Low Mean Arterial Pressure

Last updated on March 17th, 2024 by Dr. David Johnson, PhD | Medically reviewed by Dr. Jennifer Smith, MD
Image of a doctor showing a model of heart with a text over saying "Low Mean Arterial Pressure"

Have you ever felt a sudden wave of dizziness or lightheadedness, leaving you feeling unsteady on your feet? 

Or perhaps you’ve experienced persistent fatigue that seems to linger no matter how much rest you get? 

These symptoms could be more than just passing discomforts—they could be red flags signaling a deeper issue with your mean arterial pressure (MAP).

As we navigate the complexities of our health, it’s essential to pay attention to the subtle whispers our bodies send us. 

Today, we’re shining a spotlight on a lesser-known yet crucial aspect of cardiovascular health: low mean arterial pressure. 

If you’ve ever wondered why you feel faint after standing up too quickly or why you constantly battle fatigue despite ample sleep, you’re in the right place.

In this article, we’ll unravel the mystery surrounding low MAP, exploring its causes, effects, and most importantly, practical strategies for managing and improving your MAP levels. 

From understanding the underlying factors contributing to low MAP to empowering you with actionable steps to safeguard your cardiovascular health, consider this your roadmap to a healthier, more resilient you.

So, if you’re ready to take charge of your well-being and unlock the secrets to optimal mean arterial pressure, join us on this journey. 

Let’s dive in and discover how small changes can make a significant impact on your heart health.

What Is Low Mean Arterial Pressure?

Before we delve into the intricacies of low mean arterial pressure, let’s take a moment to understand what MAP actually represents. 

Imagine your circulatory system as a bustling highway, with blood flowing through arteries to deliver oxygen and nutrients to every cell in your body. Mean arterial pressure is like the traffic flow on this highway, representing the average pressure in your arteries during one cardiac cycle, measured in millimeters of mercury (mmHg).

Related: Mean Arterial Pressure

Now, when this pressure dips below the normal range, we find ourselves in the realm of low MAP. 

But what exactly constitutes low MAP? 

Typically, a MAP below 70 mmHg is considered low and can have significant implications for your health and well-being.

Low Mean Arterial Pressure Chart

Let’s delve deeper into understanding low mean arterial pressure with a helpful chart. Below, you’ll find a breakdown of MAP values and their corresponding implications for your cardiovascular health:

LevelValues (mm Hg)
Mild Low60-70
Moderate Low50-59
Severely Lowbelow 50

  • Mild Low MAP: MAP between 60-70 mmHg. For example, a blood pressure reading of 90/60 mmHg falls within this range. You may experience occasional dizziness or lightheadedness, especially when standing up quickly.
  • Moderate Low MAP: MAP between 50-59 mmHg. An example of this would be a blood pressure reading of 80/50 mmHg. Symptoms may become more pronounced, including persistent fatigue, blurred vision, and difficulty concentrating.
  • Severe Low MAP: MAP below 50 mmHg. For instance, a blood pressure reading of 70/40 mmHg falls into this category. This level of low blood pressure can be life-threatening and requires immediate medical attention. Symptoms may include extreme weakness, confusion, and loss of consciousness.

Calculating Low MAP

Image of a doctor calculating low mean arterial pressure

Understanding how to calculate low mean arterial pressure can provide valuable insights into your cardiovascular health. While MAP isn’t directly measured, it’s derived from systolic and diastolic blood pressure readings using a formula:

To find the MAP:

  1. Double the diastolic blood pressure (the bottom number).
  2. Add the systolic blood pressure (the top number).
  3. Divide the sum by 3.

Here’s a formula:

MAP=((2×Diastolic)+Systolic) / 3

Let’s illustrate this with an example:

Suppose you have a blood pressure reading of 80/50 mmHg. Let’s calculate the MAP:

  1. Double the diastolic pressure: 2×50=100
  2. Add the systolic pressure: 100+80=180
  3. Divide the total by 3: 180÷3=60

In this example, the mean arterial pressure is equal to 60 mmHg, indicating a low MAP. This value suggests reduced blood flow to the organs and tissues, which can lead to symptoms such as dizziness, fatigue, and fainting.

Understanding how to calculate low MAP and interpret its values can empower you to monitor your cardiovascular health more effectively.

In the following sections, we’ll explore why low MAP occurs, its symptoms, how it’s diagnosed, and effective management strategies.

Causes of Low Mean Arterial Pressure

Understanding the multitude of factors that can contribute to low mean arterial pressure is essential for recognizing potential underlying issues and effectively addressing them. Let’s explore each of these factors in detail:

  • Dehydration: Insufficient fluid intake or excessive fluid loss through sweating, vomiting, diarrhea, or inadequate hydration can lead to dehydration. When your body lacks adequate fluids, it can result in a decrease in blood volume, leading to low blood pressure, including low MAP. Dehydration can be caused by various factors, including excessive heat, intense physical activity, certain medications, or underlying health conditions such as diabetes or kidney disease.
  • Medication Side Effects: Certain medications, particularly those used to treat high blood pressure (antihypertensives) or conditions such as heart failure, can cause blood pressure to drop excessively, leading to low MAP. Diuretics, commonly prescribed to reduce fluid retention, can also contribute to low blood pressure by increasing urinary excretion of fluids and electrolytes.
  • Heart Conditions: Various heart-related conditions can impair the heart’s ability to pump blood effectively, leading to decreased MAP. Heart failure, for example, occurs when the heart muscle becomes weakened or damaged, resulting in inadequate blood flow to the body’s tissues and organs. Similarly, bradycardia (slow heart rate) can reduce cardiac output, leading to low blood pressure, including low MAP.
  • Endocrine Disorders: Disorders affecting the endocrine system, such as adrenal insufficiency or hypothyroidism, can disrupt hormone levels involved in blood pressure regulation. Adrenal insufficiency, characterized by inadequate production of hormones by the adrenal glands, can lead to low blood pressure due to decreased levels of cortisol, a hormone that helps regulate blood pressure. Similarly, hypothyroidism, a condition where the thyroid gland doesn’t produce enough thyroid hormone, can lead to low blood pressure and decreased MAP.
  • Hypovolemia: Hypovolemia refers to a significant decrease in blood volume, often resulting from blood loss due to injury, surgery, gastrointestinal bleeding, or other medical conditions. When blood volume decreases, blood pressure drops, including MAP. Hypovolemia can lead to symptoms such as dizziness, weakness, rapid heartbeat, and decreased urine output.
  • Septic Shock: Septic shock occurs when an overwhelming infection triggers a systemic inflammatory response, leading to widespread inflammation and blood vessel dilation. This widespread dilation can cause a rapid drop in blood pressure, including low MAP, resulting in inadequate blood flow to vital organs and tissues. Septic shock is a life-threatening condition that requires immediate medical attention.
  • Neurological Conditions: Damage to the nervous system, such as autonomic dysfunction or spinal cord injuries, can disrupt the body’s ability to regulate blood pressure effectively. The autonomic nervous system plays a crucial role in controlling heart rate, blood vessel constriction, and dilation, which influence blood pressure. Damage or dysfunction of the autonomic nervous system can lead to dysregulation of blood pressure, including low MAP.
  • Allergic Reactions: Anaphylaxis is a severe allergic reaction that can cause a rapid drop in blood pressure, known as anaphylactic shock. During anaphylaxis, the immune system releases large amounts of chemicals, such as histamine, which can cause blood vessels to dilate rapidly, leading to a sudden decrease in blood pressure, including low MAP. Anaphylactic shock is a medical emergency that requires immediate treatment with epinephrine and supportive measures to restore blood pressure and prevent organ damage.

Identifying the underlying cause is crucial for developing an appropriate treatment plan and addressing any associated symptoms or complications.

Let’s continue our exploration of this important topic together.

Symptoms and Effects

Understanding the symptoms and effects of low mean arterial pressure is crucial for recognizing when intervention may be necessary and for managing potential complications.

Here, we’ll explore the common signs and consequences of low MAP:

  • Dizziness and Lightheadedness: One of the hallmark symptoms of low MAP is feeling dizzy or lightheaded, especially when standing up quickly. This sensation occurs due to inadequate blood flow to the brain, resulting in temporary impairment of cognitive function and balance.
  • Fatigue and Weakness: Low MAP can lead to feelings of fatigue and weakness, as vital organs and tissues may not receive an adequate supply of oxygen and nutrients. This can result in decreased energy levels and overall lethargy.
  • Fainting (Syncope): In severe cases, low MAP can cause fainting or syncope. This occurs when blood pressure drops suddenly, leading to a temporary loss of consciousness. Fainting episodes may be brief and resolve spontaneously but can be alarming and may indicate underlying cardiovascular issues.
  • Blurred Vision: Reduced blood flow to the eyes can result in blurred vision or visual disturbances. This symptom may be temporary and resolve once blood pressure is stabilized.
  • Shortness of Breath: In some cases, low MAP can lead to difficulty breathing or shortness of breath, particularly during physical exertion or when lying flat. This may be due to inadequate oxygen delivery to the lungs and tissues.
  • Chest Pain (Angina): In individuals with pre-existing heart conditions, such as coronary artery disease, low MAP can exacerbate symptoms of angina, characterized by chest pain or discomfort. This occurs when the heart muscle doesn’t receive enough oxygen-rich blood, often during periods of increased demand, such as physical activity.
  • Reduced Urine Output: Low MAP can impair kidney function and lead to reduced urine output, known as oliguria. This occurs when the kidneys receive insufficient blood flow, impacting their ability to filter waste products and regulate fluid balance.
  • Confusion and Cognitive Impairment: In severe cases of low MAP, inadequate blood flow to the brain can lead to confusion, cognitive impairment, or even delirium. This can manifest as difficulty concentrating, memory problems, or altered mental status.

It’s essential to recognize these symptoms and seek medical attention if you experience persistent or severe symptoms of low MAP.

Prompt intervention can help prevent complications and improve outcomes.

In the following sections, we’ll explore how low MAP is diagnosed and discuss effective management strategies.

Let’s continue our journey of understanding together.

Diagnosing Low MAP

Image of a doctor diagnosing Low Mean Arterial Pressure

Diagnosing low mean arterial pressure involves a comprehensive assessment of blood pressure readings, clinical symptoms, and potential underlying causes. Here’s an overview of the diagnostic process:

Blood Pressure Measurement

Healthcare providers begin the diagnostic process by obtaining accurate blood pressure measurements using a sphygmomanometer (blood pressure cuff). This involves measuring both systolic and diastolic blood pressure, from which the MAP is calculated using a specific formula. A MAP below 70 mmHg is generally considered low.

Clinical Assessment

In addition to blood pressure measurements, healthcare providers conduct a thorough clinical assessment to evaluate symptoms and signs of low blood pressure.

This includes assessing for dizziness, lightheadedness, fatigue, and fainting. Information about medical history, medication use, and recent illnesses or injuries is also gathered to provide a comprehensive understanding of the individual’s health status.

Orthostatic Hypotension Testing

Orthostatic hypotension, a condition characterized by a sudden drop in blood pressure upon standing, may be assessed through orthostatic testing.

This involves measuring blood pressure while lying down, sitting, and standing to identify any significant changes in blood pressure upon postural changes.

Laboratory Tests

Laboratory tests may be conducted to evaluate for underlying medical conditions that could contribute to low MAP. These tests may include a complete blood count (CBC), electrolyte panel, renal function tests, and thyroid function tests.

Cardiac Evaluation

Individuals with low MAP may undergo cardiac evaluations, including electrocardiography (ECG) and echocardiography, to assess for heart rhythm abnormalities, structural heart defects, or signs of heart failure.

These tests provide valuable information about the underlying cardiac function and help guide treatment decisions.

Neurological Assessment

Neurological assessments may also be performed to evaluate for any underlying neurological conditions contributing to low MAP.

This may include tests of autonomic function, such as heart rate variability testing or tilt table testing, to assess the body’s ability to regulate blood pressure.

Specialized Testing

Depending on the clinical presentation and suspected underlying causes, additional specialized testing, such as imaging studies (MRI or CT scans), may be indicated to assess for structural abnormalities or evaluate blood flow to specific organs.

By conducting a comprehensive diagnostic evaluation, healthcare providers can accurately diagnose low MAP and identify any underlying factors contributing to the condition.

This allows for the development of a tailored treatment plan to address the individual’s needs and improve overall cardiovascular health.

In the following sections, we’ll discuss effective management strategies for low MAP.

Treatment and Management of Low MAP

A group of seniors running in a park to prevent issues with their blood pressure

Alright, let’s delve into how we address low mean arterial pressure in a way that’s comprehensive yet understandable.

Optimal Hydration

Increasing fluid intake is often the first line of defense against low MAP.

Hydration plays a critical role in maintaining blood volume and pressure. Ensuring adequate fluid intake through water and electrolyte-rich beverages helps replenish blood volume and supports blood pressure regulation.

Medication Adjustment

Medications can significantly influence blood pressure.

Adjustments in medication dosages or changes to alternative agents may be necessary to mitigate the risk of excessively low blood pressure. This involves a careful evaluation of the pharmacological effects of medications and their impact on blood pressure regulation.

Healthy Lifestyle Practices

Embracing a lifestyle that prioritizes balanced nutrition, hydration, and regular exercise can have profound effects on blood pressure regulation.

Consuming a diet rich in fruits, vegetables, lean proteins, and whole grains supports cardiovascular health.

Likewise, maintaining adequate hydration, limiting alcohol intake, and engaging in regular physical activity strengthen cardiovascular function and contribute to blood pressure stability.

Compression Therapy

Compression stockings are often recommended to enhance venous return and prevent orthostatic hypotension.

These specialized garments apply gentle pressure to the legs, facilitating blood flow and reducing the risk of postural hypotension-induced symptoms, such as dizziness or syncope.

Structured Exercise Programs

Exercise is a cornerstone of cardiovascular health.

Structured exercise programs, tailored to individual fitness levels and preferences, gradually increase in intensity to improve cardiovascular endurance and blood pressure regulation.

Regular physical activity enhances cardiac output, peripheral circulation, and autonomic nervous system function, contributing to optimal blood pressure control.

Pharmacological Interventions

In cases where conservative measures fail to adequately manage low MAP, pharmacological interventions may be necessary.

This may involve the administration of vasopressor agents or intravenous fluids to rapidly elevate blood pressure and improve organ perfusion.

Hormone Replacement Therapy

Hormone deficiencies, such as adrenal insufficiency or hypothyroidism, can contribute to low blood pressure.

Hormone replacement therapy may be indicated to restore hormonal balance and optimize blood pressure regulation.

Continuous Monitoring and Follow-Up

Regular monitoring of blood pressure, clinical symptoms, and response to treatment is essential for evaluating the effectiveness of management strategies.

Follow-up appointments allow healthcare providers to assess progress, make necessary adjustments, and provide ongoing support to individuals with low MAP.

Moreover, for added convenience, we’ve developed a user-friendly blood pressure app designed to make BP monitoring a breeze.

This handy tool allows you to easily journal your blood pressure readings and share them with your healthcare provider, ensuring seamless communication and more effective management of your condition.

By implementing a multifaceted approach to treatment and management, healthcare providers can effectively address low MAP and promote optimal cardiovascular health.

In the following sections, we’ll explore preventative measures, when to seek medical attention, and address common questions related to low MAP.

Are you prepared to explore further?

Let’s continue our journey together.

Preventative Measures

Now that we’ve covered some key strategies for managing low MAP, let’s dive into some extra steps we can take to prevent it from happening in the first place.

Here are a few more tips to keep your cardiovascular system in top shape:

  • Mindful Caffeine Consumption: While a morning cup of coffee can give you a little boost, too much caffeine can actually cause your blood pressure to spike and then crash. Be mindful of your caffeine intake and try to limit it to moderate amounts to avoid potential blood pressure fluctuations.
  • Healthy Sleep Habits: Quality sleep is crucial for overall health, including maintaining a healthy blood pressure. Aim for 7-9 hours of restful sleep each night, and try to stick to a consistent sleep schedule to help regulate your body’s internal clock.
  • Regular Blood Pressure Checks: Knowledge is power, right? Keep tabs on your blood pressure by monitoring it regularly at home, especially if you have any risk factors for low MAP. This way, you can catch any changes early on and take action if needed.
  • Stay Active Throughout the Day: Sitting for long periods can actually cause your blood pressure to drop. Break up your sitting time with short bursts of activity throughout the day, whether it’s taking a quick walk around the block or doing a few stretches at your desk.
  • Mind Your Medications: Some over-the-counter medications, like certain cold and allergy remedies, can affect your blood pressure. Always read the labels carefully and talk to your doctor or pharmacist if you’re unsure about any potential side effects.
  • Manage Stress: We mentioned stress management earlier, but it’s worth repeating. Chronic stress can wreak havoc on your cardiovascular system, so finding healthy ways to cope with stress – whether it’s through meditation, yoga, or simply spending time with loved ones – is key.

By incorporating these additional preventative measures into your lifestyle, you can help keep your blood pressure in check and reduce the risk of experiencing low MAP.

Remember, it’s all about taking small steps every day to support your heart health and overall well-being.

When to See a Doctor

While occasional fluctuations in blood pressure are normal, persistent or severe symptoms may indicate underlying issues that require medical evaluation.

Here are some signs that it’s time to reach out to your healthcare provider:

Persistent Symptoms

If you experience persistent symptoms such as dizziness, lightheadedness, fainting, blurred vision, or chest pain, it’s essential to seek medical attention promptly.

These symptoms could indicate significant changes in blood pressure or underlying cardiovascular issues that require evaluation and treatment.

Medication Side Effects

Certain medications, such as antihypertensive agents, diuretics, or medications for other health conditions, can cause low blood pressure as a side effect.

If you notice new or worsening symptoms after starting a new medication, it’s crucial to discuss them with your healthcare provider.

They can assess whether the medication is contributing to your symptoms and make any necessary adjustments.

Orthostatic Hypotension

Orthostatic hypotension, characterized by a sudden drop in blood pressure upon standing, can cause dizziness, lightheadedness, or fainting.

If you experience these symptoms when transitioning from lying or sitting to standing positions, it’s essential to inform your healthcare provider.

They can conduct further evaluation to determine the underlying cause and recommend appropriate management strategies.

Symptoms During Exercise

If you experience symptoms of low blood pressure during physical activity, such as dizziness, weakness, or palpitations, it’s essential to stop exercising and seek medical attention.

These symptoms could indicate inadequate blood flow to the heart or other organs, which requires immediate evaluation and treatment.

Changes in Mental Status

Significant changes in mental status, such as confusion, disorientation, or altered consciousness, can indicate inadequate blood flow to the brain.

If you or someone you know experiences these symptoms, it’s crucial to seek emergency medical care.


Pregnant individuals are at increased risk of developing low blood pressure due to hormonal changes and increased blood volume.

If you experience symptoms such as dizziness, fainting, or vision changes during pregnancy, it’s essential to inform your healthcare provider.

They can assess whether your symptoms are related to low blood pressure or other pregnancy-related issues and recommend appropriate management.

In summary, if you experience persistent or severe symptoms of low blood pressure, it’s important to reach out to your healthcare provider for evaluation and guidance.

Early intervention can help identify underlying issues, prevent complications, and improve overall health outcomes.

Don’t hesitate to advocate for your health and seek medical attention when needed.

Ready to check another BP Value?

Mean Arterial Pressure (MAP) Calculator

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Here are some common questions about low mean arterial pressure and the answers for them:

What is considered low mean arterial pressure?
Generally, a MAP below 70 mmHg is considered low. However, the ideal MAP can vary depending on individual factors such as age, overall health, and medical history. It’s essential to consult with your healthcare provider for personalized guidance.

What causes low MAP?
Low MAP can be caused by various factors, including dehydration, prolonged bed rest, heart conditions, certain medications, endocrine disorders, and orthostatic hypotension. Identifying the underlying cause is crucial for effective management.

How is low MAP diagnosed?
Diagnosis typically involves measuring blood pressure using a sphygmomanometer or automated blood pressure monitor. In addition to blood pressure measurements, healthcare providers may perform a physical examination, review medical history, and conduct diagnostic tests to identify any underlying conditions contributing to low MAP.

What are the symptoms of low MAP?
Symptoms of low MAP may include dizziness, lightheadedness, fainting, blurred vision, fatigue, weakness, nausea, and palpitations. These symptoms occur due to reduced blood flow to the brain and other organs.

How is low MAP treated?
Treatment depends on the underlying cause and severity of low MAP. Management strategies may include fluid replacement, medication adjustment, lifestyle modifications, compression therapy, exercise programs, hormone replacement therapy, and intravenous medications in severe cases.

Can low MAP be prevented?
While some risk factors for low MAP, such as age and certain medical conditions, cannot be modified, adopting a healthy lifestyle can help prevent or reduce the risk of low blood pressure. This includes staying hydrated, eating a balanced diet, exercising regularly, managing stress, and avoiding excessive alcohol consumption.

When should I see a doctor for low MAP?
It’s essential to seek medical attention if you experience persistent or severe symptoms of low MAP, such as dizziness, fainting, chest pain, confusion, or changes in mental status. Additionally, if you’re unsure about your blood pressure readings or have concerns about your health, don’t hesitate to consult with your healthcare provider.

Can low mean arterial pressure affect athletic performance?
Yes, low MAP can impact athletic performance by reducing blood flow to muscles and organs, leading to fatigue, weakness, and decreased exercise tolerance. Athletes with low MAP may experience symptoms such as dizziness, lightheadedness, and reduced stamina during physical activity.

Are there any specific dietary recommendations for individuals with low MAP?
While maintaining a balanced diet is important for overall health, individuals with low MAP may benefit from increasing their intake of fluids, electrolytes, and foods rich in sodium to help raise blood pressure. However, it’s essential to consult with a healthcare provider or registered dietitian for personalized dietary recommendations based on individual health needs.

Can certain occupations or environmental factors contribute to low mean arterial pressure?
Yes, certain occupations or environmental conditions, such as working in hot environments, prolonged standing or sitting, or exposure to high altitudes, can increase the risk of dehydration and orthostatic hypotension, leading to low MAP. Individuals in these settings may benefit from taking frequent breaks, staying hydrated, and wearing compression stockings to support blood pressure regulation.

Is low mean arterial pressure more common in certain age groups?
While low MAP can occur at any age, it is more prevalent in older adults due to age-related changes in blood vessel elasticity, decreased cardiac function, and underlying health conditions such as hypertension, diabetes, and cardiovascular disease. However, low MAP can also affect younger individuals, especially those with predisposing factors such as dehydration, medication use, or hormonal imbalances.

Can low mean arterial pressure affect cognitive function and mental health?
Yes, low MAP can impair cognitive function and mental health by reducing blood flow to the brain, leading to symptoms such as confusion, difficulty concentrating, and mood changes. Individuals with low MAP may experience cognitive impairment, fatigue, and emotional instability, affecting their quality of life and overall well-being.

Are there any alternative or complementary therapies that may help manage low MAP?
Some alternative or complementary therapies, such as acupuncture, herbal supplements, and relaxation techniques, may offer symptom relief and support cardiovascular health in individuals with low MAP. However, it’s essential to discuss these therapies with a healthcare provider to ensure they are safe and effective for your specific condition.


In conclusion, managing low mean arterial pressure is crucial for overall cardiovascular health.

By staying hydrated, eating a balanced diet, staying active, managing stress, and seeking medical attention when necessary, individuals can effectively mitigate the risks associated with low MAP.

Remember, your health is a journey, and taking proactive steps today can lead to a healthier tomorrow.

Further Reading:

MAP Ranges

Low MAP | Normal MAP | High MAP

If you’re eager to know more about blood pressure, we’ve compiled a comprehensive list of other articles to fuel your thirst for knowledge.

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  3. National Heart, Lung, and Blood Institute. (n.d.). Low Blood Pressure. https://www.nhlbi.nih.gov/health-topics/low-blood-pressure
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  5. Healthline. (2022). What Are the Symptoms of Low Blood Pressure? https://www.healthline.com/health/symptoms-of-low-blood-pressure
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  7. Mayo Clinic. (2021). Hypotension (low blood pressure) in pregnancy. https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/expert-answers/low-blood-pressure-during-pregnancy/faq-20058483
  8. Centers for Disease Control and Prevention. (2022). Falls Among Older Adults: An Overview. https://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html

Have you ever experienced symptoms of low blood pressure, and if so, what strategies have you found helpful in managing them?

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