However, its important to tailor your fruit choices to your specific symptoms. Vitamin C from oranges can also boost the absorption of iron from foods. Eating dessert won't make your cancer spread. This helps protect against anemia, a common side effect of chemotherapy (14). Discovery; In India, Horlicks is a breakfast drink, given to children as an energy boost to fortify them ahead of a long day of learning. Consuming a cocoa product could help patients with kidney failure to improve their blood vessel function, according to research published in the Clinical Journal of the American Society of . Can mushrooms help during cancer treatment. The best vegan protein powders for cancer patients are those simple plant-based powders with few additional ingredients and additives. Peripheral neuropathy, or nerve damage, is a common side effect of certain drugs, including the widely prescribed chemotherapy drug paclitaxel. Drinking green tea may also help prevent certain cancers. Conclusions: Radiation therapy carried out in our institution results in good survival, with acceptable toxicity in locally advanced cervical cancer. Other test-tube and animal studies suggest that blackberries can preserve brain health and enhance memory, potentially preventing certain side effects of chemotherapy (62, 63, 64). Similarly, a recent review of 11 studies reported that blueberries improved several aspects of brain function in children and adults (8). More recently, vitamin C given through a vein (intravenously) has been found to have different effects than vitamin C taken in pill form. Furthermore, test-tube studies have observed that pectin may help protect against the growth and development of colon cancer cells (18, 19, 20). The patient is having trouble breathing and seems upset. People with cancer often turn to vitamins and supplements to reduce the side effects of cancer treatment: Nausea from chemotherapy, nerve pain, or debilitating fatigue. It is a low-fat formulation, It is high in fiber. Lite Horlicks is so far the only nutritional products to be endorsed and certified by Diabetes India. ; Salt and sugar; A mix of vitamins; Anti-Caking Agent (E551) is present in all but . In fact, fatigue is a side effect experienced by nine out of 10 people undergoing cancer treatments, including chemotherapy, bone marrow transplants, or radiation therapy. National Cancer Institute, Surveillance Epidemiology and End Results (SEER): SEER Stat Fact Sheets.American Society of Clinical Oncology 44th Annual Meeting, Chicago, May 30-June 2, 2008. Subsequent well-designed, randomized, controlled . Your dietitian can help you manage your diet to minimize side effects, cope with any new food sensitivities and keep you feeling your best. Deadly heart arrythmia patients are offered a lifeline in the form of a blast of pioneering radiotherapy treatment most commonly used to treat cancer 19/02/22 10:00 Journal of Alternative and Complementary Medicine, June 2008; vol 14: pp 545-551. Proper nutrition helps support your body during breast cancer treatment. Raw or undercooked shellfish, like oystersThese items may carry the hepatitis A virus and should be cooked thoroughly to destroy the virus. Shenoy N, et al. Tim Birdsall, ND, vice president of integrative medicine at Cancer Treatment Centers of America and a member of the National Advisory Council for Complementary and Alternative Medicine for the National Institutes of Health. A single copy of these materials may be reprinted for noncommercial personal use only. Catechins have been shown in lab studies to slow down or prevent the growth of cancer cells and stop tumors from spreading in body systems. These side effects can be serious. New Patient Appointment, Appointment https://clinicaltrials.gov/ct2/results?cond=&term=cancer+AND+vitamin+C&cntry=&state=&city=&dist=. Discovery, Cancer; Use beetroot juice for cancer treatment. Experts recommend these, depending on how you feel: Citrus fruit, like grapefruits and oranges, may have a role in preventing certain cancers. Green fruits include: Other research also suggests kiwifruit may help prevent cancer. Bisphenol-A or BPA has long been a source of concern for consumers of bottled drinks. Fish oils reduce the risk of cachexia, and can reduce polyps, the precursors to colorectal cancer. That said, more research is needed to determine whether the pectin found in bananas could slow cancer cell growth in humans. It's rich in protein. Talk to your doctor before using mushrooms during cancer treatment. Common side effects of chemotherapy and radiation include (1, 2): Filling your diet with nutritious foods, including fruits, helps supply your body with vitamins, minerals, and antioxidants throughout your cancer treatment. These phytochemicals fight certain oxygen molecules in your body known as free radicals, which can damage DNA and contribute to the development and proliferation of cancerous cells. Request an appointment at MD Anderson online or by calling 1-877-632-6789. Different individualized therapeutic strategies should be considered for patients with high-risk factors. First, ripe strawberries are soft, making them suitable for those with mild swallowing difficulties (52). include protected health information. ", American Institute for Cancer Research: "Ask The Dietitian: Get Your Facts Right on Fiber and Whole Grains.". At MD Anderson, patients can request a referral to our Integrative Medicine Center. Lite Horlicks has High Protein known to help cell maintenance and repair. 2. And their benefits may not stop there. Finally, preparing and cooking food safely is an extremely important piece of the puzzle. There is a problem with 5. Keep in mind that the studies so far have looked at how these mushroom extracts affect cancer cells in the lab, with only a few documenting the effects in the human body. Dysphagia means difficulty eating or swallowing. Journal of Alternative Complementary Medicine, October 2002; vol 8: pp 581-589. Chemotherapy and sex: Is sexual activity OK during treatment? Cancer treatments like chemotherapy and radiation can cause many side effects, which can be either worsened or improved by what you eat and drink. Frontiers in Oncology. . However, preliminary prostate cancer research on men in China has shown that both eating garlic and garlic supplements may decrease the risk of prostate cancer. Evidence for breast, stomach, and lung cancer is mixed: studies have conflicting findings. Eating during cancer treatment: Tips to make food tastier, Mouth sores caused by cancer treatment: How to cope, No appetite? To provide you with the most relevant and helpful information, and understand which Lite Horlicks is a tailor-made nutritional supplement for 35+ adults. Anything from oatmeal to steel-cut oats to oat bran are good hot choices. You may also want to avoid certain fruits based on your symptoms. K. Simon Yeung, PharmD, Lac, clinical coordinator at Integrative Medicine Service at Memorial Sloan Kettering Cancer Center. Green tea with chunks of lemon. every day. PLOS One. Natural Medicines Comprehensive Database. Others can make it easier for you to cope with the side effects of treatments. While more research is needed to confirm these findings in humans, enjoying lemons in your favorite drinks and desserts as part of a healthy diet could be beneficial. Keep in mind, there are hundreds of chemotherapy drugs. Many fruits provide antioxidants to help fight the growth of cancer cells and may even offer other health benefits to help ease certain side effects of treatment. Cancer patients are susceptible to infection from the disease, as well as from treatments that destroy white blood cells. Without regular exercise to offset consumption, extra calories often lead to obesity and other health problems. I dont ask people undergoing cancer treatment to do this I would never overwhelm you with what you should be eating. Its best to tailor your fruit choices to your specific symptoms. To optimize your health and reduce the risk of dangerous interactions, dont take supplements for side effects without talking with your cancer treatment team. Although many people believe that daily consumption of red wine (which contains the plant antioxidant resveratrol) prevents cancer, no clinical evidence suggests this to be true. Infection is a huge issue to cancer patients, Birdsall says. This article is based on scientific evidence, written by experts and fact checked by experts. Tips for better nutrition while getting cancer treatment. Some studies show mushrooms boost parts of the immune system that are linked to cancer. Look for 100 percent peanut butter made without added oils. Both cancer and cancer treatments, including chemotherapy, impact your immune system and reduce your ability to fight off infections. Although boosting your immune system isnt an actual treatment for cancer, its incredibly important as you fight cancer. Cancerous tumors rely on fast-growing networks of blood vessels to sustain their rapid growth rate. Targeting cancer vulnerabilities with high-dose vitamin C. Nature Reviews Cancer. Both Ovaltine and Horlicks are malted milk drinks that have been around for years. Although experts once believed that megadoses of certain antioxidants, including vitamins A and E, might be beneficial, clinical studies have raised questions about the safety of this practice. There is a trend toward improved quality of life shown in the research, but we cant pinpoint the exact reason, says Narayanan. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. The evidence is conflicting, but a recent study found that cancer patients undergoing chemotherapy who consumed a high protein drink with ginger twice a day during treatment reported significantly less nausea and were less likely to require traditional anti-nausea medications. As you know Horlicks are the most popular child health drinks. More. It provides your body with calcium and phosphorus, which help in the building of bones ( 1 ). Ng, M. et al. UT Southwestern: A global leader in robotic pancreas surgery, Microsurgery can help reduce the risk of lymphedema after breast cancer surgery, Intra-arterial chemotherapy delivers most precise treatment for retinoblastoma, Taking aim at fatty liver, cancer with new blood test. In addition to boasting an impressive nutrient profile, strawberries may offer several benefits specific to cancer recovery. A good diet is one that gives you everything you need to keep your body working well. While these studies did not include people undergoing cancer treatment, the findings may still apply. Here are suggestions my patients tend to like: Fresh fruit. In some cases, mushrooms did cause adverse reactions. stephen scherr family; nigel jones philadelphia. Melons, berries, pineapple, bananas, pears and canned or jarred fruit in their own juices are all popular. Does Diet Affect Your Prostate Cancer Outlook? Green fruits may help protect against colorectal cancer, according to the same study that looked at white fruits and veggies. Thats a good place to start if you want to know what herbs, teas, or nutritional supplements can help you stay strong and cope with treatment side effects. It also claimed that the consumption of the product was " harmful for children as it may contribute to childhood obesity and non-communicable disease in later life ". Journal of the National Cancer Institute; April 2008; vol 100: pp 796-804. Green tea seems to inhibit the development of new blood vessels in tumors, and provides one more approach that can be used to strangle tumors, Birdsall tells WebMD. Apples contain flavonoids, which have an antioxidant effect in the body and may inhibit the growth of H. pylori, a type of bacteria that commonly causes gastritis and stomach ulcers. For example, pured fruits or fruit smoothies are a good option if you have difficulty swallowing, while fruits rich in fiber can help promote regularity if you are experiencing constipation. Change 4 Behaviors and Watch the Weight Loss Begin, 10 Ways to Stock Your Fridge for Weight Loss, Anti-Cancer Diet: These Foods May Reduce Your Risk for Cancer, 6 Sore Throat Remedies That Actually Work. Bournvita: Protein - 7 gms; Fat - 2 gms; Carbohydtare- 84 gms of which sugar is 70.3 gm. Anthocyanins, a type of plant pigment found in pears, have also been linked to decreased cancer growth and tumor formation in test-tube studies (48, 49). Chemotherapy for Kidney Cancer: When Is It Effective? The Centers for Disease Control and Prevention recommends a maximum of one drink per day for women and two drinks per day for men. The foundation of eating with cancer treatment. Each person's cancer may have many different causes. Strawberries are rich in antioxidants and may help decrease cancer cell growth. Helping to support your total wellness journey and become a healthier, stronger you. The fiber found in apples can promote regularity and keep things moving through your digestive tract (26). L-glutamine, taken orally, has also been shown in one study to reduce the peripheral neuropathy associated with oxaliplatin, a chemotherapy drug used to treat colorectal cancer. To measure bilirubin levels, a doctor might order a urine or blood test.. Horlicks has about 9.5g of protein when made with milk which is no small amount. The complicated relationship between immune system functioning and cancer is often misunderstood, according to Tim Birdsall, ND, the vice president of integrative medicine at Cancer Treatment Centers of America and a member of the National Advisory Council for Complementary and Alternative Medicine for the National Institutes of Health. Our patients depend on blood and platelet donations. Also, some studies have found that vitamin D may protect against prostate cancer, while other studies have found that it doesnt help. Zhang, M. et al. Here are supplements, vitamins, and extracts you may hear about to help boost the immune system. Also, a recommendation of 10 to 12 cups of green tea per day would be for cancer treatment, not cancer prevention. They offer the highest levels of vitamins and minerals, Rajagopal says. Researchers at the Johns Hopkins School of Medicine have found that 4-MeI, the caramel dye in darker-colored sodas, is proven to cause or elevate the risk of cancer. Blueberries may help fight cancer growth and improve chemo brain, a term used to describe impairments in memory and concentration due to cancer treatment. Studies have shown that BPA exposure on lab animals harms fertility and reproductive organs even at low doses, increasing the risk for breast cancer, prostate cancer, and metabolic disorders. Below are the top 5 fruits/vegetables that must be included while juicing for cancer patients. Bananas can be a great dietary addition for those recovering from cancer. The main nutritional goals during cancer therapy include getting enough: Fluids to stay hydrated (mostly from caffeine-free fluids). Vitamin C. Natural Medicines. First, many supplements may interfere with your cancer treatment, so never take anything without discussing it with your cancer doctor and treatment team. Be sure to talk with your cancer treatment team before taking antioxidant supplements when you have cancer. More recent scientific studies are beginning to determine reasons for their potential health-promoting actions. No matter how harmless you think a vitamin or supplement might be, check with your doctor about potential interactions with your other treatments. Many studies have found that the antioxidants found in cherries could help slow the growth of cancer cells. This has prompted renewed interest in the use of vitamin C as a cancer treatment. Choose from 12 allied health programs at School of Health Professions. International Journal of Cancer, November 2004; vol 112: pp 465-469., Memorial Sloan-Kettering Cancer Center, About Herbs database: Vitamin D., American Cancer Society: Dietary supplements: How to know what is safe., World Cancer Research Fund: Food, Nutrition, Physical Activity, and the Prevention of Cancer: A Global Perspective., American Cancer Society: Antioxidants and cancer: The jurys still out., National Center for Complementary and Alternative Medicine: Cancer and CAM.. Eating three to five servings of dried fruits a week may help prevent: Researchers are studying a range of plant chemicals that may play a role in cancer prevention, including: The research is in its early stages, so we really don't know yet if these plant chemicals have cancer benefits. Cancer, Appointment The study . They are rich in vitamin C, folate, manganese, and potassium, along with antioxidant compounds like pelargonidin (50, 51). There are still no large, controlled clinical trials that have shown a substantial effect of vitamin C on cancer, but some preliminary studies do suggest there may be a benefit to combining standard treatments with high-dose IV vitamin C. Until clinical trials are completed, it's premature to determine what role vitamin C may play in the treatment of cancer. Is Horlicks good for diabetics? Antioxidants are substances found in abundance in fruits and vegetables and in lesser amounts in nuts, grains, and meat. All rights reserved. health information, we will treat all of that information as protected health Skip to Page Content, Refine your search: Sushi and sashimi, which often contain . Pomegranates are delicious, nutritious, and brimming with health benefits, making them a great addition to any diet. Use green juice for a cancer cure [cruciferous vegetables] 5. There arent many studies, and the results are often inconsistent. Blueberries are a nutritional powerhouse, packing plenty of fiber, vitamin C, and manganese into each serving (3). You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Ngo B, et al. Have porridge with syrup or sugar and cream. Some experts worry that the use of antioxidants during radiation therapy and chemotherapy might serve to protect the very cancer cells that are being targeted. In the near future, we will see more reports from these government-funded studies, which hopefully will guide us to use these dietary supplements more appropriately, Yeung says. This popular fruit is high in vitamin C, manganese, and vitamin K (59). Theres a lot of marketing hype out there. is horlicks good for cancer patients. Change the lives of cancer patients by giving your time and talent. The possible benefit from apples probably comes from two substances they contain: polysaccharides, a type of carbohydrate, and quercetin, a plant pigment. Review/update the By clicking Subscribe, I agree to the WebMD, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Bird Flu Deaths Prompt U.S. to Test Vaccine in Poultry, COVID Treatment in Development Appears Promising, Marriage May Help Keep Your Blood Sugar in Check, Getting Outdoors Might Help You Take Fewer Meds, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox, Becoming a Vegetarian: Foods to Choose From. Clinical trials search for vitamin C AND cancer. Additionally, certain substances found in garlic have been shown to suppress growth and fight certain cancerous cells in the lab, including forms of breast and lung cancer. Cancer Cell. ", Journal of Medical Signals and Sensors: "Bromelain Inhibitory Effect on Colony Formation: An In vitro Study on Human AGS, PC3, and MCF7 Cancer Cells. Assortment of Pill Aids from Mayo Clinic Store, Newsletter: Mayo Clinic Health Letter Digital Edition, Book: Mayo Clinic Family Health Book, 5th Edition, Give today to find cancer cures for tomorrow, Infographic: 3D Printing for Cancer Treatment, Alternative cancer treatments: 11 options to consider, Infographic: Cancer Clinical Trials Offer Many Benefits, Cancer survivors: Care for your body after treatment, Cancer survivors: Late effects of cancer treatment, Cancer survivors: Managing your emotions after cancer treatment, Cancer treatment decisions: 5 steps to help you decide, Chemotherapy and hair loss: What to expect during treatment. Second, research or ask your treatment team about the best supplements for your specific situation. 2005 - 2023 WebMD LLC. Lemons have been shown to inhibit the growth of cancer cells in test-tube studies. Another animal study observed similar findings, noting that certain compounds found in tart cherries reduced the growth of colon cancer cells in mice (58). Plus, some research has found that eating pomegranates may improve your memory, which could help those affected by impairments in focus or concentration caused by chemotherapy (36). Horlicks is 11g protein, 2g fat, and 79g of carbohydrates, which includes 13.5g of sugar. Tuna or sardines on buttered toast with fresh tomato. Meats and poultry. Mushrooms have been linked to improvements in several common quality of life indicators for cancer patients. Studies have shown that each of these meals may help to slow the formation of cancerous cells in the body. If you would like to know more about using mushrooms during cancer treatment, its essential that you talk to your doctor. Good nutrition is very important for people with cancer. Oranges are a common type of citrus fruit, favored for their sweet taste, vibrant color, and stellar nutrient profile. Chemotherapy side effects: A cause of heart disease? Xiao, D. et al. Porridge, soft rice, baked potatoes are all good food items to add to a typhoid patient's diet. or Call214-645-8300. Pears are versatile, full of flavor, and easy to enjoy as part of a healthy diet. Hot water with fresh ginger and slices of lemon. By restricting carbohydrates, you may make it more difficult for cancer cells to grow. Limit intake of simple sugars. There are some ingredients that all kinds of Horlicks share. Similarly, filling up on healthy foods is important if you are being treated for or recovering from cancer. This drink is an easy and tasty way to get adequate amount of iron using garden cress seeds or Halim. For example, the combined use of antioxidants in green tea, melatonin, and multivitamins containing high doses of vitamins C and E was shown to reduce pain and fatigue in patients being treated for pancreatic cancer. Nausea and vomiting can lead to weight loss, nutritional deficiencies, and fatigue, which can make it harder for your body to fight cancer. However, the research is mixed. 2. Foods that may fight cancer cells include beans, flaxseeds, tea and garlic, as well as whole grains such as oats and brown rice. Keep in mind that grapefruit might interfere with certain medications, so its best to talk to your doctor before adding it to your diet (24). Researchers say the diet of many Americans is increasing their risk for developing a variety of cancers. 4. Lastly, whole fruits like apples, apricots, and pears are hard for some people with cancer to eat due to mouth sores, difficulty swallowing, dry mouth, or nausea. Certain mushrooms stimulate the compounds that are responsible for tumors suppression, says Narayanan. If youre among the 1.5 million people in the United States diagnosed with cancer each year, you may be considering taking vitamins and supplements for cancer. Soya milk is the best dairy free alternative in terms of nutrients. 2005-2023 Healthline Media a Red Ventures Company. Choose unsweetened varieties. Due to recent evidence linking daily energy drink intake to heart abnormalities and seizures, regular consumption of energy drinks is not recommended. There are hundreds of different kinds of mushrooms. Cancer Center. But apples may also help protect against: Another study found that eating white vegetables and fruits, like apples, pears, mushrooms, and onions, may help protect against colorectal cancer. Extracts from mushrooms have been used in traditional Asian medicine for thousands of years. Doctors generally recommend the healthy foods for typhoid below: Up the intake of carbohydrates. If you are ready to make an appointment, select a button on the right. One study of women with ovarian cancer found that women who drank green tea were more likely to survive three years after ovarian cancer diagnosis than women who did not drink green tea. Many studies have found that people who eat a lot of garlic are less likely to develop certain common cancers. This article the second of two which explore how nurses can identify and address problems relating to nutrition and hydration in people with dysphagia. Both Horlicks and Bournvita contain the good things in milk like calcium, protein, and minerals. Research may not translate to patients in the United States. Some types of foods and cooking methods can produce carcinogens, or compounds that increase the risk of cancer. Scientific evidence suggests ethanol as the primary cause of cancer in alcoholic beverages and advises against frequent consumption or heavy drinking. Horlicks Protein+ is available in Chocolate, Vanilla and with No Added Sugar. The Horlicks formula has a vitamin mix added for better nutrition. Include bitter herbs in the juice to prevent cancer outbreaks. Still, certain types of fruits may have cancer-fighting qualities. The calorie count of the meal shake is important because it would be the primary energy source for cancer patients. Policy. ", Advances in Nutrition: "Dried Fruit Intake and Cancer: A Systematic Review of Observational Studies. Cancer patients may benefit from avoiding sugar and other carbohydrates. How to get nutrition during cancer treatment, Infographic: Scalp Cooling Therapy for Cancer, Small cell, large cell cancer: What this means, Stem cells: What they are and what they do, Thalidomide: Research advances in cancer and other conditions, TVEC (Talimogene laherparepvec) injection, When cancer returns: How to cope with cancer recurrence, High-dose vitamin C - Can it kill cancer cells, Advertising and sponsorship opportunities. Grate cheese into an omelette. Most supplements have not been studied extensively in large clinical trials. All rights reserved. Green tea compounds may possess the ability to help slow or prevent this rapid growth. The National Cancer Institute supports significant research into how we can prevent cancer through lifestyle choices. However, these studies analyzed the effects of highly concentrated cherry extracts. Most studies show a positive effect on the immune system, but more research is needed. Horlicks is rich in Vitamins C, D, B1, B2, B5, B6, B12, Folic Acid, Niacin, Biotin, Calcium and Zinc and is a source of Vitamin E and . Padayatty SJ, et al. Theyre especially high in vitamin C, but also contain some potassium, iron, and vitamin B6 (29). What you eat may affect your outlook for prostate cancer. Skip to Site Navigation Medicinal mushrooms are not ordinary mushrooms. Horlicks Oats Porridge with Pomegranate. Mulberries are high in vitamin C and iron, which can help reduce the risk of anemia. The USP and NF seals indicate the supplements have undergone quality control testing. For starters, garlic may be beneficial for cancer patients owing to its immune-boosting abilities, which vary depending on how the garlic has been processed. These Foods Are Increasing Your Risk for Cancer What to Eat Instead. Some animal studies also show that certain compounds in lemons, including limonene, could boost your mood and fight stress to combat depression and anxiety (32, 33, 34). These include improved appetite, improved physical and mental competency, and reduced fatigue. But research shows that a diet filled with a variety of vegetables, fruits, whole grains, beans and other plant foods helps lower risk for many cancers. More in: Raw eggs are unsafe, even dropped into a smoothie. Share how you Call Out Cancer and live a healthier lifestyle. US cancer patient got 'uncontrollable' Irish accent. Like other fruits, theyre high in vitamin C and fiber but also pack plenty of vitamin K, folate, and potassium (35). This article contains scientific references. Toilet Paper May Be a Source of Cancer-Causing PFAS in Wastewater, Study Says, How Cancer Immunotherapy Extended Jimmy Carter's Life and the Hope It Brings to Others, Nonalcoholic Fatty Liver Disease: How 150 Minutes of Exercise a Week Can Help. ", Molecules: "Cancer chemoprevention by carotenoids," "Pomegranate for Prevention and Treatment of Cancer: An Update. You can add berries, cinnamon or slivered almonds to flavor. A study in 28 people showed that drinking 8 ounces (237 ml) of pomegranate juice daily for 4 weeks led to increased brain activity and improved memory (37). Your gift will help make a tremendous difference. Sports drinks dont necessarily cause cancer, though researchers warn against overconsumption of sports drinks because they contain excess sugar and carbohydrates. or 214-645-8300 Cherries are rich in antioxidants and have been shown to decrease the growth of cancer cells in test-tube and animal studies. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. Horlicks is a powder-based health product. 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