Navigating Cold and Flu Season: What Cold Medicine Can I Take with Semaglutide?

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47 min
Published on
September 19, 2025
Updated on
September 19, 2025
Navigating Cold and Flu Season: What Cold Medicine Can I Take with Semaglutide?

Introduction

The sniffles, a nagging cough, or that unmistakable foggy feeling of a burgeoning cold can derail even the most meticulously planned wellness routine. For many, managing a common cold is a straightforward matter of reaching for a trusted over-the-counter remedy. However, if you are currently on a semaglutide or tirzepatide regimen for weight management, that seemingly simple decision takes on a new layer of complexity. Suddenly, the question isn’t just about alleviating symptoms, but about ensuring that your cold medicine choices align safely with your prescribed medication and your overall health goals.

The remarkable advancements in weight management, including medications like semaglutide and tirzepatide, have transformed countless lives, offering a powerful tool in the journey toward sustainable health. At TrimRx, our journey began with a shared vision to help individuals embrace healthier lifestyles by merging cutting-edge telehealth innovations with effective weight loss solutions. Our platform is a user-friendly and supportive space where individuals receive personalized, medically supervised care—all designed to make sustainable weight loss attainable and tailored to the individual. We believe that sustainable weight loss should be achieved through science, empathy, and a transparent approach. As you embark on or continue this transformative journey, encountering common ailments like a cold can present unexpected challenges. How do you maintain the integrity of your treatment while finding relief from symptoms?

This post aims to be your comprehensive guide, empowering you with the knowledge to make informed decisions about cold medicine while on semaglutide or tirzepatide. We will delve into the mechanisms of these weight loss medications, explore the common active ingredients found in cold remedies and their potential interactions, and provide best practices for safely managing your symptoms. By the end, you’ll understand the nuances involved and recognize the invaluable role of personalized medical guidance in navigating such situations. We’ll cover everything from decongestants to combination products, highlighting the importance of every ingredient. This detailed exploration is designed to equip you with authoritative insights, ensuring your health and safety remain paramount, just as we prioritize them in every aspect of our care at TrimRx.

Understanding Semaglutide and Its Role in Your Health Journey

Embarking on a weight loss journey is a significant step towards a healthier future, and for many, medications like semaglutide and tirzepatide have become cornerstone tools. Understanding how these powerful medications work is the first step in appreciating the need for careful consideration when introducing other drugs, even common cold remedies, into your routine.

How Semaglutide and Tirzepatide Work

Semaglutide and tirzepatide belong to a class of medications known as GLP-1 (Glucagon-Like Peptide-1) receptor agonists, with tirzepatide uniquely adding a GIP (Glucose-Dependent Insulinotropic Polypeptide) receptor agonist component. These medications mimic the effects of natural hormones in your body, primarily focusing on several key areas to support weight loss and metabolic health:

  • Appetite Regulation: They help you feel fuller for longer, reducing overall calorie intake. This is achieved by slowing down gastric emptying, meaning food stays in your stomach for a longer period.
  • Blood Sugar Control: They stimulate insulin release when blood sugar levels are high and suppress glucagon secretion, which prevents the liver from releasing too much sugar. This contributes to more stable blood glucose levels.
  • Reduced Cravings: Many individuals report a significant reduction in food cravings, particularly for highly processed or sugary foods.

For effective and sustainable weight management, consistent usage of these medications, under proper medical supervision, is crucial. At TrimRx, we are dedicated to providing personalized, medically supervised programs that integrate these cutting-edge solutions. We offer a range of options tailored to individual needs, including Compounded Semaglutide and Oral Semaglutide. For those eligible for branded medications, we facilitate access to FDA-approved options such as Ozempic® and Wegovy®. Similarly, our programs include access to Compounded Tirzepatide and Oral Tirzepatide, alongside FDA-approved branded alternatives like Mounjaro® and Zepbound®. To determine the best path for your personalized treatment plan, we encourage you to take our free assessment quiz.

The Importance of Medical Supervision with Semaglutide and Tirzepatide

Because these medications exert systemic effects, particularly on metabolism and gastrointestinal function, their use requires careful oversight. A personalized approach, guided by experienced medical professionals, ensures not only efficacy but also safety. This medical supervision is paramount for:

  • Individualized Dosing: Doses are meticulously adjusted based on individual response, tolerance, and medical history.
  • Monitoring Side Effects: Common side effects, primarily gastrointestinal in nature (nausea, vomiting, diarrhea, constipation), can be managed with professional guidance. More serious, albeit rare, side effects like pancreatitis, gallbladder issues, or changes in vision, require immediate medical attention.
  • Addressing Drug Interactions: As we explore in this article, introducing new medications, even seemingly innocuous over-the-counter remedies, requires an understanding of potential interactions.

At TrimRx, our commitment to safety and individualized care is unwavering. We partner exclusively with FDA-registered and inspected pharmacies for the shipping of weight loss medications, ensuring that all products meet stringent quality and safety standards. It’s important to understand that while we facilitate access to medication and comprehensive support, TrimRx partners with these pharmacies for the shipping of weight loss medications and does not provide actual medical supervision; your treatment plan is overseen by licensed healthcare professionals. Our comprehensive service goes beyond just medication access; it includes doctor consultations to review your health, necessary lab work, unlimited support from our care team to answer your questions, and convenient shipping—all with complete transparency and no hidden fees. We believe in providing compassionate care that respects every individual’s unique journey by combining advanced medical science with modern technology. This commitment ensures that your weight loss journey is safe, effective, and deeply personalized.

Common Cold Medicine Ingredients and Potential Interactions with Semaglutide

When you’re dealing with a cold, the thought of sorting through a long list of ingredients on a medicine label might be the last thing you want to do. However, for those on semaglutide or tirzepatide, understanding these ingredients is a critical step in safely managing your symptoms. Let’s break down the most common components of cold medicines and their potential interactions.

Decongestants: Phenylephrine and Pseudoephedrine

Decongestants are frontline heroes for relieving nasal stuffiness and sinus pressure. They work by narrowing the blood vessels in your nasal passages, which reduces swelling and helps you breathe easier. The most common active ingredients in this category are phenylephrine and pseudoephedrine.

Potential Interactions

While effective, these decongestants carry significant considerations for individuals on GLP-1 receptor agonists:

  • Blood Glucose Control Interference: Both phenylephrine and pseudoephedrine have the potential to interfere with blood glucose control. This means they could reduce the effectiveness of semaglutide and other diabetic medications in maintaining stable blood sugar levels. For an individual carefully managing their glucose, this interaction could lead to fluctuations that disrupt their metabolic goals.
  • Increased Blood Pressure and Heart Rate: Decongestants can elevate blood pressure and heart rate. If you have a history of high blood pressure, heart disease, or other cardiovascular conditions, combining these with caffeine (another common stimulant found in some cold remedies or beverages) can further enhance these effects, posing a risk.

Advice for Use

If nasal congestion is your primary symptom and you are considering a decongestant, it is crucial to:

  • Monitor Blood Sugar Levels Closely: Be extra diligent in monitoring your blood sugar, as you may experience changes. Your healthcare provider might need to make a temporary dose adjustment to your diabetic medications during and after treatment with a decongestant.
  • Consult Your Healthcare Provider: Always discuss the use of decongestants with your doctor, especially if you have a history of hypertension or heart conditions. They can advise on the safest options or alternative strategies for relief.
  • LSI Keywords: nasal congestion relief, stuffy nose medication, decongestant side effects, high blood pressure and cold medicine.

Pain Relievers and Fever Reducers: Acetaminophen and NSAIDs

Pain relievers and fever reducers are go-to solutions for aches, pains, headaches, and fever associated with a cold. The two main types found in over-the-counter cold medicines are acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen.

Acetaminophen (Tylenol)

  • Generally Safer: Acetaminophen is often considered a safer choice for pain and fever relief for individuals on semaglutide or tirzepatide, as it typically does not directly interact with the mechanism of these weight loss medications.
  • Crucial Alcohol Warning: However, a critical consideration is its interaction with alcohol. Many liquid cold remedies contain alcohol, and combining acetaminophen with ethanol can lead to serious side effects that affect your liver. Even without cold medicine, alcohol consumption with semaglutide can cause severe low blood sugar.
  • Advice: Always check the label of any cold medicine for acetaminophen content and especially for alcohol content. Opt for alcohol-free formulations. If you experience symptoms like fever, chills, unusual bruising, skin rash, or yellowing of the skin/eyes, seek immediate medical attention.

NSAIDs (Ibuprofen, Naproxen)

  • Potential Kidney Implications: While ibuprofen was mentioned as an allergy in some contexts, generally, NSAIDs can carry risks, particularly related to kidney function. GLP-1 receptor agonists can sometimes cause gastrointestinal side effects like nausea, vomiting, or diarrhea, which might lead to dehydration. Dehydration, in turn, can stress the kidneys, making the use of NSAIDs more concerning.
  • Advice: Discuss NSAID use with your healthcare provider, particularly if you have pre-existing kidney conditions or are experiencing significant fluid loss from gastrointestinal issues. They can help determine if it’s a suitable option for your specific situation.

Antihistamines: Diphenhydramine, Chlorpheniramine, Dexbrompheniramine

Antihistamines are common ingredients in cold and flu medicines, especially those formulated for nighttime relief. They help to reduce sneezing, runny nose, and watery eyes by blocking histamine, a chemical released by the body during allergic reactions or when fighting off infections.

Potential Interactions

  • Sedation and Impaired Cognition: Antihistamines, especially first-generation types like diphenhydramine (found in NyQuil), can cause drowsiness, dizziness, and difficulty concentrating.
  • Enhanced Alcohol Effects: Combining antihistamines with alcohol significantly amplifies these nervous system side effects. Alcohol may increase drowsiness and dizziness while you are taking antihistamines, potentially leading to impaired thinking and judgment.
  • Advice: Avoid or severely limit alcohol consumption when taking cold medicines containing antihistamines. It is crucial not to exceed recommended dosages and to avoid activities requiring mental alertness, such as driving or operating heavy machinery, until you understand how the medication affects you. Your doctor may need to adjust other medications if you are taking these together.

Cough Suppressants (Dextromethorphan) and Expectorants (Guaifenesin)

These ingredients target specific cough symptoms: dextromethorphan helps suppress the cough reflex, while guaifenesin helps thin and loosen mucus, making coughs more productive.

Potential Interactions

  • Generally Fewer Direct Interactions: Compared to decongestants and some antihistamines, dextromethorphan and guaifenesin generally have fewer direct interactions with semaglutide or tirzepatide.
  • Combination Product Concern: The main concern arises when these ingredients are part of multi-symptom cold medicines. These products often combine cough suppressants or expectorants with decongestants, antihistamines, and/or pain relievers, each carrying their own potential interactions as discussed above.
  • Advice: Always read the full ingredient list of any cold medicine meticulously. If possible, opt for single-ingredient formulations for specific symptoms, and always consult your healthcare provider before taking any new medication to ensure it aligns with your semaglutide or tirzepatide regimen.

Combination Cold Medicines (e.g., NyQuil, DayQuil)

The convenience of multi-symptom cold remedies is undeniable, offering relief from several symptoms in one dose. Popular examples include NyQuil and DayQuil. However, this convenience comes with increased complexity when you are on semaglutide or tirzepatide.

The Challenge of Multiple Ingredients

  • Stacked Interactions: Each active ingredient in a combination product carries its own potential for interaction or side effects. For example, NyQuil typically contains acetaminophen (for pain/fever), doxylamine succinate (an antihistamine for sneezing/runny nose, similar to diphenhydramine in its sedative effects), and dextromethorphan (a cough suppressant), often with alcohol. DayQuil typically contains acetaminophen, dextromethorphan, and phenylephrine (a decongestant).
  • Hidden Alcohol Content: Many liquid formulations of these combination products contain alcohol, which can exacerbate the sedative effects of antihistamines and pose a risk of liver damage when combined with acetaminophen, in addition to directly impacting blood sugar levels.

Advice for Use

  • Extreme Caution and Professional Consultation: Due to the myriad of active ingredients and their potential interactions (especially decongestants affecting blood sugar and blood pressure, and antihistamines intensifying sedation with alcohol), extreme caution is advised. While some general advice might suggest these are “perfectly safe,” a more medically conservative and personalized approach is always recommended when on medications like semaglutide. This is why we, at TrimRx, advocate for direct communication with your healthcare provider.
  • Prioritize Single-Ingredient Remedies: If your doctor approves, opting for single-ingredient medications to target specific symptoms might be a safer strategy. For instance, if you only have a fever, a plain acetaminophen product (without alcohol) might be considered, under medical guidance.
  • Careful Label Reading: If a combination product is deemed necessary by your doctor, scrutinize the label for all active and inactive ingredients, particularly alcohol content.

Understanding the complexity of cold medicine ingredients and their interactions with semaglutide is a vital part of your health journey. This knowledge, coupled with personalized medical advice, ensures that your path to wellness remains unobstructed and safe. If you’re looking for a partner in your weight loss journey who prioritizes this level of detailed, compassionate care, we encourage you to take our free assessment quiz to explore our personalized, medically supervised programs.

General Best Practices for Managing Colds on Semaglutide

Navigating a common cold while on semaglutide or tirzepatide requires a proactive and informed approach. Beyond understanding specific drug interactions, adopting a set of best practices can significantly enhance your safety and comfort during illness. These guidelines underscore the philosophy of personalized, medically supervised care that we champion at TrimRx.

Prioritizing Consultation with Your Healthcare Provider

This is the golden rule, and it cannot be overstated: always talk to your doctor or a pharmacist before taking any new medication, including over-the-counter cold remedies, when you’re on semaglutide or tirzepatide. Your healthcare provider has a comprehensive understanding of your medical history, current medications, and individual health profile. They can provide personalized guidance, considering factors unique to you, such as other conditions you might have (e.g., hypertension, heart disease, kidney issues) or other medications you are taking (e.g., insulin or sulfonylureas, which can increase the risk of hypoglycemia when combined with semaglutide).

This commitment to personalized advice is central to our mission at TrimRx. Our platform connects you with medical professionals who can offer this precise, individualized guidance, ensuring your choices are safe and effective. To see how our medically supervised programs can support your unique needs, we invite you to take our free assessment quiz today.

Monitoring Blood Sugar Levels Closely

Semaglutide and tirzepatide play a crucial role in regulating blood glucose. When you’re ill, your body’s metabolism can be affected, potentially altering your blood sugar levels. Introducing certain cold medicines, especially decongestants like phenylephrine or pseudoephedrine, can further complicate glucose control.

  • Actionable Step: If you use a home blood glucose monitor, increase the frequency of your checks while you have a cold and are taking any cold remedies. Report any significant fluctuations to your doctor. Be aware of symptoms of both low blood sugar (hypoglycemia) such as anxiety, shakiness, confusion, and rapid heartbeat, and high blood sugar (hyperglycemia) like blurred vision, increased urination, and unusual thirst.

Hydration and Nutrition

Staying well-hydrated and attempting to maintain adequate nutrition are vital during any illness, but especially when on semaglutide or tirzepatide. The gastrointestinal side effects often associated with these medications (nausea, vomiting, diarrhea) can increase the risk of dehydration. A cold, with its potential for fever and congestion, further compounds this risk.

  • Actionable Step: Drink plenty of fluids—water, clear broths, and electrolyte-rich beverages. If you are taking oral semaglutide, adhere strictly to the recommendation of taking it 30 minutes before your first food, beverage, or other oral medications of the day with no more than 4 ounces of plain water to ensure proper absorption. Fasting longer than 30 minutes after your dose can sometimes exacerbate gastrointestinal side effects.

Avoiding Alcohol

As previously highlighted, alcohol presents multiple risks when combined with semaglutide and many cold medicine ingredients. It can:

  • Exacerbate Side Effects: Significantly increase drowsiness and dizziness when combined with antihistamines.
  • Increase Liver Risk: Potentially cause serious liver side effects when combined with acetaminophen.
  • Impact Blood Sugar: Directly influence blood sugar levels, increasing the risk of severe low blood sugar, especially when combined with GLP-1 medications.
  • Actionable Step: Absolutely avoid alcohol consumption when you have a cold, particularly if you are taking any cold medications or are on semaglutide. This includes avoiding liquid cold remedies that list alcohol as an ingredient.

Opting for Single-Ingredient Relief Where Possible

Multi-symptom cold medicines, while convenient, can introduce unnecessary ingredients and multiply the potential for adverse interactions.

  • Actionable Step: Discuss with your doctor the possibility of using single-ingredient products to target only your most bothersome symptoms. For example, if your primary concern is fever, an acetaminophen-only product (without alcohol) might be recommended. If it’s a dry cough, a single-ingredient cough suppressant might be suitable. This simplifies the equation and reduces the risk of unintended interactions.

Non-Pharmacological Interventions

Don’t underestimate the power of simple, supportive measures for cold relief.

  • Actionable Step: Embrace rest, use a humidifier for congestion, try saline nasal sprays for stuffiness, gargle with salt water for a sore throat, and drink warm liquids like tea with honey. These methods can provide significant relief without adding medication to your system.

By diligently following these best practices, you can navigate cold and flu season more safely and effectively while continuing your weight loss journey with semaglutide or tirzepatide. This careful consideration aligns perfectly with the personalized and supportive care philosophy we uphold at TrimRx.

TrimRx’s Commitment to Your Holistic Health Journey

At TrimRx, we understand that true wellness extends beyond just weight loss; it encompasses a holistic approach to your health. Our commitment is to be your trusted partner, providing not only effective solutions but also the guidance and support needed to navigate all aspects of your health journey, including those unexpected challenges like a common cold.

Our Vision for Personalized Weight Loss

Our story at TrimRx began with a simple yet profound vision: to empower individuals to embrace healthier lifestyles through the intelligent integration of cutting-edge telehealth innovations and proven weight loss solutions. We recognized that every individual’s journey is unique, deserving of care that is as distinct as they are. That’s why we built our platform to be a user-friendly and supportive space where personalized, medically supervised care is the cornerstone. We believe that sustainable weight loss should be achieved through science, empathy, and a transparent approach, moving away from one-size-fits-all solutions towards truly tailored plans.

Whether it’s through access to medications like Compounded Semaglutide, Oral Semaglutide, or FDA-approved options such as Ozempic® and Wegovy®, our goal is to make sustainable weight loss attainable. We also provide access to Compounded Tirzepatide, Oral Tirzepatide, and FDA-approved Mounjaro® and Zepbound®. All of these prescription medications begin with our free assessment quiz to determine your eligibility and craft a plan that fits your life.

Beyond Prescription: Supporting Your Wellness with Quick-Access Supplements

We understand that managing overall wellness is an integral part of your weight loss journey. Sometimes, what your body needs is immediate support to stay on track, especially when facing common health challenges or simply aiming for optimal well-being. That’s why, in addition to our prescription programs, we offer quick-access supplements designed to complement your efforts without requiring a preliminary assessment.

Our GLP-1 Daily Support is formulated to aid digestive health and nutrient absorption, working synergistically with your body’s natural processes. This can be particularly beneficial for those on GLP-1 medications, helping to support gastrointestinal comfort and overall gut balance. Additionally, our Weight Loss Boost is designed to provide energy and metabolic support, giving you that extra edge in enhancing your weight loss efforts and maintaining vitality throughout your day. These supplements are readily available for immediate purchase, offering a convenient way to bolster your health and wellness journey.

The TrimRx Difference: Trust, Support, and Innovation

Our brand personality is built on a foundation of empathy, innovation, trustworthiness, support, results-orientation, and personalization. We believe in offering compassionate care that respects every individual’s unique journey, seamlessly combining advanced medical science with modern technology to deliver exceptional service.

  • Transparency: We are committed to transparent service, meaning our approach remains consistent, clear, and easy to understand, regardless of any dosage changes in your treatment plan. You’ll always know what to expect from us.
  • Safety First: Your safety is our paramount concern. We work exclusively with FDA-registered and inspected pharmacies, ensuring that the weight loss medications shipped to you meet the highest standards of quality and purity. It’s important to be clear that TrimRx partners with these pharmacies for the shipping of weight loss medications and does not provide actual medical supervision; your medical care is overseen by licensed healthcare professionals.
  • Comprehensive Care: Our full-service offering includes everything you need: thorough doctor consultations, access to prescribed medication, necessary lab work, unlimited support from our dedicated care team, and convenient shipping—all without any hidden fees. We strive to provide a seamless, supportive experience so you can focus on achieving your health goals.

At TrimRx, we are more than just a provider of weight loss solutions; we are a partner in your comprehensive health journey. From personalized prescription programs to immediate support supplements, we are here to empower you with the tools and knowledge for a healthier, more vibrant life.

Conclusion

Navigating the complexities of your health while on a medication like semaglutide or tirzepatide can feel daunting, especially when common ailments like a cold arise. However, by understanding the potential interactions of cold medicine ingredients and adhering to best practices, you can effectively manage your symptoms safely and responsibly. The core message remains clear: informed choices, meticulous label reading, and, most importantly, personalized medical guidance are your strongest allies.

We’ve explored how active ingredients in common cold remedies, such as decongestants, pain relievers, and antihistamines, can impact your blood sugar, blood pressure, and even interact negatively with alcohol often found in liquid formulations. We also highlighted why combination cold medicines require extra scrutiny due to their multiple active components. Remember the crucial recommendations: always consult your healthcare provider before taking any new medication, closely monitor your blood sugar, prioritize hydration, avoid alcohol, and opt for single-ingredient solutions when appropriate.

At TrimRx, our commitment to your well-being transcends the immediate goal of weight loss. We are dedicated to supporting your holistic health journey through every season of life. Our personalized, medically supervised programs are designed with your safety and success in mind, ensuring you receive expert care tailored to your unique needs. We believe in providing you with the tools and knowledge to make confident health decisions, empowering you to maintain momentum towards a healthier, more fulfilling life.

Ready to take the next step towards a healthier you, supported by expert guidance and compassionate care? Take our free assessment quiz today to explore your personalized weight loss plan and discover if you qualify for our prescription medications. For immediate support for your overall wellness during your weight loss journey, you can also explore our quick-access supplements like GLP-1 Daily Support and Weight Loss Boost.

FAQ

Q1: Can I take NyQuil or DayQuil with semaglutide or tirzepatide?

A1: Taking combination cold medicines like NyQuil or DayQuil with semaglutide or tirzepatide requires extreme caution and should always be discussed with your healthcare provider first. These products contain multiple active ingredients, such as decongestants (like phenylephrine), antihistamines (like diphenhydramine or doxylamine), and acetaminophen, many of which can interact with semaglutide. Decongestants can affect blood sugar control and blood pressure, while antihistamines can cause drowsiness that is exacerbated by alcohol (often found in liquid cold remedies). Acetaminophen, when combined with alcohol, also carries a risk of liver side effects. Your doctor can help determine the safest course of action based on your specific health profile.

Q2: What cold medicine ingredients should I specifically look out for or avoid if I’m on semaglutide or tirzepatide?

A2: You should be particularly cautious with or ideally avoid ingredients that can interfere with blood sugar control, impact blood pressure, or cause sedation, especially if combined with alcohol. Key ingredients to discuss with your doctor include:

  • Decongestants: Phenylephrine and Pseudoephedrine (can affect blood glucose and blood pressure).
  • Antihistamines: Diphenhydramine, Chlorpheniramine, Dexbrompheniramine (can cause drowsiness, intensified by alcohol).
  • Alcohol: Present in many liquid cold remedies, it interacts negatively with acetaminophen (liver risk), antihistamines (increased sedation), and semaglutide itself (risk of severe low blood sugar).
    Always read labels carefully and prioritize single-ingredient remedies if your doctor approves.

Q3: How does oral semaglutide’s absorption affect taking other oral medications for a cold?

A3: Oral semaglutide has specific absorption requirements. It is recommended to take oral semaglutide 30 minutes before your first food, beverage, or other oral medications of the day with no more than 4 ounces of plain water. Introducing other oral medications too soon after your semaglutide dose could potentially interfere with its absorption or increase gastrointestinal side effects. This highlights the importance of discussing your full medication schedule, including any cold remedies, with your healthcare provider to ensure proper timing and minimize interactions.

Q4: What should I do if I accidentally take a cold medicine that might interact with semaglutide or tirzepatide?

A4: If you suspect you’ve accidentally taken a cold medicine that might interact with your semaglutide or tirzepatide, the most important step is to contact your healthcare provider or pharmacist immediately. They can assess the potential risks based on the specific medications involved, your dosage, and your individual health profile, and advise you on the necessary steps. This might include closer monitoring of your blood sugar, looking out for specific side effects, or making temporary adjustments to your medication regimen. Do not attempt to self-adjust your semaglutide dosage.

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