Endovenous Laser Ablation
Questions & Answers
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immediate swelling behind knee on standing (0 answers)
I had EVLT (including perferator veins) 1week ago. When I stand, there is an immediate swelling behind the knee. It also happens when I raise my leg. Is all of this normal after the procedure?
Why am I still in pain after endovenous laser ablation? (0 answers)
I am a 16-year-old who had both GSV veins lasered this year because the veins had no valves in them. This procedure was to help with my pain, but it hasn't. I have severe cramping and pain in both legs from thighs to feet.
Is it possible to have too many veins treated by way of EVLA? (6 answers)
I'm 30 years old and went in for ultrasound. Apparently, I have about 6 veins in each leg that need to be lasered. They said both GSVs and SSVs, along with some tributaries and perforators. After the lasers, injections will be done. Is this too much?
Is it possible to reverse endovenous laser treatment? (1 answer)
I had both saphenous veins in my right leg treated with EVLT and sclerotherapy 6 months ago. The pain and discomfort has increased and are constant post-treatment. Is it possible to reverse treatment and go back to where I was which was better than now? If not, what are my options?
Is the advice my doctor is giving me valid? (4 answers)
One yr after saphenous vein ablation and phlebectomy below knee, an ultrasound shows areas of vein still open and many new small red veins at my knee. The Dr said leave alone and won't touch the other abnormal leg. Apparently, the veins are too wide for a catheter. Is his advice valid? Also, is Serrapeptase OK for the heart?
How are my veins connected and will the ELA procedure benefit me? (4 answers)
I was diagnosed with venous reflux of the GSV, but my biggest varicose vein is on the other side of my leg. I am 23 y/o and I don't know if I should do the treatment or not. I do have some veins showing along where my GSV is, but they're not bulging. Will endovenous laser ablation benefit me? How are my veins connected?
Why am I having pain and aches present so long after endovenous laser treatment? (9 answers)
I had slcerotherapy and an endovenous laser ablation on both my greater saphenous vein and lesser saphenous vein 7 months ago. Since then I have been more symptomatic and have continual aches/throbbing in one leg. The Dr. is unable to help. I saw a 2nd Dr. who said my treated veins were nearly all open or partly occluded. He suggested I wait 6-12 months to reevaluate. Both doctors are certified. What should I do?
I have permanent cramping after having an endovenous laser ablation, what should I do? (10 answers)
I had my greater saphenous and the vein around my calf closed a couple of years ago. Now, I get cramping that lasts for weeks after exercise. I've tried massaging the area, staying hydrated, and lowering my sodium intake but that doesn't seem to be working. I'm really frustrated and don't know what to do. Do you have any suggestions?
How long does ankle and leg swelling last after endovenous laser ablation? (12 answers)
I had endovenous laser ablation done 3 weeks ago. There was no significant pain, and the follow up ultrasound that was performed a week later showed no signs of deep vein thrombosis. But, I am experiencing more tightness and swelling in my lower leg and ankle than before the procedure. What does this indicate ?
What should be done about veins that reopen or are partially occluded? (15 answers)
I am an active 45 year old who had endovenous laser ablation done on the great saphenous vein and lesser saphenous vein. After 4 months of complications, I had an ultrasound to determine the source. It turns out that the GSV was open at the top and partially occluded near the knee. The LSV was also partially occluded. My treating physician said to wait 6+ mo & reevaluate. I am tired of the pain. What should I do?
Do I have nerve damage? If so, can it be repaired? (9 answers)
On Jan 18, 2013, I had a varicose vein procedure done. Right after I got home, the pain was so debilitating. I had sharp shooting pain from my knee up to my thigh on my right leg. My doctor stated he did not know why this hurt so much and sent me to my doctor.
What do I do about my ELA/sclerotherapy-related symptoms? (11 answers)
I had ELA & sclerotherapy on 4 saph veins same day. After a couple of weeks I started experiencing lots of varied burning, pain, pressure tingling, numbness, and throbbing in my legs/feet. The doctor doesn't have answers for me. Why am I worse off and what should I do?
I have burning pain at my incision site, is this normal? (11 answers)
I have burning pain at my incision site 3 weeks after endovenous laser ablation. It isn't constant, just when it is touched or rubbed. Could this be nerve damage or a hair follicle that is irritated from the incision?
I still have pain 7 weeks after endovenous laser treatment and sclerotherapy, why is this? (6 answers)
I had EVLT on the saphenous vein in my thigh 7 weeks ago and schlerotherapy in my calf. I still have deep aching, burning, tightness in thigh and thrombophlebitis in my calf. Deep vein thrombosis was ruled out by blood test. The consultant I have been working with cannot explain why I am continuing to have so much pain. Do you know why this could be happening?
What are the pros and cons of having EVLA now versus later? (11 answers)
An ultrasound shows I have 5mm-7mm varicosities in my calf w/ reflux. I am mildly symptomatic (heavy, achy). Do I have endovenous laser ablation now, or wait until it gets worse? I would like to hear pros and cons of doing it now vs. waiting. Thanks.
Is burning in the foot normal during the laser portion of EVLA? (11 answers)
I had endovenous laser ablation on my left leg yesterday (the right leg will be treated in 5 days). During the laser portion of the procedure there was intense intermittent burning in my foot. I am curious as to whether this experience is common.
Is it common to only receive microphlebectomy and no ablation? (7 answers)
I just had venous ablation and microphlebectomy on my left leg. As for the right leg, I ONLY had microphlebectomy. The doctor did not perform a venous ablation on that leg because he does believe the varicosities on my right leg are from reflux of the greater saphenous vein. What else could be the cause on my right leg? Is it common to only receive microphlebectomy and no ablation?
How long does it take for a wound and scar to heal post-endovenous laser ablation? (10 answers)
I had a place on my leg that would profusely bleed before my endovenous laser ablation and phlebectomy. I was hoping that the scabbed area would go away, but it's been two weeks since my surgery and although it is not bulging, the area is still dark and has a small scar. How long will it take for the wound to heal and for my scar to disappear?
Are there any downsides to endovenous laser ablation? (12 answers)
I have chronic venous insufficiency and just learned I need a greater saphenous vein (GSV) ablation. Other than blood clots, are there any downsides or side effects associated with endovenous laser ablation treatment? Is the leg compromised in any way? Where does the blood go after the vein is closed off?
I had severe groin pain after endovenous laser ablation, should I worry? (8 answers)
During an endovenous laser ablation treatment, the doctor said my veins were large and that he had to juice up the energy from 50 to 90. I paged the doctor that night because I was having severe groin pain. After an ultrasound, he told me to take one aspirin a day. Should I be worried? The closing at the vein is .25 centimeters away from the deep vein. I tried to ask the doctor and he quickly changed the subject.
Can I tan post-radiofrequency ablation? (11 answers)
I had radiofrequency ablation recently - the last procedure was 3 weeks ago. I am now concerned about being in the sun. I have a trip to Mexico in 3 weeks and am concerned about how my skin will react to sun exposure post-procedure. Will tanning permanently change the color of my skin in the treated area?
What are my risks with EVLA if I have a protein S deficiency? (11 answers)
I'm 42 years old but had a deep vein thrombosis (DVT) at age 9. I've had no others since, but have some unsightly veins and edema if I walk/run over a few miles. It also happens sometimes when I am sleeping. I'm a mom of 11-yr old triplets, so even a slight risk scares me. What are the risks with this procedure and are there any particular risks if I have a protein S deficiency?
If an EVLA procedure fails, should it be fixed free of charge? (10 answers)
I had endovenous laser ablation (EVLA) done 6 months ago and I am still suffering in pain. I believe the vein failed to close completely, as I had a large amount of blood removed 3 months after my procedure. It still feels tight like a cord and I have pain in the same spot. If the specialist did in fact fail at the procedure, should it be fixed free of charge?
After EVLA it feels like I have a rock in the sole of my foot, how do I get rid of that feeling? (12 answers)
I had endovenous laser ablation (EVA) 1 month ago on the back of my knee. I felt a sharp pain to my big toe during the injections and as the laser started, I felt a sharp pain to my small toes and the back of my heel (below the ankle). I had no feeling in my big toe for the first 2 hours. Now, it feels like I have a rock in the sole of my foot. It is also sensitive on the upper skin of my foot. How do I get rid of this feeling?
Why am I still experiencing swelling more than two years after EVLA? (16 answers)
I had the endovenous laser ablation procedure over two years ago. Initially there was some swelling, but it improved with compression hose. I no longer wear the hose and today I measured my leg. The portion from my knee down is swollen and the rt one is 2 inches bigger. Why am I still experiencing swelling?
If something was seriously wrong after EVLA, would I know it? (10 answers)
I had endovenous laser ablation to the great saphenous vein 4 months ago and still have some stinging/burning on a daily basis. It more so occurs when standing. If something was seriously wrong would I know it? It is normal to experience unbearable pain, swelling of the leg, throbbing, etc?
How long will it take for my EVLA-related symptoms to go away? (11 answers)
I had endovenous laser ablation to the great saphenous vein in order to treat my varicose veins. Four months later, I still have some burning, stinging and bruising along the "track" area. Is this normal? I'm beginning to regret having the procedure done. I didn't have these complications before.
Is it normal to form a clot in the saphenous vein after EVLT? (15 answers)
I had an endovenous laser treatment ( EVLT) a week ago and today the doctor found a clot in my saphenous vein. It is pretty close to the saphenofemoral junction. They prescribed baby aspirin and a follow-up scan. Should I be overly concerned that deep vein thrombosis or other complications will occur? Is it normal to form a clot in the saphenous vein after EVLT?
Can endovenous laser ablation treat a vulvar varicose vein? (16 answers)
I have been to 2 vascular surgeons, but they only seem interested in taking care of the varicose vein in my leg that is causing pain to my ankle. My vulvar varicose vein is increasingly painful and swollen. What treatment choices are there? Can it be treated with endovenous laser ablation?
Should I still have pain one year after endovenous laser ablation? (11 answers)
I have a heavy feeling in my groin and legs since the endovenous laser ablation surgery I had a year ago. The pain can be severe on days where I am on my feet a lot. My feet also hurt. All symptoms started right after the ablation. I have been doctoring to find a conclusion. Do you know what's wrong? Are these symptoms normal?
Could my inflamed gums be due to a recent endovenous laser ablation procedure? (12 answers)
I still have pain two months after having an endovenous laser ablation procedure. My doctor says it is inflammation. Could it be something else? What can I do? I have already tried two courses of prednisone. Also, I have been told at my dentist appointments that I have inflamed gums. Could that inflammation be due to the procedure?
Are there longterm post-EVLT restrictions regarding weight training? (13 answers)
I had EVLT procedure done about six years ago. Everything was fine up until recently when I started to do heavy weight training exercises with my trainer. I've noticed that my varicose veins started showing again and the so called "nurses vein" became a problem. Should I stop weight training?
Is throbbing pain normal 10 weeks after EVL Ablation? (17 answers)
I had 2 separate EVL Ablations 10 weeks ago. I am now having the original achy/throbbing pain resuming in the back of my leg behind my knee. It's the same discomfort that the MD diagnosed as valvular incompetence requiring the EVL ablation. What's happening?
How safe is endovenous laser ablation for a person aged 92? (15 answers)
My father has ulcers on his legs. He has had several over the past years that are very difficult to heal. His legs are brown in color and very swollen. The doctor wants to do Endovenous Laser Ablation (ELA) on him. My father takes coumadin and has a pacemaker. Do you recommend the ELA treatment at his age and condition?
Can serrapeptase help resolve scar tissue after EVLT? (7 answers)
I am healing well after endovenous laser ablation (EVLT), except there is a small tender lump where vein was removed. My doctor said it is scar tissue they checked it on ultrasound. He recommends massage. I've read about serrapeptase. Is that safe to use?
Can I heal from complete numbness? (11 answers)
Five days ago I had the greater saph and lesser saph veins treated. On the lesser saph vein I felt like my foot was on fire for a good five seconds two different times. Now my ankle, heel, and side of foot are completely numb and uncomfortable. Will this go away/heal?
Is pain two weeks after Endovenous Laser Ablation normal? (12 answers)
I still have pain, cannot take anti-inflammatory medicines and I have a leg ulcer at the site of the surgery. Is this normal? Since I can't take those types of medications, how should I handle this two weeks post-treatment?
What is the time-frame for DVT risk with laser ablation? (16 answers)
Is it true that blot clots relating to the endovenous laser ablation procedure are generally visible within the first 24 hours? Or, is this rather a long-term potential side-effect arising from the procedure? I am worried about this risk.
What can I do about a DVT after endovenous surgery? (11 answers)
My surgery was one month ago. I now have a large clinging DVT. I went yesterday for another ultrasound and it is larger and moving. I am taking aspirin as instructed. Too early for blood thinners. When can I expect to get rid of it?
Does EVLT reduce the chance of a future clot? (9 answers)
I developed clots due to the birth control pill and from a Factor V mutation (blood clotting disorder). Developed reflux as a consequence, and performed 4 EVLTs to treat the veins. Does EVLT reduce my chance of getting another clot in the future?
Are long periods of standing after EVLA safe? (8 answers)
My job (bar manager) requires me to stand for long periods of time and occasionally lift heavy objects (but not for sustained periods.) I am 25 and in good shape, leg is healing with no pain after 2 days. Is it safe to return to work on the 4th day?
Dimpling after EVLT (6 answers)
I noticed a large dimple on my leg after deep EVLT. Is this common and will it go away? The Dr. had a difficult time with the vein because it was so deep, and he struggled getting me numb. I bruised severely.
Is there a stem cell treatment for veins after EVLT? (10 answers)
I had gotten EVLT done on my right and left great saphenous veins. This was in 2009, and since then I am having so much pain on my lower calves and ankles, and i started to see some skin discoloration as well. is there a stem cell treatment for veins?
Do I need an Endovenous Vein Ablation for severe edema? (9 answers)
I went to my doctor for severe edema, and after a duplex screen, he suggested I have an edovenous vein ablation. Is this necessary? He stated I had reflux that was causing the swelling. I don't have varicose veins, but he is concerned about clots.
Why has EVLT not improved my chronic leg swelling? (7 answers)
It's been 4 wks since I had EVLT and Phlebectomy of my left leg. I continue to have the same chronic, daily leg swelling that I did before treatment. I have a follow-up appt in 3 mths but I am less than optimistic. What should I expect next?
Should I get a second opinion? (9 answers)
I have spider veins, but no bulging varicose veins whatsoever. Was told that I have 4 incompetent veins and need the laser treatment. Orig went for the spider veins. Is this necessary? Is there another option other than the laser ablation?
Is Endovenous Laser Ablation necessary? (6 answers)
Originally went to get checked out about my spider veins & was told that I have 4 incompetent veins & need the laser treatment. Didn't give me any info/explanation of their findings. Not even sure what they mean. I'm completely lost, please help! (27 and never had kids)
Karate & kickboxing after EVLA and Sclerotherapy (6 answers)
I had EVLA done on 3 veins recently. I know 1 was the small saph., the other two names I am not sure. Also had sclerotherapy on both legs. When can I go back to karate and kickboxing. We do kick pads pretty hard. Training for my black belt!
Post Surgery (6 answers)
Is it OK to take Levitra after having this surgery?
Is surgery going to help? (8 answers)
I have severe reflux on both saphenous veins and Femoral vein. Doctor says surgery on saphenous veins is going to help but I don't see how since I still have valve problem on femoral vein, and blood is still going to leak down. Please help me understand.
EVT after varicose vein surgery (6 answers)
I had varicose vein surgery (ligation and stripping) 10 years ago. My problems came back and I've had many rounds of sclerotherapy. Now my doctor recommends EVT. Is that OK?
what is considered 'normal' bruising 5 days post EVLT (7 answers)
EVLT 5 days ago GSV. No serious pain yet. Compression stocking to come off tomorrow, but bruising seems excessive with dark patches and tenderness to touch. I was told to use heating pad, and now I'm reading not to do that. What should I do?
Tendon pain after ablation. (4 answers)
I've had ELA on both legs. I have some tendon pain on going up from my feet to the insides of each leg. Is this a side effect?
Could I have endovenous laser ablation? (5 answers)
I recently had massive blood clots in the left leg, becasue of inactivity in the other leg, it was in cast. My body has now absorbed the blood clots and i am still on comadine/warfin until December 2011 this year.
Numbness and Pain (3 answers)
I have pain in my calf ,numbness in my ankle, and also get sharp elecrical-like pains down my achilles tendon when I kick my leg. I had the procedure 3 weeks ago. I also have horrible discoloration on my calf, which resulted after post-injecions
Proceedure affected my large saphenus vein (5 answers)
I have the laser proceedure done on my small saphenus vein. The Ultrasound results shows there is reflux in my large saphenus vein which was not there prior to the proceedure. Should i have my large saphenus vein treated also. Is there a risk?
Endovenous Ablation and subsequent pregnancies. (6 answers)
I developed varicose veins during my 2nd pregnancy and have consulted with a physician regarding endovenous laser ablation. We would like to try for another baby after the procedure. How long should I wait to get pregnant after the procedure?
Sclerotherapy post ELA (6 answers)
I had endovenous laser ablation of saphenous vein, and now I'm told I need 3 sclerotherapy sessions. is this so? only one is covered by my insurance. I was told that only having 1 could be harmfull, is this true?
Double Saphenous Vein and EVLT. (7 answers)
I had EVLT done in March. I have a double great saphenous vein. They only did one of them. Now my legs feel (and look) worse than they did before the EVLT. I'm switching docs, but what are the chances of EVLT working on the other vein in that leg?
Post-Thrombotic Syndrome (3 answers)
Does EVLT for superficial phlebitis also help with post-thrombotic syndrome in a deep vein? Is ultrasound of deep and superficial systems routinely performed before deciding on EVLT? Thanks.
Outcomes with Microphlebectomy/EVLT? (4 answers)
I have dorsal foot varicosities, as well as varicose GSV and LSV's receiving these veins. Has anyone done microphlebectomy of the foot veins (with/out EVLT) and had more good than bad experiences with this procedure here? Thank you!
Sciatic issues? (6 answers)
Someone posted about buttock/leg/foot numbness after EVLT. In someone with venous hypertension is it possible that removing superf. veins can increase vein pressure in the deep veins, causing pressure against the sciatic nerve and numbness?
Serious problems associated with EVLA (6 answers)
I recently have EVLA done 3 times and have had serious side effects and want to know is this normal? I had a hematoma on one leg and excessive swelling on the other leg and extreme pain in both and really need your advice?
EVLA during pregnancy (8 answers)
What is the risk of performing the procedure while pregnant. I am a surgeon pregnant (2nd tri) with my second. The pain is so great from LSV reflux that I cannot stand or operate. I am looking for answers as to what has been reported about complications.
Vein removal with EVLA? (7 answers)
I have a bulging vein around my knee, and I have a beauty on my calf, plus a another around my groin area, can they be removed with EVLA?
Ankle swelling and numbness (5 answers)
I had endovenous laser of my lower right leg on 4/28 and still have significant pain and swelling in my ankle. I also have the numbness, but I understand that the nerve is involved and hopefully it will heal.
Ankle redness and pain after EVLT (5 answers)
I had an ablation done on my right gr. saph. vein 1 month ago. Symptoms before were swelling with the gr.saph. vein and others. After having the ablation, I still have some swelling, pain, and also redness around the ankle upon standing I've never had before.
Is numbness in both feet caused by ELT and how long will this last? (5 answers)
I had ELT done on my left leg. At first it was quite painful for about 2 weeks post procedure a month later had the Right leg done 2 days after pocedure I developed numbness in buttocks that radiates down both legs into my feet, it is very annoying feeling.
Different causes for bulging veins? (4 answers)
I had minor vein reflux. My veins stand out at the end of the day in several spots in front of thighs (look like cellulite but are not) After 4 EVLTs two months ago on both legs, the swelling is still there. What can cause them to swell other than reflux?
Confused, not noticing improvement (6 answers)
I had minor reflux, but my reticular leg veins swell especially late in the day. I had 4 EVLTs, and the swelling is still there. The doc said I don't need sclero because the branches aren't open and don't need treatment. Why am I not seeing results?
Is an interventional radiologist ok in my case? (3 answers)
I am a 54 year old female approximately 75 pounds overweight. Had a spontaneous dvt in my left leg 16 years ago. I had knee surgery to repair a torn meniscus 1.5 yrs ago in my right leg, after that I had a small pulmonary embolism in my right lung. Now I am a "lifer" on Coumadin. Is it ok to have EVLA while on meds?
Is thera any chance of getting traveling blood clots after this procedure?? (6 answers)
Is there any chance of getting traveling blood clots after this procedure??
I had this procedure done in March. My leg feels better, even though I know I'm still healing. But the past couple of days I haven't been feeling well....tired, and my chest is achy..just afraid the pain may be the result of a traveling clot..
Sharp stabbing pains in my leg! (4 answers)
I have sharp stabbing pains in my leg. It's very painful and the Motrin did not help. I was in tears! This went on for a couple of days. The pain is on my right leg and my left leg isn't painful at all. What could this be?
Will vein reappear with a second pregnancy? (9 answers)
After my first child, I suffered from varicose veins. I didn't gain much weight during the pregnancy, but it was mostly due to hormones.
After having EVLA and sclero treatment, I am afraid to have a second child. Will my varicose veins reappear?
Can you do both legs at the same time? Is it advised? Why? (9 answers)
My wife (age 26) has post pregnancy (1.5 years ago) bad veins with:
great saphenous- moderate reflux
popliteal - light reflux
great saphenous- Sever reflux
Superficial Femoral - light reflux
Can you do both legs at same time?
How long does pain after EVLT last? (10 answers)
I am just over 2 weeks post EVLT and still have pain. As long as I take an anti-inflammatory the pain subsides. Visually the inner thigh looks good. How much longer will the pain last?
Is this varicose vein treatable? (11 answers)
I have nerve damage from endovenous ablation. Around my ankle is highly sensitive and it hurts to touch. I had this treatment in June 2010 and still having a lot of problems. Is this treatable?
Sapheno Femoral Junction? (8 answers)
Can a laser effectively occlude an incompetent Sapheno femoral Junction? If it does, which modality is better; Diode or NdYag?
Can veins come back after Endovenous Laser Ablation? (8 answers)
I had a prominent but otherwise normal blue vein under my right eye removed, and the results were great. I only got one treatment, and then a few weeks later it seems like the blue vein is getting darker, as I can see it again. Is it coming back?
How many times can you do EVLT on same leg? (6 answers)
I had 3 laser surgeries done on left leg in 2006.It helped tremendously.I had much pain swelling etc. off and on for years until I did this.Well now I have some new vein problem in same leg.Right now I have superficial phlebitis in the left leg
How should I choose my Endovenous Laser Ablation provider? (9 answers)
I'm pretty sure I want to have my moderate varicose veins treated with ELA. What should I base my choice of a specialist on? Degrees earned, years of experience, before-and-after pictures, equipment used? What's truly important to a good result?
I have pain after EVLT, is that normal? (10 answers)
I had EVLT about 10 days ago , now I have a big knot on my inner thigh and when I touch it, it still hurts , I had a lot of pain the day after the surgery and I couldn't bend my leg. Is this normal?
Is there an age limit with Endovenous Laser Ablation? (11 answers)
My mother is 82 and she has varicose veins that have gotten progressively worse in the past 2 years. She complains that they are painful and make her legs feel heavy. She's in good health and active, but is there an upper age limit with ELA?
Can EVLT cause nerve damage? (5 answers)
I had EVLT done about three months ago..right after the EVLT procedure i started feeling weird sensations in my ankle and now the pain seems to get worse every day? Could this pain be associated with the procedure?
Will Endovenous Laser Ablation improve my circulation? (7 answers)
I have perpetually cold feet and occasional tingling in my feet and ankles. I also have a number of large varicose veins in each leg, so do you think that my circulation in my feet will improve if I have ELA?
What can be done to treat lipodermatosclerosis? (6 answers)
I am about two months into treatment for chronic venous insufficiency? I have had laser ablation and foam sclerotherapy with very little results. Can anything be done to treat lipodermatosclerosis after the veins are treated. I wear compression hose.
Can endovenous laser ablation cause Leg Ulcers? (9 answers)
After having the endovenous laser ablation on both legs, I developed large ulcers on one of my legs.
What could have caused this? This has been a very long & painful experience.
Can endovenous laser ablation treat my venous insufficiency? (9 answers)
Is Endovenous Laser Ablation or VNUS Closure Fast a more effective way to treat a dilated greater saphenous vein with gross incompetence from the saphenofemoral vein down the lower leg, contributing to superficial venous hypertension?
Is surgery really necessary for varicose veins? (7 answers)
Are endovenous laser ablation and radiofrequency ablation suitable for varicose veins in the upper part of the thigh? I consulted my surgeon for alternative techniques, he said sclerotherapy would not work. Would these other two methods be suitable?
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