In psychiatric social work there are three distinct groups. One made up of the social workers in psychiatric organizations and hospitals. The second group consists members interested with mental hygiene education and holding designations that involve functioning in various mental health services and the third group consist of individuals involved directly with treatment and recovery process.[85]

Stephanie Kahn, who with her husband, Jeffrey, runs the Takoma Wellness Center, a medical marijuana dispensary in Northwest Washington, says that about half of her 1,200 patients use CBD-rich products. Her dispensary offers several strains of high-CBD cannabis as well as CBD oil, with different ratios of CBD and THC, each of which she recommends for particular conditions. “We get questions about it every day,” she says. “A lot of our patients get relief with this, and a lot of times this works better than pharmaceutical drugs.”
Hemp is generally grown for its abundance of cannabidiol. Better known as CBD, this cannabinoid is not psychoactive and is responsible for a majority of the medical benefits associated with cannabis. Because of its almost ubiquitous health properties, even listing the medical issues for which it appears to offer benefits comes off as a snake oil medicine advertisement. Yet for over a decade, numerous studies have been written in peer-reviewed publications about CBD’s role in reducing pain, helping to relieve anxiety and PTSD, reducing seizures, as an anti-inflammation agent, and as neuroprotection that can aid victims of concussion, stroke, and even Alzheimer’s. Multiple studies have even confirmed that it reduces certain cancer cells. Big Pharma is rapidly developing CBD-based medication. Even the U.S. government holds a patent—number 6,630,507—on the use of non-psychoactive cannabinoids, such as CBD, to protect and insulate the brain from damage or degeneration.
In general, the preparation methods for unregulated cannabis oil are relatively simple. They do not entail highly specialised equipment, and use easily accessible solvents such as petroleum ether, naphtha, alcohol and olive oil. For this reason, people who have access to cannabis plant material, from either legal or illegal sources, may prepare it at home by themselves.
Though unflavored and priced higher than competitors, Green Roads CBD oils are made by a trusted manufacturer and use organically grown hemp. Following the CO2 supercritical fluid extraction process, board-certified pharmacists formulate the tincture by hand. Green Roads only sells CBD isolates, so if you’re looking for broad-spectrum products look to some of our other recommendations.
Cohen has found that chronic conditions including autoimmune diseases and pain syndromes can be helped with a 6-mg under-the-tongue tincture (the fastest delivery system) or a 25-mg capsule taken twice a day. Dosages for topical products like lotions are especially hard to determine—there’s no clarity on how much CBD gets into the system through the skin.
“This bill will help get sick children potentially life-changing medicine. By crafting the legislation in a way that allows for tightly controlled medical studies, we can ensure we are researching possible treatments in a responsible and scientific way. The CBD oil we are studying is a non-intoxicating derivative of marijuana. It is not marijuana, and it is not anything that can make you ‘high.’ This law has been narrowly crafted to support highly supervised medical trials for children with debilitating seizures. It is not a first step towards legalizing marijuana, and I will never support the legalization of marijuana in Oklahoma.”
Many a time, multiple cannabinoid compounds are used together, either knowingly or unknowingly.  It is, hence, tough to discern the extent to which each compound is involved in causing the desired effect. There are cases where a group of cannabinoids works synergistically in bringing about bodily reactions. Studies selectively employing CBD oil are few in number, but promising.
The most commonly used form of CBD is CBD oil. Combining CBD extract with a carrier oil like coconut oil, it can be ingested or vaped, bringing a lot of variety. But because marijuana legalization is in such a murky situation with both federal and state laws to grapple with, CBD oil's legality can be hard to parse depending on where you are. Let's start with legality at the federal level.
The mental hygiene movement, related to the social hygiene movement, had at times been associated with advocating eugenics and sterilisation of those considered too mentally deficient to be assisted into productive work and contented family life.[14][15] In the post-WWII years, references to mental hygiene were gradually replaced by the term 'mental health' due to its positive aspect that evolves from the treatment of illness to preventive and promotive areas of healthcare.[16]
I was recently encouraged by a medical professional (MD) to buy "nano-enhanced hemp oil" from PrimeMyBody (10785 West Twain Ave, Suite 102,Las Vegas, Nevada) at $150.00 for a 50 mL bottle (1.7 fl. oz), because it would "boost the health of my body's Endocannabinoid System." The recommended serving on the bottle is 2 mL which provides 24 mg of Hemp Extract (stems & stalks) and 16 mg of "Active Diols." ($6.25 per serving) Apparently, the hemp oil is encapsulated in phospholipids, to provide "rapid uptake and unparalleled bioavailability." The label recommends taking 1 serving (4 pumps of the bottle) on an empty stomach 10 minutes before a meal ... which seems the opposite of most of ConsumerLab's advice. I bought a bottle, but now strongly suspect that I was robbed, hood-winked and too trusting. Could you please test and review this product?
Media coverage of mental illness comprises predominantly negative and pejorative depictions, for example, of incompetence, violence or criminality, with far less coverage of positive issues such as accomplishments or human rights issues.[168][169][170] Such negative depictions, including in children's cartoons, are thought to contribute to stigma and negative attitudes in the public and in those with mental health problems themselves, although more sensitive or serious cinematic portrayals have increased in prevalence.[171][172]
Wyoming has a particularly narrow law for CBD oil. It is only legal for patients with epilepsy that has not responded to other treatments. Neurologists have to give the state's Department of Health a statement about how the patient needs and would benefit from the CBD, made from hemp extract, and then the patient may be able to receive a card that allows them to receive cannabis with high concentrations of CBD and trace amounts of THC.
Although he has retired, Rudolf Brenneisen’s mission – the re-medicalisation of cannabis – has not come to an end. Mr Brenneisen gives lectures, talks to the press and leads the Swiss Taskforce for Cannabinoids in Medicine (STCM), for which he himself organises a biannual congress. His motto is to develop, interpret and share scientific knowledge. “We must bring the plant to the physician.”
CBD, short for cannabidiol, is a compound found in cannabis that has gained prominence in recent years for its therapeutic properties. Cannabis advocates have hailed the cannabinoid for its promise in combating seizures, anxiety and myriad other ailments. CBD is "the new ‘it’ drug," according to The Washington Post. It’s a "rapidly rising star for its capacity to deliver mental and physical benefits," according to Quartz.
Bonn-Miller also explained that it's imperative to exhaust the traditional and established front-line treatments that are available before seeking out these products. "CBD is not really a first-line treatment for anything," he said. "You don’t want situations where somebody says, 'I have cancer I'm going to forgo chemotherapy because I read something about CBD or THC helping with cancer.'" That's not a good idea, Bonn-Miller said. "Not only is the science not there, but you may end up worse off."
^ Arango, Celso; Díaz-Caneja, Covadonga M; McGorry, Patrick D; Rapoport, Judith; Sommer, Iris E; Vorstman, Jacob A; McDaid, David; Marín, Oscar; Serrano-Drozdowskyj, Elena; Freedman, Robert; Carpenter, William (May 2018). "Preventive strategies for mental health". The Lancet Psychiatry. 0 (7): 591–604. doi:10.1016/S2215-0366(18)30057-9. ISSN 2215-0366. PMID 29773478.
For people who suffer from insomnia, constant anxiety during the night or simply struggle to get a sound, restful night of undisturbed sleep, cannabis sativa essential oil may work like a charm. However, according to a research report published by Dr. Ethan Russo, Director of Research for the International Cannabis and Cannabinoids Institute, terpenoids produce an “entourage effect”.

....but it sure isn't the only game in town. Tip of the hat to you for seeing the coming 'fad" of CBD wellness. But like many of the folks who genuflect at the altar of FDA approval you missed the fact that the teeming masses you see from your ivory tower will believe what they see with their own two eyes. It isn't going to need advertising other than word of mouth.
CBD is a safe, long-term aid which is why it has gained such momentum and why our customers are turning to it for relief. CBD, scientifically known as cannabidiol, is a non-psychoactive, natural compound found in the hemp plant. When it interacts with the body’s endocannabinoid system, CBD provides powerful health benefits without the side effects of conventional drugs. The CBD utilized in our tinctures is extracted from industrial hemp cultivated in the United States. To further ensure quality and purity, our industrial hemp goes through a supercritical CO2 extraction process to obtain the best possible CBD solution. This solution is then formulated by our board-certified pharmacists into finished products and sent out for third-party testing. Our CBD oil is made with high-quality CBD extracted from natural hemp that is abundant in naturally produced terpenes, oils, vitamins, omega fatty acids, and other components.
Before purchasing any CBD product in these states (aside from the 8 mentioned above)  you must have a medical prescription issued by a certified medical doctor. Each state has a particular concentration of THC it allows to be present in a CBD product, with the percentage ranging from 0.3% – 8%. (See details in table 1.1 below). Even though the legal situation seems to be shifting in a positive direction, if you are in any of these states, it is very important to be aware of the state’s laws towards CBD.
In general, the preparation methods for unregulated cannabis oil are relatively simple. They do not entail highly specialised equipment, and use easily accessible solvents such as petroleum ether, naphtha, alcohol and olive oil. For this reason, people who have access to cannabis plant material, from either legal or illegal sources, may prepare it at home by themselves.

Scott Shannon, M.D., assistant clinical professor at the University of Colorado, recently sifted through patient charts from his four-doctor practice to document CBD’s effects on anxiety. His study, as yet unpublished, found “a fairly rapid decrease in anxiety scores that appears to persist for months,” he says. But he says he can’t discount a placebo effect, especially since “there’s a lot of hype right now.”

Third-party testing: Once a CBD oil is manufactured, CBD oil companies will often submit their products for third-party tests, which are conducted by non-company personnel to ensure the product is safe for public consumption and meets quality standards.CBD oils should always be accompanied with information about third-party tests; best practice is to avoid oils that do not supply these details.
Hemp oil can come from the flower, leaves, stock or seeds. If it comes from the seed there are no cannabinoids found. If it comes from the rest of the plant cannabinoids are found. Hemp extract usually refers to either CBD or oil from the stock, flower, or leaves. Our Virgin cannabis sativa hemp oil is a hemp seed oil, and our Premium hemp oil products, have hemp oil from the stem of the plant (which is listed in milligrams on the bottle) It also has hemp seed oil in the bottle to act as a carrier oil. Our Hemp seed oil is a cold pressed seed oil, and our Premium hemp oil that comes from the stem is Co2 extracted.
As the industry continues to grow, Jones explained that more platforms and websites are popping up, like CBD Oil Review and even Consumer Reports, to help consumers vet these new products. “Even if someone has beautiful packaging and branding, you still have to make sure you are aligning with a partner that can substantiate the claims they are making in the space,” she said. “Someone might have a really big name or be a burgeoning brand but still might not be the right fit, and you don’t want to burn your existing customers.”
Because our hemp oil products are categorized as dietary supplements in the United States, we comply with the FDA’s DSHEA guidelines and cannot endorse any specific medical benefits of CBD or our CBD oil. To further comply with FDA regulations, HempMeds® does not list a Recommended Daily Intake (RDI) of our own, nor do we provide a Daily Value (%DV) for any of our products. We encourage you to browse the thousands of reputable studies regarding CBD published online and talk with your doctor to see if a CBD oil supplement is right for you.
Whether you’re interested in learning how industrial hemp-derived CBD is made, how it helps patients, or what the future holds for CBD products, share your queries by leaving a comment and your questions will be addressed in future educational pieces about CBD oil. Your questions are important not just for your benefit, but to enrich the minds of patients all around the world. By spreading knowledge and information about cannabis, hemp, CBD, and other cannabinoids, we’re supporting safe growth of the cannabis industry while at the same time educating the masses about a misunderstood plant.
But he wasn’t finished. In February of 1980, Dr. Mechoulam teamed up with South American researchers to publish a study regarding cannabis and epilepsy. This study is seen as one of the earliest double-blind studies of CBD on clinical subjects. The study Dr. Mechoulam and his team conducted included 16 people, many of whom were children, who all suffered from severe epilepsy. The results were startling: Every subject who received CBD experienced improvement in their condition with little to no side effects. This anticonvulsant study has since proven to be an integral milestone in the world of clinical marijuana research, but largely went unnoticed at the time.
I will continue to use bluebird botanical products loyally. Their customer service is exceptional. Their products are of exceptional quality and reasonably priced. Due to the dedication of their staff, I have been given back something I thought was lost to me: HOPE. I cannot thank BlueBird enough for their dedication to sharing a product that improves the quality of life for others.
certification form. The physician will keep the original waiver and certification form in the patient’s medical records. You may request a copy. The physician will electronically submit the information from these forms to the Georgia Department of Public Health, which will review the information and create a Low THC Oil Registry Card for qualified applicants. 
Does Amazon sell CBD oil? Yes. You can also find cannabis oil for sale online via Amazon, though this tends to change from month to month over the last 4 years now.  There used to be a time where you could purchase many of the brands profiled in our merchant stores such as Charlotte's Web on Amazon, but Amazon has since permanently removed merchants who had used the term "CBD" in their labeling. Consequently, to find CBD online via Amazon, you will be first searching for "hemp oil" products, and then filtering out the hempseed oil from the CBD rich hemp extracts. Terms such as "full spectrum" and "whole plant" are commonly used to distinguish these hemp products on Amazon in 2019. 
Cannabidiol (CBD) is a naturally-occurring constituent of industrial hemp (cannabis sativa) plants. It is the most abundant non-psychoactive cannabinoid found in cannabis and is being scientifically investigated for numerous reasons. Most people have heard of a cannabinoid called THC, which is the ingredient in cannabis that gets users high. Unlike THC, CBD (cannabidiol) is a non-psychoactive cannabinoid and does not cause a high.
In the U.S., dietary supplements come with serving size suggestions located on the Supplement Facts label. We tend to encourage a “less is more” mentality when it comes to the amount of oils or capsules our customers consume on a regular basis. (We recommend starting out with 15 drops.) That being said, the serving size of our supplements is a matter of personal preference. We strongly encourage Bluebird customers to experiment with our products and consult with a healthcare professional as needed. This is the best way to identify the amount and frequency of consumption that works best for each individual.

There's no question that CBD is the buzzy wellness product of the moment. If you live in a state where it's currently legal, you might feel like CBD has gone from being sort of around to absolutely everywhere all at once. Coffee shops sell CBD lattes, spas offer CBD facials, beauty companies are rushing to release lotions with CBD or hemp oils in their formulas. And everyone from your anxious coworker to your arthritis-suffering dad wants to get their hands on some CBD gummies.


CBD is an abbreviation for cannabidiol which is a chemical compound found naturally in the cannabis plant. It contains untraceable amounts of tetrahydrocannabinol (THC), the principal psychoactive element in marijuana which means CBD will NOT get you “high.” In addition, you will not fail any drug tests since these tests do not detect such low levels of THC. Over the past four decades, there have been numerous studies conducted that highlight the potential benefits of CBD.
Mental health is conventionally defined as a hybrid of absence of a mental disorder and presence of well-being. Focus is increasing on preventing mental disorders. Prevention is beginning to appear in mental health strategies, including the 2004 WHO report "Prevention of Mental Disorders", the 2008 EU "Pact for Mental Health" and the 2011 US National Prevention Strategy.[39][40][page needed] Some commentators have argued that a pragmatic and practical approach to mental disorder prevention at work would be to treat it the same way as physical injury prevention.[41]
CBD products that don't contain THC fall outside the scope of the U.S. Drug Enforcement Agency's (DEA) Controlled Substances Act, which means CBD products are legal to sell and consume as long as they don't have THC. That's likely one of the reasons why CBD products, including CBD oil, are becoming more socially acceptable and increasingly popular. In 2016, Forbes reported that CBD products are expected to be a $2.2 billion industry by 2020.

Cohen has found that chronic conditions including autoimmune diseases and pain syndromes can be helped with a 6-mg under-the-tongue tincture (the fastest delivery system) or a 25-mg capsule taken twice a day. Dosages for topical products like lotions are especially hard to determine—there’s no clarity on how much CBD gets into the system through the skin.
We are committed to bringing our customers the highest-grade organic cannabis oil products on the market. Our CBD oil is derived from organic hemp plants and is legal in all 50 states. We proudly call ourselves NuLeaf “Naturals” because our cannabis oils are 100% organic, free of additives and preservatives. Every bottle of cannabis oil we provide to our customers has been subjected to rigorous laboratory testing to ensure that it contains the optimal amount of CBD.
^ Jump up to: a b c d Campos AC, Moreira FA, Gomes FV, Del Bel EA, Guimarães FS (December 2012). "Multiple mechanisms involved in the large-spectrum therapeutic potential of cannabidiol in psychiatric disorders". Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences (Review). 367 (1607): 3364–78. doi:10.1098/rstb.2011.0389. PMC 3481531. PMID 23108553.
certification form. The physician will keep the original waiver and certification form in the patient’s medical records. You may request a copy. The physician will electronically submit the information from these forms to the Georgia Department of Public Health, which will review the information and create a Low THC Oil Registry Card for qualified applicants. 
I am a chronic pain patient who lives in NYS. I have been suffering with this condition for 7 years. I am now legally registered for medical marijuana. I only take CBD products, because I don't like how the THC makes me feel. While expensive, it provides significant relief, better than any of my prescription drugs do. I highly recommend that anyone with Chronic Pain Syndrome consider going through the relatively easy evaluation process so that you can try products currently legally on the market.
In the U.S., dietary supplements come with serving size suggestions located on the Supplement Facts label. We tend to encourage a “less is more” mentality when it comes to the amount of oils or capsules our customers consume on a regular basis. (We recommend starting out with 15 drops.) That being said, the serving size of our supplements is a matter of personal preference. We strongly encourage Bluebird customers to experiment with our products and consult with a healthcare professional as needed. This is the best way to identify the amount and frequency of consumption that works best for each individual. 

CBD oil contains CBD (and often other active compounds) in a carrier oil. There are a number of forms of CBD oil, including softgel capsules, tinctures, and under-the-tongue sprays. Some forms of CBD oil can also be applied directly to the skin, in the form of products like creams and salves. The concentration of CBD varies from product to product.


On Apr. 11, 2014, Gov. Steve Beshear signed SB 124 into law, making Kentucky the third state to legalize CBD oil. On Mar. 12, Kentucky's Senate unanimously approved the bill, sponsored by Republican Sen. Julie Denton. On Mar, 26, the House did the same. The new law alows the University of Kentucky and University of Louisville med schools to conduct research into CBD oil and provide it to patients enrolled in the trial program.


“CBD Hemp Oil“ is different than “Cannabis Oil” and may or may not be different than any given CBD Oil.   “Cannabis oil” is from marijuana and can have higher levels of THC, which is what gets someone high.  “CBD Oil” can be from either Hemp or Marijuana.  We only work with hemp products that are legal everywhere in the United States.  So, there is no issue with getting high or having a product that is restricted where you live.
While it’s true that CBD is legal in all 50 states, there are situations when it isn’t legal. The difference between legal and illegal typically depends on several important factors determined by the state in question. There is, however, one very important factor that is a crucial determinant across all states, and that is where the CBD is derived from–hemp or marijuana.
Though clinical and anecdotal evidence suggests CBD’s benefits in managing different conditions, it became most famous for treating a rare and debilitating form of pediatric epilepsy. Dravet’s Syndrome is notoriously resistant to current approved treatment methods. Sufferers are plagued by seizures, often up to hundreds a day, that worsen as they age and can be life-threatening. Currently, treatment methods include having the child wear an eyepatch, specialized diets, and brain surgery, but all have mixed success rates.
CBD Oil or Hemp Extract- CBD Oil, often times referred to as Hemp Extract. Hemp extract is an extract with naturally occurring terpenes, flavonoids, Cannabinoids, and other beneficial phytonutrients from the hemp plant. This CO2 extracted Hemp oil or CBD Oil is free of harmful solvents and uses a gentle, low temperature, alcohol free extraction process that yields the purest form of Hemp oil extract or CBD Oil available. This clean oil extraction process yields a high quality extracted hemp oil retaining a broad spectrum of terpenes, Cannabinoids, and other phyto-compounds derived from the Cannabis Sativa industrial hemp plant like CBD Oil. Zatural's CBD Oil does not contain THC and is legal in all 50 states. CBD Oil is most commonly used to assist with Pain, Stress, Anxiety, Sleep, Inflammation, etc. This is due to the Cannabinoids present.
^ Arango, Celso; Díaz-Caneja, Covadonga M; McGorry, Patrick D; Rapoport, Judith; Sommer, Iris E; Vorstman, Jacob A; McDaid, David; Marín, Oscar; Serrano-Drozdowskyj, Elena; Freedman, Robert; Carpenter, William (May 2018). "Preventive strategies for mental health". The Lancet Psychiatry. 0 (7): 591–604. doi:10.1016/S2215-0366(18)30057-9. ISSN 2215-0366. PMID 29773478.

There are two possible exceptions to this. The first is that some people, for unknown reasons, just react differently to CBD. According to Dr. Chin, about 5% of people say they feel altered after taking CBD. "Usually they're the same people who have side effects from Advil or Tylenol," she says. You never know how your body will react to any new supplement, so when taking CBD for the first time, do so safely under supervision.
As noted in the previous section, CBD oil prices vary significantly by brand. The best practice for most is to determine a per-milligram budget for CBD oil, as well as a maximum price for the entire bottle. For example, you might decide that 10 cents per milligram or less is a reasonable budget; and that $45 (for a 450-mg concentration, based on the budget) is a maximum bottle price. Also, if ordering online, be sure to include potential shipping costs.
Cannabis oil and CBD oil are not the same thing. So what is CBD oil? Cannabidiol (CBD) oil has a high concentration of cannabidiol, while cannabis oil contains both CBD and THC. CBD oil is created by extracting CBD from either the cannabis or hemp plant and then diluting it with a carrier oil like coconut or hemp seed oil. CBD does not produce a euphoric “high” or psychoactive effect because it doesn’t affect the same receptors as THC.
^ Ormel, Johan; Petukhova, Maria; Chatterji, Somnath; Aguilar-Gaxiola, Sergio; Alonso, Jordi; Angermeyer, Matthias C.; Bromet, Evelyn J.; Burger, Huibert; Demyttenaere, Koen; De Girolamo, G.; Haro, J.M.; Hwang, I.; Karam, E.; Kawakami, N.; Lépine, J.P.; Medina-Mora, M.E.; Posada-Villa, J.; Sampson, N.; Scott, K.; Ustün, T.B.; Von Korff, M.; Williams, D.R.; Zhang, M.; Kessler, R.C. (2008). "Disability and treatment of specific mental and physical disorders across the world". The British Journal of Psychiatry. 192 (5): 368–75. doi:10.1192/bjp.bp.107.039107. PMC 2681238. PMID 18450663.
CBD oils may contain some THC. Cannabis may impair your ability to drive safely or operate equipment and may have short- and long-term effects on your memory, attention, mood, heart rate, and mental health. It is also easy to overconsume CBD oil, so it's important to start with a low dose, as it may take several hours or longer to begin to feel the effects after consumption.

I bought some CBD oil from a quality pet store to try on our senior Chihuahua. He has arthritis and a bad heart murmur. At first it really seemed to help with his pain and he was much more mobile. After a few weeks he started getting more lethargic and not eating. I did some research and discovered it should not be given along with any medications that are metabolized by the liver. It causes these meds to build up in the body so he was exhibiting symptoms of overdose of his heart medications. I stopped the CBD oil and he got started eating and seemed to feel better. Give with caution if your pet is on other meds.


Mental health social workers in Japan have professional knowledge of health and welfare and skills essential for person's well-being. Their social work training enables them as a professional to carry out Consultation assistance for mental disabilities and their social reintegration; Consultation regarding the rehabilitation of the victims; Advice and guidance for post-discharge residence and re-employment after hospitalized care, for major life events in regular life, money and self-management and in other relevant matters in order to equip them to adapt in daily life. Social workers provide individual home visits for mentally ill and do welfare services available, with specialized training a range of procedural services are coordinated for home, workplace and school. In an administrative relationship, Psychiatric social workers provides consultation, leadership, conflict management and work direction. Psychiatric social workers who provides assessment and psychosocial interventions function as a clinician, counselor and municipal staff of the health centers.[87]
People of diverse cultures and backgrounds may express mental health conditions differently. For example, some are more likely to come to a health care professional with complaints of physical symptoms that are caused by a mental health condition. Some cultures view and describe mental health conditions in different ways from most doctors in the U.S.
Tetrahydrocannabinol (THC) is the naturally occurring compound that famously produces cannabis’ mind-altering states. The CBD compound found in the plant, however, does not have psychoactive properties. CBD produces a calming effect on the mind, making it a good treatment for people with social anxiety and other nervous disorders. When combined with THC in stronger amounts, CBD can help balance out the medication, ensuring that the user does not get too high. Oil can be slightly harder to procure and more expensive than medical marijuana flowers, depending on state laws. Smoking cannabis can be more beneficial to some people, largely depending on their condition.
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