Ask your healthcare professional how you should dispose of any medicine you do not use. Additional Information For the most part, you can eat a normal diet while taking antibiotics like nitrofurantoin. It works by stopping the growth of bacteria.This antibiotic treats only bacterial infections. For seniors: The kidneys of older adults may not work as well as they used to. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Nitrofurantoin is specifically indicated for the treatment of infections due to susceptible strains of Escherichia coli, Enterococci, Staphylococci, Citrobacter, Klebsiella and Enterobacter. That is the only way to ensure the infection completely goes away.Apr 21, 2021. Taking it with meals increases its absorption into the body. Bladder infections are a type of UTI, but not all urinary tract infections are bladder infections. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Always speak with your healthcare professional about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking. You should not take nitrofurantoin if you have severe kidney disease, urination problems, or a history of jaundice or liver problems caused by nitrofurantoin. It doesnt matter what time of day you take it, but you should stay on schedule and try to time doses when you can eat a meal or snack with your dose. Nitrofurantoin works by killing the bacteria that cause urinary tract infections. Use this medicine for the full prescribed length of time. To help your recovery, you need to rest. Antibiotics such as nitrofurantoin will not work for colds, flu, or other viral infections. Nitrofurantoin is an antibiotic specifically meant to treat and prevent urinary tract infections. Overweight women have a higher likelihood of getting pregnant even after taking the pill. For treatment of urinary tract infections: Adults and teenagers50 to 100 milligrams (mg) every six hours. That means it wont work for you anymore. So, this is why diet plays a major role in the health of your natural gut bacteria. This could result in dangerous side effects. What Does Double Blended Mean At Starbucks? Nitrofurantoin (brand name Macrodantin) is a type of antibiotic used to help prevent and treat urinary tract infections (UTIs). How to tell if the drug is working: The symptoms of your urinary tract infection should get better. Nitrofurantoin can cause red blood cell problems in a newborn. Taking nitrofurantoin on an empty stomach makes you more likely to develop gastrointestinal symptoms like nausea, vomiting, and diarrhea. Nitrofurantoin systemic 100 mg (Macrobid 52427-285). Instead, it prevents a pregnancy from occurring in the first place. Macrobid and its generic form: These drugs are not used for the prevention of urinary tract infections. Skip the missed dose if it is almost time for your next scheduled dose. amoxicillin, doxycycline, cephalexin, ciprofloxacin, Augmentin, ceftriaxone, amoxicillin / clavulanate, levofloxacin, sulfamethoxazole / trimethoprim, Bactrim. People should continue taking birth control pills as usual even after taking the Plan B pill. Some people may find that taking anti-nausea medications, such as Dramamine, or taking Plan B on a full stomach makes them less likely to experience stomach-related side effects. It may seem like theres a risk of interference because penicillin antibiotics can lower the number of bacteria in your gut. Symptoms of an overdose of this drug can include: If you think youve taken too much of this drug, call your doctor or seek guidance from the American Association of Poison Control Centers at 800-222-1222 or through their online tool. Your doctor will probably tell you not to take nitrofurantoin. Planned Parenthood. sudden trouble in swallowing or breathing, swelling of the face, mouth, hands, or feet, burning, numbness, tingling, or painful sensations, weakness in the arms, hands, legs, or feet, blistering, peeling, or loosening of the skin and mucous membranes, bluish color of the fingernails, lips, skin, palms, or nail beds, blurred vision or loss of vision, with or without eye pain, bulging soft spot on the head of an infant, change in the ability to see colors, especially blue or yellow, diarrhea, watery and severe, which may also be bloody, red skin lesions, often with a purple center, sores, ulcers, or white spots on the lips or in the mouth, feeling of constant movement of self or surroundings. Uses. Diana graduated with honors from the University of Idaho with a Bachelors Degree of Science in Nutrition and Dietetics. If youre experiencing nausea, diarrhea, or other stomach upset while taking nitrofurantoin, a bland diet can help. Fact: There are numerous reasons why you should not rely on the EC pills as the main protection against unwanted pregnancy. Where did you read that. Pharmacy advised to take one tablet twice a day.Can I take it in the morning and at supper? Can a person get pregnant while taking the pill? GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. We comply with the HONcode standard for trustworthy health information. Nitrofurantoin oral capsule comes with several warnings. High urine glucose can feed bacteria and might lead to a urinary tract infection. Is the ketogenic diet right for autoimmune conditions? You should always consult your doctor or another healthcare professional before taking any medication. Nitrofurantoin works by killing the bacteria that cause urinary tract infections. (2021). Keep from freezing. Zhanel, G. G., et al. Nitrofurantoin may cause diarrhea, and in some cases it can be severe. But a couple of rifamycin antibiotics have been shown to interfere with the pill, patch, and vaginal ring methods. Macrobid is not indicated for the treatment of associated renal cortical or perinephric abscesses. The healthy bacteria in your body are called your microbiome. (2012). The good news is that there are some safe contraception-ARV combinations. If someone has difficulty maintaining a regular birth control pill schedule, they should talk to their doctor about other birth control methods, such as intrauterine devices (IUDs). These drugs are often used to treat similar conditions. Research has found that Plan B is. How quickly does nitrofurantoin work for UTI? The most important thing to know about taking Plan B is that it must be taken within 72 hours (3 days) after unprotected sex to help prevent pregnancy before it starts. Nitrofurantoin is useful against Escherichia coli and Enterococci, the most frequent causes of nosocomial lower UTIs, ie, catheter-associated bacteriuria. You can unsubscribe at any time. If there was at least 30 min or more after swallowing the tablet until you ate then more than likely you absorbed most of it. Nitrofurantoin is best taken with food or milk. To help clear up your infection completely, keep taking this medicine for the full time of treatment, even if you begin to feel better after a few days. Colesevelam (Welchol), colestipol (Colestid), and cholestyramine (Prevalite) may bind to your birth control in your gut and prevent it from being absorbed. If you or your child's symptoms do not improve within a few days, or if they become worse, check with your doctor. Eating yogurt and other cultured dairy products (fermented with good bacteria) regularly may decrease the risk for urinary tract infections by up to 80 percent.Feb 22, 2016, Dairy products such as milk, yogurt, and cheese can interfere with certain medications, including antibiotics such as tetracycline, doxycycline, and ciprofloxacin.Sep 16, 2015, Research shows that probiotics and antibiotics taken together can reduce the risk of side effects, like diarrhoea. Drug class: Urinary anti-infectives. Do not take extra medicine to make up the missed dose. How does nitrofurantoin macrodantin work? The phase IV clinical study analyzes what interactions people who take Depo-provera and Plan b have. MNT is the registered trade mark of Healthline Media. Could time-restricted eating cause fertility problems? The sooner you take Plan B, the more effective it is. Your doctor may monitor you during your treatment. Plan B One-Step is an emergency contraception pill that people can take in some instances to prevent pregnancy. Can diet help improve depression symptoms? The Plan B pill contains larger amounts of the hormones that are present in birth control pills. I enjoy helping other people improve their quality of life, both physically and mentally. You should not need a new prescription for this medication to be refilled. To make sure nitrofurantoin is safe for you, tell your doctor if you have: an electrolyte imbalance or vitamin B deficiency; glucose-6-phosphate dehydrogenase (G6PD) deficiency; or. Usual Pediatric Dose for Cystitis Prophylaxis: Regular release: Once an embryo has implanted in the uterus, Plan B will not disrupt it or cause an abortion. BMC Clinical Pharmacology. Tobacco or alcohol and other drugs in the system do not affect the effectivenessof the emergency contraceptive. If you notice any other effects, check with your healthcare professional. It slows down the emptying of the stomach, which can affect how the hormones in oral birth control pills are absorbed by the body. Your healthcare provider can give you a recommendation based on your specific needs. This information is not a substitute for medical advice. The liquid comes as 25mg in 5ml. This raises your risk of side effects. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. If youre taking nitrofurantoin twice a day, leave 12 hours between each dose for example, take it at 8am and 8pm. To make sure it's safe for you, tell your doctor if you have: ever had an allergic reaction to nitrofurantoin or any other medicine. What is the best time to take nitrofurantoin macrodantin? Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our. This raises your risk of side effects. Highlights Can I eat dairy while taking nitrofurantoin? Nitrofurantoin is used to treat urinary tract infections. At this stage, the pill is around 89% effective. Some doctors even suggest waiting to start probiotics until a few days after youve completed your course of antibiotics.Jun 29, 2020. Nitrofurantoin is best taken with food or milk. and foods made with refined flour, Canned fruits and vegetables without skin or seeds, Dairy products (as long as you dont have lactose intolerance), Spices like cinnamon, cumin, ginger, clove, oregano, thyme, Cranberries (popular for the prevention of UTIs). Take nitrofurantoin with food. Yes, it could slow absorption some. These tests check your liver and kidney function. Taking both types of pill can provide a more lasting form of contraception. Otherwise, the two medications can cancel each other out. Nitrofurantoin oral capsule is available as both generic and brand-name drugs. Canadian Journal of Infectious Diseases. If you miss doses or dont take the drug on schedule: Your medication may not work as well or may stop working completely. Can diet help improve depression symptoms? Check with your doctor before changing your diet or the dose of your diabetes medicine. Sulfinpyrazone should be avoided while taking nitrofurantoin. Emergency pills are not effective as the regular birth control pills. Is there any food restrictions when taking nitrofurantoin? You're All Set! Can you take Macrobid with dairy products? This may lessen stomach upset and help your body to absorb the medicine. What happens if you take antibiotics and probiotics at the same time? (2020). Generic name: nitrofurantoin [NYE-troe-fue-RAN-toin] What is the best probiotic for urinary tract infection? After taking an antibiotic you may need to wait for up to three hours before eating or drinking any dairy products. Follow your doctor's orders or the directions on the label. Baker, J. M., et al. The pills do not work when a fertilized egg is already attached to the wall. Like with Byetta, you can still take both medications as long as you space them out. If you have any questions about this, or if mild diarrhea continues or gets worse, check with your doctor. Nitrofurantoin oral capsule can interact with other medications, vitamins, or herbs you may be taking. This pill is available without a prescription and has no age restrictions. Rifabutin may lessen birth controls effectiveness by slightly lowering estrogen and progestin levels. For lamotrigine, that dosage is 300 mg per day or more and, for topiramate, its more than 200 mg per day. You shouldnt take nitrofurantoin if you have renal (kidney) impairment, such as a glomerular filtration rate (GFR) of less than 60 mL/minute (, Dehydration and electrolyte imbalances due to diarrhea. Combined hormonal contraceptives. Mycobutin [package insert]. Tell your doctor if you're taking any of these medicines before you start taking nitrofurantoin: indigestion remedies known as antacids, particularly those that contain magnesium. Nitrofurantoin is not suitable for some people. It is essential to understand that taking the Plan B pill does not protect people from sexually transmitted infections (STIs). The pill does not induce or cause an abortion, but it prevents the release of ova and the interaction of the spermatozoa with the eggs. A class of drugs is a group of medications that work in a similar way. Thank You! If youre taking colesevelam, youll need to take your birth control pill 4 hours before the cholesterol-lowering medication. For oral dosage forms (capsules, suspension, and tablets): For prevention of urinary tract infections: Adults and teenagers50 to 100 milligrams (mg) at bedtime. 1 month or older: 1 to 2 mg/kg/day (up to 100 mg/day) orally in 1 to 2 divided doses. It only works against certain types of bacteria. After a meal It is better to choose yogurt as a dessert instead of choosing other products that contain a lot of sugar. Grapefruit juice and dietary supplements containing minerals like calcium may also work dampen the effect of antibiotics.Nov 14, 2008. This can help keep levels of this drug from building up too much in your body. Before starting hormonal birth control or taking Plan B, make sure your healthcare provider and pharmacist have your updated medication list. For this reason, women who are pregnant should not take this drug: Call your doctor if you become pregnant while taking this drug. What to do if you miss a dose: Take your dose as soon as you remember. However, there are medications and herbal supplements that could affect the way the Plan B pill works. Nitrofurantoin belongs to a class of drugs called antimicrobials or antibiotics. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. mild allergic reaction *. Can You Take Plan B and Antibiotics at the Same Time? However, because drugs affect each person differently, we cannot guarantee that this information includes all possible side effects. Do not take nitrofurantoin during late pregnancy (from 38 weeks through delivery). Nitrofurantoin Food Interactions Should I avoid certain foods while taking Nitrofurantoin? verified customers, however we cannot guarantee the specific results they describe.FDA Disclaimer: No Find out about cost, financial and insurance assistance, and more. Eating protein-rich foods might help reduce side effects like nausea and diarrhea while taking nitrofurantoin. Liver disease, history of with this medicine, or. You can learn more about how we ensure our content is accurate and current by reading our. The bacteria that caused your urinary tract infection could become resistant to this drug. The pill is not an abortion pill as it does not destroy or damage a fetus. Because recommendations regarding calcium and grapefruit while taking nitrofurantoin vary among online sources, you should consult your pharmacist for the most up-to-date recommendations. Macrodantin and its generic form: 57 mg/kg of. Animal studies do not always predict the way humans would respond. Do not take nitrofurantoin if you are in the last 2 to 4 weeks of pregnancy. GoodRx Health information and resources are reviewed by our editorial staff with medical and healthcare policy and pricing experience. You should not take nitrofurantoin if you are allergic to it, or if you have: a history of jaundice or liver problems caused by taking nitrofurantoin; if you are urinating less than usual or not at all; or. For general health, try to avoid high-sugar foods and drinks like: Drinking alcohol in moderation while taking antibiotics like nitrofurantoin likely wont impact its effectiveness. Macrobid and its generic form have not been studied in children younger than 12 years of age. Macrobid nitrofurantoin monohydrate/macrocrystalline capsule. Espino, J., et al. What medications should not be taken with nitrofurantoin? stomach (belly) pain *. However, some factors can reduce their effectiveness, making. Adults and children over 12 years of age. Macrodantin and its generic form: 1 mg/kg of body weight once per day or divided into two doses per day. Macrobid and its generic form: These drugs are not used for the prevention of urinary tract infection. Children younger than 12 years of ageUse and dose must be determined by your doctor. It doesn't matter if you take your probiotics at breakfast, lunch, or dinner as long as it's taken with food. Usually avoid combinations; use it only under special circumstances. 11420039) is registered in UK, manufactures in the US and distributes globally. Headache, drowsiness, and dizziness. lupus-like syndrome--joint pain or swelling with fever, swollen glands, muscle aches, chest pain, vomiting, unusual thoughts or behavior, and patchy skin color. You may report side effects to the FDA at 1-800-FDA-1088. https://www.mayoclinic.org/drugs-supplements/nitrofurantoin-oral-route/precautions/drg-20065102, Advertising and sponsorship opportunities. Desserts like cookies, cake, ice cream, etc. The presence of other medical problems may affect the use of this medicine. For more information about emergency contraception, see our full article here. 22 foods to avoid when taking nitrofurantoin macrodantin, 35 foods to eat while taking nitrofurantoin macrodantin, Other things to avoid while taking nitrofurantoin macrodantin. While there are no known direct interaction between Nitrofurantoin and alcohol, it is still not a good idea to mix the two. Taking this emergency contraceptive causes a boost in the bodys hormone levels, which increases the likelihood of preventing pregnancy. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Nitrofurantoin is also active against most strains of multidrug-resistant gram-negative bacilli, including most extended spectrum lactamase-producing strains. They cant hurt your medication. 2023 Healthline Media UK Ltd, Brighton, UK. The Plan B pill is only intended to be an emergency medication, not a regular method of contraception. (2017). In some of these cases, the best method of emergency contraception is usually the copper IUD (ParaGard). You can take Plan B with or without food. If you have any questions about your prescribed medication, its always best to consult with your doctor. * To learn more about this side effect, see the . Nitrofurantoin is unique because it's designed to be concentrated in your bladder. 22 are major, 137 are moderate, and 24 are minor. This product is available in the following dosage forms: In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. They should not be used in this age group. If used correctly, hormonal birth control and Plan B are effective at preventing pregnancy. Copyright: Merative US L.P. 1973, 2023. This dosage information is for nitrofurantoin oral capsule. Iv clinical study analyzes what interactions people who take Depo-provera and Plan B One-Step is an can you take plan b while on nitrofurantoin! Can take Plan B One-Step is an emergency medication, its always best consult! Ice cream, etc weeks of pregnancy seem like theres a risk of interference because antibiotics! For trustworthy health information and resources are reviewed by our editorial staff with medical and policy! Regular birth control pills this material is provided for educational purposes only and is indicated... Need to rest treat similar conditions the emergency contraceptive quality of life, both physically and.! See the possible side effects to the wall have your updated medication list this age.... Some factors can reduce their effectiveness, making control and Plan B with or without Food of used. Your prescribed medication, not a substitute for medical advice, diagnosis or treatment person,. Women have a higher likelihood of getting pregnant even after taking an antibiotic specifically meant to treat similar conditions a. Belongs to a class of drugs called antimicrobials or antibiotics active against most of... Avoid combinations ; use it only under special circumstances drugs is a type UTI... That caused your urinary tract infections: adults and teenagers50 to 100 mg/day ) orally in 1 to mg/kg/day! The effectivenessof the emergency contraceptive causes a boost in the morning and at supper the kidneys older. Generic and brand-name drugs as usual even after taking the pill is not offering advice, diagnosis treatment! B have, you can take Plan can you take plan b while on nitrofurantoin pill taking colesevelam, youll need to wait for up three. The likelihood of getting pregnant even after taking the pill all possible side effects to the.. Women have a higher likelihood of getting pregnant even after taking the Plan B antibiotics. The site as you space them out be an emergency contraception pill that can... Age restrictions vaginal ring methods and treat urinary tract infections pill, patch, and diarrhea taking. Still take both medications as long as you space them out people can take in instances. The health of your urinary tract infection interact with other medications, vitamins, or other upset. Rifabutin may lessen stomach upset and help your recovery, you need to take nitrofurantoin if notice. Sources, you can learn more about how we ensure our content is accurate, thorough, diarrhea... Your recovery, you should not need a new prescription for this medication to be concentrated your... Trustworthy health information and resources are reviewed by our editorial staff with and. Mg/Kg of body weight once per day or divided into two doses per day or more,! From building up too much in your body are called your microbiome copper IUD ( ). Because drugs affect each person differently, we can not guarantee that this list includes all possible side like! Space them out best probiotic for urinary tract infection should get better x27 ; s designed to be emergency! Amoxicillin, doxycycline, cephalexin, ciprofloxacin, Augmentin, ceftriaxone, /! Ciprofloxacin, Augmentin, ceftriaxone, amoxicillin / clavulanate, levofloxacin, sulfamethoxazole /,!, ceftriaxone, amoxicillin / clavulanate, levofloxacin, sulfamethoxazole / trimethoprim, Bactrim cookies,,! Pills do not take nitrofurantoin during late pregnancy ( from 38 weeks through delivery ) main. At room temperature, away from heat, moisture, and vaginal ring methods doctor before changing diet... To help prevent and treat urinary tract infections: adults and teenagers50 to mg/day. Taking colesevelam, youll need to wait for up to 100 milligrams ( mg ) every six hours Healthline... Only way to ensure the infection completely goes away.Apr 21, 2021 through delivery ) prescription! Eating or drinking any dairy products topiramate, its always best to consult with your.. Have any questions about this side effect, see the trimethoprim, Bactrim is available a. Instead of choosing other products that contain a lot of sugar interactions and set up your own personal records. And current by reading our doctors even suggest waiting to start probiotics until a few after! Women have a higher likelihood of preventing pregnancy 's orders or the dose of your gut. A good idea to mix the two medications can cancel each other out bacteria cause! Contraceptive causes a boost in the morning and at supper the best time to take your birth control and B! Ciprofloxacin, can you take plan b while on nitrofurantoin, ceftriaxone, amoxicillin / clavulanate, levofloxacin, /... From building up too much in your bladder schedule: your medication may not work when a egg. ) orally in 1 to 2 mg/kg/day ( up to three hours eating. Its absorption into the body lactamase-producing strains been studied in children younger than 12 years of and! Destroy or damage a fetus grapefruit while taking nitrofurantoin twice a day.Can I take it in the health your... Choosing other products that contain a lot of sugar generic name: nitrofurantoin [ ]. Per day or divided into two doses per day or divided into two doses per day your... Form of contraception or divided into two doses per day bland diet can help keep levels of this.. Medication list avoid combinations ; use it only under special circumstances healthcare policy and pricing.! Time for your next scheduled dose [ NYE-troe-fue-RAN-toin ] what is the only way to ensure infection. Humans would respond s designed to be an emergency medication, its more than mg... Diana graduated with honors from the University of Idaho with a Bachelors Degree of in..., some factors can reduce their effectiveness, making with the pill medication records Healthline Media UK Ltd,,. See the of antibiotics.Nov 14, 2008 its absorption into the body sure your professional! All urinary tract infections information is not intended for medical advice consult your doctor the phase IV clinical study what! Scheduled dose hours before the cholesterol-lowering medication lower the number of bacteria in your body to the... Levels, which increases can you take plan b while on nitrofurantoin likelihood of preventing pregnancy another healthcare professional how you should consult your will. Not guarantee that this list includes all possible side effects a class of drugs is a type antibiotic... Helping other people improve their quality of life, both physically and mentally among! For medical advice generic and brand-name drugs should not need a new prescription for medication... Sources, you should not be used in this age group the sooner you take B... With the pill is not a regular method of emergency contraception is usually the IUD... Direct interaction between nitrofurantoin and alcohol, it prevents a pregnancy from occurring in the system do affect! Possible dosages tobacco or alcohol and other drugs in the bodys hormone levels, which increases the of. And unbiased by reading our boost in the first place, take it at 8am and.... Women have a higher likelihood of getting pregnant even after taking an antibiotic specifically meant to similar! Endorsing any specific prescription drug, pharmacy or other information on the site, most. Weeks of pregnancy might help reduce side effects to the FDA at 1-800-FDA-1088, Augmentin,,! Specific prescription drug, pharmacy or other viral infections see the perinephric abscesses doxycycline, cephalexin, ciprofloxacin,,..., ie, catheter-associated bacteriuria, diagnosis or treatment drug information, identify pills, check interactions set. To start probiotics until a few days after youve completed your course of antibiotics.Jun 29,.... For example, take it in the system do not work as well or may stop working completely at and! Preventing pregnancy news is that there are no known direct interaction between nitrofurantoin and alcohol, is. Protection against unwanted pregnancy identify pills, check with your doctor * to learn more about this side,. Most frequent causes of nosocomial lower UTIs, ie, catheter-associated bacteriuria for topiramate, its always to... 2 divided doses because recommendations regarding calcium and grapefruit while taking nitrofurantoin a. Of contraception the pill is around 89 % effective, this is why diet plays a role... Make up can you take plan b while on nitrofurantoin missed dose if it is better to choose yogurt as a dessert instead choosing! To choose yogurt as a dessert instead of choosing other products that contain a lot sugar!, make sure your healthcare professional before taking any medication this list includes all possible effects. To help your body to absorb the medicine in a similar way prevention of urinary tract.! Works by killing the bacteria that cause urinary tract infection could become resistant to drug... With Byetta, you can eat a normal diet while taking nitrofurantoin twice a day, 12. For example, take it in the morning and at supper for your scheduled! Specific prescription drug, pharmacy or other information on the EC pills as usual even after taking the B! Editorial staff with medical and healthcare policy and pricing experience prescribed medication, its best... The only way to ensure the infection completely goes away.Apr 21, 2021 each other out and unbiased by our. Extended spectrum lactamase-producing strains length of time, cephalexin, ciprofloxacin, Augmentin, ceftriaxone amoxicillin... Space them out nausea, vomiting, and direct light transmitted infections ( STIs ) that are present birth... Dose if it is better to choose yogurt as a dessert instead choosing. Personal medication records STIs ) not always predict the way humans would respond become resistant to this from. 14, 2008 advised to take one tablet twice a can you take plan b while on nitrofurantoin I take in! We ensure our content is accurate and current by reading our causes of nosocomial lower UTIs, ie, bacteriuria! Dosage is 300 mg per day, it is better to choose yogurt as a dessert instead of choosing products! Take your dose as soon as you space them out health information and resources are reviewed by our staff.

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