You may feel like you can’t push by way of your workout, or lose focus during an essential meeting. Some males start to accumulate weight for no obvious reason, while others feel like one thing is off with their sex drive. Throughout testosterone levels tests, a sample of blood is drawn from a vein in your arm using a tiny needle. High testosterone levels could be attributable to several elements, corresponding to sure medical circumstances like polycystic ovary syndrome (PCOS) or adrenal tumors. Anabolic steroid use or abuse also can result in elevated testosterone ranges. Additionally, excessive levels can happen because of natural variations in hormone levels or because of hormonal remedy. Nowadays, allergy testing is available at public hospitals and private clinics. Moreover, home testing is gaining huge recognition due to how convenient it's. You can get your self examined right now, using a hair or a blood pattern, and get ends in a timely method. Patients used to exclude a meals component and anticipate a couple of days/weeks to see if their signs improve. If you took an at-home testosterone degree test and your outcomes showed levels outside the usual range, it might be worthwhile to make an appointment to see a well being care provider to discuss the outcomes. Your physician may help confirm the outcomes, or they might order further tests to grasp what components could probably be inflicting your low or high hormone levels. After that, they may also conduct a physical exam to examine for signs of low or excessive T. A saliva check may be another if you experience difficulties with needles or blood samples. Supplemental checks, corresponding to serum testing, are needed to ensure that salivary take a look at outcomes are accurate. Talking with a well being care provider or medical skilled is an efficient place to begin out when you have considerations about your testosterone ranges. Social and cultural elements can also contribute to larger testosterone ranges in sure international locations. Analysis has proven that testosterone ranges may be influenced by socio-cultural components corresponding to dominance hierarchies, competition, and mate selection. In nations where there is a tradition of male dominance and competitors, testosterone levels could additionally be greater consequently. Luckily, there are natural methods to try and improve testosterone ranges. Hormones are incredibly delicate to their surroundings and T isn't any completely different. The menstrual cycle is a posh process that includes a range of hormonal adjustments in a lady's physique. One necessary hormone that fluctuates through the menstrual cycle is testosterone. Exercise, significantly weight-lifting, could additionally be one method to enhance levels, though more research is required on the kind of train, length, and different variables. It’s a simple blood test that’s normally carried out early within the morning, when your testosterone ranges are highest. As A Result Of testosterone levels vary from everyday and hour to hour, if a low or high degree is discovered, the test is often repeated. In females, this check can discover the rationale you’re lacking periods, not having durations, having a hard time getting pregnant or experiencing male patterns of hair development corresponding to on your chest or face. Docs can also use it to assist diagnose polycystic ovary syndrome (PCOS), which causes elevated testosterone. That’s a hormone drawback that can trigger irregular durations and make it hard to get pregnant. Most males concentrate on total testosterone ranges when they’re trying to determine out if they've low T, however free testosterone levels matter, too. A careful evaluation of the benefits and risks, personalised to your well being standing and desires, is the most effective approach to managing low testosterone ranges in males. Generally, a testosterone degree below 300 nanograms per deciliter (ng/dL) is recognized as low testosterone (hypogonadism) in men. It also considers symptoms associated to low testosterone, such as fatigue, muscle weakness, low libido, and temper changes. High testosterone in males could cause quite a lot of signs and signs, together with zits, increased intercourse drive, extreme facial and physique hair, temper modifications, infertility, and extra. For example, athletes and bodybuilders generally use anabolic steroids to enhance athletic performance and construct muscle mass. This can result in symptoms of excessive testosterone levels, and medical doctors might suggest stopping taking steroids. In summary, hormone imbalances could cause a broad range of signs and well being issues. It is important to work with a healthcare provider to determine the underlying cause and develop an applicable therapy plan. Hormone testing and dietary supplements could additionally be useful in some cases, however life-style adjustments and medication can also be needed for optimal management of hormone imbalances. For example, women with low progesterone ranges could benefit from dietary supplements corresponding to chasteberry and vitamin B6.
posted by Una 2025-05-22 11:59:46.722725
L'hypophyse, souvent appelée glande maîtresse, joue un rôle central dans la manufacturing de testostérone en libérant l'hormone lutéinisante (LH). La LH stimule directement les cellules de Leydig dans les testicules pour produire et sécréter de la testostérone. La fréquence des vérifications du niveau de testostérone dépendra de votre âge, de votre sexe et de votre état de santé. Les hommes de plus de forty ans, les personnes sous hormonothérapie ou celles qui présentent des symptômes de faible taux de testostérone peuvent avoir besoin de faire vérifier leur taux plus fréquemment. Il est préférable de consulter un fournisseur de soins de santé pour des conseils personnalisés. Oui, une alimentation saine et une activité physique régulière peuvent aider à augmenter les niveaux de testostérone. L'entraînement en drive et l'entraînement par intervalles à haute intensité (HIIT) peuvent être particulièrement efficaces. Cela peut être intéressant si vous suspectez des symptômes d’andropause, mais ne souhaitez pas consulter immédiatement. Cependant, seul un médecin pourra interpréter vos résultats dans un contexte international et recommander, ou non, un traitement à base de testostérone. Chez les hommes, le taux de testostérone go properly with un rythme circadien, avec des niveaux plus élevés le matin. Cet effet est encore plus marqué avant 50 ans, mais il tend à s’aplatir avec l’âge, notamment pendant l’andropause. Cela compte notamment le sport, une alimentation saine, un style de vie sain, un poids corporel regular ainsi que des compléments alimentaires spéciaux (p. ex. zinc, ashwagandha, vitamine D). Il n’est jamais trop tard pour prendre en primary son propre taux de testostérone. Même avec l’âge, une alimentation saine, une pratique sportive régulière, une évolution saine de la vie ainsi qu’un poids corporel regular sont l’alpha et l’oméga pour maintenir ou augmenter le taux de testostérone à un niveau regular. En outre, des mesures ciblées telles que la prise de zinc ou d’ashwagandha peuvent également stimuler le taux de testostérone. La ? ménopause masculine ?, également appelée andropause ou déficit androgénique lié à l’âge, est un phénomène controversé par rapport à son équivalent féminin. Toutefois, il est incontesté que non seulement les femmes, mais aussi les hommes d’un âge avancé subissent une régression des hormones qui affecte également la testostérone. Aujourd'hui, l'homme moyen a environ 20 % de testostérone en moins qu'il y a 20 ans. Surveiller ses hormones et le taux de sucre dans le sang est aussi necessary. Cela aide à garder le diabète sous contrôle et à ajuster le traitement si nécessaire. Une quantité suffisante de testostérone est cruciale pour ceux qui ont le diabète. Le contenu de ce web site est fourni à titre d'info et ne remplace pas la nécessité d'appliquer un jugement clinique professionnel lors du diagnostic ou du traitement d'un état pathologique. Un médecin agréé doit être consulté pour le diagnostic et le traitement de toute situation médicale. Le traitement le plus courant est la thérapie de remplacement de la testostérone (TRT). La prise de sang pour mesurer le taux de testostérone est essentielle pour détecter et évaluer ce phénomène. Donc reposes-toi bien durant la nuit et donne à ton corps l’occasion de se régénérer complètement pour produire plus de testostérone. En effet, une recherche américaine faite sur des athlètes a démontré que ceux qui dormaient plus de sept heures par nuit avaient généralement un taux de testostérone supérieur de 30 % au réveil !. En effet, l’abus d’alcool provoque un déséquilibre en testostérone qui réduit la synthèse des protéines. Chez l'homme, d'après l'Affiliation Française d'Urologie, des symptômes très variables peuvent apparaître. Un dosage de la testostérone peut être demandé chez la femme si elle présente une pilosité extreme à des endroits qui ne sont habituellement pas poilus. En effet, il faut savoir que les muscles cardiaques disposent de plus de récepteurs de testostérone que les autres muscle tissue constituant le corps humain. Elle présente, en outre, des sautes d’humeur et un manque de motivation dans ses activités. Ainsi, des signes de dépression comme la nervosité, l’existence d’angoisse et de susceptibilité apparaissent chez la personne. Les pictures et/ou les vidéos ne représentent pas la garantie des résultats. Les sufferers ont donné leur autorisation pour l’utilisation des photographs et/ou des vidéos. Il s’agit d’une affection qui n’est pas considérée comme une maladie et qui peut être traitée efficacement pour éviter les effets négatifs qu’elle peut avoir sur les hommes. Chez les femmes, la testostérone est également importante, puisqu'elle est le précurseur de la synthèse de l'estradiol, la principale hormone sexuelle féminine. Elle est produite en partie par les ovaires et par les glandes surrénales.
posted by Jackie 2025-05-19 15:05:23.430694
Ausserdem stellt ihr Körper Testosteron aus Vorstufen von anderen Androgenen her. Es gibt wohl kaum ein Hormon, um das sich im Fitness-Bereich so viele Mythen ranken, wie um Testosteron. Sexualhormon kommt nicht nur im männlichen, sondern auch im weiblichen Körper ? wenn auch in erheblich geringerem Ausmaß ? vor. Männer besitzen je nach Alter etwa nmol/L Testosteron im Körper, wobei der Spiegel ab dem 30. Testosteron ist ein Androgen, das sowohl bei Männern, als auch bei Frauen vorkommt. Mit der richtigen Behandlung und einer gesunden Lebensweise hast du die Chance dein hormonelles Gleichgewicht wiederherstellen und dein Wohlbefinden zu steigern. Einnahme bestimmter MedikamenteEinige Medikamente, darunter bestimmte Steroide und hormonelle Verhütungsmittel wie die Antibabypille können den Testosteronspiegel erhöhen, auch nach dem Absetzen. Ein Testosteronüberschuss bei Frauen kann zu unangenehmen Symptomen führen und das hormonelle Gleichgewicht beeinträchtigen. Doch keine Sorge, es gibt Maßnahmen, die du ergreifen kannst, um das Downside anzugehen. Deshalb ist es umso wichtiger, mit deinem Companion zu sprechen und gemeinsam zu überlegen, wie ihr mehr Raum für Zweisamkeit, Nähe und Körperkontakt finden könnt. Denn das kommt in unserem stressigen Alltag, erst recht mit Kindern, viel zu kurz. Wenn du dir bewusst machst, welche Faktoren deinen Testosteronspiegel beeinflussen, kannst du daraus auch Rückschlüsse für die Behandlung eines Ungleichgewichts ziehen. AMH korreliert positiv mit dem Primordialfollikelpool, wie histologische Untersuchungen nachweisen konnten [16]. Auch im Serum konnte diese Korrelation zwischen AMH und Primordialfollikelpool bestätigt werden [17]. Während bei Geburt nur geringe Spiegel nachzuweisen sind, kommt es im weiteren Verlauf zu einem langsamen Anstieg mit einem Peak um das 25. Durch Abnahme des Follikelvorrats mit zunehmendem Alter sinkt es wieder. Ein AMH unterhalb der Nachweisgrenze bedeutet dabei nicht, dass nun die Menopause eingetreten ist. Je höher der Testo-Spiegel der Teilnehmer, desto geringer ihr Körperfettanteil. Es spielt keine Rolle, ob dein Testosteron im mittleren oder oberen Normalbereich liegt. Es heißt deshalb gebunden, weil es im Gegensatz zum freien Testosteron, an das Protein SHGB (Sexualhormon-bindendes Globulin) gebunden ist und zusammen mit diesem durch dein Blut zirkuliert. Besonders das Stresshormon Cortisol nimmt negativen Einfluss auf den Testosteronhaushalt. Ein gesundes Stressmanagement fördert den ausgeglichenen Testosteronspiegel. Die Nachfrage nach einer Hormonersatztherapie stieg sprunghaft an. Eine gesunde Ernährung und ausreichend Bewegung können helfen, den Hormonhaushalt zu regulieren und die Symptome eines Testosteronüberschusses zu lindern. In seltenen Fällen können Tumoren in den Eierstöcken oder Nebennieren zur Bildung von überschüssigem Testosteron führen. Zu viel Testosteron kann bei Frauen auch zu Muskelschwäche und einem Abbau der Muskelmasse führen. Bei Frauen ist Testosteron für die Regulation der Libido, den Knochenaufbau, die Muskelmasse und das allgemeine Wohlbefinden verantwortlich. "Wissen ist Macht. Je mehr Sie über Ihren Zustand wissen, desto besser werden Sie es mit dem Administration", schließt Dr. Helen Miller, ein Berater für Bildungsgesundheit. Kurzfristige Nebenwirkungen von Behandlungen wie HRT und Medikamenten können Übelkeit, Kopfschmerzen und Stimmungsschwankungen umfassen. Ein besonders starker Effekt kann dabei durch Ethinylestradiol erzielt werden. Prolaktin ist ein typisches Beispiel eines hormonellen Parameters, der durch Medikamenteneinnahme deutlich beeinflusst wird. Das Hormon Testosteron zählt zu den Androgenen ist das wichtigste männliche Sexualhormon und wird bei Männern in den Leydig-Zellen des Hodens gebildet. Sie werden auch herausfinden, was Sie tun können, um Testosteron bei Frauen auf natürliche Weise zu senken. Die Behandlung eines zu hohen Testosteronspiegels kann Lebensstiländerungen, medizinische Therapien, die Einnahme natürlicher Ergänzungsmittel und Stressmanagement umfassen. Die Auswahl der Behandlung hängt von den individuellen Faktoren und der zugrundeliegenden Ursache ab. Ein Facharzt sollte konsultiert werden, um den besten Behandlungsplan zu erarbeiten. Sie können auch zu Schlafstörungen und einer erhöhten Anfälligkeit für bestimmte Krankheiten führen. Bislang gibt es keine einheitlichen Grenzwerte, ab wann tatsächlich ein Testosteronmangel vorliegt. Seine Produktion ? angeregt durch das luteinisierende Hormon (LH) aus der Hirnanhangdrüse ? findet hauptsächlich in den Leydigschen Zwischenzellen der Hoden statt. In der Pubertät steigt der Testosteronspiegel an, wodurch die Geschlechtsorgane ausreifen, die Stimme tiefer wird und die Körperbehaarung wächst. Der normale Testosteronspiegel bei Frauen liegt zwischen 15 und 70 ng/dl. Ein erhöhter Testosteronspiegel wird in der Regel als Wert über 70 ng/dl angesehen. Je nach Ursache gibt es verschiedene Möglichkeiten, einen Testosteronüberschuss bei Frauen zu senken. Immer mehr Frauen setzen dabei auf sanfte, natürliche Lösungen, um ihre Hormone ins Gleichgewicht zu bringen. Du solltest zuallererst deine Leber unterstützen, indem du sie entlastet und mit den richtigen Nährstoffen versorgst. Eine ambulante Versorgung und Personal fehlen, weshalb digitale Medizin immer wichtiger wird. Eine Studie aus dem Jahr 2015 zeigte, dass eine stärke- und milcharme Diät dazu beitrug, den Testosteronspiegel bei Frauen mit PCOS nach eight Wochen zu senken. Die Artwork der Behandlung von zu hohem Testosteron hängt von der zugrunde liegenden Ursache des Ungleichgewichts ab. Die meisten Menschen benötigen eine Kombination aus Änderungen des Lebensstils und Medikamenten. Zu den möglichen langfristigen Komplikationen von PCOS gehören Unfruchtbarkeit, Fettleibigkeit, Typ-2-Diabetes und Herzerkrankungen. Eine rechtzeitige Behandlung kann das Risiko von Komplikationen verringern. Die Einnahme von Testosteron, egal ob verschreibungspflichtig oder unlawful erworben, kann ebenfalls den Testosteronspiegel erhöhen.
posted by Carl 2025-05-19 02:18:00.943269
Having answers may help you speak to patients to provide them the information they need to determine if hormone replacement therapy is correct for them. It is essential to notice that hormone substitute remedy, together with testosterone pellets, should be carefully monitored by a healthcare skilled. Regular follow-up appointments and blood tests might help be sure that the therapy is effective, and any necessary adjustments can be made to realize optimal outcomes. In the long term, sustaining normal testosterone levels can even provide support for the cardiovascular system and bone mineral density. Despite that testosterone, pellets are quite protected, and unwanted effects are uncommon, as lengthy as they had been implanted appropriately and you observe the suggestions after the procedure. It’s possible for both men and women to experience facial hair progress while present process therapy, particularly if you're vulnerable to growing facial hair. While this is dependent upon the individual, we see a lot of our patients donating blood as a result of excessive hemoglobin and hematocrit serum levels. After the pellets are inserted, it may take a couple of weeks for the complete effects of the testosterone to be felt. This is because it takes time for the pellets to dissolve and launch the hormone into the bloodstream. Throughout this time, you will need to monitor any modifications in signs and consult with a healthcare provider if necessary. Nonetheless, hormonal fluctuations can worsen pre-existing despair or set off depressive episodes. If you experience any of the above symptoms after your hormone pellets put on off, focus on them with your healthcare supplier. They might help determine in case your melancholy is expounded to hormonal changes and suggest essentially the most acceptable remedy course. In Contrast To gels, lotions, or patches, testosterone pellets don't require every day administration. Instead, they're implanted beneath the pores and skin and might final anyplace from three to 6 months. This makes testosterone pellets a convenient choice for people who might not bear in mind or have the time to manage daily therapies. In the rare instance that you experience significant unwanted facet effects or usually are not happy with the outcomes of hormone pellet therapy, your healthcare provider can focus on the potential of pellet elimination. Nonetheless, it’s essential to consult along with your provider to find out the best plan of action and think about alternative remedy choices. If you're a medical practitioner, you might be requested these questions by your patients. After getting testosterone pellets, you could expertise some unwanted aspect effects such as acne, increased physique hair growth, or changes in libido. These unwanted facet effects are usually short-term and can subside on their very own. You may also discover an improvement in your vitality ranges, mood, and overall sense of well-being. Total, testosterone pellets provide a handy and protected choice for people in search of testosterone alternative therapy. Whereas they could be dearer than other types of TRT, their long-term effects and consistent supply of testosterone make them a worthwhile funding for many individuals. Dealing with hormone imbalance is a standard issue that many people face, causing stress and discomfort. Luckily, there are quite a few types of remedies obtainable to assist elevate testosterone levels to normal levels including testosterone pellets. Following post-insertion directions and maintaining a healthy lifestyle can optimize the dissolution of hormone pellets and ensure optimal hormone balance and effectiveness. Remember to stay engaged together with your healthcare supplier to handle issues or questions. When it involves the dissolution time of hormone pellets, sure patient-specific components can have an impact. These elements include your metabolism, physical exercise levels, and the location of the pellet insertion. Patients with a faster metabolism could expertise faster dissolution. Following post-insertion directions out of your healthcare provider and sustaining a wholesome life-style are essential to optimize the dissolution course of. Common monitoring of hormone ranges and open communication along with your healthcare provider are crucial for ensuring the effectiveness and security of hormone pellet therapy. In conclusion, hormone pellet dissolution is a pure course of that varies primarily based on individual factors and the type of hormone pellets used. It is important to seek the advice of with a healthcare supplier who can present personalised steerage and monitor your hormone ranges throughout the dissolution process. If you’re able to experience the benefits of hormone pellet therapy, schedule a session with the experts at Your Loved Ones Medical in Bedford, TX at present. Our skilled healthcare suppliers will guide you through the method, answer any questions you may have, and develop a personalized remedy plan tailored to your unique wants. Take step one in direction of hormonal optimization and a healthier, happier you. Nevertheless, individuals shouldn't view testosterone pellets as a quick repair to boost their vitality levels and sex drive.
posted by Angus 2025-05-18 17:51:05.736095
This bestseller from the model is constructed for stability, with a minimal heel raise and a rubber outsole for further grip. Its sturdy higher is abrasion-resistant and protecting, so your ft will stay secure (and your footwear will final a while). We’ve chosen the best weightlifting sneakers for everyone from strength-training newbies to skilled professionals. As A End Result Of weightlifting shoes are a unique kind of footwear, we received suggestions from experts on the qualities we must be in search of when purchasing for these shoes. Different than the sizing, the entire above footwear are the same whether or not for men or ladies. For these powerlifters or athletes who regularly lift heavy, these can improve posture to advertise longevity and keep you bodily healthy overall. The easy, anti-slip sole is designed for max stability throughout all actions to promote the most effective workout possible. MC Trainer 2 is your secret weapon for peak performance and conditioning. The constructive facet of utilizing trainers for lifting includes comfort and ease of motion. Many lifters find that the cushioning in running shoes prevents foot fatigue during longer training classes. Reebok launched the Nano in 2011 when it became the official footwear brand of CrossFit, and a 12 months later, the Nano 2.zero hit cabinets, rapidly changing into a staple in the cross-training group. With a 4mm drop, its low-profile design feels stable, and the extensive toe field gives your forefoot room to splay with each step, bettering balance and management. Despite being over a decade old, Reebok continues to refine the design, keeping it as light-weight (around 10 ounces per shoe), breathable and grippy as its newer cross-training counterparts. With a heel elevation of simply 16 mm, they're particularly nice for beginners, these new to lifting in an elevated heel, or those that simply choose a decrease heel elevation. Love the look of old fashioned lifting sneakers however need the innovations in comfort of newer renditions? With a stacked leather heel for ultimate comfort and shock absorption, this newly reimagined mannequin strikes a balance of athletic and old fashioned. "These are a sturdy weightlifting shoe with sturdy translation to vertical drive," says Otey. The Romaleos four are essentially the most updated model of what has been a particularly well-liked shoe in the Olympic weightlifting group for the previous decade. High-quality shoes will embrace reinforced seams, tight stitching, and constant gluing. Nevertheless, the twin strap system is a superb characteristic, especially at this price level. The general support and structure of these footwear is type of good, making them a contender for many lifting styles. Nonetheless, probably the most unique feature is that the heel comes up greater on the boot, creating some of the supportive shoes on the market. An additional TPU clip behind the Achilles helps stop heel slippage on extra dynamic movements. "Flat footwear assist the feet reinforce your energy and improve the force transfer via the bottom to energy your weightlifting," Perkins adds. Lastly, the general support offered by the shoe determines how nicely your foot stays in place. Working shoes typically lack the ankle and arch assist needed for heavy lifting. "Flat shoes assist the feet reinforce your strength and improve the pressure transfer through the ground to energy your weightlifting", Perkins adds. On the opposite hand, when you’re weightlifting in trainers, your ankle is doing the opposite. The cushioned sole offers a much less safe base, forcing the toes to point up to maintain stability. Without proper ankle help, your foot could rotate outward and result in injury, in accordance with a research from the Journal of Biomechanical Engineering. A shoe designed for weightlifting can encourage the ankle to have a higher degree of plantarflexion (downward movement) as the heels carry. If you’re in search of a fitness center shoe that can transition from the lifting platform to weight machines, the Savaleos is it. This unisex shoe has a large base for stability and a inflexible midsole with lift on the heel to fuel your units with energy. Thanks to the hook-and-loop strap, your foot will stay safe even throughout your heaviest units. I took a extra in-depth have a glance at some of the best-selling athletic footwear and surveyed Forbes Vetted staffers to spherical up an assortment of one of the best men’s workout sneakers that meet totally different wants. The most versatile shoe of the bunch is the Reebok Nano 2.0, which earns excessive marks for its stability and spacious toe field. It’s an ideal possibility for weightlifting, HIIT exercises and cross-training alike. As we discussed in our best cross-trainers piece, the Kawana’s are versatile shoes which may be ready for anything proper out of the field. It's designed to be foot shaped?not shoe shaped?with an excellent wide toe box that allows your feet to move how they would without the constraints of a conventional shoe. The profit being you'll find a way to grip the ground more successfully and train your foot's dexterity whereas working out. It has a very simple design with two metatarsal straps to safe the foot and maintain it cosy inside. The heel additionally has the same top as the Do Win weightlifting shoe, zero.seventy five inches. This makes this shoe appropriate for many average-height and average-build lifters who don't have extraordinarily short or lengthy femurs. These Olympic lifting shoes have a average heel top of 0.seventy eight inches or 20mm. They even have an effective patterned sole, which creates an excellent grip on the floor. I really feel considerably stronger and way much less wobbly after I wear these shoes, and I’ve notices my balance, form, and power have all improved. A lateral outsole and medial wrap (like the Metcon 8) adds loads of stability to the midfoot. The mesh and synthetic overlay all through the upper and toe box makes it nice for withstanding wear and tear of rope climbs. Admittedly, adopting weightlifting shoes could be a task in itself for novice lifters, especially for athletes that feel snug in their current set of cross-trainers. The raised heel can be a bizarre expertise at first, and then there’s the notion of the additional cost. Thankfully, the Do-Win Weightlifting Sneakers exist, offering a nice style of heel elevation while still maintaining things comparatively reasonably priced. Footwear made specifically for strength coaching is a worthy purchase for any common gym-goer. That’s because weightlifting sneakers are designed to be steady and supportive, so you'll have the ability to firmly plant your feet and generate the facility you need to transfer heavy weights, Dr. Gremillion says.
posted by Fermin 2025-03-24 08:19:25.532559
