The detection of these synthetic compounds is commonly the first means by which athletes or folks violating drug testing insurance insurance policies are recognized. The cause-and-effect relationship is that the introduction of artificial anabolic steroids results in the presence of metabolites in urine, metabolites which are particularly targeted by analytical exams. In conclusion, taking testosterone supplements may find yourself in a optimistic drug check for performance-enhancing drugs. The exogenous testosterone present in these supplements may be detected through urine and blood tests, particularly by analyzing the T/E ratio, carbon isotope ratio, and testosterone metabolite ranges. Athletes should be aware of the potential consequences and consult with medical professionals and anti-doping experts to ensure they make informed choices relating to supplementation. This methodology compares the ratio of various isotopes of carbon within the testosterone pattern. Artificial testosterone, which is derived from plant sources, has a special carbon isotope ratio in comparison with natural testosterone produced by the human body. By analyzing this ratio, scientists can decide the origin of testosterone current in an athlete's system. CBD and hemp are derived from completely different parts of the marijuana plants, so traces of THC is bound to be floating round. Even although THC can't actively produce hallucinatory properties in small amounts but it might possibly show up in urine drug checks. Some lean features are possible right here, however it depends on how exhausting you food regimen. Larger chest and shoulders (those shirts shall be tight), and folks will discover. If you’re somewhat older or usually endure from niggling joint ache, this typically disappears completely. Anticipate gains to be good and regular, nothing dramatic, but noticeable week on week. The most superior users will inject as much as 200mg per day, and these who know exactly what they’re doing will often inject greater than as soon as daily to get the most effective outcomes from this rapid-acting steroid. You’ll have no way of figuring out if that is the case for you ? unless you try each Take A Look At Prop and Take A Look At Cyp separately. A word of encouragement and a listing of treatment options in the quick space at such a bleak moment can mean a lot. Nevertheless, we provide our prospects with the option of removing any drug(s) they choose from the panel and testing for an additional drug as an alternative. Moreover, you probably can prolong the variety of medicine identified by including to the panels. Lastly, you’re additionally free to create an entirely distinctive take a look at panel of your own. Currently, marijuana remains classed as a Schedule 1 drug on the Managed Substances Act and employers have every proper to maintain it on the company drug check. Nonetheless, if the STATES Act passes, the federal authorities will remove the Schedule 1 classification and depart regulation of the drug at the individual state level. One of probably the most widely heard myths concerning "how to pass a drug test" is just to drink water. Confirmatory tests are extra well timed and costly and are performed by extremely educated laboratory personnel. Gas chromatography/mass spectrometry (GC-MS) is the gold normal for confirmatory testing. This take a look at is more particular than immunoassay testing, as it detects drugs by molecular construction. Liquid chromatography/tandem mass spectrometry (LC-MS/MS) is an different to GC-MS and may be extra time efficient. A BMP contains blood sugar ranges, electrolytes, and organ perform checks. The results of a BMP indicate how organs corresponding to the center, kidney, and liver are currently functioning. Name us at and we are going to dispatch a cell assortment specialist to administer your drug tests at any location, 24 hours a day, 7 days every week. It’s crucial that you have each possibility pertaining to employee drug testing documented in writing earlier than acting. It’s your finest protection in opposition to a possible lawsuit someplace down the street. If you need help writing or updating your drug testing policies, we’ll be glad to help. While some states regulate the kinds of drug testing allowed and the manner by which they’re administered, no state completely prohibits employers from drug testing their employees. Professional athletes, military personnel, and individuals in numerous other fields are topic to drug testing to ensure truthful competitors and security. This article goals to discover the potential consequences of testing optimistic for testosterone injections on a drug take a look at. Regular office drug screenings often don’t objective testosterone, focusing in its place on illicit substances. Nonetheless, several firms are working to get a marijuana breathalyzer on the market. Studies present that the period of time that marijuana is detected in the breath coincides with the period of time that one is impaired by the drug. It’s a well-established incontrovertible truth that worker drug use costs employers billions of dollars every year. Staff who use medicine are absent and tardy extra often, have elevated medical costs, and are prone to lower productivity. We have the potential to check for "specialty" medication too, corresponding to steroids, tub salts, or artificial marijuana. Employers can choose from a variety of different drug checks, with some checking only for the most commonly used substances and others testing for a wider vary of medication. One of the most common types of drug testing for hiring is a 5 panel basic check. This checks for the usage of marijuana, cocaine, codeine, morphine, heroin, PCP, and amphetamines like Ritalin and Adderall. Different uncommon cases may trigger a false optimistic outcome on alcohol urine screens. For instance, if a urine sample isn’t saved accurately or remains at room temperature for too long, it could develop micro organism which may trigger EtG levels to rise. Additionally, an individual with diabetes can produce a false positive result if they've a urinary tract infection on the testing time. Testosterone boosters can show up in urine exams, relying on the detection method and how much testosterone has been taken.
posted by Adrianna 2025-05-22 07:20:24.967265
Diagnosing and treating these advanced situations that decrease HCT requires a complete approach. Your healthcare provider will fastidiously evaluate your medical history, conduct a thorough physical examination, and analyze the outcomes of various tests to arrive at an accurate diagnosis. A hematocrit check is a method your physician can inform whether you could have a well being situation that affects your blood. To get a blood sample, a healthcare provider will insert a needle right into a vein, usually in the kid's arm or hand. A tourniquet could additionally be wrapped across the child's arm to assist the healthcare employee find a vein. Your healthcare provider may order a CBC as a half of a routine exam or in case you have symptoms of anemia, a family historical past of a blood dysfunction, or a food regimen low in iron. Your body reacts by growing what quantity of purple blood cells it makes. This could be from issues like smoking, staying at a high altitude, or congenital (from birth) heart illness. A hematocrit check is a blood check that measures the quantity (percent) of your blood that is made up of red blood cells. Anemia is characterized by a low red blood cell depend or inadequate hemoglobin, which reduces the blood’s capability to carry oxygen. A hematocrit test outcome under the conventional vary for men (41%-50%) and girls (36%-44%) typically suggests anemia. Symptoms may embody fatigue, weak spot, and shortness of breath. The hematocrit blood test is highly delicate for detecting anemia, with a PPV of roughly 90% in symptomatic patients. The technician will take away the elastic band and cover the area with a bandage to cease the bleeding. When the needle punctures your skin, you would possibly feel a prick or pinching sensation. You might expertise minor bruising, but this will clear up inside a few days. The check will take only some minutes, and you can resume everyday activities after it’s completed. Iron from the meals you eat is absorbed into the body by the cells that line the gastrointestinal tract; the body solely absorbs a small fraction of the iron you ingest. The iron is then launched into the blood stream, where a protein referred to as transferrin attaches to it and delivers the iron to the liver. Iron is stored in the liver as ferritin and launched as wanted to make new pink blood cells within the bone marrow. A hematocrit test (Hct) is a simple blood check that measures the percentage of pink blood cells in your blood. Red blood cells are essential as a end result of they carry oxygen throughout your body. Test results exhibiting low or excessive hematocrit levels could additionally be indicators of blood problems or different medical circumstances. A hematocrit test is an easy blood check that measures the share of purple blood cells in your blood. If the above standards are met, a blood quantity (red cell mass) research is not wanted. The blood is spun in a centrifuge to separate pink blood cells, and the hematocrit value is calculated as a proportion of total blood volume. Hematocrit measures the share of pink blood cells in the body, relative to the entire blood. For example, if a person has 50 milliliters (ml) of purple blood cells in 100 ml of blood, their hematocrit degree is 50%. Larger than regular hematocrit ranges symbolize abnormally elevated pink blood cell counts. EPO is a hormone produced by the kidneys to stimulate the bone marrow to supply red blood cells. Measuring EPO levels may help distinguish between primary and secondary causes of high hematocrit. A high hematocrit is less frequent than low hematocrit and can mean that a person isn’t getting sufficient oxygen, suffers from dehydration, or is vulnerable to heart disease. This may find yourself in a person with high Hct levels feeling weak, dizzy, and having frequent complications. The hematocrit can also be decided by a guide technique using a centrifuge.
posted by Jennifer 2025-05-22 06:30:54.956447
In some cases, further time should be allowed for added confirmatory or extra reflex checks. Food and Drug Administration (FDA), there’s a risk of creating stroke or coronary heart illness with TRT. As properly because the physical results of low T, analysis suggests that males with low testosterone are thought to be extra more doubtless to face depression, irritability, or a scarcity of focus. Whereas there's a genetic element to balding, males with low testosterone could expertise a loss of body and facial hair, too. It permits healthcare professionals to comprehensively classify and doc instances of testicular dysfunction, facilitating effective communication, treatment planning, and billing. By utilizing this code, medical providers can ensure correct documentation and administration of testicular problems, finally leading to improved affected person care and outcomes. In conclusion, understanding ICD-10 code E29.1 for testicular hypofunction is vital for healthcare professionals and medical coders alike. It not solely facilitates accurate prognosis and treatment but additionally plays a critical function in reimbursement processes and maintaining high standards of patient care. As the healthcare landscape continues to evolve, staying informed about coding practices will improve the standard of service offered to patients with this situation. Also, as a end result of hypogonadism is the most typical cause of osteoporosis in males, testosterone alternative may improve bone density to assist prevent this disease and related problems. Healthcare teams should separate main and secondary hypogonadism via specific hormone patterns and clinical displays. These codes are billable and play a crucial function in processing insurance claims, tracking illness prevalence, and evaluating therapy outcomes. This guide is intended to assist medical professionals in making use of the correct ICD-10 codes for hypogonadism and sustaining thorough and precise data in clinical apply. Understanding the multifactorial causes of testicular hypofunction is important for healthcare professionals and medical coders alike. By recognizing the interplay of hormonal imbalances, genetic components, environmental influences, and infections, practitioners can higher diagnose and handle this situation. Correct coding, such as the use of ICD-10 code E29.1, is important for efficient communication in scientific settings and for guaranteeing applicable patient care. As analysis continues to evolve, staying knowledgeable about these etiologies will enhance the understanding and treatment of testicular hypofunction. These codes help distinguish between major and secondary causes of low testosterone. When it involves coding for testicular hypofunction, represented by ICD-10 code E29.1, medical coders should navigate a panorama that requires precision and a spotlight to element. This section offers practical steering on documentation, common coding errors, and up to date updates in coding practices to ensure correct and compliant coding. Guidelines, including the newest guidelines published by the Endocrine Society in 2010, suggest towards screening asymptomatic patients and towards case discovering with instruments such because the ADAM (Androgen Deficiency in the Growing Older Male) questionnaire. Testosterone may be administered orally, transdermally, or by injection to enhance a hypogonadal man’s sense of well-being, sexual operate, bone density, and muscle power. It is also worth noting that Medicare may require prior authorization for testosterone injections. This means that medical doctors must get hold of approval from Medicare earlier than administering the injections to have the ability to guarantee reimbursement. Failure to obtain prior authorization might end in denial of fee for the injections. As A Result Of testosterone is secreted in a pulsatile style, it is very important get hold of 2 early morning testosterone levels. The alternative of product for testosterone replacement therapy ought to be a topic of dialogue between the physician, the patient, and the patient’s caregiver, if appropriate. Factors affecting this selection embrace safety, efficacy, tolerability, availability, choice and cost. Extra information on advantages and drawbacks of obtainable merchandise, together with prices, is outlined in Tables 7 and eight of Appendix 1. This includes following the appropriate dosing protocols, documenting the medical necessity of the injections, and offering the required documentation for Medicare to evaluation. Many physicians consider that testosterone improves temper, though information is inconsistent because few trials used validated questionnaires. This questionnaire has been validated for assessing energy vs. fatigue in many different illnesses. Testosterone, compared with placebo, did not substantially enhance vitality, as determined by a rise of ? 4 points on the FACIT-Fatigue scale for the 474 males enrolled on this trial (the major outcome), though it was statistically significant for all 788 TTrials males. The effect of testosterone on temper (determined using the positive and unfavorable have an result on scales), and depressive symptoms (determined using the Affected Person Health Questionnaire) was statistically significant. In order for CMS to change billing and claims processing techniques to accommodate the protection conditions inside the NCD, we instruct contractors and system maintainers to change the claims processing systems on the national or local degree by way of CR Transmittals. As medical or administrative codes change or system or policy requirements dictate, CR directions are updated to make sure the techniques are applying probably the most appropriate claims processing instructions applicable to the coverage. The initial medical image will range depending on the age of the affected person at the onset of the dysfunction. Compounded testosterone products can be found at many compounding pharmacies in Canada, but there aren't any printed knowledge on the protection and efficacy of those merchandise. The potential advantages and harms that can be anticipated from testosterone supplementation are listed in Desk 1.17,18 Lack of or an insufficient scientific response to testosterone treatment should call for adjustments within the type of supply, the dose or the frequency of administration. A persistent failure to reply to testosterone supplementation requires a reassessment of the analysis or consideration for referral to a more specialised facility. There are at present no definitive research suggesting that threat of prostate most cancers is increased in hypogonadal men rendered eugonadal. Large, randomized, placebo-controlled research on this space could be welcomed to positively decide if any threat exists. ? Measure bone mineral density (BMD) of the lumbar backbone or femoral neck (or both) after 1 to 2 years of testosterone remedy in hypogonadal men with osteoporosis or low-trauma fracture, in keeping with regional normal of care. In summary, the management of testicular hypofunction encompasses a multifaceted approach that features hormone replacement remedy, life-style modifications, and focused remedies for underlying situations. By understanding these remedy options, healthcare professionals and medical coders can higher help sufferers in attaining optimum well being outcomes while making certain correct documentation and coding practices. As analysis continues to evolve, staying knowledgeable concerning the newest remedy modalities will be important for effective patient care on this space. Monitoring and Follow-upOnce a affected person begins hormone alternative, it is critically important to have common follow up visits to observe dosage and side effects, essentially the most significant of which relates to concerns about prostate most cancers. As noted earlier, though testosterone replacement doesn't cause prostate cancer, it could enhance the expansion fee of present most cancers cells.
posted by Yanira 2025-05-22 06:06:00.548448
Sauf à des fins de compétition et pour le retirer rapidement de votre système, les culturistes n’utiliseront généralement pas la suspension de testostérone; automotive il n’est pas nécessaire d’injecter 2x par jour (alors que vous pouvez le faire une fois par semaine). Cependant, le propionate de testostérone, par exemple, peut être détecté jusqu’à 2 semaines, et vous ne pourrez donc pas l’utiliser plus près de la concurrence (si vous êtes testé). Les athlètes expérimentés peuvent effectuer des injections locales dans les muscles cibles, par exemple dans les biceps, le bas des jambes ou les deltoïdes pendant le cycle pour la croissance musculaire. Toute forme de stéroïde a un effet résorbant et aucun effet local sur les muscles n’a été signalé. Ensuite, acheter Propionate testosterone est souvent utilisé pour la croissance de masse. Par contre, l’utilisation du médicament pour la prise de masse nécessite des doses quotidiennes très volumineuses en raison de la faible concentration du composant actif, mais rapide dans la answer. Idéale pour ceux qui cherchent à ajouter de la masse musculaire sur une longue période avec des injections relativement espacées. C’est une excellente option pour les cycles de prise de masse ou pour maintenir un niveau secure de testostérone en cas de TRT (Thérapie de remplacement de la testostérone). La testostérone n’est pas la seule à subir ce processus de conversion en estradiol, c’est le cas de beaucoup de stéroïdes anabolisants. Cela pose un sérieux problème aux consommateurs de SAA, automobile pour être d’une quelconque efficacité en termes de croissance musculaire, la testostérone (et les autres stéroïdes) doit être prise à des doses très élevées (ou supraphysiologiques). Les effets secondaires courants comprennent la rétention d’eau, hypertension artérielle, acné, et gynécomastie. Heureusement, cela signifie également que Masteron a moins d’effets secondaires que certains autres stéroïdes que vous pourriez utiliser. Si vous envisagez d’utiliser un composé qui influe sur votre santé hormonale, il est essential que vous en appreniez le plus attainable. Dans cet article, nous allons vous en dire plus sur la construction chimique et la fonction de Masteron, ainsi que sur les éventuels effets secondaires de son utilisation. Masteron, ou Propionate de Drostanolone, est un stéroïde androgène distinctive et exotique qui a une histoire intéressante et peut être appliqué de différentes manières. C'est l'un des meilleurs médicaments qui stimulent les niveaux de testostérone chez les hommes et vous aident à vous débarrasser des divers symptômes négatifs de la baisse de testostérone. Nous avons mentionné le meilleur cycle Test E. Néanmoins, si vous avez des doutes sur le cycle Take A Look At E, veuillez contacter nos experts en coaching pour obtenir d'autres conseils sur le cycle d'énanthate de testostérone. Lorsque vous consommez la bonne dose de Take A Look At E, il améliore également la production de globules rouges, favorisant ainsi la croissance de la masse musculaire. Ces stéroïdes sont sûrs à utiliser automobile ils ne sont pas hépatotoxiques et ne provoquent aucune rétention d'eau. Les stéroïdes possédant des propriétés androgènes (telles que le Dianabol et la testostérone) peuvent entrainer de l’agressivité, une peau grasse et de l’acné. Ces effets indésirables sont beaucoup plus susceptibles de se manifester chez les personnes qui y sont sujettes, bien qu’il soit difficile de mesurer cela avant d’avoir entamé son premier cycle de stéroïdes. Winstrol (dont l’alternative légale est le Winsol) est un stéroïde oral qui apporte souvent des gains de masse musculaire beaucoup plus stables par rapport au Dianabol (ou D-Bal dans son alternative légale). Il ne se convertit pas en œstrogène et, par conséquent, les effets secondaires œstrogéniques sont beaucoup moins fréquents. Les sportifs évoquent souvent la formation d’une musculature mieux définie avec le Winstrol en raison de l’absence de rétention d’eau. Une PCT agressive, avec des produits auxiliaires et des compléments, est nécessaire après une remedy de propionate de testostérone. Il est également important, peut-être même davantage, de connaître les autres médicaments que vous utilisez avec Masteron. D'autres stéroïdes peuvent être beaucoup plus puissants et doivent être soumis à un cycle de cycles plus approfondi afin que votre corps ne devienne pas dépendant d'eux. Il est difficile de dire exactement touch upon réagira à un supplément comme Masteron. Cependant, en raison de sa nature anti-œstrogène, les effets secondaires sont beaucoup moins graves et significatifs que ceux provoqués par le trenbolone. Masteron est également moins vulnerable de causer des problèmes comme l'intestin. Les niveaux de propionyl-CoA et de butyryl-CoA ont augmenté de manière dose-dépendante, en corrélation avec des modifications plus élevées des histones, tandis que les niveaux d'acétyl-CoA sont restés inchangés avec le propionate mais ont diminué avec la supplémentation en butyrate. Il n'est pas rare que les personnes atteintes expriment des inquiétudes face à la cortisone. C'est un fait que le lichen scléreux trigger davantage de dommages à la peau que la cortisone topique, qui est très rapidement métabolisée par la muqueuse. Au cours de la fermentation lactique (glycolyse anaérobie), le glucose est converti en lactate (à partir du pyruvate issu de la glycolyse) dans les muscular tissues durant un effort physique. Le lactate est ensuite transporté through le sang dans le foie ou il peut être converti à nouveau en pyruvate. Cette réaction catalysée par la lactate déshydrogénase a lieu dans le hyaloplasme et les mitochondries des cellules hépatiques. Il existe plusieurs précurseurs pour la synthèse du glucose, tels que certains acides aminés, le lactate, le glycérol, le pyruvate.
posted by Damon 2025-05-20 04:07:26.836906
If you are contemplating trying this out, remember to consult your partner earlier than beginning the follow. Hone-affiliated medical practices are independently owned and operated by licensed physicians who provide services utilizing the Hone telehealth platform. For extra details about the connection between Hone and the medical practices, click on right here. Research-backed tools, techniques, and techniques to maximise your health, delivered to your inbox each Monday. Over the previous forty years, sperm count and quality have decreased in men across the globe, each of which can critically hinder fertility (8). Regular feminine levels vary from 15?70 nanograms per deciliter (ng/dL), whereas male ranges sometimes vary from 280?1,a hundred ng/dL. Hormone levels in the body range from day to day and in addition all through the course of the day. Growths close to areas of the body that produce hormones, such as the testicles or adrenal gland, may cause very extreme testosterone in males. Moreover, healthcare providers who prescribe testosterone therapy will intently monitor hormone ranges via common blood tests. These checks may help determine the effectiveness of the remedy and establish any potential imbalances. If estrogen levels do turn out to be elevated, healthcare suppliers may modify the dosage or add an estrogen-blocking treatment to assist keep hormone steadiness. Testosterone and estrogen are two key hormones that play completely different but equally important roles in the human body. Nevertheless, there is a robust relationship between these hormones, and adjustments in testosterone ranges can indeed influence estrogen levels. When it comes to recovery, testosterone aids in minimizing muscle injury and irritation, selling quicker therapeutic and lowering the risk of overtraining. Numerous studies have supported the connection between testosterone and muscle growth, showcasing the numerous influence of this hormone on constructing and maintaining muscle mass. Testosterone, often referred to as the "male hormone," is a vital part in the human physique. Produced primarily within the testes, but also in smaller quantities within the adrenal glands, testosterone plays an important position in numerous bodily capabilities. Moreover, the momentary increase in testosterone levels observed in some studies during short-term abstinence could presumably be attributed to the buildup of sperm and other fluids. Testosterone is concerned in the manufacturing and regulation of sperm, so an increase in sperm quantity could result in a short-term improve in testosterone ranges. Have you ever puzzled if abstaining from pornography and masturbation can really elevate your testosterone levels? Intermittent fasting has been found to have a profound influence on testosterone levels in non-obese men. There are a selection of approaches to intermittent fasting, however all embody fasting for 24 hours or less as a sort of ‘metabolic reset". I’ll detail the physiologic results about this in one other article, however for now, think about skipping breakfast as a reasonably easy method to intermittent fasting and a quick approach to enhance your T level. One study found that Moroccan males who added olive oil to their diets noticed a rise in testosterone levels by 17%. This examine also substituted Argan oil for olive oil, and the testosterone levels increased by about 20%. Both resistance coaching like weightlifting, and cardiovascular workout routines similar to working or swimming, can improve testosterone. It performs an important role in male improvement and characteristics, influencing muscle mass, bone density, and intercourse drive. While spending time outside helps, supplementation can bridge the hole, especially if you live in a much less sunny climate. Analysis helps that having adequate ranges of Vitamin D supports not only bone well being, but testosterone manufacturing too. Sustaining optimal vitamin D ranges is crucial for numerous bodily functions, including testosterone production and immune system function. Testosterone can result in a lower in estrogen ranges, because it acts as a suppressant of estrogen manufacturing. This is as a end result of testosterone is converted into estrogen through a process known as aromatization. By growing testosterone ranges, the quantity out there for aromatization is decreased, resulting in lower estrogen levels. Despite being a male sex hormone, testosterone additionally contributes to sex drive, bone density, and muscle power in girls. Nevertheless, an excess of testosterone can even cause girls to experience male sample baldness and infertility. If you might be experiencing signs of low testosterone, it is strongly recommended to consult with a healthcare skilled who can provide applicable testing and therapy options. In conclusion, while scientific evidence is proscribed, research suggest that abstaining from ejaculation, a key component of NoFap, can potentially enhance testosterone levels. Anecdotal proof from people who have tried NoFap additionally helps the notion that changes in testosterone ranges can occur within a few weeks of beginning the follow. DHEA is a precursor hormone that's converted into testosterone in the physique. When you're taking DHEA dietary supplements, it could possibly help improve testosterone ranges naturally. If you suppose that you may be experiencing excessive testosterone signs, seek the advice of your well being care provider to determine the cause and to begin out appropriate remedy for your condition. Decrease ranges of DHT and testosterone resulted in an elevated threat for cardiovascular problems for men undergoing testosterone-lowering treatment for prostate cancer. Elderly men with larger levels of DHT have lower dying charges from coronary heart illness [14, 15]. DHT activates androgen receptors needed for sexual differentiation during fetal growth and modifications in males throughout puberty. If age is catching up on you quickly, you presumably can enhance your sexual health and performance with testosterone cypionate. Some males are born with hypogonadism and others develop the illness later in life. As part of your subscription and as medically indicated, physicians prescribe drugs, and recommend supplements which might be delivered to you from the comfort of your house. Goodyear says these findings make sense as a result of shilajit reduces irritation. "If you’re seeing a reduction in irritation and a rise in muscle mass, both of those are going to enhance testicular operate," Goodyear adds. "Based on what I’ve seen in my clinical expertise, shilajit seems to have some muscle-boosting capability," Goodyear says. When he’s prescribed shilajit to sufferers, he’s also witnessed elevated vitality. A recent examine, for instance, suggests that TRT supplies extra benefit for general mortality and stroke for males whose testosterone ranges have normalized with TRT.
posted by Vallie 2025-05-19 22:09:48.396943
