Navigating Liver Health and Weight Loss: Can You Take Ozempic with Liver Disease?

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48 min
Published on
September 21, 2025
Updated on
September 21, 2025
Navigating Liver Health and Weight Loss: Can You Take Ozempic with Liver Disease?

Introduction

Imagine the quiet resilience of your liver, diligently working behind the scenes, processing nutrients, filtering toxins, and supporting countless bodily functions. Yet, despite its critical role, liver disease, particularly fatty liver disease, often progresses silently, affecting millions globally without immediate, overt symptoms. It’s a condition that can profoundly impact overall health, sometimes intertwining with other metabolic challenges like obesity and type 2 diabetes. As awareness grows about the interconnectedness of these health concerns, many individuals are seeking effective weight management strategies and wondering about the safety and efficacy of new treatment options. Among these, medications like Ozempic, a brand-name semaglutide, have emerged as powerful tools in the fight against excess weight and blood sugar imbalances. This naturally leads to an important question for those also managing liver health: can you take Ozempic with liver disease?

The landscape of weight management and metabolic health is continually evolving, bringing forth innovative solutions that offer new hope. Our journey at TrimRx began with a shared vision to help individuals embrace healthier lifestyles by merging cutting-edge telehealth innovations with effective, science-backed weight loss solutions. We understand the complexities of managing conditions that impact your overall well-being, and we are committed to providing a user-friendly and supportive space where personalized, medically supervised care is not just a promise, but a reality. Our platform is designed to make sustainable weight loss attainable and tailored to the individual, recognizing that each person’s health profile is unique, especially when existing conditions like liver disease are present.

This comprehensive guide will delve into the intricate relationship between GLP-1 receptor agonists like semaglutide (the active ingredient in Ozempic), weight loss, and various forms of liver disease, particularly metabolic dysfunction-associated steatohepatitis (MASH), formerly known as non-alcoholic steatohepatitis (NASH). We will explore the science behind how these medications work, what recent research reveals about their impact on liver health, and the crucial considerations for individuals contemplating such treatments while living with liver conditions. Our aim is to provide clarity, empower you with knowledge, and highlight how a personalized, empathetic approach, grounded in advanced medical science and modern technology, can support your unique health journey. We believe that sustainable weight loss should be achieved through science, empathy, and a transparent approach, ensuring you have all the information needed to make informed decisions.

By the end of this post, you will have a clearer understanding of the current medical perspectives on using GLP-1 agonists with liver disease, the potential benefits, and the necessary precautions. We will also touch upon how our comprehensive services, including expert consultations and ongoing support, are designed to guide you safely and effectively.

Understanding Fatty Liver Disease: MASH and MASLD

Fatty liver disease is a pervasive global health issue, often flying under the radar until it reaches more advanced stages. It encompasses a spectrum of conditions where excess fat accumulates in the liver cells, distinct from liver damage caused by alcohol. Globally, it affects approximately 30-40% of the population, with prevalence rates even higher in certain demographics, including about one in five adults in the United States. Recognizing the subtle nuances and significant impact of this condition is the first step toward effective management and prevention.

The Spectrum of Fatty Liver Conditions

Historically, fatty liver disease not caused by alcohol was broadly termed Non-Alcoholic Fatty Liver Disease (NAFLD). However, the medical community has recently updated this terminology to better reflect the underlying metabolic dysfunctions.

Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)

This is the most common form of fatty liver disease. MASLD occurs when there is fat buildup in the liver cells (steatosis) without significant inflammation or cell damage. It is closely linked to metabolic risk factors such as obesity, type 2 diabetes, high cholesterol, and high blood pressure. Many individuals with MASLD experience no symptoms and the condition is often discovered incidentally during imaging tests or routine blood work. While MASLD itself may not always cause severe immediate problems, it serves as a crucial warning sign of metabolic imbalance and can progress to more serious forms of liver disease.

Metabolic Dysfunction-Associated Steatohepatitis (MASH)

MASH represents a more advanced and concerning stage of fatty liver disease. In MASH, the fat accumulation in the liver is accompanied by inflammation and liver cell damage (hepatitis). This chronic inflammation can lead to the formation of scar tissue, a process known as fibrosis. Over time, progressive fibrosis can advance to cirrhosis, a severe form of liver scarring that impairs liver function and can lead to liver failure, liver cancer, or the need for a liver transplant. Approximately 20% of individuals with MASLD will develop MASH, and MASH is one of the fastest-growing reasons for liver transplants worldwide. The distinction between MASLD and MASH is vital because MASH carries a significantly higher risk of severe liver complications.

The Silent Progression and Associated Risks

One of the most challenging aspects of fatty liver disease is its often silent progression. Early stages typically present with no symptoms, or only vague ones like fatigue or discomfort in the upper right abdomen. This makes early detection difficult, and many people are diagnosed only after the disease has advanced.

The risks associated with MASH extend beyond the liver itself. Individuals with MASH are often grappling with a cluster of metabolic issues, including obesity, insulin resistance, type 2 diabetes, and cardiovascular disease. These comorbidities create a complex web of health challenges, underscoring the need for comprehensive, integrated treatment approaches. For instance, the presence of MASH significantly increases the risk of developing cardiovascular problems, which are already heightened in individuals with obesity or type 2 diabetes. This interconnectedness is why a holistic view of health, addressing both weight and metabolic health, is so critical.

Considering these challenges, it’s understandable why individuals are seeking effective strategies to manage their weight and improve metabolic health. This brings us to the potential role of new medications in this fight. If you are grappling with these interconnected health challenges, we encourage you to take our free assessment quiz to explore how our personalized, medically supervised programs might support your journey toward improved liver health and sustainable weight loss.

The Role of GLP-1 Receptor Agonists in Weight Management and Liver Health

GLP-1 receptor agonists, such as semaglutide (the active ingredient in Ozempic and Wegovy) and tirzepatide, represent a significant advancement in the treatment of obesity and type 2 diabetes. These medications mimic the action of a natural hormone in the body, glucagon-like peptide-1 (GLP-1), which plays a crucial role in metabolic regulation.

How GLP-1 Agonists Work

GLP-1 is a hormone produced in the small intestine in response to food intake. GLP-1 receptor agonists bind to GLP-1 receptors in the body, triggering a cascade of beneficial effects:

  • Appetite Regulation and Satiety: They act on the brain to reduce appetite and increase feelings of fullness, leading to a decrease in overall food intake and calorie consumption. This mechanism is a primary driver of weight loss.
  • Blood Sugar Control: For individuals with type 2 diabetes, these medications stimulate the pancreas to release more insulin when blood sugar levels are high, and they suppress glucagon secretion (a hormone that raises blood sugar). They also slow down gastric emptying, meaning food stays in the stomach longer, which helps prevent sharp spikes in blood sugar after meals.
  • Weight Loss: By reducing appetite and slowing digestion, GLP-1 agonists consistently lead to significant and sustained weight loss for many individuals. This weight loss is not just aesthetic; it’s metabolic, improving various markers of health.

The Emerging Evidence: GLP-1 Agonists and Liver Health

Beyond their established benefits for weight and blood sugar, researchers have been keenly investigating the broader impact of GLP-1 receptor agonists, particularly their potential role in improving liver health, especially in the context of MASH. The findings have been remarkably promising.

Clinical Trials and Key Discoveries

Recent clinical trials have shed significant light on the potential of semaglutide to address MASH. A landmark study, published in a leading medical journal, demonstrated that semaglutide can not only halt but, in many cases, reverse the progression of fatty liver disease. The study, involving participants across 37 countries with moderate to severe liver scarring from MASH, revealed compelling results:

  • Resolution of MASH: Nearly two-thirds of participants taking semaglutide achieved a resolution of MASH without a worsening of liver fibrosis, compared to a significantly lower percentage in the placebo group.
  • Reduction in Fibrosis: Over a third of semaglutide users showed an improvement in liver scarring (fibrosis), while another third saw improvements in both liver inflammation and scarring. This is a crucial finding, as reducing fibrosis is key to preventing the progression to cirrhosis.
  • Metabolic Improvements: Participants also experienced substantial weight loss, which in itself is beneficial for liver health. Additionally, their cardiovascular health markers showed improvement, aligning with the broader metabolic benefits of these medications.

These findings are monumental because, for a long time, there were very few approved treatments specifically for MASH. The U.S. Food and Drug Administration (FDA) has recognized this potential. In August 2025, semaglutide (Wegovy) received FDA approval for the treatment of MASH in adults with moderate-to-advanced scarring of the liver, in conjunction with diet and exercise. This approval marks a pivotal moment, offering a new avenue of hope for millions living with this progressive liver disease. It’s important to note that while this is a significant step, semaglutide is not currently approved to treat cirrhosis, and ongoing research continues to monitor its long-term effects and explore its potential in various stages of liver disease.

Why is this a “Game-Changer” for Liver Health?

Hepatologists are particularly enthusiastic about these developments because they signify a new frontier in treating MASH. The ability of a medication to not only address the metabolic roots of the disease (like obesity and insulin resistance) but also directly impact liver inflammation and fibrosis is a significant breakthrough. While other treatments like Rezdiffra (resmetirom) exist, having multiple therapeutic options is crucial, as not every individual responds identically to a single treatment. The research continues, with several other GLP-1 and combination drugs in advanced clinical trials, promising even more innovative solutions in the coming years. This is a testament to the power of advanced medical science, a principle that drives our offerings at TrimRx.

For individuals considering how these advancements might apply to their own health, particularly if managing weight and contemplating their liver health, we invite you to take our free assessment quiz. This personalized approach helps determine if our medically supervised programs, including options like Ozempic, Compounded Semaglutide, or other GLP-1 receptor agonists, could be a suitable and safe path for you.

Safety Considerations: Can You Take Ozempic with Liver Disease?

The question of “can you take Ozempic with liver disease” is multifaceted and requires careful consideration of individual health profiles, the specific type and severity of liver disease, and other co-existing medical conditions. While the emerging data on GLP-1 agonists and MASH is highly promising, patient safety remains paramount.

Individualized Assessment is Key

At TrimRx, we emphasize that a “one-size-fits-all” approach to weight loss and health management simply doesn’t work, especially when dealing with complex conditions like liver disease. Every individual’s physiology and health history are unique. Therefore, before considering medications like Ozempic (semaglutide) or any other GLP-1 receptor agonist, a thorough medical evaluation by a qualified healthcare provider is absolutely essential.

This evaluation typically includes:

  • Comprehensive Medical History: A detailed review of your past and present health conditions, including any known liver disease (MASLD, MASH, cirrhosis, etc.), its stage, and how it is currently being managed.
  • Laboratory Work: Blood tests are crucial to assess liver function, kidney function, and other metabolic markers. This helps to establish a baseline and monitor for any changes during treatment. Our comprehensive service includes necessary lab work to ensure your safety and tailor your plan effectively.
  • Medication Review: A careful assessment of all current medications, including over-the-counter drugs and supplements, to identify any potential interactions with GLP-1 agonists.
  • Discussion of Potential Risks and Benefits: An open conversation about the potential benefits of weight loss and improved metabolic health, weighed against any specific risks associated with GLP-1 agonists in the context of your liver condition.

Specific Considerations for Liver Disease

While GLP-1 agonists generally have a favorable safety profile, some specific points warrant attention for individuals with liver disease:

  • Severity of Liver Disease: The impact and safety of GLP-1 agonists can vary depending on the severity of liver impairment. For instance, while studies show significant benefits for MASH, the use of these medications in advanced cirrhosis might require more stringent monitoring or may be contraindicated in certain cases. The FDA approval for MASH specifically notes “moderate-to-advanced scarring,” implying that cases with significant damage need careful evaluation.
  • Monitoring During Treatment: If a GLP-1 agonist is prescribed, ongoing monitoring of liver function tests and overall health is crucial. This allows your healthcare provider to adjust the treatment plan as needed and proactively address any concerns. Our commitment to transparent service means our approach remains consistent, and our unlimited support ensures you always have a resource for your questions and concerns.
  • Underlying Causes: It’s important to understand the underlying causes of your liver disease. While GLP-1 agonists address metabolic dysfunction, other factors contributing to liver damage must also be managed.

What Our Experts Emphasize

At TrimRx, our medical team, comprising experienced professionals, approaches each case with compassionate care, respecting every individual’s unique journey. We combine advanced medical science with modern technology to deliver personalized, medically supervised care. When you engage with our platform, you’re not just getting medication; you’re gaining access to a comprehensive service that includes:

  • Doctor Consultations: Personalized consultations to review your health history, discuss your goals, and determine if prescription weight loss medications are right for you.
  • Medication Access: If eligible, we provide access to medications like Ozempic® (semaglutide), Wegovy® (semaglutide), Zepbound® (tirzepatide), Mounjaro® (tirzepatide), as well as compounded Semaglutide and Tirzepatide (available in both injectable and oral forms). We work exclusively with FDA-registered and inspected pharmacies for the shipping of these medications, ensuring quality and safety. It’s important to clarify that while branded medications like Ozempic® are FDA approved, compounded medications are not, though the pharmacies we partner with are rigorously inspected.
  • Lab Work: Necessary lab tests to assess your health status and monitor progress.
  • Unlimited Support: Ongoing guidance and support from our care team to help you navigate your weight loss journey.
  • Shipping with No Hidden Fees: Transparent service ensures you understand what to expect at every step.

If you have liver disease or any other complex health condition, it is vital to be transparent and thorough during your initial free assessment quiz. This helps our medical team determine your eligibility for our prescription weight loss medications and formulate a personalized treatment plan that prioritizes your safety and health.

Beyond Prescription: Comprehensive Support for Liver and Metabolic Health

While prescription medications like GLP-1 receptor agonists offer powerful support for weight loss and liver health, a truly sustainable and effective approach integrates these tools with a broader strategy for overall well-being. At TrimRx, we believe in supporting every aspect of your health journey, offering resources and solutions that complement medically supervised programs.

Lifestyle Foundations: The Cornerstones of Health

Regardless of whether you are on a prescription weight loss medication, fundamental lifestyle changes remain the bedrock of improving liver health and achieving sustainable weight management. These include:

  • Nutritional Optimization: Focusing on a balanced diet rich in whole foods, lean proteins, fiber, and healthy fats, while limiting processed foods, excessive sugars, and unhealthy fats, is crucial. For individuals with fatty liver disease, specific dietary modifications can significantly reduce fat accumulation in the liver.
  • Regular Physical Activity: Incorporating consistent exercise, combining cardiovascular workouts with strength training, not only aids in weight loss but also improves insulin sensitivity and can directly benefit liver health by reducing liver fat.
  • Hydration: Adequate water intake supports overall metabolic function and helps the body’s natural detoxification processes, easing the burden on the liver.
  • Stress Management and Sleep: Chronic stress and poor sleep can negatively impact hormones involved in metabolism and appetite, making weight management more challenging and potentially exacerbating metabolic issues that affect the liver. Prioritizing mental well-being and restorative sleep is an often-underestimated but powerful component of health.

We understand that implementing these changes can feel overwhelming. Our supportive resources and expert guidance are designed to empower you to make these shifts gradually and sustainably.

Quick-Access Supplements for Holistic Support

For individuals looking for immediate support for their overall wellness during their weight loss journey, or as a complement to their personalized prescription program, we offer carefully formulated quick-access supplements. These are available for immediate purchase and do not require a medical consultation.

GLP-1 Daily Support

Our GLP-1 Daily Support supplement is designed to naturally assist your body’s metabolic processes. It can be a beneficial addition for those seeking to enhance satiety, support healthy blood sugar levels, and complement their weight management efforts. This supplement is crafted with ingredients known to support the body’s natural hormonal balance and digestive health, promoting a feeling of fullness that can aid in reducing caloric intake.

Weight Loss Boost

For an additional edge in your weight loss journey, our Weight Loss Boost supplement provides targeted support. It is formulated to help optimize metabolism, enhance energy levels, and support fat burning. This supplement works synergistically with a healthy lifestyle, offering an extra layer of assistance as you strive towards your weight loss goals.

These quick-access supplements reflect our commitment to providing diverse, effective solutions that cater to various needs and preferences. While they don’t replace the personalized, medically supervised care offered through our prescription programs, they serve as valuable tools to support your overall well-being and progress.

The TrimRx Difference: Personalized, Trustworthy Care

Our dedication to safe, effective weight loss and individualized care is at the core of everything we do. We combine advanced medical science with modern technology to deliver a truly personalized experience. Our brand is empathetic, innovative, trustworthy, supportive, results-oriented, and profoundly personalized. We offer compassionate care that respects every individual’s unique journey, understanding that health is a deeply personal experience.

We believe that sustainable weight loss should be achieved through science, empathy, and a transparent approach. This means ensuring that our comprehensive service includes doctor consultations, necessary lab work, medication from FDA-registered and inspected pharmacies, unlimited support, and shipping without hidden fees. We are here to partner with you, offering clarity and consistency every step of the way.

Whether you’re just starting to explore weight management options, have concerns about conditions like liver disease, or are looking for additional support, we encourage you to connect with us. Take the first step by completing our free assessment quiz to see if you qualify for our prescription weight loss medications and receive a personalized treatment plan designed just for you. For immediate support, explore our GLP-1 Daily Support and Weight Loss Boost supplements.

The Future of Liver and Metabolic Health: A Holistic Perspective

The landscape of metabolic health and liver disease treatment is rapidly evolving, bringing new hope and sophisticated approaches. The recent FDA approval of semaglutide (Wegovy) for MASH marks a significant milestone, shifting the paradigm from managing symptoms to actively treating the underlying disease and even reversing liver damage in some cases. This development underscores the critical importance of a holistic perspective that integrates advanced pharmacological interventions with robust lifestyle modifications.

The scientific community continues to explore the full potential of GLP-1 receptor agonists and related compounds. Research into combination therapies, for instance, those that pair GLP-1 agonists with compounds that elevate glucagon levels, shows promising results in stimulating the liver’s mitochondrial fat oxidation, offering multiple mechanisms to combat fatty liver disease. These ongoing studies are not just about finding new drugs; they are about understanding the intricate metabolic pathways that lead to disease and developing targeted, effective solutions. This relentless pursuit of knowledge and innovation mirrors our core values at TrimRx, where we are continuously integrating the latest scientific advancements into our personalized programs.

For individuals navigating their weight loss journey, especially those with co-existing conditions like liver disease, this era of medical innovation is incredibly empowering. It means that there are more options than ever before, but it also highlights the need for expert guidance. Self-diagnosis and self-treatment are never advisable, particularly when dealing with complex medical conditions. A medically supervised approach ensures that treatments are safe, effective, and tailored to your specific health needs.

Our commitment at TrimRx is to bridge the gap between cutting-edge medical science and accessible, personalized care. We believe that everyone deserves the opportunity to achieve sustainable weight loss and improve their overall health, even when facing significant challenges. Our platform is designed to provide that bridge, offering a supportive environment where medical professionals can guide you through informed decisions and provide continuous care. This dedication to transparent, empathetic, and science-backed support is why so many individuals trust us with their health journeys.

Whether your primary concern is weight management, improving metabolic health, or understanding how conditions like liver disease might influence your treatment options, our team is here to help. We encourage you to take proactive steps towards a healthier future. Start by completing our free assessment quiz to see how our personalized, medically supervised weight loss programs can be customized for you. For those seeking immediate support for their wellness journey, consider exploring our GLP-1 Daily Support and Weight Loss Boost supplements. Together, we can work towards a healthier, more vibrant you, leveraging the best of science and compassionate care.

Conclusion

The journey toward better health, especially when navigating conditions like liver disease and managing weight, is deeply personal and often complex. As we’ve explored, the question of whether you can take Ozempic with liver disease is met with encouraging scientific advancements, particularly in the realm of Metabolic Dysfunction-Associated Steatohepatitis (MASH). Recent research and FDA approvals affirm the significant potential of GLP-1 receptor agonists like semaglutide in not only facilitating weight loss but also actively improving liver health by reducing inflammation and fibrosis. This represents a monumental step forward, offering new hope where treatment options were once scarce.

However, the efficacy and safety of such treatments are intrinsically linked to a personalized, medically supervised approach. Understanding your unique health profile, the specific nature and stage of any liver condition, and other metabolic factors is paramount. This is precisely where TrimRx stands as your dedicated partner. Our foundation is built on merging cutting-edge telehealth innovations with effective, science-backed weight loss solutions, creating a user-friendly and supportive space where individualized care is always at the forefront. We are committed to fostering sustainable weight loss through science, empathy, and transparency, ensuring that your path to a healthier lifestyle is both safe and effective.

Our comprehensive service goes beyond just medication, encompassing vital doctor consultations, necessary lab work, unlimited support, and secure shipping from FDA-registered and inspected pharmacies – all without hidden fees. We offer a range of clinically proven options, from branded medications like Ozempic®, Wegovy®, Zepbound®, and Mounjaro® to high-quality compounded Semaglutide and Tirzepatide, alongside quick-access supplements like our GLP-1 Daily Support and Weight Loss Boost for immediate wellness enhancement.

Your health journey is unique, and you deserve a personalized plan that respects your individual circumstances and goals. We invite you to take the crucial first step toward understanding your options and embracing a healthier future. Complete our free assessment quiz today to see if you qualify for our prescription weight loss medications and to receive a customized treatment plan designed specifically for you. Let us be your trusted guide in navigating the path to sustainable weight loss and improved metabolic and liver health.

FAQ

Q1: What specific types of liver disease can benefit from GLP-1 receptor agonists like Ozempic?

A: Recent clinical trials and FDA approval primarily focus on Metabolic Dysfunction-Associated Steatohepatitis (MASH), formerly known as NASH, especially in adults with moderate-to-advanced scarring of the liver. GLP-1 receptor agonists, including semaglutide (the active ingredient in Ozempic), have shown significant benefits in reducing liver fat, inflammation, and fibrosis associated with MASH, primarily driven by their effects on weight loss and metabolic improvement. While positive effects on general Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) are observed due to weight reduction, the most robust evidence and specific approvals are for MASH. It’s crucial for individuals with any liver condition to consult with a healthcare professional to determine if these medications are appropriate for their specific case.

Q2: How do GLP-1 receptor agonists improve liver health, beyond just weight loss?

A: While significant weight loss is a primary mechanism by which GLP-1 receptor agonists improve liver health, particularly in MASH, their benefits extend beyond mere caloric restriction. These medications mimic the natural GLP-1 hormone, which helps regulate appetite and slow gastric emptying, leading to reduced food intake. They also improve insulin sensitivity, which is critical in addressing the underlying metabolic dysfunction that drives fatty liver disease. Additionally, ongoing research suggests that GLP-1 agonists may have direct anti-inflammatory effects and could potentially influence liver metabolism directly, such as increasing mitochondrial fat oxidation, which helps reduce fat deposits in the liver. This multi-faceted action makes them particularly effective for individuals with interconnected metabolic and liver health challenges.

Q3: Are there any liver conditions where taking Ozempic or similar medications might be contraindicated or require extra caution?

A: Yes, while GLP-1 receptor agonists are generally considered safe for many individuals with MASH, extra caution and careful medical evaluation are required for certain liver conditions. For instance, their use in advanced cirrhosis (severe liver scarring) or other forms of advanced liver failure might necessitate more stringent monitoring or may be contraindicated, depending on the individual’s overall health status and liver function. Any pre-existing liver conditions, regardless of severity, warrant a thorough discussion with a healthcare provider before starting treatment. Our personalized approach at TrimRx emphasizes a comprehensive medical evaluation, including necessary lab work, to ensure the safety and suitability of any prescribed medication for your specific health profile.

Q4: How does TrimRx ensure the safety of individuals with liver disease who are considering these medications?

A: At TrimRx, patient safety and personalized care are our top priorities, especially for individuals with pre-existing conditions like liver disease. Our approach involves a comprehensive and multi-step process:

  1. Free Assessment Quiz: We begin with a free assessment quiz that gathers detailed health information, including any liver conditions, to determine initial eligibility.
  2. Doctor Consultations: Qualified healthcare providers conduct thorough consultations to review your complete medical history, lab work, and current medications. This allows for a personalized assessment of potential risks and benefits.
  3. Lab Work Inclusion: Our service includes necessary lab work to evaluate liver function and other key health markers, ensuring we have a complete picture of your health before and during treatment.
  4. FDA-Registered Pharmacies: We partner exclusively with FDA-registered and inspected pharmacies for the shipping of all prescription medications, ensuring the highest standards of quality and safety.
  5. Unlimited Support: We provide continuous support and monitoring throughout your journey, allowing for adjustments to your treatment plan as needed and addressing any concerns promptly.
    Our commitment to a transparent and empathetic approach ensures that your health and safety remain at the forefront of your personalized weight loss program.

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