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How to Tell If Your Erectile Dysfunction is Physical or Psychological
Episode 26027th March 2025 • Sexual Health For Men • Dr. Anne Truong
00:00:00 00:11:29

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Shownotes

Are you battling erectile dysfunction, wondering if it's all in your head or a red flag for something more serious?

It's a question millions of men face, often leading to confusion and misdirected treatments. I'm here to cut through the noise, revealing the crucial differences between psychological and physical ED. Forget the quick fixes that don't address the real issue. This isn't just another medical lecture; it's your roadmap to lasting, natural erections and a deeper understanding of your body.

Don't let frustration win. Tune in and unlock the answers you deserve.

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If you liked this episode, please SUBSCRIBE, like, leave a comment, and share so we can keep bringing you valuable content that gets results!

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If you enjoyed this episode and want to learn more and get more tips, subscribe to The Modern Man newsletter for exclusive content delivered straight to your inbox! https://dranne.co/themodernman

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For all links and resources mentioned on the show and where to subscribe to the podcast, please visit https://sexualhealthformenpodcast.com/psychological-physical-erectile-dysfunction-causes-treatment

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Ready to empower your health journey? Secure your FREE PDF copy of the “5 Natural Solutions to Overcome ED” today! Dive into knowledge that could transform your life. Click the link below to claim your copy 👇

https://ed.truongrehab.com/five-natural-solutions-for-ed

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Want to regain control of your sex life? It’s time to reverse the effects of ED on your life. Join the Modern Man Club and start your road to full recovery and community.

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Reveal the FREE treatment most men ignore that solves thousands of erectile dysfunction cases every year, plus the 5 biggest mistakes you must avoid if you want to say goodbye to your ED. Uncover it all in my free eBook, available to download now.

https://dranne.co/ebook

Transcripts

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This podcast is for you, the Modern Man. I'm Dr Anne Truong,

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your host. I'm an intimate health medical doctor and best

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selling author of the book, Erectile Dysfunction Fix. I'll

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do a deep dive into sexual health and performance and how

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it affects men of all ages and backgrounds. So let's get

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started, and be sure to visit my website at

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sexualhealthformenpodcast.com for more information and

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resources from the show. See you on the inside.

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Hello there, Modern Man. I'm Dr Anne Truong. I'm a medical

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doctor who treated over 7000 men with ED. In today's episode,

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we're going to talk about, how can you tell whether your

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erectile dysfunction is psychological versus is it a

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physical cause? I get that question a lot, especially in my

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patient who come by to see me, and they want me to

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differentiate whether their ED is either physical or is it more

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psychological? So let's kind of dive into this.

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What are the psychological causes of ED? Number one, it

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could be stress and anxiety, like performance anxiety, fear

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of intimacy, or past trauma can contribute to ED. Depression can

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both affect sexual desire and erectile function. Relationship

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issues such as poor communication between the

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partners, unresolved conflict or even emotional distance. The

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fourth one is low self esteem, often due to past episode of ED

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or maybe unrelated issues. If the symptoms of ED, for

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psychological ED, can be that ED may occur in a specific

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situation or with certain partners, but with other

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partners it may not occur. And that the symptoms are variable.

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It's inconsistent and it's not predictable. It's known by the

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inconsistent ability to achieve or maintain erection. But it's

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also maybe different in circumstances, also different

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with partner. The number one thing is that you're able to

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achieve nighttime erection, and you're able to achieve

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masturbation. So you can get an erection with masturbation, and

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you can get an erection with morning wood.

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Now, what are some of the physical causes of ED there are

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many. Let's just kind of hit on the major point. Number one is

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that if you're smoking, you're going to get ED. That's what

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number one physical cause. And if you're watching porn, then

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you're going to have ED, period. And then the other major

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physical issue is vascular issues like heart disease or

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diabetes, and then issues such as low testosterone or chronic

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conditions such as obesity and certain medication may cause it.

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And also neurological disorders such as multiple sclerosis, such

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as the spinal cord injury, but the number one thing is that

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vascular condition. So if you have heart disease, heart

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disease mainly happen from either high cholesterol or high

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blood pressure, and also, if you're drinking more than 14

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drinks a week, that can contribute to ED as well.

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Okay, Modern Man, you are not alone and you don't have to

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suffer anymore. ED can feel isolating, frustrating, and even

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defeating. The endless guessing, the quiet shame, the weight of

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not feeling like yourself is exhausting. But here's the

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truth, you are not broken. You are not alone. You don't have to

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figure this out alone anymore. The Get Wood Now Boost Program

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is your step by step, path to sexual confidence and

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restoration. No more suffering in silence, no more trial and

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error, just real solution, real result and the confidence you

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deserve. It's time to take back your power on your term. Let's

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get this journey started together. Check out the course

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at getwoodnow.com. I'll see you there.

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ED from physical causes are gradual. It developed over time,

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developed over years, and it's a consistent symptom, unlike the

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psychological ED which is inconsistent symptom. The

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physical cause of ED is consistent symptoms like

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persistent inability to achieve or maintain the erection across

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all situation, across all partners, across all

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environments, and that the physical sign may include, maybe

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atrophy or the penis getting smaller, or there may be bending

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of the penis as well too. So the diagnostic approach to tell

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difference between psychological and physical ED, the doctor

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takes a very thorough history of all your medication, all your

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chronic condition, chronic condition to consider like high

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blood pressure, diabetes, high cholesterol, and your weight,

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your heart rate, all your medication that you take, and

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then your past medical history that you've had in the past. And

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then the physical examination is a test to look for your blood

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flow like, how good is your pulses? What is your heart like,

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your lungs like? And making sure to check that you don't have any

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testicle abnormality or any curvature of the penis, or any

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restrictions, any even atrophy, and also evaluating the

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integrity the pelvic muscles.

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Now on top of that, we look at blood tests. So doctors look at

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blood tests like your hormone level, looking at your blood

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sugar, looking at your blood level to see if you're anemic,

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looking at your kidney function, your liver function, and your

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testosterone level, your total, your free and your sex hormone

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binding globulin data as well. And then, if necessary, do a

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penile doppler ultrasound, as an ultrasound, where we look at the

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blood vessels of the penis to determine how much blood flow is

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going into the penis from the artery and how much distension

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of the veins. And then, now there is a ring that you can

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wear, like the FirmTech ring. Check the link below to get that

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where you can put it around your penis to see if you have night

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time or morning erection that you may not be aware of. And of

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course, as doctors, we also assess to see what your stress

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level is, your anxiety level is, and your relationship issues.

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So you account for all this, and with the thorough history, you

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can somewhat differentiate psychological and physical

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causes. And then, once this is determined, a treatment is

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tailored based upon the identified causes. Always treat

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the cause of your ED rather than just taking an ED medication.

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Because when you take an ED medication, you're just treating

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the symptoms. You're not treating the cause of ED. If

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you're taking ED medication, it's like putting a band aid on

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an infected wound. You're just covering it up because you're

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not treating the causes, which could be diabetes, high blood

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pressure. Maybe it's the smoking, maybe this drinking a

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lot, and maybe it's the overweight then. So if you're

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not treating the cause of the symptoms, then your ED will only

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get worse over time, even with ED medication. So I hear men

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say, "Well, I take Viagra, and it works very well, but what's

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going to happen in a year from now, three years from now, it's

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not going to work very well, because the cause of why you

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have ED in the first place have never been addressed. Just like,

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if you have a tooth that is hurting, would you just brush it

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and just soak it with just mouthwash, rather than trying to

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go see the dentist and find out what's going on. So look for the

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root cause of the problem and treat it. You treat it early,

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you're gonna have total reversal of your ED and sometimes it's

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just as little as changing your diet, and sometimes it's just as

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little as maybe you need to lose a little bit of weight. And if

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you start early, then you're gonna have more remarkable

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recovery. So having said that, I hope you enjoyed this episode. I

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would appreciate it if you subscribe to the channel, share

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the channel to someone that you think may benefit from this.

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And that just know that you do not have to live in ED there are

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options, and you don't have to live with it. You don't have to

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suffer in silence anymore. There are alternatives. That's why I

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created the course Get Wood Now Boost program where you don't

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have to suffer in silence, and that these are a success path

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for you to start getting erection function again. Check

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it out at getwoodnow.com. Check out the link below. Now just

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know that you can be the Modern Man again to live a sexual,

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fulfilling life. I will see you in the next episode.

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Okay, Modern Man, you are not alone and you don't have to

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suffer anymore. ED can feel isolating, frustrating, and even

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defeating. The endless guessing, the quiet shame, the weight of

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not feeling like yourself is exhausting. But here's the

Speaker:

truth, you are not broken. You are not alone. You don't have to

Speaker:

figure this out alone anymore. The Get Wood Now Boost Program

Speaker:

is your step by step, path to sexual confidence and

Speaker:

restoration. No more suffering in silence, no more trial and

Speaker:

error, just real solution, real result and the confidence you

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deserve. It's time to take back your power on your term. Let's

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get this journey started together. Check out the course

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at getwoodnow.com. I'll see you there.

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Thanks for listening to the Sexual Health for Men Podcast.

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If you love this episode, then please take a screenshot on your

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phone and post it on Facebook, Instagram, or wherever you post,

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and be sure to tag me and let me know why you like this episode

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and what you like to hear in the future. That will help me know

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what's great for you and I would love to give you the most

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incredible free gift designed to help you improve performance

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quickly. Go to my website at sexualhealthformenpodcast.com to

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get the book, The Five Common Costly Mistakes Men Make When

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Facing ED. I would appreciate if you subscribe, leave a review on

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Apple podcasts or wherever you listen. And just know that you

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can have sexual vitality for life. I appreciate you until

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next time.

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