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August 20, 2025 57 mins

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Join Speaking of Women's Health Podcast Host Holly Thacker, MD, for secret skincare tips from dermatologists and other experts for younger, healthier skin. 

Did the summer sun dry out your hair and skin? This episode is filled with ways to get rid of sun spots, improve split ends and bring a glow to your skin.

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Speaker 1 (00:06):
Welcome to the Speaking of Women's Health
podcast.
I'm your host, dr Holly Thacker, and I am back in this hot
sunflower house for a newedition.
Actually, it's a repriseedition, but there's some new
information.
Prize edition, but there's somenew information.

(00:28):
I recently re-listened to mypodcast interview with
esthetician Lori Skarsgård fromseason one called Top Skincare
Tips from an Esthetician, andwhen I was listening I forgot
all some of the wonderfulskincare tips that Lori shared
with us throughout the interview.
So, since it was so helpful forme to listen to again, I wanted
you to get to hear it again, aswell as some additional tips.

(00:52):
So I first want to go over acouple of skincare tips and
tricks that I have learned overthe recent years from
dermatologists.
I don't know why my dermatologyfriends and colleagues withheld
some of that information, or Ididn't find out about it until
later, but a lot of this, all ofthis, really is actually over

(01:16):
the counter and it's somethingthat I want to share with my
wonderful listeners.
That being said, this is notmedical advice.
This is just information toempower you to be strong, be
healthy and be in charge.
So one of my go-to gifts fornew parents when we had the

(01:44):
pelvic stimulating devices whichwere over the counter and
currently, because of themicrochip shortage, we don't.
I used to give pelvicstimulating devices to treat
pelvic floor problems andurinary leakage to moms, because
everybody gets stuff for thebabies, but that's on hold.
But as soon as somethingsimilar comes back on the market
, I will be sure to let all ofour listeners know, as well as

(02:07):
post breaking health news on ourspeakingofwomenshealthcom site.
We have a section under news,and we have great social media
too, like Facebook and X andPinterest and LinkedIn, and we
have a YouTube channel and aRumble channel if you want to
actually watch when I interviewpeople or show certain things on

(02:31):
the audiovisual tapes.
We're also on Instagram, whichis really very, very popular,
and I don't know if we're goingto expand into TikTok it kind of
depends on what happens withthat company.
So right now we're not on that,but always stay tuned because
we like to advance and getinformation out to our audience.

(02:52):
So some of the skincare tipsthat I wish I would have known
earlier, including when I was ayoung parent, is sickle fate and
it's one of my go-to gifts nowfor baby showers and personally
and my work, family,neighborhood, my inner circle I

(03:14):
have had a baby boomlet.
In fact I don't know if myaudience knows, but I'm
expecting my fifth grandchild.
It'll be Stetson, and his wifeLaura's third baby at the very
end of summer, so we're soexcited.
So Cyclofate contains zincoxide, which of course is in

(03:36):
baby ointment, baby rash, diaperrash.
It also has copper and it hasSucralfalfate, which is a
protective coating and it'sgreat for little cuts and
because it's antibacterial andit's like a protective paste, so
it helps the skin heal better.
I've put it on cold sores, Iput it on minor cuts and bruises

(03:58):
and I keep it in my travelmakeup bag whenever I leave home
.
Another tip which I just learnedabout and what prompted me to
do this little extra informationon skincare tips was from a
good friend of mine who lastsummer, when we were at the pool

(04:18):
, she pointed to some areas onher leg like some bruising that
she says it takes forever to goaway, and she was talking about
her husband who complained aboutthe senile purpura, the little
purple marks that happensbruising in older, more mature
people, when there's even minortrauma, especially for people
that are on aspirin or bloodthinners, or just with the loss

(04:41):
of collagen that happens withaging or sun exposure.
That's why we see it more onthe extremities.
And I only recently found outabout this from our skincare
folks and it's an interestingherb arnica and it comes from an

(05:01):
herb and it reduces skincareinflammation and bruising.
So you can get it in creams,you can get it on roll-ons, and
she told me how she had aninjury which would have taken a
couple of weeks to heal and sheimmediately remembered I said
put Arnica on and she saidwithin a couple of days it was
all gone and her skin waspresentable.

(05:23):
So it could also help with somepain or inflammation.
And another interesting kind ofold-fashioned natural product
that you might have remembered,if you're old enough, from the
70s when there'd be gas stationsthat would advertise.
We have DMSO and it is a naturalsolvent.

(05:45):
It stands for dimethylsulfoxide.
It's used in the lab.
It's a very potent solvent.
So if you have anything on yourskin and then you put the DMSO
on, it will deeply penetrate.
So you wouldn't want pesticidesor toxins or things like that
on your skin or something thatyou didn't want to get into your
body.
So even though it's over thecounter and it comes in

(06:10):
different strengths for topicalingestion, it's only classically
used in allopathic medicine toinstall in the bladder for
interstitial cystitis, which isa very irritating bladder
condition, which is a veryirritating bladder condition.
So it has been used, though, byathletes for bruises and
injuries and musculoskeletalproblems, because it's a solvent

(06:34):
and it can dissolve things.
It's been also used topicallyon lipomas, little subcutaneous
fat collections.
So if you put some DMSO on theskin and then something else
topically that you want to bedeeply absorbed, like the Arnica
for bruising, I did thatrecently for an injury and a

(06:57):
bruise that I had and I was sosurprised at how fast it cleared
up.
Now, of course, anyone who's onblood thinners, high dose
aspirin, coumadin, eliquis, etcetera would always want to
consult with their physician orcardiologist or blood specialist

(07:18):
before doing anything that canaffect clotting or bleeding time
that can affect clotting orbleeding time.
Interestingly, I found out whenmy husband had surgery and he
had a blood clot from the vein,the IV access that they put in.
Usually we just treat that withheat, maybe some topical

(07:38):
aspirin or oral aspirin.
I found out that actually overthe counter is topical um
heparin cream Hero.
Uh, do it as one of the umheparinoid topical creams that
can be put on topical skins forsuperficial thrombophlebitis,

(07:59):
blood clots or bruising.
Um, so it's.
I didn't find it very readilyavailable.
I actually ordered it.
It's over the counter and I gotit on one of our Canada drug
sites.
If you have not read our columnor listened to our podcast on
how to save money on medicines,you can get both prescription
medicines with a prescriptionand over-the-counter products,

(08:23):
sometimes for less money orsometimes even more availability
online through various Canadianpharmacies.
So trying to save money butgetting really high-quality
products or medications orsupplements always is a big, big
concern.
Now, vitamin K1 is sometimesrecommended by dermatologists

(08:47):
and plastic surgeons afterprocedures or after skin injury
to minimize bruising, and thereare a lot of products that
contain arnica and vitamin K andsometimes DMSO.
So that's interesting becausethese products can reduce

(09:08):
bruising and swelling andinflammation in the skin.
But again, with any majorinjury or major undiagnosed skin
condition, of course you wantto talk with your family
physician or your dermatologist,et cetera, but there's a lot of
cuts and scrapes and you knowbruises and things that maybe
don't need medical attention.

(09:29):
That it's kind of nice to knowthat some of these topical
products really seem to have asignificant effect.
Another thing I learned about isferulic acid, which is many
times added to vitamin Cproducts for the skin, which is
many times added to vitamin Cproducts for the skin.
Now we have a great listing ofvitamin C rich foods and it's
very important we humans do notmake vitamin C.

(09:52):
You can get scurvy, which cancause skin problems and all
sorts of systemic problems fromlack of vitamin C, and it's
always best in terms ofnutrients to ingest them in your
diet for your whole body asopposed to only apply them on
the skin.
But the combination of vitaminC and frulic acid helps fade sun

(10:14):
damage and it helps to brightenthe skin.
Now there are prescription skinbrightening products laser.
You know there's other thingsthat the dermatologist can do
for age spots.
The most important thing, ofcourse, is to protect your skin
and some you know you can findthese products that have vitamin
C and ferulic acid.

(10:38):
Also iron oxide.
I was asking Lori when I sawher recently when I had one of
the Dermablades and DiamondGlows.
Also, she does hydro facials,which kind of takes off the dead
skin and really infuses extraserums in your skin.

(11:00):
I'm like, for Christmas I gotsome skincare products from a
girlfriend and one of them hadvitamin C and iron in them.
I'm like, why would they putthat together?
I know when I prescribe orrecommend iron to women for low
iron after I evaluate whythey're low in iron.
In fact, my very first podcastin season one was all about iron

(11:23):
.
So you don't want to just treatlow iron, you want to know why
you have it.
But vitamin C helps your gutabsorb vitamin C.
And what she told me, which Ididn't realize, is that iron
oxide topically on the skin canhelp protect your skin from the
blue light that comes from thecomputer screens and phone

(11:44):
screens, and regular exposure toblue light can cause
hyperpigmentation on the skin.
There's all differentwavelengths of light.
If you didn't hear the podcastI did with cosmetic
dermatologist Dr Taryn Murray onlaser therapies for skin, for
skin problems, for anti-aging,for tattoo removal that's a

(12:06):
great one to listen to.
And Red Light, which is verypopular for energy and other
purported benefits.
Although we don't have a wholelot of research, you might want
to read our column on Red LightTherapy by Dr Sobia Khan, our
Women's Health FunctionalMedicine Doctor in the Center
for Specialized Women's Health,as well as the podcast.

(12:29):
Some other common home remedies,apple cider vinegar.
We have a great column on that.
It can be used for dandrufftreatment on your scalp.
Apple cider vinegar containsalpha hydroxy acid and alpha
hydroxy acid is actually greatfor removing dead skin, and so

(12:51):
some people use it to act like atoner to the skin and they
might combine it with warm waterand it might help shrink some
of the pore size on the face,and you can add a little splash
of lemon to help minimizesunspots or areas of
hyperpigmentation.
And apple cider vinegar canimprove the fingernails and

(13:14):
appearance, and a lot of peoplewill soak their nails for about
a minute in apple cider vinegarbefore the next manicure and it
might remove excess residue andmoisture, allowing the base coat
of your nail polish to adhere alittle more effectively,
creating a long lasting manicurewith less chipped nails.
Eucalyptus oil it's a popularingredient in topical pain

(13:38):
relievers and it works bybringing either a warm or cool
sensation to the skin, andstudies show that breathing in
eucalyptus oil before and afterstressful events can help reduce
anxiety.
And research shows that thenatural toothpaste which contain
eucalyptus work just as well asthe standard ones in preventing

(13:59):
gingivitis and plaque buildup.
There's been a lot in the newsrecently about removing fluoride
in terms of adding it toregular drinking water, and some
states have totally removed itfrom automatically putting it
into the water supply.
Some counties have done this,and so a lot of people are
looking for natural products asopposed to added things to their

(14:24):
water or their food supply ortheir skin care products, and
there is this kind of push tolook for natural things.
Now, turmeric is a spice and ithas anti-inflammatory and
antioxidant properties and, whenapplied directly to the skin,

(14:46):
can help calm certain skinconditions like acne and eczema
and rosacea.
If you haven't heard ourpodcast on all things rosacea or
read the column by Dr TiffanyCochran, who is a graduate of
our Specialized Women's HealthFellowship Program, it's a great
one.
So turmeric can help give yourskin a little glow.

(15:07):
Some people will add a teaspoonof turmeric to honey and
squeeze in a little lemon andmake their own little facial
mask, and adding a half ateaspoon of turmeric to a
smoothie rich in fruits andvegetables to ingest
systemically can be soothing andanti-inflammatory.
Coconut oil Well, it's one ofthe most versatile skin products

(15:32):
there is.
It's a proven hydrator,antioxidant and skin moisturizer
.
Just the other day I was at homeand I thought, okay, I'm going
to do a coconut moisturizer maskwith coconut oil and put it on
my scalp and hair.
Because in the summer, with theextra uh being outside and the

(15:54):
ultraviolet light, you know, myskin, my skin and hair get drier
and just take a lot morebeating, even though I try to
wear hats and even sometimes put, like spray, not just sunscreen
on my face and wear a hat butalso a sun protected on my hair.
So I did the coconut oil andthen afterwards I did my usual

(16:14):
once a week exfoliator with somealpha hydroxy acid and somehow
that coconut oil must've reallytaken off the dead skin so that
then that alpha hydroxy acid wasa little bit more potent.
And I went into work and thenurses were like Dr Thacker,
were you out in the sun and notwearing your sunscreen?
It really, really exfoliated myskin.

(16:37):
So sometimes when you're usingvarious products, even if
they're over the counter, youhave to be careful.
And obviously very young peopleand more advanced ages the skin
is generally a lot moresensitive.
Now coconut oil is veryinteresting because it contains
medium chain triglycerides whichcan have some therapeutic

(16:58):
effects on the whole body and itis very moisturizing.
Some people use it in place ofcuticle oil or shaving gels, and
replacing shaving gels withcoconut oil can reduce the
amount of razor burns and razorcuts.
And, again, if you have cutsand burns that aren't too severe

(17:18):
, a little bit of topicalsycophate can really be very
soothing and protective.
Phosphate can really be verysoothing and protective, and if
you suffer from split ends, dryor damaged hair, like I do, you
may want to make your own hairmask with coconut oil, and you

(17:40):
can add egg or avocado to helplock in the moisture.
We have a couple podcasts on allthings hair June of 2023 and
June of 2024.
So, as we're approachingFather's Day, hair thinning is
not just for dear old dad, andwomen are always interested in
things that help the skin andthe hair.
So these are just some simpletips that might help improve
your skin.

(18:00):
If you've got specific concerns, though, talk to your
healthcare team, yourdermatologist, your nurse
practitioner, your women'shealth doctor, your primary care
physician, because you do wantto have regular medical visits,
and it's so important toemphasize that beauty sleep is
important for your skin and yourbrain and your body, and having

(18:23):
a diet rich in colorful fruitsand vegetables and antioxidants
and staying hydrated is soimportant, and here is the
replay of Lori's podcastinterview from season one top
skincare tips from anesthetician.
I hope you enjoy listening tothis episode, whether it's for

(18:45):
the first time or a second time,because for me, listening to it
again was like listening to itfor the first time.
Thank you so much for joining mein the Sunflower House and I
will see you next time.
Be strong, be healthy and be incharge.
Ladies and men even two you'regoing to be excited because we

(19:09):
are going to talk all thingsskin and skincare.
So our guest today is AmandaKanin, and she's an esthetician
at the Cleveland Clinic maincampus and Avon, which is one of
our Western branches, and shereceived her advanced

(19:30):
esthetician license in 2015 fromthe Brown Aveda Institute in
Rocky River, ohio.
She also has an aestheticsinstructor license, which really
encapsulates her passion forproduct knowledge and education
about skin care.

(19:50):
And through her many years ofeducation, she has provided
services for a wide range ofskin types and skin concerns,
and her goal is to educate andhelp her patients achieve
flawless skin.
And for those of you listeningon Rumble and you can go to

(20:11):
Speaking of Women's Health onRumble you can see how beautiful
and flawless her skin is.
Oh, thank you, and so she doesthis through education, through
advanced treatments as well ascustomized regimens.
So we'll get into all of that.

(20:31):
Welcome, amanda.
Yes, thank you.

Speaker 3 (20:34):
Thank you for having me so I understand.

Speaker 1 (20:38):
You have a sweet two and a half year old daughter who
is already into the skinskincare regimen and beauty
routine.
Is that right?

Speaker 3 (20:48):
She is, she is.
She will sit there and pretendto put on mommy's makeup.
So, and she's good at it.

Speaker 1 (20:54):
She's good at it, I think Lori Scarso, who's one of
your colleagues, who we had onin season one last year, in 2023
.
And if our listeners haven'theard that interview on skincare
, that's a great one to golisten to.
She was telling me somethingabout how your daughter was

(21:15):
knowing already had a dab andpat or something.

Speaker 3 (21:19):
Yes, yes, she knows when to dab or pat and where the
blush goes, where the bronzergoes, so it's fun watching it.

Speaker 1 (21:30):
That's lovely.
I have two granddaughters, soafter being the mother of three
boys, it's kind of fun.

Speaker 3 (21:35):
Oh, you're having so much fun.
Yes.

Speaker 1 (21:38):
For that girly stuff.
So what made you get interestedin this field?
And tell us what does it taketo become an esthetician?

Speaker 3 (21:49):
I had an interest early on when I noticed my skin
starting to change, so I hadcystic acne.
I was dealing with all of thatand I just, you know, took an
interest in kind of helpingmyself heal my skin, and so I
was able to do so throughresearch, through the right

(22:10):
ingredients, through the rightproducts, and I wanted to offer
that for others.
You know, I think it'simportant because I can
sympathize and empathize with mypatients, you know, being that
I have been there before withdifferent skin concerns.
So, and I went through aaesthetics program, a

(22:31):
seven-month program, and, youknow, started practicing and
then, after that, I went backagain to get my instructor's
license, because I also had apassion for teaching it, because
when you teach something, youalmost learn something new each
time.

Speaker 1 (22:46):
So, and here I am.
That is true, that is true.
So would you encourage this asa potential career path for
people interested in skin health?

Speaker 3 (22:56):
Absolutely, absolutely.
It's a great career path.
You learn a lot, it is everevolving and there is a lot to
learn, but it's fun.
It's fun at the same time.

Speaker 1 (23:09):
That is great, and the skin is the largest organ on
at the same time.
That is great, and the skin isthe largest organ.
And certainly there's so manycommon conditions, from acne to
dry skin, to eczema to acne allsorts of problems that can
affect our skin.
So I know that a lot of ourmidlife women you know, as part
of our quest which is ourmission on this nonprofit

(23:32):
speaking of Women's Health to bestrong and be healthy and be in
charge really want to looktheir best.
So what do you recommend whenyou first see a midlife woman
who comes to you with her agingskin concerns?

Speaker 3 (23:48):
The first thing I would recommend is, of course, I
would ask them if they havesome type of retinoid in their
skincare regimen, and that couldbe a retinol that could be more
of a prescription retin-A,tretinoin, something that's
going to constantly give theirskin that exfoliation, Therefore

(24:08):
that new skin can come throughand lessen the looks of fine
lines, wrinkles.

Speaker 1 (24:14):
Some may even deal with hyperpigmentation, with
their hormones fluctuating, soadult acne, and I really feel
that you know Retin-A retinolsthey're the holy grail of
skincare and they work, and so Ireally like to put my patients
on those products and make surethat they have them in their

(24:35):
routine which I think, and sodid my sons actually, and that's

(24:55):
how I got involved and got toknow so many of the great care
skincare estheticians at theclinic, because I brought my
sons in for for, for you know,acne treatments, for peels, for
the light, for some of themneeded antibiotics.
My one son had to go onAccutane a couple courses and
and now my who's so beautifulbut is dealing with acne and
needs topical treatments as wellas systemic treatments.

(25:18):
It can really be a significantproblem.
But anyway, when Retin-A wasfirst out, it wasn't for
anti-aging, it was just for acne.
So in retrospect, when I lookback, I'm like, oh, it's good
that I was on that for so long.

Speaker 3 (25:31):
Yes, absolutely.
It has some great benefits andyou know, you kind of have to
get past that initial threemonth mark to really see the
change.
But if you push through youwill have completely different
skin.

Speaker 1 (25:46):
And isn't one of the Retin-A products, differin,
which used to be a prescription?
Isn't that now, over thecounter products differ, in
which?

Speaker 2 (25:55):
used to be a prescription.

Speaker 3 (25:55):
isn't that now over the counter?
I think it is.
It is the lower percentage isover the counter.
There are retinols over thecounter because they are not as
strong as Retin-A.
You know they've been convertedinto a more diluted version and
they still work, but they'rejust, you know, not as strong as
Retin-A, which is good foranyone who has sensitive skin.

(26:16):
It's good for someone startingout to try an over-the-counter
retinol first before potentiallygoing to a prescription.

Speaker 1 (26:25):
I've noticed that, but there's a lot of things at
our fingertips these days.
Yes, so much more than thereused to be, that's for sure.
You know, I just remember onlyhaving Nxzema cream and that was
it.
So I've just noticed, as I'vegotten older, my skin is drier,
not quite as oily, which ofcourse goes along.
As you get older, you have lessadrenal gland production of

(26:47):
some of the hormones that canirritate the skin and cause
increased oil and acne hormonesthat can irritate the skin and
cause increased oil and acne.
And one of the people in yourteam recommended that I get
alpha ret, which is, I guess,retin-a.
And is it alpha?
Is it another topical likeglycolic acid?

Speaker 3 (27:06):
And alpha hydroxy acid, Alpha hydroxy Initially
it's a glycolic.
Yes, it's a glycolic with aretinol and I've enjoyed using
that.

Speaker 1 (27:16):
I love that product that's good, fabulous fabulous,
so um I love that one so retin-a, um, is your like go-to some
sort of retinoid and obviously agreat skincare routine as well,
right, of course.
So, what else is part of thewhole package and routine.
We'll be back after a quickbreak.

Speaker 2 (27:41):
Hey, quick question for you Are you someone who
wants to be fit, healthy andhappy?
And what if I told you youcould get your dream body by
simply just listening to apodcast?
I'm Josh and I'm KG and we'rethe hosts of the Fit, healthy
and Happy podcast.
Listen, we get it.
Fitness isn't easy.
Carbs, no carbs.
Just stop okay.
It doesn't have to be thatcomplicated and that's why we
made this podcast.
We get straight to the facts soyou can become your best you.

(28:03):
So the way to check us out isclick the link in the show notes
or search Fit, healthy andHappy podcast on any of the
major podcast platforms.
We'll see you soon.

Speaker 3 (28:22):
I, a lot of the times , believe it or not, your at
home regimen can be moreimportant than coming in for the
treatments.
Coming in for the treatments isimportant, but the maintenance
you do at home to extend thatlongevity of what we're doing in
office.
So vitamin C, I would say, is atop for everything.
That's AM, whereas yourretinols would be PM.
But vitamin C is good, thoseantioxidants, they help fight

(28:45):
free radicals and a lot of themeven will help with blue light,
as you know.
Help with blue light.
As you know, we're constantlyon our phones, computer screens,
ipads, so vitamin C helps withthat and it's actually
brightening.
It's not always marketed thatway, but vitamin C can help with
brightening, pigmentation,smoothing out texture and it

(29:09):
makes your skin feel great.

Speaker 1 (29:10):
You don't have any harsh effects from it, and so
you think it's important to doit topically as well as ingest
it systemically.
Of course, we always recommend,you know, healthy diet and
superfoods and a colorful diet.
Oh, of course.

Speaker 3 (29:23):
Yes, both.
Because, as you know whathappens in your gut, first place
it shows is your skin.
So having a good diet, you know, especially stuff like dairy or
sugar, can you know forsomebody who has rosacea prone
skin or acne prone skin?
You know that too much of itcan cause flare up.

(29:45):
So everything in moderationcolorful diet, fruits and
vegetables, but of coursetopically as well, really helps
the skin and it works great witha sunscreen.
So that's my next one is SPF isvery important.

Speaker 1 (30:01):
I've done a podcast specifically on sunscreens.
In fact, years ago we inAmerica didn't have access to
the anthelios that blocks UVAand UVB light, and I had heard
that some of the dermatologiststhey would go to Europe would
pick it up and I'm like whydidn't anyone tell me about that
?
Is this somebody prone tosunburn, someone who's had

(30:24):
melasma during pregnancy, which,of course, uv light makes worse
?
I mean other than, of course,physical, wearing hats and
umbrellas, and you still need touse the sunscreen.
So do you have any tips aboutwhat the best sunscreen is,
depending on whether it's yourface, your arms, your type of
skin type?

Speaker 3 (30:44):
We love here at the clinic.
We love mineral and physicalSPFs, and what I mean when I say
about that is something wherethe UV is going to bounce off
your skin, as opposed to achemical.
Sunscreen is still good, but itcan be absorbed into your skin
for a quick second and then spitback out and for some people

(31:05):
they can't handle that littlebit of absorption.
So a mineral SPF is good,especially if you come in for
any invasive treatments, whetherit be chemical peels or
microneedling.
You know your skin barrier iscompromised and I think a
mineral SPF is the best way tohelp heal the skin and protect

(31:26):
it from any further damage.

Speaker 1 (31:28):
And so certainly obviously for children, also for
reproductive-aged womenpregnant or breastfeeding.
I would think that you wouldwant the mineral-based, which is
primarily zinc, correct?

Speaker 3 (31:41):
Absolutely.
I have my daughter on amineral-based SPF and, of course
, anyone who's pregnant you knowthere's certain ingredients you
have to stay away from,especially breastfeeding all
that.
So we always go towards azinc-based mineral SPF, and some
of them are tinted and theygive good coverage too, while
they're at it, right right.

Speaker 1 (32:02):
I've gotten some samples that have the tinted in
it and it's kind of nice becausethen you can make the beauty
routine faster.
The beauty routine faster,although I thought you don't get
complete protection of bothlevels of UVA and B, depending
with just the zinc mineral ones.
So but certainly if you haveany kind of invasive procedures

(32:24):
or anything where you might bebreaking that skin barrier, you
don't want to be absorbing anyof these chemicals, that's for
sure.
What would you say for womenpregnant or trying to become
pregnant who are using retinoids?
Do they need to stop that orjust the prescription strength
ones?
They do.

Speaker 3 (32:41):
They do.
They do.
It is, it is recommended.
Any physician will tell youthat you know no retinoids, even
no acids, whether it besalicylic, glycolic, yes, yes.
So all that has to bediscontinued.
And it has to be discontinuedtoo, for as long as they choose

(33:02):
to breastfeed as well, becausewe don't know how much
absorption is going into thebloodstream.
So it is best to discontinueall of that.
So it is best to discontinueall of that, find something a
little bit more easy and lightand kind of proceed again once
you're all done with thatchapter.

Speaker 1 (33:24):
Well, of course, pregnancy has such high estrogen
levels, and estrogen is greatfor the skin, great for collagen
great for hair.

Speaker 3 (33:29):
I had my best skin while pregnant?

Speaker 1 (33:32):
Yeah, that's what so many women say that is for sure.
So where would you puthyaluronic acid on your pyramid
for anti-aging?
Or is that just formoisturization or for fine
wrinkles?

Speaker 3 (33:48):
No, hyaluronic acid is good for anti-aging.
It's especially good forhydration, but it does have
anti-aging effects.
So the way we like to describeit is the hyaluronic acid is the
water in a water bottle, allthat hydration, all that weight,
and then the moisturizer is thelid on top to lock everything

(34:10):
in place.
But the hyaluronic acid isactually what's giving you that
hydration and replenishing yourskin.
So it's important and, ofcourse, if you are on a retin-A
or a retinol, it helps kind ofbreak up those adverse effects
that somebody may have, like thedryness, the irritation.

(34:31):
It will definitely lessen thediscomfort.

Speaker 1 (34:34):
We used topical hyaluronic acid in
post-menopausal women who have alot of vaginal dryness.
I mean hormones certainly willimprove that, some non-hormone
regimens but there's actually alubricant that helps the vagina
and helps improve the moistureand even the integrity, and it's
a hyaluronic based product andI think some lipsticks are

(34:58):
coming out with it too to helpplump the lips.

Speaker 3 (35:02):
Yes, Our body creates its own hyaluronic acid, but of
course, as we age that tends todiminish on its own.
So in any way that we canreplenish it all over the body
is so helpful.

Speaker 1 (35:16):
And what about peptides?
What's the role of subtopicalpeptides in terms of anti-aging?

Speaker 3 (35:23):
They help strengthen and help rebuild that collagen
and elastin.
So peptides are very good andthey're not harsh you know
they're not like acids at allbut they help and aid in that
rebuilding of collagen andelastin.
There's a lot of peptides ingrowth factors, which you know.
Growth factors are good too,because it's almost reversing

(35:45):
the signs of aging.
So we love peptides very muchand ceramides and all that for
good supple skin.

Speaker 1 (35:56):
And so certain things like ultraviolet light and of
course cigarette smoking, anykind of nicotine, is very bad on
elastin in the skin andcertainly smokers tend to look
so much older inside and out.

Speaker 3 (36:07):
and have a much higher risk of disease.

Speaker 1 (36:11):
So you have great lips.
What is?

Speaker 3 (36:16):
your lip routine.
My lip routine is lip liner, alot of lip liner and gloss.
I try to stay away from thematte lipsticks, even though I
love them, but I always do agloss.

Speaker 1 (36:31):
So I you know that's my go-to Looks absolutely
fabulous, thank you.
So how often should a womanexfoliate her skin, specifically
her face?

Speaker 3 (36:43):
It varies with different skin type, but usually
we say once to two times a weekwe do, and you can exfoliate
your skin every day gently, andthat's usually via your cleanser
.
We have some, you know,exfoliating cleansers or
exfoliating toners.
You can use those every day,once a day, but a real good
exfoliation we say once a week,twice a week if you are, you

(37:07):
know, more oily and you'resecrecing a lot of oil and dirt
and debris and all that, but oneor two times a week I would say
.

Speaker 1 (37:16):
Well, you are listening to the Speaking of
Women's Health podcast and I amyour host, dr Holly Thacker, and
we are with skincareesthetician Amanda and she is
just giving us so many fabuloustips.
The ladies at the Center forSpecialized Women's Health I
practice in the same buildingyou do on, although I know

(37:40):
you're also in the region theygot me this great spa package
for the holidays.
They were really so generous soI just went there and had like
the total body exfoliation and Iwas thinking, well, obviously
you do this a lot less oftenthan you do your face and the
skin is different and obviouslyit seems like the skin on the

(38:00):
face and the and the forearmsand the neck and the decollet
area seem to show aging so muchmore than other parts of the
skin.
And I just wondered if you hadany comments about about that
how much of it's sun exposure,how much of it's movement, how
much of it's just different typeof skin.

Speaker 3 (38:20):
Yes, and it also.
You know, whatever we do to ourface, I always recommend we
take it down to the neck, to thedecollete and the back of the
hands.
I do, and a lot of people, andI'm guilty of it too.
Before I got in this industry,we were just focusing right here
on the face, but it really.
You will see a huge change ifyou do bring down your products
all the way down to thedecollete in the back of the

(38:42):
hands, especially if you'redriving, make sure you, you know
, throw on some sunscreen on theback of your hands.
We do have products, you know,neck creams, all that that help
tighten.
When I do a chemical peel,let's say, I do take it all the
way down to the neck as well.
The neck is very vascular, asyou know, so you will feel it,

(39:05):
but it's quick to heal itself,just like the face.

Speaker 1 (39:16):
It seems like sometimes it's a lot more
sensitive, but then other timesit seems like it's more
resistant to irritatingsubstances, for instance, Like
I'm more sensitive to retinoidson the face but not as much on
the neck.
I just thought that was kind ofcurious.

Speaker 3 (39:23):
It is.
It's very common.
You know.
I have patients who can only doone pass of a chemical peel on
their neck, but they can do allthree on their face or vice
versa.
So yeah, it all comes down toskin type.

Speaker 1 (39:37):
And so what are the skin types and also what are the
types of skin peels you dooffer?

Speaker 3 (39:44):
We offer a great range different levels.
Of course.
You have some more superficialthat just give you a nice
exfoliation, a nice glow, not alot of downtime.
And then we have one called thePerfect Peel, and that is the
best one, where you will shedlike a snake, you know.

(40:04):
So you will need to set asidesome downtime, but the skin that
will come through is beautiful,untouched, baby skin, healthy,
and it's worth it at least twicea year.

Speaker 1 (40:16):
Oh, I haven't done that.
It's been years since I did onewith a peel.
We have to get you in, I guess.
I'll have to plan it.
How many days do I need fordowntime?
At least what?
Two or three or four?

Speaker 3 (40:30):
Well, we say about a week actually.
So the peeling starts aroundyour mouth and then it just
works its way out and it's kindof cool.
And it ends up in people'shairline too.
Their hairline starts to peelNot that we put it there, but
you know it absorbs all over theface.

Speaker 1 (40:46):
Wow, wow, I don't know if I'm going to be brave
enough to do it.
I just when I had peels beforewhich they didn't call it the
perfect peel, because, you know,I had a lot of acne issues it
just seemed like whenever myskin got so tight and started
peeling, I got so irritable andI was just, you know, snapping
at people.
Yeah, do you feel that way whenyou have the perfect peel?

Speaker 3 (41:06):
Absolutely, Absolutely.
It does get really really tightat first and then it makes its
way and it peels off, but itcomes with a little kit, so you
know there is a little bit ofcortisone in the kit if you are
feeling that irritation, Becausethe last thing we want is our
patients taking their skin andpeeling it off themselves.

Speaker 1 (41:26):
A big no-no, a no-no, a big no-no.

Speaker 3 (41:28):
Yes.

Speaker 1 (41:29):
And isn't there some plant-based product that I've
heard patients say that isrecommended to reduce bruising
when people have any type ofprocedure that might predispose
them to that?

Speaker 3 (41:41):
There is, yes, we have the Revox Line Relaxer.

Speaker 1 (41:45):
It has Arnica in it, that's by Revision Arnica yes,
I've had patients talk to meabout Arnica, so tell us what
that is.
Is that an herb, or what doesArnica do?

Speaker 3 (41:54):
It is an ingredient.
It's an all natural ingredientand it just acts almost like a
topical Advil.
So it takes away inflammation.
It lessens bruising because younever know how your skin is
going to react with injectablesor with microneedling or laser.
You know it always varies.

(42:16):
So having that on hand willhelp lessen the bruising and the
trauma to the skin andaccelerate healing.

Speaker 1 (42:24):
For sure so.
Do you use that with yourdifferent peels, like the
perfect peel?

Speaker 3 (42:30):
We do, we do.

Speaker 1 (42:32):
And then, what about with your lighter peels, Like I
think I've gone in for?
Is it aluminizing?
Is that one of the ones thatyou offer?

Speaker 3 (42:38):
Yes, the aluminize.

Speaker 1 (42:39):
That's an easy one, cause there's no downtime, Like
if you have to go to an eventyeah, no downtime.
The next day or so.
Is there any season like?
Do you recommend in betweenseasons, or like not in the
middle of the summer because thesun is so strong, or does it
really matter?

Speaker 3 (42:55):
It does.
We are now currently in what welike to call peel season, so
it's usually from October untilFebruary, and then, once you get
into spring and summer, peopletend to draw back because your
skin becomes more photosensitivefor sure.
I mean even leaving here aftera chemical peel and driving home
if the sun is out, you know, inthe heat, and it's just going

(43:19):
to be a very uncomfortable drivefor the patient.

Speaker 1 (43:24):
And is there any other peels in between?
Just the very light one, like aluminizing, and the perfect one
?
Perfect peel yes.

Speaker 3 (43:32):
Yes, we have your traditional glycolic peels for
anti-aging.
We have traditional salicylicfor teen acne or adult acne.
We have a rejuvenized peel anda vitalized, which are a little
deeper than aluminized.
So you will get some peelingwith those.
So those are in the middle andthen you know the perfect peel

(43:56):
all the way at the end.

Speaker 1 (43:57):
Maybe I'll just go for the middle one next time and
see if I can work myself up.

Speaker 3 (44:01):
Yes, what about that?
I did the middle one.
I got great results.

Speaker 1 (44:06):
Oh, I think that's what I'll sign up for with you.
So what about back peels?
I was just looking at myyoungest son and he was the one
that had terrible acne, had tohave two courses of Accutane,
had a lot of topical treatments.
His face is great looking, butoh, his whole entire back is
bacne.

(44:26):
Do you do back peels or is thatsomething that they really
should see a dermatologist forsystemic treatment?

Speaker 3 (44:32):
Yeah, no, we do.
We do Anything we can we do onthe face, we can do on the back.
Of course, I would recommendhaving them see a dermatologist,
depending on how severe it canbe, Because systemic, sometimes
topicals will work, but if it'ssomething more deep-rooted, it

(44:53):
needs a doctor, a physician.
But we can definitely do backfacials, back chemical peels.
I've done extractions onsomeone's back because they can
become so painful it's hard forthem to really sit in a chair.
So, yes, a mix of all is whatwe recommend.

Speaker 1 (45:13):
Yeah, he ended up getting a sebaceous cyst that
got infected when he was incollege and he had to go to a
dermatologist and get itinjected and then drained and
then it flared up again and hejust recently actually had a
surgery to excise the wholething and I'm sure it's all
related to acne.
So acne can be a really serious, you know, a serious medical
problem.
It's not just for just cosmesis, that is for sure.

Speaker 3 (45:37):
Absolutely it can be.
It can be very deep-rooted, itcan be chronic and painful.
So it's good to have anesthetician but also be under
the care of a physician as wellwith something that is that
severe.

Speaker 1 (45:54):
I've often said that women kind of have it a little
bit easier because they havemore treatment options in that
hormonal contraception whethersomeone needs contraception or
not is excellent for the skin.
I have a lot of thedermatologists refer patients to
me for androgenic hair thinningor acne, or they want
prescription either menopausalhormone therapy or hormonal

(46:14):
contraception simply to treat anunderlying skin condition.
And of course, males don't havethat option.

Speaker 3 (46:20):
Yeah, yeah, so they don't Other than Accutane.
They really don't yeah.

Speaker 1 (46:27):
So they really need to know everything topical as
well as when antibiotics areneeded.
So acne rosacea is not the sameas just standard acne and I see
a lot of women with acnerosacea is not the same as just
standard acne and a lot I see alot of women with acne rosacea.
I did a previous podcast onrosacea based on, you know,
information from dermatologists,from the skincare estheticians

(46:48):
standpoint.
Are there any peels yourecommend?
Do you recommend just treatmentwith a dermatologist?
I've had one of our nurses wentand had laser and she said that
cured her.
She was really happy about that.

Speaker 3 (47:02):
Yes, yes, I would have them first meet with a
dermatologist for sure.
We do have one peel.
It's called the mandelic peel.
It is geared more towardsredness prone skin, rosacea
prone skin and I know sometimeswhen you hear the word peel you
automatically assume that it'sgoing to be this horrific,

(47:23):
painful, crazy peelingexperience, and that's not
always true.
Of course, this is moresensitized to somebody that has
rosacea and it will lighten, itwill calm.
Actually, you know a lot ofpeople don't think that when
they hear the word peel, but itis calming and it's, it's, it's
a great option.

(47:43):
It is for an instant.

Speaker 1 (47:45):
Tell me the name of that again and what's in?
What's in?
What's the substances in thepeel?

Speaker 3 (47:51):
It's by Glytone and it's called the mandelic.
So mandelic acid is great forcalming, for cooling, for just
like an anti-inflammatory typeof acid.
Okay.

Speaker 1 (48:07):
Well, we'll have to get some information about that.
Maybe you could do a littlecolumn or piece for us on all of
these topics.
That would be great.

Speaker 2 (48:18):
Yeah, because there's so much.
Yeah, it's my thing.

Speaker 1 (48:22):
That would be great.
So tell us about what women cando to maintain the results of
their facial treatments and hometips that you recommend, and
how often people should see you.

Speaker 3 (48:34):
I recommend a good home skincare regimen.
That is very important and itdoesn't always have to be not
everything has to be superpricey, not everything has to be
medical grade and expensive.
I would say the certainproducts like active serums and
sunscreens yes, invest, investin that.

(48:56):
But cleansers you knowmoisturizers there's great
cleansers over the counter.
La Roche-Posay has a goodgentle cleanser, cerave has a
good cleanser and moisturizer.
So a good mix of both.
So that would be what I wouldrecommend in between treatments

(49:16):
and just some tips is cleansing.
You'd be surprised at how manypeople forget to cleanse.
Um, it's not just for when youhave makeup on.
You know, even if you don'thave makeup on, you go about
your day and you get dirt anddebris and stuck in your pores
and it needs to be cleansed offand it makes a world of a

(49:36):
difference, needs to be cleansedoff and it makes a world of a
difference.
Another one would be hydratingmasks, and I want to touch on
this a little because we alllove a good, poor clarifying
mask or anti-aging, but I thinkhydration is key because your
skin needs to replenish thatmoisture in order to have a

(49:58):
healthy skin barrier, and sowhen your skin is hydrated and
your pH is balanced, you'llstart to see that other skin
concerns start to fall to thewayside as well.
It's amazing how the skin canheal itself when it's well fed.
So that's my top recommendationis hydration.

Speaker 1 (50:16):
So you can accomplish that in part through masks.
Do you do the mask after thepeel or?
Is it a separate event.

Speaker 3 (50:24):
It's a separate.
You can do it at home Anytimeyou're feeling like you're dry
and your moisturizer isn'tcutting it.
It could be that you need agood exfoliation and then you
need a good hydrating mask after, Because when you exfoliate you
get all that dead skin out ofthe way, and so your mask will
penetrate and absorb much betterinto the skin.

(50:45):
So it's as easy as doing it athome.
There's some sheet masks evenyou can buy that will give you
good hydration.

Speaker 1 (50:53):
That sounds excellent .
So what is the least invasiveprocedure that you offer for
women who want quick fixes?

Speaker 3 (51:04):
Dermablading oh yes, that's what I do, that's what I
do.

Speaker 1 (51:06):
I love that.

Speaker 3 (51:09):
We love dermablading.
It's quick, it's easy and itmakes a world of a difference.
It really does so we alwaysrecommend it with any service we
add on a Dermablade.

Speaker 1 (51:20):
Excellent.
And then, what options do youoffer for people that want more
of a fix, but they certainlydon't want anything invasive or
surgical, et cetera?

Speaker 3 (51:30):
Yeah, that's probably where the chemical peels would
come in.
And of course, as you know,peels would come in and of
course, as you know, we havegreat doctors here that do great
filler and Botox to minimallyinvasive help kind of restore
that volume loss.
But I would say a good mix ofthat with chemical peeling, with
retinols, will give you theright result.

Speaker 1 (51:55):
And that's right.
You work with excellentdermatologists my good friend Dr
Allison Vitimus, who's amedical advisor for dermatology
for Speaking Women's Health,just recently retired.
And then Dr Melissa Piliang,who I'm also friends with, who's
excellent on hair and skin, andnow she is the new chairperson.
And I've known Dr Muppet, thehead of plastic surgery, and Dr

(52:18):
Zins, going all the way back tomy residency days.
So you work with all thosegreat people and all their
colleagues.

Speaker 3 (52:25):
I do and that is I do , and it's a pleasure to see
their work.
They do great work.

Speaker 1 (52:30):
Yeah, and take care of a lot of serious problems too
.
Not just, of course you know,we all want to look good and
feel good, but they also takecare of some very significant
and serious problems and skincancer and skin disorders and
things like that.
So my husband was complainingthe other day.
He was like, oh, I have thesebags under my eyes and of course

(52:52):
he doesn't want to wearsunscreen, he doesn't want to
wear hats, he doesn't care aboutany of this stuff because he's
a guy, right.
And then I was starting to say,oh, I bet you could use.
And he's like I'm not havingsurgery.
I wasn't recommending that dear.
So any special eye creams oranything that kind of, take that
baggy, look out of somepeople's eyes.
And why do some people alwayshave it and then later they

(53:13):
don't, it just seems.
Is it a hydration volume thingor lack of sleep, or it's all of
that, but it's also a geneticthing too.

Speaker 3 (53:23):
It depends on your genetic, if your family before
you had it.
So a good eye cream I wouldrecommend is one that has a
little bit of retinol in it.
So we do have the IMAX by SkinBetter.
It has a little bit of retinoland so it will what retinol does

(53:44):
for the face it will do forunder the eye.

Speaker 1 (53:45):
It's just, you have to be really delicate with that
area.
It's so sensitive.
It's thinner skin.
Yeah, I would have neverthought about a retinoid because
I would have thought that wouldhave been such sensitive skin
around the eye, huh, so yeah,well, yeah, but they make some
eye creams with it in there.
I should just make anappointment with uh him with you
, or laurie, or, and just youguys can tell him what to do for

(54:05):
skin care, because he doesn'twant to listen, he doesn't want
to listen to me.

Speaker 2 (54:09):
We would love it and so what's?

Speaker 1 (54:12):
oh, my husband, either my husband either, and
and really it's it's.
It's good not to be vain andit's nice that they're not
overly concerned about theirappearance, but it still is your
skin and it's a barrier andit's important and it kind of
projects.
People make assessments on howthey think you are feeling based
on how you look.
So what's your most popularprocedure?

Speaker 3 (54:36):
The Diamond Glow by far.
Oh, and that's our tried andtrue diamond glow machine, our
nurse Lily, who she's retired.

Speaker 1 (54:45):
I'm going to have her in an upcoming podcast to talk
about her year of retirement.
I got her that once for herbirthday and we posted on
Speaking of Women's Health likethe before and after pictures,
and she literally glowed.
But you don't have the diamondglow machine, as I understand it
, all your locations.
So if someone wanted to get adiamond glow, where would they
go to do that?

Speaker 3 (55:06):
We have it here at Avon with me and we have it in
Chagrin with Cynthia.

Speaker 1 (55:11):
Okay so not the main campus.

Speaker 3 (55:12):
We have east side and west side, so not the main
campus.

Speaker 1 (55:15):
Okay, and why do you like?
Why is the Diamond Glow one ofyour most popular, favorite ones
?

Speaker 3 (55:21):
Because I mean it just.
It does what it says.
It gives you the world's bestglow.
And I like it because it'scustomizable.
It comes with five differentserums so, depending on your
specific skin concern, we canpick a serum that best suits you
.
It's not just aone-size-fits-all, which I love,
and the three-in-one technologyof exfoliation, extraction and

(55:46):
infusion you're getting the mostbang for your buck all at once
and no downtime either, right?

Speaker 1 (55:53):
No downtime.

Speaker 3 (55:54):
A little pink when you leave, but we love to see
that blood flow.
It's a great thing and it willsubside throughout the day Wow.

Speaker 1 (56:01):
So we of course have listeners from 81 countries all
around the world.
So for someone who can't be inthe Northeast Ohio, Cleveland
area and see you or Lori orCynthia or our other team, what
is like a legitimate way Isthere any like listings of
licensed estheticians so, uh,that you would give advice to

(56:22):
people that are in other Statesor other countries?

Speaker 3 (56:26):
Of course, of course, I just look for a reputable
medical spa under the care of aphysician.
Um, all estheticians arerequired to stay up to date with
their license and have them.
You know, when you walk intothe facility, you should be able
to see their license up on thewall so tips.
Look for all these things.
Yes, reviews um instagram.

(56:48):
Everything is so accessible nowwith instagram so you can see
all their procedures, services,that they offer some feedback
from patients that they've had.
I think all of that will helppick a good facility to get this
done, and so does your teamhave an Instagram page.
We have the I believe theCleveland Clinic Beautiful you,

(57:11):
I think it's for all of thewhole department.
So we do post the services thatwe do.
We post some fun products, tipsand tricks and all that fun
stuff, Okay.

Speaker 1 (57:23):
Well, if you want to share any of that with us, we
will put it on our social mediachannels, because we're on
Speaking Women's Health on X andInstagram and Facebook and
Pinterest and LinkedIn, and youknow we've got our Rumble
channel and YouTube channel andour regular website, so that's
you know.
We would love that information.

(57:44):
Our listeners and our speakingpeople love that.
How can someone specificallyget an appointment with you,
Amanda?
Like when could someone come toAvon to get the Diamond Glow,
for instance?

Speaker 3 (58:01):
to Avon to get the Diamond Glow, for instance.
Yeah, they can just call the.
There's a number for thePlastics and Dermatology at REJ
and they can book an appointmentthat way and then once they see
me their first initial visit,then after that they can just
schedule with me on my chart.
So it becomes much easier.

Speaker 1 (58:17):
Yes, I let my patients do that too, and then
they don't have to go on theline.
So we'll be sure, in the shownotes, to put that number and
that link and if you would be sokind at some point to provide
us with a column that we can puton our website, we'll also have
your links and all these thesetips, cause this was just such a
great podcast.
Thank you so much for joiningus.

(58:39):
You and your team are excellent, and thanks to our listeners
for listening to the Speaking ofWomen's Health podcast.
Don't miss a future episode.
Subscribe or follow it's freeon Apple Podcasts, spotify,
tunein wherever you listen topodcasts.

(59:00):
If you've enjoyed this episode,help support the podcast, share
it with your girlfriends,donate to our nonprofit
speakingofwomenshealthcom orjust simply leave us a five-star
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On Purpose with Jay Shetty

On Purpose with Jay Shetty

I’m Jay Shetty host of On Purpose the worlds #1 Mental Health podcast and I’m so grateful you found us. I started this podcast 5 years ago to invite you into conversations and workshops that are designed to help make you happier, healthier and more healed. I believe that when you (yes you) feel seen, heard and understood you’re able to deal with relationship struggles, work challenges and life’s ups and downs with more ease and grace. I interview experts, celebrities, thought leaders and athletes so that we can grow our mindset, build better habits and uncover a side of them we’ve never seen before. New episodes every Monday and Friday. Your support means the world to me and I don’t take it for granted — click the follow button and leave a review to help us spread the love with On Purpose. I can’t wait for you to listen to your first or 500th episode!

Dateline NBC

Dateline NBC

Current and classic episodes, featuring compelling true-crime mysteries, powerful documentaries and in-depth investigations. Follow now to get the latest episodes of Dateline NBC completely free, or subscribe to Dateline Premium for ad-free listening and exclusive bonus content: DatelinePremium.com

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