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YI-HSUAN YEH - Gold Coast YI-HSUAN YEH Star SmallApril 25, 2018
Brett Simpson - Gold Coast Brett Simpson Star SmallApril 23, 2018
Hayley Merelle Clearihan - Gold Coast Hayley Merelle Clearihan Star SmallApril 22, 2018
George Csere - Gold Coast George Csere Star SmallApril 21, 2018
Lishan and Shona Stromer - Gold Coast Lishan and Shona Stromer Star SmallApril 20, 2018
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Isaac Wendt - Gold Coast Isaac Wendt Star SmallApril 18, 2018
Shane Churton - Gold Coast Shane Churton Star SmallApril 17, 2018
Sheraz Sarwar - Gold Coast Sheraz Sarwar Star SmallApril 16, 2018

Dr Yarun and team absolutely amazing. Taking my father for siatica pain. He explained the cause instead of just treating the symptoms. He knows what he is doing. They have all the new facilities like class 4 hot laser aswell. Highly recommend them…

Ron & Asmaa - Gold Coast Ron & Asmaa Star SmallApril 15, 2018

Absolutely amazing chiropractor! I can’t speak highly enough about my experience. I was initially leery of chiropractic but after reading many reviews, I took the chance and have not regretted it, as the relief from neck and back pain has been wonderful. Dr. Yaron has a truly kind and compassionate approach to his patients, and he and his staff go over and above to take care of them. Thank you Dr. Yaron!

Michael Bird - Gold Coast Michael Bird Star SmallApril 14, 2018
A Google User - Gold Coast A Google User Star SmallApril 12, 2018

I F33yrs have being seeing Dr. Peter at hinterland chiro for almost 2yrs now, in regards to an old car accident the adjustments are so quick and gentle and painless I highly recommend Peter over any other chiropractors. My son (m3yrs) has being seeing Peter for the past 7 months who was born with a short neck muscle and chronic asthma – every2/3months for 2 weeks. Since his treatment he has not had Any Asthma , colds or flu`s. I`m absolutely thrilled to know we both are not using any steroids, painkillers anymore. Thanks Peter and the team. xx

A Google User - Gold Coast A Google User Star SmallApril 11, 2018

I have been seeing Peter Hobson for the past 4 weeks and I am already experiencing positive changes both to my posture and well being. The team there are friendly and welcoming and happy to take the time for any questions you might have. I have no hesitation recommending Hinterland Chiropractic.

A Google User - Gold Coast A Google User Star SmallApril 10, 2018

I have been a patient of Hinterland Chiropractic since 2008 and I couldn’t rave more highly about their customer service, spinal care and health and wellness education. My young children have also been under the care of Dr Peter Hobson since they were babies and it truly is a family based care centre. I especially like the weekly Half Hour to Health session where I can learn more about taking care of mine and my family’s health.

A Google User - Gold Coast A Google User Star SmallApril 9, 2018

Dr Peter & the team literally changed my life I didn’t realize the benefits I could get. I have had a problem with scheuermann’s disease since childhood and found no relief until 4 years ago and at 43 am the fittest and healthiest I have been since my 20s, my neck no longer hurts or tightens up nil headaches, truly amazing!! If anyone is reading this an not sure go an check it out intro check up is free!! I first cringed at someone manipulating my back and neck but seriously no issues just relief…is as easy as getting a cup of coffee and a pleasant happy environment to boot!!….Tell them Greg sent you !!

A Google User - Gold Coast A Google User Star SmallApril 8, 2018

The team at Hinterland chiropractic centre are great. I have been seeing Dr Peter Hobson for a year now and my health and overall well being has improved greatly. I thank them for ginging me a better health. Highly recommended!

A Google User - Gold Coast A Google User Star SmallApril 7, 2018

I have been a patient at Hinterland Chiropractic since 2010, I have gained increased flexibility and reduction in minor pain due to education in good posture, specific exercises and regular realignments. I have been so happy with the results that I even referred family members to the same clinic.

A Google User - Gold Coast A Google User Star SmallApril 6, 2018

I have suffered from migraine headaches all my life (now 45). After being on a scheduled plan and now maintenance for over 18months I can honestly say I haven’t had a migraine during this time. Thankyou to Dr Peter and the wonderful team for making me feel so good.

A Google User - Gold Coast A Google User Star SmallApril 5, 2018

I have been attending Dr Peter Hobson’s Hinterland Chiropractic Centre at Nerang since 2004. Through regular chiropractic treatment, I enjoy a high level of wellness. Dr Hobson is dedicated to educating the community on the benefits of chiropractic through his weekly Optimal Health University™ Newsletters on health and wellbeing subjects, as well as regular in-house workshops that are most informative and life-changing for many. All of the staff at Hinterland Chiropractic are extremely professional, caring and helpful. The holistic, supportive and friendly approach engenders an environment of trust in the treatment being delivered. The service offered is very affordable and a wise investment in good health and I can highly recommend a visit to Hinterland Chiropractic Centre for anyone wanting to achieve this. Sue E

A Google User - Gold Coast A Google User Star SmallApril 4, 2018

First came to see peter here a year ago with a minor lower back complaint. He not only made things better, but also took the time to do xrays and point out other problems, without the harassment of coming back. He and his staff always make me relaxed and bring a smile to my face.

A Google User - Gold Coast A Google User Star SmallApril 3, 2018

Peter Hobson has made a significant difference in my posture and back pain since I started seeing him over a year ago. I have noticed many changes within myself regarding better general health and wellbeing. Highly recommended

A Google User - Gold Coast A Google User Star SmallApril 2, 2018

I have been a patient at Hinterland Chiropractic since 2010, Dr Peter Hobson has been treating me for back & neck pain. They have been very helpful & professional with me, changing appointments to suit my hetic lifestyle & work commitments. I highly recommend Hinterland Chiropractic.

A Google User - Gold Coast A Google User Star SmallApril 1, 2018

I have been seeing Dr Steve for the past 5weeks and already seeing amazing results. All the staff are fantastic and I highly recommend Hinterland Chiropractic to everyone!!!!!

A Google User - Gold Coast A Google User Star SmallMarch 31, 2018

I have been a patient for over a year at Hinterland Chiropractic and have found not only my back pain has gone I feel much healthier and rarely do I get sick. I have lived in various states in Australia over the years gone by and have found the Chiropractors excellent in every way and nothing is a problem for their staff who are very kind and helpful

A Google User - Gold Coast A Google User Star SmallMarch 30, 2018

I have been a patient at Hinterland Chiropractic since 1998 i use to suffer from regular back pain and headaches but not anymore. Dr Peter has always been very helpful and is always educating me on ways to look after myself better.

A Google User - Gold Coast A Google User Star SmallMarch 29, 2018

Dr Peter and his team looked after me and my family very well. Thanks for all your advise.

A Google User - Gold Coast A Google User Star SmallMarch 25, 2018

Dr Peter & his team are great, couldn’t be happier.

Anthony Edwards - Gold Coast Anthony Edwards Star SmallMarch 24, 2018

I’ve been working with Peter from Hinterland Chiropractic for close to a month now and the results have exceeded my expectations. I am a veteran of several major injuries and a lifetime of high impact physical labour and recreation. Currently I’m sleeping without pain, waking refreshed and generally feeling more energised. Following the information provided and the care I’m increasing my flexibility and and range of movement. I’m extremely happy with the care, am truly excited about the immediate results and look forward to the long term benefits of our on going relationship.

Bianca Nuss - Gold Coast Bianca Nuss Star SmallMarch 23, 2018

I have been receiving chiropractic care for just over 8 years now. During my maternity leave I even had the privilege of working as a Chiropractic Assistant which allowed to further understand the benefits of receiving regular chiropractic adjustments. My daughter has been adjustment since 12 weeks old with amazing results after just two adjustments with concerns the doctor told us she would ‘grow out of’ over the next year. Dr Peter has been my 5th Chiropractor now and am so happy! After being told by my dentist that I would need MAJOR surgery to my jaw, Dr Peter has been able to alleviate my pain and discomfort and has helped me fix my overall posture, physical health and my outlook on life and meditation. He is knowledgeable, patient and incredibly passionate about life. My family and even parents are now under his regular care and as my 3 year old always chants there and back to our appointment; “Dr Peter, makes you better!” Thank-you to the entire team at Hinterland Chiropractic. You are always smiling, helpful and professional. We always enjoy our visits and look forward to our next appointment.

Cezary Makarewicz - Gold Coast Cezary Makarewicz Star SmallMarch 21, 2018

Dr Peter Hobson has been treating my back injury in his Gold Coast Chiropractic clinic at the end of July. His help have change my life, from being immobilised to going dancing in 2 weeks time. Peter comes highly recommended for his skills, professionalism and his great attitude. Other very important factor is, that Dr Peter takes the time to help you discover what the long-term cause of your back pain is, instead of simply just treating the symptoms. Dr. Peter Hobson and his staff are the most competent and caring healthcare professionals I know. Thanks Peter!

Rebecca Merritt - Gold Coast Rebecca Merritt Star SmallMarch 20, 2018

I have now been a patient at Hinterland Chiropractic for 1 1/2 years. When I first arrived I was in a lot of pain and could not see the end to my headaches, migraines and back pain. It has now been a year since I took my last painkiller 🙂 I have no headaches, no migraines and I can now get up in the morning and look forward to a pain free day. Thanks guys!!!

Ellyce Captain - Gold Coast Ellyce Captain Star SmallMarch 19, 2018

I could not be without my regular visits to Hinterland Chiropractic. By keeping my spine in the best possible alignment, I have much reduced pain and I am able to physically perform at an optimum level for my age. Thanks very much to the Team at Hinterland Chiropractic.

Laura Kittmer - Gold Coast Laura Kittmer Star SmallMarch 18, 2018

I am a patient of Dr. Ryan’s at Hinterland Chiropractic. Since commencing care, I have experienced an increase of energy, better digestion and my sleeping patterns have improved drastically!!! Dr. Ryan has educated me on the importance of spinal care and ways I can improve my everyday life. Coming to see Dr. Ryan is a highlight in my week, and I always look forward to my visit at Hinterland Chiropractic.

Moty Grau - Gold Coast Moty Grau Star SmallMarch 17, 2018

Being hairdressing for 20 years can give you some back pain. Dr Yaron is a magician!!! No more pains…he is my angel!

Ian Taylor - Gold Coast Ian Taylor Star SmallMarch 16, 2018

After more than 15 years visiting various Doctors, Physio Therapists, Massage Therapists and Alternative Medical clinics in search of some relief for my constant back pain, a friend of mine recommended Hinterland Chiropractic. I have found them to be extremely professional with great advice, clear explanations and continued care that exceeds my expectations. Finally I have a solution that is helping me to achieve a healthy, balanced life. Thank you Dr Hobson!

Tim Stone - Gold Coast Tim Stone Star SmallMarch 15, 2018

I am a landscaper and have suffered from lower back pain for more than 10 years. I would tweak something and just work around the pain for 1 – 4 weeks at a time before it would settle, this would happen several times a year for this whole time. This has always had an impact on my life, sometimes being almost immobile for a week at a time.

I wouldn’t say I was skeptical of Chiropractors, but I was concerned (scared if I’m honest) about having an area that was already very painful manipulated. Finally around 6 months ago I tweaked something again, but this time the pain was more extreme than usual and after a weak it had not eased at all. Reluctantly, I did some searching and was able to secure an appointment to see Dr Peter. We went through a process of assessment to determine the extent and real location/s of my issues that would manifest into my lower back pain. This process was thorough, and Dr Peter went well beyond what I expected to explain and ensure that I was understanding what my issues were. No adjustments or manipulation was done before Dr Peter had completely reviewed the results of this assessment.

Long story short, my pain was relieved to minor discomfort after around 2 visits. I have not had a re-lapse into my usual cycle since becoming a patient of Dr Peter. He is genuinely focussed on helping me repair the damage caused by my 10 years of ignoring an obvious problem. The whole experience has been quite the opposite of everything that I feared for 10+ years and I only wish I had made an appointment all those years ago instead of living with it for soooo long.

My sincere hope in writing this review, is that it may help alleviate any concern you may have and encourage you to make an appointment with the VERY friendly and helpful team at Hinterland Chiropractic much sooner that I did.

Tanika Stevens - Gold Coast Tanika Stevens Star SmallMarch 14, 2018

When I first came to hinterland chiropractic I had slight back pain as well as I noticed I didn’t stand straight (my pelvis would sit forward making me look pregnant). After my consultation and X-rays it was clear as to why.

I don’t know where I’d be now without Dr Yaron!! Absolutely amazing place to be, with warm welcomes and fantastic adjustments by my main man Dr Yaron

John lunt - Gold Coast John lunt Star SmallMarch 13, 2018

From being told by a neurosurgeon that I needed 2 discs replaced at a cost of $1000,000 to going back the gym after treatment from Yaron without a scalpel in sight.

Before making any decisions regarding your spine that have been already diagnosed go an see these guys.From the receptionists when you come in,they always make your feel welcome and Yaron and Peter two dedicated professionals who work tirelessly in the practice.i can’t recommend this practice enough nothing is to much trouble they are flexible,accommodating, and give you a detailed diagnosis with a treatment plan that we work on.

Brooke Frecklington - Gold Coast Brooke Frecklington Star SmallMarch 12, 2018

Hinterland Chiropractic has been apart of my life for many years now, and I wouldn’t be able to function with out the help Doctor Peter.

I’m a very active person, my job sends me around Australia, that means sleeping in hotel beds, yes I always take my chiropractic pillow but some times you need an adjustment on the road. I can always call Hinterland Chiropractic for any suggestions on who might be good to see while I’m away.Doctor Peter is always happy and positive, he listens to your concerns and helps you in the best way he can.

Bec is always understanding if you need to change an appointment time or date.When you find a good chiropractor you wont want to change.I highly recommend Hinterland Chiropractic.

Margaret Perry - Gold Coast Margaret Perry Star SmallMarch 9, 2018

I got out of my chair on Thursday and immediately felt the pain and discomfort of a pinched nerve, lower back. Off to work after doing a few gentle stretches, then booked in to see Dr Peter. Soooooo lucky to get an appointment. He released my back, sorted out a few other tight spots and sent me off for a walk. My back was tender for a day, still a bit uncomfortable, but I’ll be back next week to re-align that spine. Don’t neglect yourselves, like I did, I am at college in Brisbane and hadn’t been to see the fabulous Dr Peter for a few months… bad idea! The awesome Dr Peter has been keeping me on the straight and narrow for years. Missed seeing him, and won’t do that again! Thank Becs and Peter, you are the greatest team!

Blog

Spondylolisthesis – what is it?

What Is Spondylolisthesis?

Written by Kamiah A. Walker; Reviewed by Jason M. Highsmith, MD

Spondylolisthesis is an intimidating word at first glance, but all you need to do is break it into 4 sections: spondy-lo-lis-thesis. Then it’s not so hard to say. Spondylolisthesis is also not so hard to understand if you think about its Greek root words: spondylo means “vertebra” and listhesis means “to slip.”

Spondylolisthesis is when one vertebra slips forward over the vertebra below it. Most often, that happens in the low back (lumbar spine) because that part of your spine bears a lot of weight and absorbs a lot of directional pressures. In other words, your lumbar spine has to move quite a bit (rotate in various directions) while carrying your body weight. Sometimes, this combination can put so much stress on the vertebrae that one of them slips forward.

Some activities make you more susceptible to spondylolisthesis. Gymnasts, linemen in football, and weight lifters all put significant pressure and weight on their low backs. Think about gymnasts and the positions they put their body in: They practically bend in half backwards—that’s an extreme arched back. They also twist through the air quickly when doing flips and then land, absorbing the impact through their legs and low back. Those movements put substantial stress on the spine, and spondylolisthesis can develop as a result of repeated excessive strains and stress.

The x-ray below gives you a good example of spondylolisthesis. Look at the area the arrow is pointing to: You can see that the vertebra above the arrow isn’t in line with the vertebra below it. It’s slipped forward; it’s spondylolisthesis.

 

 

They are 5 different grades for spondylolisthesis, depending on how far forward the vertebra has slipped. During your appointments, then, you may hear your doctor talk about “grade I spondylolisthesis.” For a full explanation of what the grades mean and how the doctor determines your grade, please read Exams and Tests for Spondylolisthesis.

Anatomy of Spondylolisthesis

Spondylolisthesis, or the forward slip of a vertebra over the one beneath it, involves several main parts of your vertebrae. First off, the vertebrae are the bones that make up your spine. Most people have 33 vertebrae in their spinal column.

Those 33 vertebrae are divided by region: your neck (cervical spine), mid-back (thoracic spine), and low back (lumbar spine). At the lower end of your spine, you also have the sacrum and the coccyx, which is commonly called your tailbone. Spondylolisthesis usually happens in your lumbar and sacrum regions.

On the vertebra, here are the structures that you need to know in order to understand spondylolisthesis:

 

•       Facet joints: At the top and bottom of each vertebrae, there are joints called the facets. They work like hinges, and they help stabilize your spine and control your movements. They’re composed of the superior and inferior articular processes. Two superior articular processes are on the top of the vertebra, and two inferior articular processes are on the bottom.

 

•       Lamina: Think of this as the roof of your spine. The lamina is located on the back of your vertebra, and it helps protect your spinal cord. The pars interarticularis is part of the lamina.

•       Pars interarticularis: This is a region of the lamina located between the facet joints. The pars interarticularis can fracture or seperate, leading to spondylolisthesis.

•       Transverse processes: You have two of these on each vertebra—one on each side. Ligaments and tendons connect to them.

 

Between each vertebra, you have an intervertebral disc. It works as a cushion, absorbing shock as you move, and it allows you to move your spine in multiple directions. There are two parts to the disc: the center part is called the nucleus pulposus, and the outer part is called the annulus fibrosus. Think of your disc as a jelly donut (it’ll help you visualize the structure). The nucleus pulposus is the jelly; it’s made of a gel-like substance and is the part that acts as a shock absorber. Around the “jelly” is the tougher annulus fibrosus, which holds the nucleus in place.

The annulus fibrosus and the nucleus pulposus are both made of collagen, water, and proteoglycans. However, the nucleus has more water and proteoglycans—more fluid—than the annulus, and that’s what gives it its gel-like characteristic.

Many people with spondylolisthesis are symptom free. Sometimes, spondylolisthesis is discovered when the patient has an x-ray for an unrelated problem. However, some patients do have symptoms that range from mild to severe.

Listed below are several symptoms usually related to spondylolisthesis:

•       Low back pain and tenderness

•       Buttock pain

•       Thigh and leg pain and/or weakness (one or both)

•       Difficulty controlling bowel and bladder functions

•       Tight hamstring muscles

•       Walking resembles waddling movements

•       Swayback

•       Protruding abdomen

 

 

Spondylolisthesis has several main causes. Doctors have developed a classification system to help talk about the different causes of spondylolisthesis.

Type I: This is also called dysplastic or congenital spondylolisthesis. Congenital means that you’re born with it. Type I spondylolisthesis, then, is a defect in the articular processes of the vertebra (the part that’s supposed to control the movement of the vertebra; your facet joints are made of the articular processes). It usually happens in the area where the lumbar spine and the sacrum come together: the L5-S1 area. The defect allows the L5 vertebra (your last vertebra in your lumbar spine) to slip forward over the sacrum.

Type II: Also called isthmic, this is the most common kind of spondylolisthesis. With type II spondylolisthesis, there’s a problem with the pars interarticularis, a particular region of your vertebra. (You can see an illustration of this in Anatomy of Spondylolisthesis). Isthmic spondylolisthesis is divided further:

•       Type II A: Gymnasts, weight lifters, and football linemen are especially prone to this kind of spondylolisthesis. It’s caused by multiple micro-fractures on the pars interarticularis—micro-fractures that occur because of hyperextension (overarching) and overuse. The pars fractures completely in type II A.

•       Type II B: This type is also caused by micro-fractures. The difference, though, is that the pars don’t fracture completely. Instead, new bones grow as the pars heals, causing it to stretch. A longer pars can then cause the vertebra to slide forward.

•       Type II C: Like type II A, this type has a complete fracture. However, it’s caused by trauma. The impact in a car accident could fracture your pars, for example.

A pars fracture can lead to a mobile piece of bone; the detached inferior articular process can actually move around. This bone fragment, also called a Gill fragment, can pinch the exiting nerve root, so the bone may need to be removed.

Problems with the pars interarticularis can also be called spondylolysis. The word looks like spondylolisthesis, and they are somewhat related. Micro-fractures in the pars interarticularis—the kind that gymnasts, football linemen, and weightlifters are prone to—are a form of spondylolysis. The fractures are called spondylolysis; if the vertebra slips forward because it’s not being held in place properly, it’s called spondylolisthesis.

Type III: Aging can also cause spondylolisthesis. As you grow older, the parts of your spine can degenerate; they can wear out. Usually your intervertebral discs change first. The older you get, the less water and proteoglycan content the discs have—and less fluid makes them less able to handle movement and shock. Less fluid can also cause the disc to thin, and a thinner disc brings the facet joints closer together. Without the disc acting as the cushion, the facets can’t control the spine’s movement as well, and they become hypermobile. Eventually, a vertebra can slip forward because the facets aren’t holding it in place effectively as the spine moves. Type III spondylolisthesis usually happens at the L4-L5 region (the fourth and fifth vertebrae in your low back), and it’s more common in women older than 50 years old.

Type IV: Similar to type II C, type IV involves a fracture. However, it’s a fracture of any other part of the vertebra other than the pars interarticularis. Your facet joints, for example, can fracture, separating the front part of your vertebra from the back part.

Type V: Tumors on the vertebra can also cause spondylolisthesis because they weaken the bones and can cause fractures that split your vertebra, leading to instability and a potential slip.

Type VI: You have this type of spondylolisthesis if surgery caused your vertebra to slip forward. It’s also known as iatrogenic spondylolisthesis, and it’s caused by a weakening of the pars, often as a result of a laminectomy (a typical back surgery, but type VI spondylolisthesis isn’t a typical result of the surgery).

As a quick summary, spondylolisthesis can be caused by:

•       A birth defect

•       Fractures

•       spondylolysis (a defect or fracture in the pars interarticularis)

•       Degeneration due to age or overuse

•       Tumours

•       Surgery

 

 

It’s hard to tell if you have spondylolisthesis because you may not have any symptoms or overwhelming pain—most people don’t. Spondylolisthesis is usually discovered when you’re being tested for something else and the doctor notices the slipped vertebra on an x-ray.

X-rays are the best way to diagnose spondylolisthesis. During the x-ray, you’ll probably stand facing the side—that’s so the doctor can get a lateral (side) view, which most clearly shows the slip. Looking at the lateral x-ray below, you can see that one of the vertebra has slipped off the spinal column. The arrow points to the spondylolisthesis.

Your doctor may also order an oblique x-ray. Oblique means that the x-ray is taken at an angle from the back, a view that will help the doctor see the lamina, facet joints, and pars interarticularis.

To see if your spondylolisthesis is unstable and moving, the doctor may perform flexion and extension views from the side. These are also called lateral bending views. A flexion x-ray is taken with you bending forward; an extension x-ray is taken with you bending backwards.

For further confirmation of spondylolisthesis, you may need to have a CT scan.

 

If the slipped vertebra is pressing on nerves, the doctor may order a myelogram. In this test, you’ll have a special dye injected into the area around your nerves—your nerves are in a sac, so the dye will go into that sac. (Before that happens, the area will be numbed.) Then you’ll have an x-ray or a CT scan. The image will provide a detailed anatomic picture of your spine, especially of the bones, that will help your doctor to identify any abnormalities.

Part of your visit to the doctor will include physical and neurological exams. In the physical exam, your doctor will observe your posture, range of motion (how well and how far you can move certain joints), and physical condition, noting any movement that causes you pain. Your doctor will feel your spine, note its curvature and alignment, and feel for muscle spasms. Spondylolisthesis can cause you to walk abnormally, so the doctor may need to watch you walk.

During the neurological exam, your spine specialist will test your reflexes, muscle strength, other nerve changes, and pain spread (that is—does your pain travel from your back and into other parts of your body?). The physical and neurological exams will give your doctor a good picture of how the slipped vertebra is affecting your body and life.

Slip Grades

Using the lateral (side) x-ray, your doctor will grade your spondylolisthesis. He or she will use a grade I through grade V scale that describes how far forward your vertebra has slipped.

•       Grade I is a less than 25% slip.

•       Grade II is a 25% to 49% slip.

•       Grade III is a 50% to 74% slip.

•       Grade IV is a 75% to 99% slip.

•       Grade V is for a vertebra that has fallen off the vertebra below it. (That’s an extreme case of spondylolisthesis that has its own name: spondyloptosis.)

Posted in: Back Pain, Nerang Chiropractor Blog

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