include luteal phase support, modulation of maternal immune response, suppression of inflammatory response, reduction of uterine contractility and improvement of uteroplacental circulation.1 Progesterone is a steroid produced primarily by the corpus luteum and the . Rachel Gurevich is a fertility advocate, author, and recipient of The Hope Award for Achievement, from Resolve: The National Infertility Association. X, My clinic also says 10 weeks and the packaging instructions itself also say 10 weeks when I checked it. I was told 8 weeks was more than enough (and have known problems with low progesterone - was on a triple dose). doi:10.1371/journal.pone.0201824, Kumar P, Sait SF, Sharma A, Kumar M. Ovarian hyperstimulation syndrome. Depo-Provera (depot medroxyprogesterone acetate) is an injectable birth control method for women. How many weeks are you? I was taking the progesterone pills, 200mg three times daily. I have called my local EPU and waiting for them to ring me back, Yes I did all through my pregnancy and it is absolutely normal to feel them because your womb is expanding to welcome your baby I usually get rest and have a warm shower to ease the pain and it works most of the time, Thanks! I was told to stop at 10 weeks too. It is very normal to feel nervous but trust your doctor! Congratulations! Statistical analysis 6 to 8 glasses of water. I barely those pregnant via IVF when did you stop your progesterone? stopping progesterone injections at 12 weeks By on July 1, 2021 After my 2nd ultrasound, I went from nightly PIO shots to every 3rd night with Endometrin in the non Now comes the maintenance phase, during which your fetus' systems continue to evolve for the next 28 . Jan 6, 2009 7:42 AM. The contraceptive injection contains the hormone progestin. Good luck with the rest of your pregnancy. I have read up on this before but I just didnt expect this level of pain I guess.. in the past I used to do some quite extreme walks and this wee little walk made me feel like I did one of those so big surprise for me. Depo-Provera is a very effective injectable contraceptive which gives 12 weeks continuous contraception with each injection. Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked. Did my 11w ultrasound 2 days ago and things looks fine. Lol. -Discontinue if menstrual flow begins during the injections. Dressing in layers, drinking cool drinks, avoiding spicy food and alcohol, and exercising daily. I hadnt heard of it either til my appt a few days ago. I had the shots from 16 to 36 weeks. I was so glad! Stopping progesterone at 8 weeks! My clinic says Ill be stopping at 8 weeks if my transfer is successful. do they sell beer at madison square garden. The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. Check with your clinic, but even if you have to stop, no worries. For people who are 8-9 weeks pregnant, it works about 94-96 out of 100 times. My specialist got me to stop the progynova and progesterone injections cold turkey by Christmas when I was 9+6, which I did. The Dr said if it was going to stress me out I can continue to week 12 but it's so nice being able to hear all your opinions as you are all in or have been in my position. Overview. All rights reserved. They are given until 37 weeks. I don't think I have enough progestrone enough for an additional two weeks, would it be any harm if I just take one every other day until it runs out?.x, Hi. Meg is so right. To view profiles and participate in discussions please. stroke. I am just about to start my 3rd cycle (fet). Ya I love the girls there!! A quarter of all miscarriages happen before a period is even missed, and often the woman never knows. Primary outcome was delivery before 34 weeks. OHSS can be dangerous and life-threatening if left untreated. I'm doing PIO injections and my last day is today (12 weeks). You should be producing enough progesterone yourself now, and you will be further reassured when you have your scan next week. **Sensitive** 12 weeks pregnant, coming off IVF meds and nervous - advice needed; Tapering off steroids ( prednisone), ladies who 1 Tommy's National Centre for Miscarriage Research, Institute of Metabolism and Systems Research, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, United Kingdom. Feeling nervous is completely normal and understandable. Progesterone x3 a day, plus progesterone injection every 3 days. 2 fresh and 5 frozen and my last and final embryo we had took! I stopped progesterone 3 days ago and went for quite a long walk yesterday. My second clinic had me on 2 cyclogest a day until 12 weeks; again, I had a full term pregnancy. Instead, they are more likely associated with the original reason IVF was needed in the first placeinfertility or advanced age. These levels are considered normal: First trimester: 11.2 - 90 ng/mL. My clinic say 12 weeks. Congratulations! I am 10 weeks now. Please select a reason for escalating this post to the WTE moderators: Connect with our community members by starting a discussion. Feeling nervous and not too hopeful about the pregnancy is understandable. safe word ideas for shifting Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. I've been told to stop my progesterone injections in 2 days time once I get to 10 weeks. You should not take an early at-home pregnancy test during IVF treatment. You take a tablet every day without a break. Prenatal care is always important, but its especially important after IVF to hopefully catch these complications early and treat (or prevent) them as soon as possible. I am 12 weeks today and stop all my medication apart from my steriods which I contuine until next Wednesday. X, I had to stop my progesterone at 12 weeks with no weaning. We strive to provide you with a high quality community experience.
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