Pancreatitis in cats

Pancreatitis in cats is an inflammation of the pancreas. It's no secret that this gland is essential for normal digestion. It has a special area responsible for producing the hormone insulin, which is needed to "feed" cells with glucose. If the hormone is deficient or the cells become resistant to it, blood sugar levels skyrocket, and the pet develops diabetes. diabetes mellitusHow to treat pancreatitis in cats?

Like any other inflamed organ, the pancreas is unable to fully function during pancreatitis. This is extremely dangerous, as not only is the digestive process itself disrupted, but metabolism is also severely affected. The risk of diabetes increases.

Certain cat breeds are predisposed to pancreatitis. For example, Thai, Siamese, Oriental, Balinese, and their close relatives. Stress, pregnancy, and hormonal fluctuations can also increase the risk. Therefore, female cats (often unspayed) and male cats with whiskers, who frequently experience stress, are more susceptible to the disease. Diseases similar to pancreatitis become more common with age, so pancreatic inflammation is more common in older cats (over 8 years old).

Causes of pancreatitis in cats

pancreatitis in a cat

Let's start with the root cause. Why and how does pancreatitis occur in cats?

  • CongenitalSometimes kittens are born with the condition. Any contributing factor can lead to the pet developing pancreatitis.
  • Excess or, conversely, underweightSuch a deviation from the norm already indicates that something is wrong with the metabolism (as well as with the pet's nutrition). Obesity in a cat only makes the situation worse. The fact is that fats prevent cells from "contacting" glucose.
  • Excess calciumA deficiency of this element in the diet is just as bad as overfeeding it.
  • Poisoning (most often due to drug intoxication).
  • Other diseases infectious (for example, calicivirus), fungal, parasitic (for example, toxoplasmosis) etiology.
  • Diseases of the gastrointestinal tract (not only the stomach or intestines, but also the liver and gallbladder).
  • Diabetes mellitusIt can either arise from pancreatitis or lead to it. It's a vicious circle.
  • Injury (especially if the peritoneum has been injured, often even as a result of surgery). The cat may fall and injure itself. Or it may become a victim of a dog attack or cruelty.

Types of pancreatitis in cats

Pancreatitis in cats can be acute or chronic. Chronic pancreatitis is more insidious because it slowly and continuously destroys the body. While there may be no noticeable symptoms, the animal continues to get worse.

Moreover, the disease can be divided into primary (the disease developed independently) and secondary (the disease is a consequence of another, that is, inflammation of the pancreas is a symptom).Symptoms of pancreatitis in cats

Symptoms of pancreatitis in cats

Typically, it's quite difficult to visually detect the symptoms of pancreatitis in a cat. While a person or dog might be practically climbing the walls in excruciating pain, our pet remains silent, perhaps just starting to sleep more. Therefore, owners often fail to notice the signs of pancreatic inflammation in cats, even if the condition is acute. Chronic inflammation, on the other hand, progresses almost unnoticed, only occasionally flaring up. For this reason, we'll focus on the symptoms of acute pancreatitis in cats.

Vomit Almost constantly. Unstoppable.
Diarrhea It has a sour smell. But sometimes a sick animal "gets by" without this symptom. Against the background of persistent vomiting and diarrhea in a cat dehydration is noted.
The animal becomes very lethargic Sleeps a lot. More than usual.
Cardiovascular disorders Dehydration causes the heart to beat strongly and the pulse to accelerate (tachycardia).
Breathing is also impaired. It becomes more frequent and more superficial.
Fever The temperature rises, especially if pancreatitis in a cat develops against the background of an infectious disease.
Pain When palpating the tummy, the cat is clearly restless and meows loudly and anxiously.
Jaundice The eyes, muzzle, and mucous membranes acquire a yellowish tint.

Naturally, a cat may have only some of the symptoms listed above, not necessarily all at once.

Possible complications

If a cat didn't have it before pancreatitis, it can lead to diabetes! Therefore, treatment for a cat with pancreatitis should be urgent. In very severe cases (thankfully, these aren't very common in animals), the cat can develop sepsis—blood poisoning.

How to make a diagnosis?

Clinical signs alone aren't enough. The veterinarian must perform a number of other tests: ultrasound, X-rays, gastroscopy, urine and blood tests. Only with all these additional examinations can the doctor make a definitive diagnosis. They will assess the extent of pancreatic damage and ensure that no other organs are damaged (if the cat has urolithiasis, hepatitis, gastritis, stones in the bile ducts and bladder, etc.).

Treatment of pancreatitis in cats

How to treat pancreatitis in a cat? Treatment should begin immediately after diagnosis. If the animal vomits immediately after drinking or eating, stop feeding.

The veterinarian will need to find the underlying cause of the inflammation. Without addressing it, treatment is futile; pancreatitis will immediately return. Therefore, the cat may be given anthelmintics, antibiotics, and antiviral medications. If the symptoms are mild, symptomatic therapy is most often used (antiemetics, cardiac medications, and glucose IVs to treat dehydration). However, if the cat has diabetes, the intravenous glucose should be replaced with a different saline solution (diabetics already have high blood sugar levels; adding glucose could cause the animal to go into a coma).

Treating a cat for pancreatitis

Feeding cats with pancreatitis

What should I feed a cat with pancreatitis? Feeding a cat with pancreatitis should be done in small portions. Don't overload the pancreas. It's better to feed frequently, but in small portions. This also won't cause a large release of glucose into the blood, since an inflamed pancreas produces less insulin. Here are a few simple rules:

  1. Food (if natural) should be warmed slightly (just above room temperature) to avoid unnecessary irritation of the digestive tract. Avoid feeding food that is too hot or straight out of the refrigerator.
  2. Don't overload your pet's diet. Don't feed them a ton of different foods daily. It's better to introduce one food at a time, gradually introducing new ones. At first, it's best to feed low-fat broths and easily digestible cereals (oatmeal, rice).
  3. There should be plenty of water. It needs to be filtered in advance, but it should be lukewarm (room temperature).
  4. If the animal gets worse, switch back to light food and immediately call or visit a veterinarian!

There's a list of prohibited foods for cats with pancreatitis. These foods are strictly prohibited, even if your pet feels better. It's important to understand that your pet remains at risk for a long time after recovery (or visible improvement). Therefore, don't risk feeding anything that could trigger a relapse.

Prohibited foods

List of prohibited foods for a cat with pancreatitis:

  • Cabbage. It is not recommended for feeding to healthy animals.
  • Corn. If you feed dry food, carefully read the ingredients. Manufacturers often cut corners by adding corn and its derivatives.
  • Boiled eggs. The whites are digested much better than the yolks, but if you have pancreatitis, you shouldn't give them either; they're too heavy.
  • Raw vegetables and fruits. The gastrointestinal tract is not yet ready to digest fiber.
  • Do not give a sick cat porridge made from whole grains.
  • Refrain from feeding fatty foods (meat, dairy, fish).

Forget about "human treats." No sweets (especially chocolate). Hot dogs and sausages are completely unsuitable for feeding to a pet! You can't even add table salt to a cat, let alone hot dogs and sausages? How much "healthy" stuff is in there? The digestive tract won't cope, and the irritation will only become more severe.

  • Fried? That's contraindicated even for a healthy animal!
  • Avoid fermented milk products! And hold off on anything with a sour taste until "better" times.

Prevention of pancreatitis in cats

Preventing pancreatitis in cats isn't that difficult. Start by keeping up with all veterinary treatments (vaccinations, deworming), and also visiting your veterinarian for regular checkups.

Monitor calcium in your diet

Avoid overfeeding your cat with calcium-rich foods. Avoid giving them hard-to-digest foods. Ensure your cat's diet does not contain any prohibited foods. Carefully read the ingredients of any dry food you buy. Don't hesitate to ask for quality certificates.

If your pet has gastrointestinal problems, they're at risk. Avoid neglecting them under any circumstances. Monitor your pet's weight.

Do not self-medicate

If your veterinarian has prescribed any medications, do not substitute them with similar medications yourself (some owners try to find similar medications in human pharmacies). Do not exceed the prescribed dosage, and do not give your pet medications more often than recommended by your veterinarian.

Houseplants

Keep houseplants away—some are poisonous. The toxins damage the liver, which over time leads to inflammation of the cat's pancreas.

A comprehensive webinar for professionals on pancreatitis (and other pancreatic diseases) in cats and dogs:

We hope you found our article on pancreatitis in cats helpful. Any questions? Ask them in the comments.

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32 comments

  • Hello!
    My cat (neutered, vaccinated, and indoor cat since 2014) had been experiencing episodes of labored breathing with wheezing. A lung X-ray showed his lungs were clear.

    Blood biochemistry yielded the following results:
    Bilirubin total 5.3
    Direct bilirubin 2.2
    Aspartate aminotransferase (AST) 47.8
    Alanine aminotransferase (ALT) 71.6
    Alkaline phosphatase 59
    Glutamyltransferase 5.8
    Creatinine 104
    Urea 7.2
    Alpha-Amylase 1248
    Glucose 13.1
    Lactate dehydrogenase 246
    Total protein 81.4.
    Pancreatic amylase 876

    Based on this analysis, the doctor diagnosed pancreatitis. Could you please comment on whether it is indeed pancreatitis?

    • Hello! Certain indicators may suggest pancreatic problems (elevated glucose, alpha-amylase). However, AST, ALT (and their ratios), and alkaline phosphatase are more concerning. A liver check wouldn't hurt either. An ultrasound is ideal to examine both the pancreas and liver. Total protein can also increase due to dehydration. Sugar (glucose) levels can also spike due to stress, physical activity, or if the pet managed to eat something before the tests.

  • Good afternoon! My cat hasn't had a bowel movement for four days now. Could the previous course of injections (Baytril, papaverine, and Aciloc) be to blame? What should I do?

    • Hello! Typically, after antibiotics, loose stools are observed, not constipation. You gave both an antispasmodic and additional microflora, so constipation is unlikely to be related. Consider: what did you feed your pet? How much water did it drink? Perhaps it ate little and moved little? It is essential to induce a bowel movement to prevent intoxication. The simplest methods are: orally administer 5-10 ml of Vaseline oil (it is not absorbed in the gastrointestinal tract, so it "cleanses" it well) and administer an enema (either warm water only, or water and Vaseline oil in a 1:1 ratio). Giving an enema is not difficult, the main thing is to find someone to help hold the cat.

  • Good afternoon! My cat is 4.5 months old and neutered. He was active, jumping, playing, and always had a good appetite. His condition suddenly changed: he started sleeping a lot, isn't eating at all, and isn't drinking. Previously, he would vomit after eating (once a month) depending on what he ate. Recently, he vomited a yellow, foamy substance. We took him to the vet, had blood tests, an ultrasound, and an IV. They diagnosed pancreatitis. They prescribed IVs (sodium chloride + Quatemal, Ringer's solution, and Gordox), No-Spa, Cerucal, Omez, Pancreatin, and gastroenteric food. We went to another clinic to confirm the diagnosis. Another doctor also analyzed the blood work and ultrasound and recommended an X-ray, which showed minor abnormalities in the pelvic organs and gastrointestinal tract, but did not confirm the diagnosis of pancreatitis. He also noticed low white blood cells (the normal range is 5.5-18.5, but the test showed 2.7). He also prescribed other medications: Baytril, papaverine, Aciloc, Enterosgel, Gastro food, and Vayo cocktail. Could you please tell me what medications should our pet take in this situation?

    • Hello! Well, I can't see the blood results. Was it a biochemistry panel or a general blood test? Amylase levels would have changed with pancreatitis. You can't see that without a biochemistry panel. The first doctor prescribed IVs and enzymes to support digestion (omez for gastritis, pancreatin to help the pancreas, No-Spa for an antispasmodic, and Cerucal for an antiemetic). The second doctor prescribed antibiotics, the same antispasmodic (papaverine and No-Spa analogues), and sorbents. Essentially, both are supportive therapy. The first regimen won't make things worse, but the second one only concerns the antibiotics, and the white blood cell count is below normal, not higher.

    • Daria, thanks for your reply! Amylase is 2072 (normal is 500-1200). Are antibiotics prescribed for low white blood cells?

    • Hello again! Indeed, the amylase level is off the charts. Have you checked your baby's blood glucose levels? If you have a glucometer at home, start serially measuring blood sugar levels: one hour before the morning feeding, 2-3 hours after the feeding, one hour before the evening feeding, and 2-3 hours after the evening feeding. And monitor the sugar levels. It's possible it's not just pancreatitis, but diabetes as well. You should monitor your baby's thirst and urination (if they're frequent, you should also have a urine sample tested for sugar).

    • Daria, hello! My glucose levels are 4.06 (normal range is 3.3–6.3).

    • Hello! Well, I'm glad it's not diabetes. That means the pancreas isn't "dead" yet. It's just a matter of fighting for it. How is the animal feeling now? What medications are left for treatment? What symptoms remain? Any new ones? Have you changed the diet?

    • We did a biochemical and general analysis.

  • Hello! My cat is 4.5 years old. He was recently examined. He was diagnosed with inflammation of the colon and pancreatitis. They also found struvites in his urine. The doctor told me to switch to gastro food. Could you please tell me which food (and which brand) is best? My cat has a tendency to be overweight.

    • Hello! Any super-premium or holistic food would be good. If you can afford it, try Royal Canin (but specifically the European brand, not the Russian one), Purina ProPlan, or Hill's. At least one of those would be ideal. Wet food is best, as struvite requires more moisture to help the bladder empty more frequently (more urine means more urination, so you can add No-Spa to help ease urination). Also, give your cat more water. Wet food is also easier on the intestines. What else was prescribed?

    • No-shpa in tablet form is deadly for cats!!!
      It can only be injected

    • No-shpa (drotaverine chloride) is deadly in case of overdose! Contraindicated for kittens under 3 months of age, those with renal/hepatic/heart failure, pregnant and lactating women, diabetes mellitus, and individual intolerance to the ingredients. It cannot be used subcutaneously or intravenously - death is possible. (especially with intravenous administration due to a sharp drop in blood pressure). With intramuscular administration, temporary (less often permanent) paresis of the hind limbs is possible. In case of an overdose, cardiac and respiratory arrest may occur, a sharp drop in blood pressure, and hypoxia (oxygen starvation) of the brain. But there are no restrictions on oral administration, other than excessively high dosages! 0.1-0.2 mg per 1 kg of the cat's body weight. Drotaverine works 5 times longer than papaverine. And because of fear of limb paralysis, many people refuse to administer No-Spa intramuscularly. But! I haven't found any prohibitions in any pharmacology textbook regarding giving cats drotaverine orally (even in Romania, there are tablets specifically for cats). It only says that it has a bitter taste, making it difficult to administer to the animal, and may cause excessive salivation and vomiting. But if owners themselves can't administer No-Spa deeply and slowly intramuscularly twice a day, they will be prescribed tablets. But the dosage is important, so as not to overdo it!

      No-shpa (drotaverine chloride) is deadly in case of overdose! Contraindicated for kittens under 3 months of age, those with renal/hepatic/heart failure, pregnant and lactating women, diabetes mellitus, and individual intolerance to the ingredients.
      It cannot be used subcutaneously or intravenously - death is possible. (especially with intravenous administration due to a sharp drop in blood pressure). With intramuscular administration, temporary (less often permanent) paresis of the hind limbs is possible. In case of an overdose, cardiac and respiratory arrest may occur, a sharp drop in blood pressure, and hypoxia (oxygen starvation) of the brain. However, there are no restrictions on oral administration, other than excessively high dosages! 0.1-0.2 mg per 1 kg of the cat's body weight.
      Drotaverine works five times longer than papaverine. And because of the fear of limb paralysis, many people refuse to administer No-Spa intramuscularly. But! I haven't found any prohibition in any pharmacology textbook regarding giving cats drotaverine orally (even in Romania, there are tablets specifically for cats). It only mentions that it has a bitter taste, making it difficult to administer to animals, and may cause excessive salivation and vomiting. But if owners themselves can't administer No-Spa deeply and slowly intramuscularly twice a day, they will be prescribed tablets. But the dosage is important, so as not to overdo it!

  • Hello. My cat is 9 months old. We had her spayed a month ago. Before the procedure, we had her blood tested (her alpha-amylase levels were significantly elevated, but everything else was normal), and it turned out we suspected chronic pancreatitis. We were told it was nothing to worry about, and to just gradually transition her to food for spayed cats after a few weeks. But that didn't seem like enough, so I went to the pet store where we always buy our food and explained the situation. They advised us to switch to a therapeutic food from the same line for a while, and then repeat the tests in a month to see what the vet says. My cat doesn't have any other symptoms, but after reading your article, I don't think so. She seems to be sleeping more. I'd like to ask you what I should do in this situation. Will a complete blood count and biochemistry panel be enough? Is simply switching to food for spayed cats enough, or is some kind of treatment necessary? I really want to help my cat and in no case allow complications.

    • Hello! In addition to a general and biochemical analysis, you should also do an ultrasound. I'm surprised they're diagnosing chronic pancreatitis and saying it's nothing serious. How can that be? If left untreated, it could lead to diabetes. But you shouldn't immediately switch to a therapeutic diet. First, you need to confirm the diagnosis. Amylase levels rise not only with pancreatitis. You should also check other blood counts. And an ultrasound is a must.

  • The cat is 16 years old. He's extremely thin and barely eats. An ultrasound showed damage to his pancreas and small intestine. He's been given five IVs and injections. There's been no improvement. He vomits once a day (up to five times at first), is lethargic, and barely eats on his own. We have to feed him baby food with our finger. He used to sleep only with us, but now he wanders off. Sometimes he comes back and purrs.

    • Hello! How can there be no improvement if your pet was vomiting five times a day, and now it's only once? Is this not an improvement, in your opinion? Or did you expect your pet to recover instantly after five IVs? Yes, your pet is weak, they're sick, their gastrointestinal tract is inflamed, they're vomiting, and that's why they're not eating well. What else was prescribed besides the IVs? What injections (what medication)? Did they do a biochemistry test? Was a therapeutic diet prescribed, or did you decide to feed them baby food yourself? With such illnesses, it's best to switch to super-premium or holistic therapeutic foods. They are balanced and contain all the necessary components that are easily digestible. Continue to support your pet, adhere to the prescribed treatment regimen, and all recommendations of your veterinarian. Thanks to your care and strict adherence to instructions, you'll notice your pet starting to recover in 2-3 weeks. But ask your veterinarian about feeding!

  • He's an 11-month-old ginger British shorthair. He was neutered at 8 months. He was vaccinated at 5 months (after receiving deworming tablets). We've always fed him dry RK KITTEN kitten food. A couple of months ago, we started taking him to the dacha for a few days at a time. A month ago, we went to the vet about blood in his stool (blood specks). The vet, without running any tests, said it was parasites. He dewormed him with some kind of suspension and prescribed Verakol and Liarsin injections for 5 days. Everything went away.
    Last Wednesday, he disappeared from the dacha for half a day (previously, he would come running several times during this time to eat and drink). He returned late in the evening. He ate and drank as usual. He slept all night. In the morning, we took him to the city. He slept all day, barely eating or drinking. In the evening, he began vomiting heavily, at first with food particles, then with a yellowish-brown tint, and then just white and slightly foamy. This happened almost every 15-20 minutes. When I tried to give him something to drink with a syringe (he didn't drink it himself), he immediately vomited white again. A few hours later, we took him to the clinic. The vet took his temperature - it was normal, examined his mouth and eyes (no yellowing), looked at a photo of the vomit and said it was most likely pancreatitis. He gave him an antiemetic and several more injections (Covertal, Gamovit), and fed him half a tablet of pancreatin. He also took a biochemical blood test.
    He recommended stopping the dry food and giving him RK Gastro INTESTINAL dietary wet food little by little for now. When he got home, he was walking around like he was under anesthesia. He took a few sips of water and fell asleep. The vomiting stopped. The doctor confirmed the diagnosis based on his blood tests: AST was allegedly elevated at 48 (with the norm being 8-45) and AST at -65 (with the norm being 8-40) (Amylase at -2500 (with the norm being 700-2000)). All other indicators were normal. He prescribed Covertal, Gamovit, 1 ml every 7 days, half a pancreatin tablet (we bought 30 units), and 1 Cyston tablet. Did the doctor diagnose him correctly (without an ultrasound, etc.)? Maybe he just got poisoned with something. He's never had vomiting before. Should I continue the injections and tablets (I don't want to overload him with unnecessary things)? Now, on the third day, the cat is doing well. He's asking for food (he's loved RK canned food since he was a puppy), but he's drinking little. I don't think fasting and a diet would hurt. Please answer!

    • Hello! A 12-hour fast was supposed to be on the first day. Now it's no longer necessary. The diet is gastro-food; don't change or add anything else. An ultrasound would be advisable to confirm the diagnosis. Regarding the lack of vomiting before, that's what the disease is for—symptoms to suddenly appear. Once the disease has developed, clinical signs are right there. Regarding treatment: nothing that will "overload" the body—supportive therapy has been prescribed (Gamavit is a complete waste of time; read the ingredients; it's more likely prescribed to reassure the owners).

    • Dasha! Thank you so much! How long should I continue the RK Gastro wet food diet, and can I then switch back to regular RK dry kitten food? Or should I stick with GASTRO? What can you tell me about the test results?

  • Good evening. My Maine Coon cat is 4.5 years old. After a blood test, the vet diagnosed incipient pancreatitis (without an ultrasound). The treatment prescribed was entirely homeopathic: 5 injections a day into the scruff of the neck: Pancrealex, Verokol, Covertal, Cantharen, and Gamavit for a week to 10 days. He is now on a special diet. A post-treatment ultrasound was also not prescribed.
    My question is: is it possible to make a diagnosis based solely on blood chemistry without an ultrasound? Is the treatment prescribed correctly? Is an ultrasound necessary?

    • Good evening! If your clinic doesn't have an ultrasound machine, your veterinarian will make a preliminary diagnosis based on an examination and biochemical analysis. Most likely, your veterinarian saw changes in your blood that are characteristic of pancreatitis, which is why they made this diagnosis. If you're unsure, request an ultrasound.
      The treatment plan was selected based on the severity of the disease. At the end of treatment, biochemistry tests will likely be repeated. Progress will be assessed. If there is a noticeable improvement, the therapy will be adjusted or discontinued (though the pet will still need to be on the diet for a while). It's crucial to completely cure your pet! Pancreatitis can lead to the development of diabetes. Therefore, strictly follow the prescribed treatment plan. And don't forget about proper feeding.

  • Hello! My cat's liver and kidney tests revealed changes and chronic pancreatitis. She was prescribed phosphogliv, canephron, cantharen, and baby linex. She also received a special diet. Is this the correct treatment?

    • Hello! The medications you listed are suitable for treating affected organs. Follow the treatment regimen prescribed by your veterinarian and visit them regularly to monitor the progress of the disease. If there is improvement, the medications will not be changed. If the veterinarian doesn't notice any positive changes, the medications will be changed. However, it's important to understand that chronic diseases are difficult to treat. They must first be treated before they can be fully addressed. Systemic diseases (pancreas, liver, kidneys) also require more than a month of treatment. Overall, the medications are appropriate. I wish your cat a speedy recovery!

    • Thanks a lot!!!

  • I have a Persian cat, she's 17 years old. She screams a lot, her fur falls out in clumps and gets matted, drinks a lot of water, and her urine is clear as water. Could this be diabetes?

    • Good afternoon! To confirm or refute the diagnosis, an in-person examination of the animal is necessary, along with mandatory additional tests (blood and urine samples to check for glucose). A virtual diagnosis is impossible, as many diseases have similar symptoms. In addition to diabetes, there may be diabetes insipidus or kidney problems. Hair loss and matting may be due to inappropriate food. Don't delay a visit to the veterinarian. Without treatment, the animal may die.

  • I wonder if milk, dairy products, fish, meat, or whole grains are allowed. What's the cat supposed to eat then? He'll starve to death. And what if the cat only eats meat and fish and categorically refuses any other foods? I think we should just let him starve to death.

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    • We feed our cat Royal Canin Gasto Moderate Colori (reduced calorie) food, which is suitable for pancreatitis. She became ill a year ago. During an exacerbation, we gave her canned food, also from the therapeutic series, and took her for three days for injections. After the exacerbation passed, we switched to therapeutic dry food, and she feels well only on it. When I fed her other foods, when we didn't have this RK Gastro Moderate Colori available, symptoms immediately appeared—a strong odor coming from the litter box... We switched back to the therapeutic series, and everything cleared up. She doesn't eat all the natural food, and if I give her cereal, she'll just sit there starving and not eat anything.

    • Why not feed it? Feed it special food, or if it's natural food, then boiled fillet. Avoid fish altogether, and any fatty foods—you're only making things worse for your pet.

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