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21 comments
For
MrStrawHat5y ago
Regardless of whether you believe the calories in/calories out model or hormone theory of weight gain, fasting is the best way to lose weight as it is simpler to implement (i.e. you don't have to measure food), cheaper (just skip a meal instead of getting a low-calorie one) and has a greater historical precedence.
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Against
eleanorburleigh5y ago
**No, [fasting] (https://www.ucsf.edu/news/2020/09/418611/time-restricted-eating-doesnt-work-weight-loss) is not better than [calorie counting] (https://www.healthline.com/nutrition/does-calorie-counting-work#how-your-body-uses-calories). Both are unsustainable. The key to healthy eating is through balance and listening to your body.**
- [Multiple studies] (https://www.health.harvard.edu/blog/when-dieting-doesnt-work-2020052519889) have found that [fasting and calorie restriction have similar effects on weight loss] (https://www.medicalnewstoday.com/articles/intermittent-fasting-no-better-than-calorie-restriction-for-weight-loss). They can be effective in the short term, but neither is generally sustainable long term. Looking at a range of weight-loss diets and finding very similar results, this article suggests that [95% of dieters overall regain any lost weight within 1-5 years] (https://globalstudies.unc.edu/wp-content/uploads/sites/224/2013/11/Wilen-Cora-The-95.pdf).
- The enormous range of diets that exist and the entire [lucrative industry] (https://www.cnbc.com/video/2021/01/11/how-dieting-became-a-71-billion-industry-from-atkins-and-paleo-to-noom.html) that's sprung up around diet culture is an indication that none of them actually work.
- Yes, on a basic level, losing weight happens when you create and maintain [a calorie deficit] (https://www.medicalnewstoday.com/articles/263028#:~:text=The%20United%20States%20government%20states,more%20active%20lifestyles%20than%20others.). But - the amount of calories that your body needs is dependent on many factors, and it's not something that any generalised diet advice can tell you. [Calories are what your body transforms into energy] (https://www.healthline.com/nutrition/does-calorie-counting-work#difficulty-losing-weight-when-counting-calories). And based on genetics, hormones, normalised eating habits, etc., [the amount needed to fuel one person's body daily will differ] (https://www.medicalnewstoday.com/articles/263028#:~:text=The%20United%20States%20government%20states,more%20active%20lifestyles%20than%20others.).
- What works in the long term for weight loss and healthy eating? I think it's finding a source of physical exercise that you enjoy and will stick with and a balanced diet that consists of food you like. There are also so [many factors besides food] (https://www.ncbi.nlm.nih.gov/books/NBK221834/) that contribute to successful weight management.
- My overall point is - 'one-size-fits-all' dieting solutions like intermittent fasting and calorie counting have been proven [not to work in the long term] (https://www.nutritionist-resource.org.uk/blog/2020/10/02/why-diets-dont-work). You need to disconnect from generalised weight loss practices to find what works for you and you alone.
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MrStrawHat5y ago
You didn't provide evidence that fasting is unsustainable, only that [calorie counting] (https://www.health.harvard.edu/staying-healthy/stop-counting-calories) is. The longest fast [documented] (https://pmj.bmj.com/content/postgradmedj/49/569/203.full.pdf) lasted 382 days, showing that fasting is an effective approach to weight-loss over a long span of time. I'm unable to find studies about long-term intermittent fasting, but that doesn't mean it's unsustainable as we see [religious practices of fasting] (https://en.wikipedia.org/wiki/Fasting_during_Ramadan) which have lasted generations.
My previous point was that fasting [is easier to implement] (https://jamesclear.com/good-bad-intermittent-fasting) than calorie counting, with similar weight-loss effects. However, I think the [study you showed] (https://www.medicalnewstoday.com/articles/intermittent-fasting-no-better-than-calorie-restriction-for-weight-loss) was quite poor as, by the admission of the authors, only overall weight loss was measured, not body fat. There are [several studies] (https://watermark.silverchair.com/z4w00605001347.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAskwggLFBgkqhkiG9w0BBwagggK2MIICsgIBADCCAqsGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQM8D12oHqLmWZEganCAgEQgIICfKAoVZ9G-3Sv5aShtCymn9KnhT8ufFE3TkEOrOjD4uLAT8vMMoJm-PHA6LSZHIVbTsy6KG7ye-EtpZxZDq0QCXrbyYvMvNg4_un_zPxtE-g-sLSyuGmohrj50jmesTNRUcdof51kqXRz-iFNGFNYu3FJpfdIgY_O4EsLRPrC2M1Fs5Km_qYSXd3ja_jRblRnZralk-k_uSKWalEJ7qpnjPTORYJNlWIlvUwgnViNRLdxCQHrGL-UHudVw1h35izTQw2dVpvIpJJaLA-TLN6CnjwKBiPGsHhrZ8pwK-pGb6r7I3G8ZHsXfqYfvxE_nKpheGuRuc1VQhV6YKR0pN_HZfX129WDfeYPHYwSB8mISNBmA6MKWNRzOj0DftfL0h3IFMoS1uAgtLeUukfkFmdujl2wVT1IAmXYQpXA9oQHm1FDDDzGiwdIGFatrovfWoy2ukRpTdGWni91ba8QJECxUhLTDozr_xRx8nHNJlnl5DXmEXwF083HH87BjpQBqyYZWy3uS9d2ug__KeWd8U4hFfY5rGWb2MOAk3jPB3MicYVSZakrnsY1wHPau4UlZXG1GgTHDi7hKu4TwyT4J411YnOt85e-EJ0lUzgaBVtMk_jk90Vm89i8REekQlGIYH61xVz44OpHFni2XbqWVem5Vc4GDxg5a87fSXnGKxbn1FyBVvv5xYHtlTfeKgD0ns6AOp-lQO4xCjCIEaNaU4o86IQdVpLu6Z72exqWgaGKp9xuz5ddh7hgNbk-x_MZfrr6NqheXKpK-uc5_NjCWaQ9GfF48PUTFd9Jm3mOF_wRhSGEclGG8uROKfXCAQTxeJ-SAj8Nco7cD6G6HFkZlg) showing that calorie restriction comes with muscle loss, whereas fasting [preserves] (https://pubmed.ncbi.nlm.nih.gov/24215592/) muscle mass. On top of this, calorie restriction has many [drawbacks] (https://www.nutritionist-resource.org.uk/blog/2020/10/02/why-diets-dont-work) such as fatigue, loss of strength, and overall deterioration. Not only this, but calorie counting is just restricting the amount of food you eat, resulting in [more hunger] (https://www.webmd.com/diet/features/stop-counting-calories) and can lead to weight gain due to a rise in cortisol levels. Compare this with the hormonal effect of fasting, which shows that, not only will you lose fat during a fast, but you will get [less hungry] (https://pubmed.ncbi.nlm.nih.gov/15522942/) as overall levels of ghrelin decrease during a long fast.
This is ignoring the other [health benefits] (https://www.nejm.org/doi/full/10.1056/NEJMra1905136) of fasting. [Improved insulin sensitivity] (https://www.sciencedirect.com/science/article/pii/S1550413118302535) shows that fasting is an effective strategy to mitigate at least the risk of diabetes, if not the actual disease itself. On top of this, there's evidence suggesting that fasting [increases longevity] (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4257368/), improves [cardiovascular risk] (https://journals.sagepub.com/doi/abs/10.1177/1474651413486496), and even [regenerate your immune system] (https://www.clevelandclinicabudhabi.ae/en/health-byte/pages/fasting-health-immunity-is-there-a-connection.aspx) showing there are multiple health benefits of fasting outside of weight loss.
Your point that there are factors besides food that account for weight management, frankly, isn't very good. For most people, what you eat and when you eat is going to be the greatest factor in weight-gain, as you can't gain weight without eating. Calorie restriction will be difficult for many people, as it is a constant chore, especially for eating out, to count how many calories you're eating. In first world countries [obesity is linked to poverty] (https://pubmed.ncbi.nlm.nih.gov/25292135/) which shows that obesogenic foods are cheaply made and the most easily affordable. Therefore eating a nutritional meal and losing weight is difficult to do for people with a low-income. However, fasting is a better option for these situations, as fasting can be done after a social meal, and will reduce hunger for those who can't afford healthy meals, as I previously mentioned.
Your point to 'find what works for you and you alone', doesn't work for me. The diet that worked for an obese person made them obese. If you're talking about treatment for obesity, well, death is imminent for many obese people, and they simply may not have the time left to find what works for them. If you believe obesity is a disease, then it needs a radical treatment, if someone had measles would you suggest they find what works for them?
Your sources mostly point to the evidence that fad diets don't work, which I agree with. But my point isn't about fad diets, it's about calorie restriction. The [reason](https://www.nutritionist-resource.org.uk/blog/2020/10/02/why-diets-dont-work) people fail fad diets is that diets deprive you of food, but fasting doesn't do this, it just delays the time when you eat it, therefore it's less restrictive. As to your original point about 'The key to healthy eating is through balance and listening to your body', I think this is a vague notion, but I kind of agree with it. I think the way humans are supposed to eat is a nutritional meal whenever you're hungry, if that's what you meant. But I think this isn't achieveable in the modern 3-meals a day/breakfast is important society and I think fasting is a better compromise than calorie restriction.
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ParliaMod5y ago
This is a very interesting and detailed post, but please remember: none of us is trying to win an argument so much as understand each others point of view.
Please be careful with comments such as 'your point about X isn't very good' or 'the study you shared is poor' - those points, should you believe them, are best made by going into the details of the study that you disagree with.
Check out the [Rules of Parlia](https://www.parlia.com/article/rules-of-parlia) and please make suggestions there too.
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MrStrawHat5y ago
"Are best made by going into the details of the study that you disagree with"
I did
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Nsoper194y ago
Nearly every religion and culture other than the Western culture of Fast-food instant gratification has some form of fasting built in. Muslims for example have incorporated fasting into their religion and cycle of life for centuries. Seems pretty sustainable to me.
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Mixed
Julianne5y ago
**I'm sure it depends, but one reason I love the act of fasting is its biological benefits.**
The proven [benefits](https://www.medicinenet.com/what_are_the_health_benefits_of_fasting/article.htm) of fasting:
- "Decreased resting heart rate (HR)
- Decreased blood pressure (BP)
- Improvements in pumping action of the heart
- Lowered levels of LDL or bad cholesterol
- Reduced level of fasting insulin
- Increased insulin sensitivity
- Fasting for a short time can produce ketosis, which accentuates weight loss
- Reduced production of inflammatory substances (such as HOMA-IR and C-reactive protein) in the body
- Ketosis during fasting triggers several responses, including decreased inflammation, improved blood sugar regulation and better response to physical stress
- Fasting can slow down aging, prevent the development of diabetes, thyroid disorders, hypertension and heart disease and increase the chances of a long and healthy life. It also promotes weight loss. A healthy body weight automatically translates to healthier joints and a great body image."
- Anti-inflammatory and decreased cancer risk as well as slower aging
- More mental sharpness as ATP/energy is more available to the brain during periods of fasting
- Decrease of toxins in the lymphatic system and bloodstream, also contributing to, among other things, more mental acuity
- Dissolving of diseased cells to make room for healthier tissue
- Decreased neurological disorders
- In a comment above, [some](https://www.nejm.org/doi/full/10.1056/NEJMra1905136) of MrStrawHat's [sources](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4257368/) reiterate the health benefits of fasting
- Even given all these benefits of fasting, I would agree that it depends on what works for the individual person. Some people may not be able to fast for various [health reasons](https://www.webmd.com/diet/features/is_fasting_healthy#1), such as diabetes, long-term conditions like liver, kidney, or heart problems, compromised immune system functioning, or the use of certain medications
Sources: https://www.medicinenet.com/what_are_the_health_benefits_of_fasting/article.htm
https://www.webmd.com/diet/psychological-benefits-of-fasting#2-3
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MrStrawHat5y ago
I agree, but I'd argue this is why fasting is better as it overall holds more net benefits. Saying it depends on the individual seems a bit obvious to me.
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Julianne5y ago
That's true. I guess I should say, then, that overall I do believe fasting is better than calorie counting, since, as we both agree, it has tons more benefits in addition to weight loss.
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Turi5y ago
What's the best way to fast, do you think?
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Julianne5y ago
I personally like the 16:8---16 hours fasting, 8 hour window for eating. I like to have the last meal of the day by usually 8p.m. and then not eat again until noon or up to several hours after noon the next day. Having the majority of the hours being sleep hours anyway makes it feel like I'm not even fasting, necessarily, which is a great benefit.
Fasting for several full days per week can also work really well for a lot of people, but I'm partial to the 16:8 since it feels steadier, and thus to me more manageable/habitual---easier to stick with long-term. Another way is to only eat meals when you're hungry and skip them when you're not. This seems also to be suitable for the long-term.
There hasn't been a ton of [research](https://www.mindbodygreen.com/articles/minimum-hours-you-can-intermittent-fast-and-still-get-health-benefits) on comparing the styles of fasting, but some experts feel pretty certain that weight loss benefits kick in with 12 hour fasts or longer, but nothing less. Around 16 hours seems to be when the deeper, more sustained fat loss processes kick in. And 24 hours or above of fasting is necessary, researchers think, for any of the autophagy results to come out (the reduction of oxidative stress and inflammation.)
Overall, it does seem that the 16:8 method is one of the most popular, if not the most, because, again, it seems to be easiest for the long-term for a lot of people. It may not lead to exactly the same level of anti-disease and anti-aging benefit as methods which use whole days of intermittent fasting, but for weight-loss, it seems potentially optimal. (It's also possible to get the best of both worlds---using the 16:8 method for a daily, long-term thing, but then having a few days per month of 24 hour fasting (or slightly longer) to reap the benefits at a cellular level as well. There is evidence that that can be enough, since it can be done over a lifetime, which is the span of time over which chronic diseases develop anyhow. Perhaps the mix of 16:8 with a few full days of fasting per month could be a candidate for the optimal way of fasting for most people, short-term, long-term, and then even longer-term.)
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Turi5y ago
Thank you! Super helpful!
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Mixed
manshakapur5y ago
**Despite the relative health benefits of one over the other, it ultimately boils down to the individual's psychological and physical needs.**
We can compare fasting and calorie counting on multiple levels: health, convenience, and psychology; however, each of these metrics invariably differs between people. Arguing in favour of one over the other, therefore, becomes irrelevant, because _the 'best' approach is the one that minimises psychological risk while providing your body with the nutrition and sustenance it uniquely requires._
There are several psychological implications to consider when assessing the dangers and/or benefits of fasting and calorie counting. With even biological advantages and disadvantages often lacking concreteness or generalisability, the psychological aspects are even more so subject to the nuances of lifestyle, psychological history, and genetic make-up.
- Both intermittent fasting and calorie counting can encourage the development of eating disorders and unhealthy relationships with food. For example, fasting is associated with [bulimia nervosa](https://centerfordiscovery.com/blog/the-dangers-of-intermittent-fasting/), and those with history or family with the disorder are advised to avoid this approach. [Studies](https://pubmed.ncbi.nlm.nih.gov/31881139/) have also shown that delayed eating is associated with a higher likelihood of experiencing episodes of binge-eating and overeating.
- Similarly, [according to](https://aaptiv.com/magazine/counting-calories-can-affect-mental-state) Health Counselor [Rachel Relkin](https://www.psychologytoday.com/us/therapists/rachel-relkin-new-york-ny/447735) "counting calories can also be a behavior or symptom of those who suffer from eating disorders, obsessive compulsive disorder, or even anxiety". Much research into the effects of calorie counting apps in particular demonstrates that they " intensify the rigidity associated with calorie counting", with notable proportions of participants reporting an increase in unhealthy behaviours upon using such tools as they track their diets.
It is worth noting here that many of these [studies are correlational](https://www.psychologyinaction.org/psychology-in-action-1/2018/4/29/calorie-counting-and-fitness-tracking-technology-associations-with-eating-disorder-symptomology) and rely on self-reported data. It is possible that the converse is true instead - that those with unhealthy relationships with eating are more likely to engage in these behaviours.
Additionally, dieting regimes and strict eating patterns themselves may be aggravating for those at risk of eating disorders, in which case the specifics of the regime should be judged on an individual basis. This again highlights the individuality of the effects of various diets, as it places both fasting and calorie counting on an arguably equivalent pedestal.
- On a more positive note, calorie counting has the potential to improve your awareness of food intake and help you take control of your diet. Understanding the value of your food might prevent you from overeating, or can help you plan your meals and macros.
- At the same time, however, adhering stringently to the tracking regime can [detrimentally affect](https://www.health.harvard.edu/healthbeat/dont-count-calories-but-be-aware-of-them) your awareness of your biological satiety and hunger cues, making it difficult to stop counting calories without engaging in other unhealthy behaviours.
- According to this [short term study](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4992682/), intermittent fasting can lead to an "increased sense of achievement, reward, pride, and control", as well as "irritability". The effects of the practice on one's mental health are [contingent on the individual's self-perception](https://www.psychologytoday.com/us/blog/the-healthy-journey/202006/the-psychology-intermittent-fasting) and relationship with the routine; positive and self-empowering attitudes will, needless to say, guard against potential negative and stress-inducing results of the regime.
Overall, calorie counting and fasting can have varying effects on psychological as well as physical health. Whether one is better than the other is arguably more difficult to determine given the subjectivity and correlational nature of studies in health psychology, as well as the numerous factors at play by virtue of our individual tendencies, experiences, and habits.
There is, however, one way we might attempt to establish a hierarchy between the two: statistically establishing that one of the two is less likely to cause psychological or biological harm. Until - and even after - this information can be determined, however, I maintain that the practice of placing diets on podiums does not help the individual and can, instead, perpetuate superficial approaches to dietary change and health. Choosing a diet that works to your advantage involves listening to your own mind and body, and, in this light, no one option is generalisably 'better' than another.
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For
distributist5y ago
Being an ascetic is better and more virtuous than being a miser. The ascetic has more freedom and virtue than the miser. Correspondingly, the faster has more virtue than the calorie-counter.
The faster chooses to live cheaply (he will eat high-calorie, high-nutrition, cheap foods when he needs them), and attains self-control to the point of complete denial, unlike the tepid calorie-counter who spends a premium on 'low calorie' foods which are not nourishing, and completely misunderstand the point of what food is.
A seasonal cycle of fasting-feasting is inline with God's creation- endless teetotalling is not.
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Commentary
erinosgood5y ago
**Neither of these methods are a guaranteed fix for a healthy body and mind, and fixation on food is likely to only cause problems**
Calorie counting has been shown to [oversimplify the complex process of digestion]( https://www.scientificamerican.com/article/science-reveals-why-calorie-counts-are-all-wrong/), as the human body is far too complex a machine to process food in simple numbers. Moreover, [fasting also can incur side effects that mean it is ineffective for certain people]( https://www.health.com/nutrition/4-reasons-not-to-try-intermittent-fasting). Our collective approach to nutrition has to contain nuance, as a one-size-fits-all approach is just a recipe for disaster.
Here is why eating according to your own body is more important that following trends, while still staying healthy:
• The concept of [intuitive eating](https://www.healthline.com/nutrition/quick-guide-intuitive-eating) has been praised as a method of learning your own body’s hunger signals, encouraging you not to over- or under-eat
• People have a multitude of differing [dietary requirements from nut allergies to lactose intolerance]( https://www.statista.com/statistics/694497/dietary-restrictions-in-the-united-kingdom-uk/) meaning that while fasting may be effective for some people, it could be problematic for others
• Fixating on the content of food or how to maintain nutrition has been linked to disordered eating habits, such as [orthorexia](https://www.beateatingdisorders.org.uk/get-information-and-support/about-eating-disorders/types/other-eating-feeding-problems/orthorexia/).
Nutrition is _essential_ for a healthy life. But a hyperfixation on what you eat and how you eat it is a slippery slope that is not to be taken lightly.
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Against
KJM715y ago
Neither fasting nor calorie counting sounds like living a happy, healthy life. How about trusting your body’s cues that you are hungry and full?
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Julianne5y ago
I definitely do agree with you. I only just wonder if there might not be a mismatch between these cues, which sometimes causes problems for people---some think we evolved in a certain way that doesn't enable us to use these cues very effectively when combined with the modern life, etc. For instance, we get hungrier when we haven't eaten for a while, but our body might tell us to binge/overeat at that point. Which would have been fine if we were going to then go without food again for a long time, as perhaps happened frequently to our ancestors, but which potentially becomes less fine when we are able to eat again relatively soon after because of modern convenience? Not sure, I could be completely wrong. It's quite true that most of us could probably listen to the hunger and fullness cues and be just fine, but I wonder if sometimes it's harder for some people to do that than to try fasting or other methods.
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MrStrawHat5y ago
With obesity on the rise, I’d say listening to your body simply doesn’t work
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Raenryong5y ago
I would argue that the body informs you based on experiences it is familiar with, as opposed to necessarily objectively correct ones.
Someone who is overweight and used to eating at a surplus will consider that a normal state of being, and attempting to enforce a lower calorie limit will induce feelings of hunger.
Likewise, for a diabetic, for instance, if they have consistently lived with an elevated blood sugar level for a long time, reducing it to normal levels can create symptoms normally associated with abnormally low blood sugar, even if their present level is actually completely healthy (i.e. at the level of a non-diabetic).
The body's responses are coloured by familiarity rather than objective truth, and the human ability to adapt to its environment can be a negative thing in this instance.
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For
rabidfox4y ago
**As far as weight loss is concerned they both work!**
_I think periodic fasting (not fasting every day) is much better than simply calorie counting which can be mentally and physically draining._
I personally utilised fasting due to having poor hunger signals and specific health problems that make weight loss harder. Its worth noting that there are different types of fast like OMAD, 8:2, 2MAD, alternate day fasting, extended fasting, protein-sparing modified fasting which has different uses and works for different people even deciding not to eat after 6 pm is afast.
* Fasting allows you to eat the same foods and stay more satiated longer by reducing hunger hormones and increasing satiety hormones.
* Fasting preserves muscle in calorie deficit due to ketones being muscle sparing.
* Fasting can help you save money and focus on food quality as you have more spare time due to less meal preparation.
* Fasting is sustainable if you treat it as an eating protocol and not a diet.
* Fasting lets you intuitively control calories unintentionally so you spend less time thinking about what to eat.
* Fasting slows down thermogenic adaptation so your metabolism does not drop as much as you lose weight (see the matador study).
* fasting controls blood sugar and systemic insulin sensitivity.
That being said you can lose weight and increase insulin sensitivity via caloric restriction or simply swapping carbohydrates for protein and fiber can even be an effective method.
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