Many people know that fentanyl is a growing problem in all corners of California as well as America. Unfortunately, however, a silent crisis is growing in San Diego County. The most sobering part is that the drugs are the kind that are legally available as well as sold on the street; prescription drugs. And overdoses related to prescription drug use, including opioids,  in 2020 rose to 576 deaths. That’s nearly double the number of overdoses in 2019.

Who Are Most Vulnerable To Overdosing on Prescription Drugs?

According to the Prescription Drug Report Card, men are the most likely to die from an overdose. Out of the 576 overdoses last year, 430 victims were men, and 146 were women.

Prescription drug statistics included opioids, including fentanyl, which has contributed to the most overdose deaths in the nation in the past year.

Prescription Drug Overdose Deaths Are Preventable

Many institutions, including music or arts venues, now keep their supply of naloxone to help reverse overdoses. Naloxone can start working in a matter of minutes, and it’s available from harm reduction organizations and healthcare providers. People who use Medicare or Medi-Cal need a prescription from their doctor for it to be covered. However, some participating pharmacies offer it without a prescription.

The best way to prevent an overdose is to get clean and sober. Staying sober in the long term can help you live your best life. Addiction is a progressive disease, and few people have found recovery without a bit of help.

If you’re addicted to prescription drugs, help is available.

Symptoms of a Prescription Drug Addiction

If somebody you love may have a problem with drugs, you may wonder what the symptoms of a substance use disorder are.

Evidence of misusing prescriptions:

  1. Powder in bags or on mirrors or hard surfaces. Some people with substance use disorder crush pills and snort them. Some people smoke them or inject them. Needles, plastic bags with residue, and glass pipes with burn marks may be evidence of misusing prescriptions.
  2. A person “nods out” or is often groggy during the day, even when they get more than 8 hours of sleep. They may slur words or seem drunk if they are shaken awake.
  3. Hoarding pills from multiple doctors. Evidence of numerous bottles of pills that contain the same prescription.
  4. A considerable change in their lifestyle; they may avoid all of their family and friends. They may begin to have financial trouble, have trouble keeping a job, or simply seem to have ultimately decided to “opt-out” of their former lifestyle.
  5. They may try to stop using prescriptions or promise to stop using, only to start again a few days later. This may be due to physical withdrawal symptoms that make it incredibly challenging to get sober without help.
  6. They may have legal trouble, get DUI’s, or be arrested for forging prescriptions.
  7. They may steal or mismanage the family finances or have other secrets that alienate them from others.

Getting Help for Addiction in San Diego

If you or somebody you love has a problem with prescription drugs, we’re here to help. Getting sober can seem to be a huge task if you’re addicted to a substance. This is why getting help is important! We’re here to help you get started on the journey to recovery. Give us a call at 619-363-4767.


The County of San Diego recently published stark numbers about addiction overdoses. Overdose deaths during the pandemic are a parallel public health crisis. Deaths have increased at least 50% since the same time last year. Three people overdose and die daily, mostly from opioids.

The indirect causes of overdose deaths vary. Some people are newly addicted, some have relapsed, and others may have increased their drug use or are struggling to maintain it. Drug supplies have been spotty on the streets of San Diego for illicit drug users, causing them to turn to other sources. Fentanyl is often found in drug supplies that are sold as heroin or Oxycontin.

Pandemic and Relapse

San Diego isn't the only place where people are struggling. The pandemic has, in part, ushered in a new addiction epidemic. Like many people, some individuals in recovery have struggled with isolation, and anecdotally there is a decent percentage of people who have relapsed since the beginning of the COVID-19 lockdowns.

Drugs are not flowing on the streets the way they used to due to border shutdowns and fewer flights. Thus, pills are often cut with fentanyl, which is very potent and can be fatal to inexperienced people using it.

Addiction, also called substance use disorder, is found among people from all backgrounds. Addiction is a disease and has its progression. The good news is that help is available.

Detox and treatment can help you overcome addiction and reclaim your life.

Preventing Overdose

If you or your loved one has relapsed, getting clean and sober may not happen overnight.

Keep a supply of Naloxone, an overdose reversal drug, with you if you or somebody you love uses opioids. In San Diego, a primary care physician or other healthcare can prescribe it for you. Check-in with your loved ones or commit to having them check in with you once or more times a day. Let them know that you'll have to call them an ambulance if they don't get in touch.

If you suspect your loved one has overdosed and you can't get in touch with them, it's okay to call 911 and let them know you suspect an overdose.

If a loved one turns blue, is unconscious, or has shallow breathing, don't hesitate to summon emergency help—call 911.

Getting Help

The best way to prevent an overdose is to get clean and sober through a reputable program. We can help you start your journey through recovery and begin to reclaim your life. Our caring intake coordinators are standing by to answer any questions you may have about detox and treatment. Call us today at (619) 363-4767.


Our Medical Director Dr. Milgram has this message we wanted to share here. He is in recovery himself for decades and is known as an inspirational figure in the San Diego recovery community:

Worry, fear, boredom, anxiety, loneliness, escapism, insomnia; these are the emotions that plague our society.   The plague that is COVID is making these human imperfections more frequent and more pronounced.

There are healthy effective ways we can not only deal with these feelings and situations. But it is human tendency to take an immediate and effective way to escape: The Devil’s Drugs. They are too readily available. There is easy access to someone who can promise you the gates of heaven. You are invincible. And you want it now. From a friend or family member who has some. Or from a prescriber who will prescribe, sometimes inadvertently but often as a legitimate dealer. Hey, maybe it‘s even covered by your insurance. Maybe you know somebody who knows someone who can get it for you in a park or a parking lot. Trust me. You are not invincible. These are not your grandparent’s drugs. These synthetic drugs have a high addiction potential. I don’t think they should have ever been released to the public, like Quaaludes. You give these drugs to a thousand white mice…and a thousand whit mice will be pushing that button for more. Physiologically, we are not dissimilar from a white mouse. They use these same white mice to test the drugs and extrapolate to human consumption. WE WANT MORE OF THAT!!

These drugs cause what is known as hyperalgesia. Let’s say you stroke the hairs on your arm with a feather. These drugs make a stimulus that would be a tickle or an unpleasurable event and convert it to pain. What do you do? I WANT MORE OF THAT!! 

Then you develop tolerance to the drug. Until you rapidly, sometimes within days, need more to get you to that place where you want to be. And you then know. I NEED MORE OF THAT!!  

NAD+ Helps with Detox and Recovery

We have been very successful treating alcoholism and drug addiction to heroin, opiates with our innovative and experienced team and the magical molecule of NAD+ (Nicotinamide Adenine Dinucleotide), which detoxifies and fixes your brain, relieving withdrawal symptoms and cravings with much greater regularity than your neighborhood rehab center. But these are The Devil’s Drugs. And they require an all out and effective therapeutic approach to avoid the gates of hell; loss of you job, your family, your money, your home. And finally you lose yourself and then you lose hope. Benzodiazepines (Xanax, Klonipen, Ativan, Ambien and the sort) are not a good solution. You solve a problem by creating another problem. But prescribers too readily whip out their prescription pads to give you a stopgap that may be as bad or worse than the original problem. Please don’t take Kratom either. Often the addiction to Kratom is worse than heroin. Unfortunately, it is readily available and touted as “natural”. When you are addicted to Kratom, you may be suffering such terrible withdrawals that you have to use through the night every two hours.

The best way to avoid this whole situation is to not allow these drugs into your body. Avoid them all-knowingly because I have here told you of their power, their danger, and the high percentage for your physiologic tendency as a normal human being to succumb to the power of these drugs. But it is human tendency to think you are different, stronger, better, even invincible. I WANT TO FEEL IT, NOW!!

We have an alternative therapy here in Carlsbad, with the magic molecule (NAD+) that is already present in every living animal and plant cell. And that the body naturally uses to detoxify, heal, pump up immunity, and create new neural pathways that results in less cravings, less withdrawal symptoms and a high degree of long-lasting sobriety, health, longevity and wellness. We help restore restful sleep, use additional therapies, and get you on the road to a new life free from the influence of these drugs.

NAD+ is the magic. There is an art to the administration of it—starting with the best NAD+. Then there are therapies that enhance and propagate the NAD+ effect. Then, once off the drugs, you need to deal with the emotional, physical, depression, anxiety, any underlying mental disease, situation, and establish an ongoing program of healthy nurturing lifestyle.

There is such a thing as recovery, let us show you.

I am The NAD MD,









The pandemic has made life difficult for millions of Americans. Economic depression, lost jobs, and despair alongside the pandemic's isolation have caused more drug use than ever. Sadly, across the United States, fentanyl is causing overdoses at record levels. In San Diego County alone, there are currently three deadly overdoses a day. The opioid crisis hasn't been this bad for four years, and experts worry that addiction is snowballing quietly.

Fentanyl Contaminates Supply Chains

Researchers have sounded an alarm for the past few years about the rise in overdose deaths involving fentanyl. The majority of overdoses now involve the drug, which is 50-100 times as powerful as Morphine. Overdoses that involve fentanyl are usually deadlier because of the potency of the drug.

For people who have an opioid use disorder, there are many risks to take when buying drugs. Regular drug supply chains are strained, and China has outlawed the manufacture of oxycodone (aka Oxycontin) and fentanyl. Because of this, chemists that rely on illicit drug sales have been offering fentanyl either as an adulterant or alternative to other opioids. Chinese drugmakers funnel fentanyl through the Mexico border, and from there, it makes its way into heroin, Oxy, and other street (and internet) drug dealers.

Addiction More Prevalent, Support is Key

Coroners believe that most of the overdoses that they are seeing are accidental. People who have relapsed from recovery are already more likely to use more of a drug than their body can handle. Now, they can fall victim to isolation and a relapse cycle. Some people end up self-medicating their mental health disorders too.

Harm reduction advocates recommend that family members of people with an opioid use disorder or other addiction know the signs of an overdose. Keep Narcan (an opioid overdose reversal drug) in the house. There are even test strips that can help drug users test their supply for fentanyl. Ask to speak to family members you love via video and set up times to check-in.

There IS help available for people who need it. Offer support and love and even help find resources, such as a therapist or inpatient program for substance use disorders.

Getting Help During a Pandemic

Getting help for addiction during a pandemic starts with the same step as always – reaching out! We're here to help you create a new journey and plan your next steps. You're powerless over your addiction, but you can help yourself start a path to recovery.

Give us a call at 619-363-4767 to learn more about your options.

It wasn't their fault, I thought it couldn't happen to my parents...could they be next? She hurt her hip last year with a fall and we haven't spoken much since....we call them accidental addicts. Those family members that only needed a relief from the pain of an injury or surgery or a tooth extraction.
There continues to be a large "treatment gap"
in this country.
 In 2013, an estimated 22.7 million Americans (8.6
percent) needed treatment for a problem related to drugs or alcohol, but only
about 2.5 million people (0.9 percent) received treatment at a specialty
Drug use is increasing among people in their fifties and
early sixties.
 This increase is, in part, due to the aging of the baby
boomers, whose rates of illicit drug use have historically been higher than
those of previous generations.


The baby boomers are coming!  High rates of lifetime
illegal drug use among the baby boom generation, people born between 1946 and
1964, suggest that the number of older adults using illegal drugs will increase
in the next two decades.  In fact, it has been predicted that by the year
2020, the number of persons needing treatment for a drug abuse and
addiction will double
 among persons aged 50 or older.
FACT:  1 out of every 8 people seeking help
for substance abuse, including illegal drugs, prescription drugs and
over-the-counter drugs (OTC) is over age 50.
Coping with an increase in addiction among older adults is a
challenge that most aging people never thought they would have to face.
Neither did their families.  But, dealing with addiction among older
adults requires our immediate attention.
MYTH:  There is no point in seeking
treatment- it’s too late to change.
FACT:  Good news!  The recovery rate
for older adults in addiction treatment is as good or better than that for
younger people.
MYTH:  Older adults suffering from drug
addiction lack the inner strength to fight and overcome this disease.
REALITY:  Addiction has many possible
causes but lack of inner strength is not one of them.  Causes of addiction
include heredity, stressful events such as the death of a loved one,
retirement, health problems and reactions to medicine.
General Warning Signs of a Drug Problem with Older Adults
Caution:  Some general warning signs of drug
abuse and addiction can be seen as a normal part of the aging process or
attributed to other diseases, resulting in a missed diagnosis of the addiction. 
Note:  The following are specific signs of drug
abuse and addiction and less likely to be seen as a normal part of the aging
process or attributed to other diseases.

Mark Gladden is the owner of Present Moments Recovery is a Residential Treatment Center specializing in Recovery Services for the Baby Boomer generation. Our home is located in a single family home on a single family street in North County San Diego.

Present Moments detox and drug rehab center is the premier provider of comfortable and safe Addiction treatment in San Diego. Call us and get help today.


I’ve amassed a great resume of the years since
joining the military in 1986. This mass was not due to service or goodwill by
any stretch, but rather so I could gain the recognition and respect from family
and friends (not strangers, mind you, at least not yet anyway…) Once I found
recovery from my own addiction to controlling behaviors and drugs (my DOC is
Pot, Maryjane, Cannabis) I would wipe my resume clean and just put on a
business card my phone number and…”Hello My name is Mark Gladden, I am a person in long term recovery, which means to me that I have not used acohol or mind
altering drugs since September 24, 2014…..(I wonder what the employer would say
to that!
???? ) I look forward to meeting
your challenge Mary!

People in Long Term Recovery Why We Are Worth the Investment
I was struck recently by a moving pictorial essay in a Time Special Report, Opioid Diaries,
photographs by James Nachtwey. It was filled with evocative and wrenching
images of the ravages of treatment, it was a convincing argument for
intervention into a devastation of entire communities. The helplessness of the
first responders was palpable on page, as they are overwhelmed by the body
count. I was overwhelmed and heartbroken as each page was more urgent than the next. I felt the way I feel in the face of the animal rescue commercials during the holidays as my indulged
cats curl on my lap in front of a warm fire. Most of the time I have to hit the mute button – and I felt relieved
when I finished the pictorial essay for the same reason. (1)
I started to
wonder, “Do other people turn away for the same reason?”
People in Long Term Recovery
often disappear from view in the media, and sometimes even from the rooms
of recovery, as we become successful and stable. The policymakers, families,
struggling addicts, the media, school boards, NIMBY community, and your
neighbors don't see images of successful recovery in a time when the opioid
crisis is killing thousands of addicts a day. Frequent images of broken addicts
and families contribute to the internalized stigma the alcoholic/addict and the
community carry. While we need to intervene and treatment is vital, people need
to see how the story continues.
We are only addressing one half of the story.
We are addressing the illness, and we are begging for desperately needed
treatment. Often we are doing so through “scared straight” stories and videos.
Yet where are the images of the contribution recovering people make? What does
the community GET for the investment in us?
Here’s what the community “got” because I stopped binge drinking
alcoholically by the time I was 27. I entered the rooms of recovery through a
Twelve Step program and I believe this has allowed me to:
Work in every level of addiction treatment from Intake
to Counseling to Clinical Supervision to Program Ownership. I have been able to
participate in the recovery of thousands of adducts over almost 30 years.
Start and maintain
the largest addiction
counselor training program
through San Jose City
College since 1990. We have largely staffed the addiction treatment programs in
our county for years.
Write multiple recovery books, some of which are using
in academic settings to train additional addiction treatment counselors.
Train addiction recovery counselors in India and
Indonesia, at time being the first to introduce professional addiction
counseling standards to the region.
These are just the professional ways I have been able to participate in my community. It does not outline the contribution to my relationships, my family, and the children
in my life. I own a home, pay taxes, and I am NOT unusual. In
fact, I’m rather typical. Recovering people tend to be generous with service,
donate to charities, and are aware of social and economic inequity. We tend to
value our relationships because we have often had to rebuild them.
It is time to shine a light on
people who are in recovery and, in doing so, expose the long-hidden reality that people actually
do recovery from drug and alcohol addiction; that it’s a chronic disease that can be successfully managed
for life; and that it affects individuals who are every bit as moral,
productive, intelligent, talented – and humanly flawed – as the next person.
Recovering people are more likely to help you jump your dead car battery
or give you a ride and actually show up on time. We tend to have a skewed sense
of humor, and often possess an unusual humility about ourselves. There can be a
gratitude for life people who have fewer scars and rough edges cannot
have. We have fabulous bullshit
detectors, and acute sensitivity to other
people’s “energy.” We are resourceful and have difficulty coloring inside the
lines sometimes. We may not always be as politically correct as we should be,
and often have colorful language.
Are there recovering people who are are none of these things? Still as
narcissistic and as “jack- assy” as they were when they were using? Maybe even
worse? OF COURSE. We’re people.
But what you need to know about most people in recovery, particularly if
they got clean and sober through a Twelve Step program, is that service and
personal accountability through the Steps are key to long-term recovery. People
who are not in recovery do not have these ethics at times, which is why we’re such a good bet. When we’re committed
to long term recovery, we are
committed to taking responsibility for ourselves, “keeping
our side of the street
clean, “ which is
rare in a litigious society filled with ways to blame other people for bad luck
or personal discomfort.
Recovery needs to come out of the
basement. We need a new language, a logo, T-shirts, a theme song, websites, TV ads, posters
in buses, sobriety
bars, sober sporting
events, a sobriety
lobby, a recovery
caucus, celebrity spokespersons, and corporate sponsors. We need the public relations
of attraction, not invisibility.
— Rob Fleming, Advocate, Recovery Works,
Washington, D.C.
Society is repaid ten-fold for their investment in our early recovery.
I’m not the only one that thinks so– keep reading!
“Every American is acutely aware of
the negative impact of drug and alcohol addiction; it’s impossible to ignore.
Yet we have somehow missed a very positive story about addiction that is right
in front of our nose: Tens of millions of our fellow citizens come out the
other side to live substance-free, healthy and productive lives.
This study {OASAS)
is a wake-up call to the reality
of recovery in America,
as well as a source of hope for the millions of American families
who are currently struggling
with drug and alcohol problems.” — Keith Humphreys, Professor of Psychiatry at
Stanford University School of Medicine (3)
Survey data released
in 2012 by the Partnership for Drug-Free Kids and The New York State Office of Alcoholism and Substance
Abuse Services (OASAS)
show that 10 percent of all American
adults, ages 18 and older, said yes to the question, “Did you once have a problem with drugs or
alcohol, but no longer do?
” and consider themselves to be in recovery from
drug or alcohol abuse problems. These nationally representative findings indicate
that there are 23.5 million
American adults who are overcoming an involvement with drugs or alcohol
that they once considered to be problematic.
“This research marks a vitally important step for those
who are struggling with addiction by offering clear evidence to support what
many know experientially – that millions of Americans have found a path to
recovery,” said New York State Office of Alcoholism and Substance Abuse
Services (OASAS) Commissioner Arlene González-Sánchez. “It is my hope that this new evidence will strengthen and inspire
individuals and those that provide treatment and recovery services to help the
broader community understand that treatment does work and recovery is
possible.” (5)
Who are these recovering Americans?
We are business owners, teachers, hi-tech managers, union presidents,
parents, counselors, coaches, medical professionals, attorneys. . . People in Long Term Recovery are a quiet
backbone that provides needed
stability in our communities. We are proof that recovery
works, and money invested in addiction treatment is
money well-spent!
For this
purposes of this discussion, I am defining successful long-term recovery as 5
years or more:
Stable co-occurring or addiction recovery over 5 years through a range
of recovery traditions (AA, NA OA, Celebrate Recovery, Red Road Recovery, Dual
Recovery Anonymous, etc.)
Stable participation in work, volunteer work, or school over this
period of time
Stable and growing relationships with family and friends
Successfully discharged criminal justice obligations

Why 5 years or more?

According to AA World Services, about 40% of all AA
members who have already been sober for less than a year will remain both sober
and active in AA another year; 60 percent of this group will either lose
sobriety or stop participating in AA during the next year, or both. About 80%
of those participants who have been sober between one and five years will
remain both sober and active in the fellowship another
year. About 90% of the members who have been sober five years
or more will remain both sober and active in the fellowship another year. (AA's
survey could not determine the
number of people who remain sober but discontinue participation in AA groups).
These figures have been repeated within a few percentage points using the same
calculations since 1974. (6)
There are famous people, of course:
Singer and
songwriter, Eric Clapton, has been sober
for nearly 3 decades
. He struggled with heroin in the 70s and later turned
to alcohol, before finally getting sober once and for all. He now demonstrates a strong commitment to recovery, holding
benefits and even opening his own
treatment center.
“I thought that if I stopped drinking and I stopped using drugs…I would
not be able to play anymore. In other words, those were things that were
necessary for inspiration. But it was a shortcut. My experience now tells me in
a long time of being in recovery, that I can be a good musician with or without
that philosophy.”
– The Fix Article, 2013 (7)

Actor, Bradley
Cooper, struggled with an alcohol
and painkiller addiction prior to getting
sober at 29 in 2012. With
over a decade of sobriety under his belt, he says that he wouldn’t be where he
is today without his recovery.


“I wouldn’t have been able to have access to myself or other people, or
even been able to take in other people, if I hadn’t changed my life. I never
would have been able to have the relationships that I do. I never would have
been able to take care of my father the way I did when he was sick.”
– The Fix Article, 2015 (8)
Actress, Jada Pinkett Smith, admits to
struggling with addictions in her youth. Her younger days were difficult, due to her mother being addicted to hard drugs. There were times that she didn’t imagine she would make it to 21.
Now at the age of 45, she has almost 19 years of sobriety.


“I had many addictions, of several kinds, to deal with my life issues,
but today, at 42, I have my wisdom, my heart and my conscience as the only
tools to  overcome  life’s
inevitable  obstacles.”
Los Angeles Times Article, 2013 (9)
Chris Herren
, was addicted to cocaine and Oxytocin, which eventually
turned into full- blown heroin addiction.


After a sever overdose in which the former athlete
had to be brought back to life, he realized it was time to
get clean. Now sober, this former athlete created Hoop Dreams with Chris
Herren, a basketball camp, and became a motivational speaker for others in
recovery. He started The Herren Project, a non-profit offering scholarships and
teaching children about health an addiction. Herren as also the focus of
Unguarded, an Emmy-nominated ESPN documentary about his career and recovery. (10)
Most of us aren’t
famous. However, we might be in our own circle
of influence. Some people say that
every addict or alcohol affects
at least six people. That means every recovering person might
affect at least six people.
I am asking
people with long term recovery to participate
in a project,
People in Long Term Recovery ( I am
asking you for the greatest service you can offer to the families who need
hope, to a correctional system that is threatening to return to mandatory
sentencing, to political policy makers, to the newly recovering person who
looks into the media and has very few role models. We need YOU to be willing to
step forward and claim your recovering success.
Maybe you addressed your gambling addiction years ago and have moved on
to a successful financial and personal life.
Maybe you picked up your last DUI and divorce years ago and are now
happily married and professionally stable.
Maybe you haven’t
been in a courtroom for years due to your addiction and sit in a boardroom instead.
Maybe you stopped
relapsing by addressing your mental health
issues years ago and your psych
meds have given you back your life.
Maybe you found Al-anon years to stop crying all the time, and have
gone on to have more joy in your life, and are surrounded by healthy relationships.
At, we have provided
a template for you to create a 2-3 minute
video and we are asking you to send it in to be part of advocating for us, for your own people, by publicly proclaiming that recovery works - and we pay taxes! Send your video to
You are what William White calls
a, “Recovery carrier.”
In the closing of the keynote
address at the Northeast Treatment Centers (NET) Consumer
Council Recognition Dinner celebrating the recovery progress
and service activities of NET members
and the 40th Anniversary of NET, April 14, 2010, Philadelphia, PA. William White offered the following
comments during his presentation, Recovery
is Contagious
. (11)
“The contagion of addiction is transmitted through a process of
infection—the movement of addiction disease from one vulnerable person to
another. The contagion of recovery is spread quite differently—not through
infection, but affection. Those who spread such affection are recovery
carriers. Recovery carriers—because
of the nature of their character and the quality of their lives—exert a
magnetic attraction to those who are still suffering. Recovery carriers affirm
that long-term recovery is possible and that the promises of recovery are far
more than the removal of drugs from an otherwise unchanged
life. They tell us that we have the potential
to get well and to then get
better than well. They challenge us to stop being everyone’s problem and to
become part of the solution. They relate to us from a position of profound
empathy, emotional authenticity, respect and moral equality—lacking even a whisper
of contempt. Most importantly,
they offer us love.” - William White

7.    24 Celebrities Who Are Celebrating Their Sobriety

8.    24 Celebrities Who Are Celebrating Their Sobriety

9.    24 Celebrities Who Are Celebrating Their Sobriety


Present Moments detox and drug rehab center is the premier provider of comfortable and safe Addiction treatment in San Diego. Call us and get help today.


Present Moments detox is the premier provider of comfortable and safe detox in San Diego county. Call us and get help today.
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