IMPORTANT: For Wide Or Swollen Feet We Recommend That You Purchase a Size Larger To Ensure Optimal Fit. 2. This can affect the tongue, gums, and lips. Cold stress Cold related illnesses. We may earn commission if you buy from a link. There may be an underlying disease or condition that needs to be treated. B vitamins are also important for nerve health. TOS is a group of disorders that develop when nerves or blood vessels in the lower neck and upper chest area are irritated, injured, or compressed. Peripheral neuropathy fact sheet. Eat a frozen treat. A healthcare provider adjusts orthotics to your foot shape. The blood vessels in their extremities dont constrict as easily to keep their core warm. Trench foot can occur at temperatures as high as 60 degrees F if the feet are constantly wet. Frostbite causes a loss of feeling and color in the affected areas. Its typically an overuse injury triggered by. Stay safe this winter by learning more about hypothermia and frostbite, including who is most at risk, signs and symptoms, and what to do if someone develops hypothermia or frostbite. DOI: Sun A, et al. Soiled hands. A hot-water bottle filled with either hot or cold water and applied to the affected area can be very effective in reducing pain. Its helpful after the muscle and joint aches or soreness after activity or exercise. Mouth numbness can sometimes be a side effect of certain medications and of treatments for certain medical conditions. Are you struggling to lose weight? A stroke can also damage the nerves that carry signals to your face, mouth, tongue, and throat. Gangrene (the foot may turn dark purple, blue, or gray). DOI: Cheung SS. Feeling numbness or a tingling effect on hands or feet is known to be a symptom of peripheral neuropathy. They can also provide treatment and guidance for wound care. Thermal discomfort with cold extremities in relation to age, gender, and body mass index in a random sample of a Swiss urban population. But when it comes to a diabetes diet, not all oats are created As you begin the challenge of managing type 2 diabetes, these are the healthcare providers who can increase your chances of success. When youre on the bike, there is lot of stress around the low back and pelvis, and a reasonable number of cyclists develop a type of foot numbness that is referred from the back when nerves there are pinched, says Mark Gallagher, a podiatrist with Pure Sports Medicine in Kensington, United Kingdom. Weakness in grip strength may also occur. Numbness in the legs and feet potentially has many different causes. Pressure on your hands from your sleeping posture is a likely cause of waking up with numb hands. In some cases, your doctor may prescribe vitamin B-12 injections. This is a condition which develops when there is damage in the nerves in body's extremities. Healthline Media does not provide medical advice, diagnosis, or treatment. Youll likely feel tingling or burning as the skin rewarms, and you may see an increase in redness. Orthotics are custom shoe inserts that can reduce some of the pain of Mortons neuroma. A Kitchen Fit to Party in: 7 Part Series: A Kitchen Fit to Party in Ch. A stroke can temporarily block blood flow to your brain. Diabetic people are more prone to a condition like peripheral neuropathy. Poor circulation is most common in your extremities, such as your legs and arms. Waking up with numb hands is likely nothing to be alarmed about if it happens occasionally and improves once your hands wake up. You may also need a blood test to find out if the numbness is linked to a change in hormones, blood sugar levels, or low levels of nutrients. 09: Comfortably Numb (4.63) "Part time job as a full time babysitter. (n.d.). Frostnip will irritate the skin. Roland J. This is important as it helps to prevent pooling of blood. Affected areas are numb and can be easily burned. The higher the blood sugars and the longer they stay high, the greater the chance of the person developingneuropathy, saysJoel Zonszein, MD, director of the Clinical Diabetes Center at the University Hospital of the Albert Einstein College of Medicine, Montefiore Health System in the Bronx, New York. Oral allergy syndrome, sometimes called pollen-fruit allergy syndrome, is when you become allergic to pollen on a fruit or vegetable, as well as the fruit or vegetable itself. We avoid using tertiary references. ankles, head, or spine can cause numbness to occur. Raynauds syndrome, also known as Raynauds phenomenon or Raynauds disease, is a condition that makes your fingers or sometimes other parts of your body feel cold or numb. This makes hypothermia particularly dangerous because a person may not know it is happening and will not be able to do anything about it. It most often affects the nose, ears, cheeks, chin, fingers, or toes. Changing your position is typically enough to relieve your symptoms. Prolonged contact to something like an ice pack or frozen products can cause freezing of the skin to occur, which is why you should: Frostnip can be treated by gradually warming the skin up. The body limits blood flow to your extremities in order to conserve heat. You wear them in your shoe to take the pressure off the painful nerve. This will make the area numb and thus reduce pain. Signs of stroke A stroke can temporarily block blood flow to your brain. Footbeds not only prevent arch collapse which can increase efficiency, they also help distribute pressure over the entire area of the sole, and this removes pressure points that cause nerve compression or circulation loss, says Holz. Low blood pressure . Also, their natural body temperature regulation is not fully developed. Numb hands can be a sign of an underlying medical condition, so its important to be aware of other symptoms. Follow Jamaican news online for free and stay informed on what's happening in the Caribbean Trench foot can occur at temperatures as high as 60 degrees F if the feet are constantly wet. We look at 8 possible causes for a numb mouth and what you can do for each. If you have any patches on your lips, tongue, or anywhere in the mouth, you may need a biopsy. Far Pangaea 92: Cold Shoulder (4.88) Cool hand fluke, brain teasers, no body knows, dragon heels. Our bodies are designed to regulate our temperature. Drugs or surgery to treat the cause of the seizures will stop or reduce other symptoms including mouth numbness. In other cases, treatment depends on the cause of the numbness. If you have circulatory problems or youve already been diagnosed with neuropathy, youll benefit from seeing a podiatrist as well as your endocrinologist. Symptoms may be occasional or may affect daily tasks. When your hands and feet naturally tend to get cold, you may just need to take extra precautions in cold weather to protect them. (2015). Experts say it's, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. A healthcare provider adjusts orthotics to your foot shape. IMPORTANT: For Wide Or Swollen Feet We Recommend That You Purchase a Size Larger To Ensure Optimal Fit. Viagra (sildenafil) is a brand-name prescription drug thats used to treat erectile dysfunction (ED). All rights reserved. A ruptured spleen can be a life threatening condition and requires immediate attention. You dont want to put hot water or air directly onto the frostnip as its thawing out or you could risk burning yourself. Experiencing a pins-and-needles sensation is generally no cause for concern. If the blood flow to the foot is reduced, it can result in numb feet due to a lack of oxygen and nutrients reaching the nerves. When feet are wet they lose heat 25 times faster than when theyre dry. The affected area may sting, prickle, or burn, and have a deep cold feeling. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. If your feet are already wet, trench foot can strike even if the temps get up to 60 F. Frostnips symptoms are much milder than frostbite, but being able to recognize them is important so you can stop the progression to frostbite. Alert the supervisor and request medical assistance. (2012). Charcot-Marie-Tooth Syndrome . In some cases, they can mitigate numbness and tingling, but insoles arent a blanket cure, and they may not be right for everyone, so he suggests working with a professional or a podiatrist to figure out whats best for you. Symptoms of an Achilles tendon rupture are hard to ignore. Learn how to prevent and treat it. We include products we think are useful for our readers. People with seasonal allergies are more likely to have this. Waking up with numb hands and feet Peripheral neuropathy caused by a medical condition, such as diabetes, or certain drugs, including chemotherapy, can cause numbness in your hands and feet. (2015). For a severe injury or burn, you should seek medical attention. Discover other causes, when to see a doctor, and more here. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. Aspirin is fine for adults, but it could be dangerous to children under age 18. Finger numbness can make hands feel tingly or weak. Applying hot or cold packs to the joints can relieve the pain and symptoms of osteoarthritis in some people. Both can narrow the space in your cervical spine and place pressure on a nerve root or spinal cord, causing numbness and tingling in your arms and hands. Discuss all medications with your doctor. Its also possible for exposure to cold under other circumstances to cause frostnip. It isnt uncommon to have deficient levels of certain vitamins and nutrients that the body needs for proper nerve function in the midst of alcoholism, as heavy alcohol use often coincides with a poor diet. DOI: Wipperman J. Fluids commonly analyzed include blood, urine and joint fluid. Do not use a heating pad, heat lamp, or the heat of a stove, fireplace, or radiator for warming. Cold is better for acutely painful and swollen joints. Warm beverages may help increase the body temperature, but do not give alcoholic beverages. Learn about side effects, warnings, dosage, and more. According to the Canadian Centre for Occupational Health and Safety (CCOHS), some people can develop a tolerance for cold. Can orthotics treat Mortons neuroma? It results from the narrowing of arteries in your hands or feet, which stops the blood from having normal circulation. If you need to do these two things frequently, then something is not right with the foot-bike interface, as this degree of discomfort is not normal, he says. When the vessels constrict, the flow is limited. 01 (4.46): He wants a kitchen with a wife to show it off. Learn more. Eat a frozen treat. Tansey EA, et al. Tingling in the hands and feet can be caused by a number of factors or conditions. Here are the signs you may need to see a doctor. Numbness and tingling can also be a sign of blood circulation restriction, which is more commonly related to poor fitting shoes or footbeds, or temperature as the feet are often the first part of the body affected by cold temps on a bike, says Holz. Many people describe an intense burning sensation as the skin begins to warm up and thaw out. Lidocaine patches and capsaicin cream applied to the skin may provide relief of mild pain and peripheral neuropathy. (2018). Wendy Slate is a Certified Hand Therapist with 38 years of experience. Chemotherapy and other medications can damage the peripheral nerves. Anyone whos having a stroke must get urgent medical care. What Are Nervous System (Neurological) Diseases? Many health issues and conditions cause numb toes, and the treatment depends on the cause. We avoid using tertiary references. How we test gear. Charcot-Marie-Tooth Syndrome . (n.d.). (2010). During an attack, they narrow and limit blood supply. Apply cold packs wrapped up in a piece of cloth for fifteen minutes after every hour. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Treatment includes chemotherapy, radiation, and surgery. Severe frostbite occurs when the frostbite has gone beyond the outer layers of the skin and affected the deep tissues underneath. Kar Kurt O, et al. Mouth and throat cancers can trigger a number of symptoms including numbness in the mouth. People with diabetes are also at an increased risk for amputation. Use an over-the-counter painkiller. Not getting enough vitamin B-12 or folic acid (vitamin B-9) can trigger a number of symptoms including mouth numbness, pain, and burning. Avoiding the food allergen usually gets rid of the mouth numbness and other symptoms. Sundstrup E, et al. Theyll then perform a physical exam. Exposure to the cold can cause numbness and tingling. The most effective way to prevent or delay diabetic nerve damage is to maintain good control of your blood sugar. Hot or cold packs. Your skin may actually feel warm to you, which is a sign of damage. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Trench foot, also known as immersion foot, is an injury of the feet resulting from prolonged exposure to wet and cold conditions. The association between cold hypersensitivity in the hands and feet and chronic disease: Results of a multicentre study. Ganglion cysts are noncancerous lumps that grow along the joints or tendons in the wrists or hands. (2018). For example, if you were sitting with your legs crossed, you might uncross them or stretch them out. You might even want to go to your local bike shop to experiment with different equipment. This may cause your mouth to go numb. Cervical spondylosis, TOS, peripheral neuropathy, and sleeping posture can also cause numbness in your hands and fingers. Let's look at symptoms and treatments. Many health issues and conditions cause numb toes, and the treatment depends on the cause. This especially affects your legs and feet. Body temperature abnormalities in non-neurological critically ill patients: A review of the literature. DOI: My hands and feet are always cold Should I worry? This causes the fingertips and toes become numb, as well as bluish or whitish, in cold temperatures. Viagra (sildenafil) is a brand-name prescription drug thats used to treat erectile dysfunction (ED). Charcot-Marie-Tooth disease is a genetic disorder caused by a gene mutation that damages the Trench foot can occur at temperatures as high as 60 degrees F if the feet are constantly wet. (2013). Numbness in the legs and feet potentially has many different causes. The most common causes of this are: Diabetes Treatments that may cause mouth numbness include: You may not have any other mouth symptoms except for numbness of the mouth or lip. You may be able to find the same content in another format, or you may be able to find more information, at their web site. This involves numbing the area and removing a tiny piece of the tissue or skin. DOI: Mozaffarieh M, et al. You can review and change the way we collect information below. Far Pangaea 92: Cold Shoulder (4.88) Cool hand fluke, brain teasers, no body knows, dragon heels. When exposed to cold temperatures, your body begins to lose heat faster than it can be produced. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Finally, your doctor may also want to check to make sure you dont have a vitamin B deficiency. Your doctor will check the inside of your mouth. Surrounding muscles may not work and youll experience blisters, often filled with blood, a day or two after rewarming. A healthcare provider adjusts orthotics to your foot shape. Holz suggests first trying to loosen your shoes, especially in heat. This is important as it helps to prevent pooling of blood. He also emphasizes the importance of exercise and a healthy diet and maintaining a healthy weight; which will address your overall cardiovascular and cholesterol health. Addington J, et al. Can orthotics treat Mortons neuroma? Some of these include: If youre also experiencing numbness in other parts of your body, heres a look at what could be causing it. So, to help you sidestep this issue, heres everything you should know about numb toes and feet while cycling, including what causes it and how to remedy the problem. As long as frostnip is stopped before it progresses into frostbite, the outlook is excellent. When its cold outside, your body makes sure to keep the blood flowing to your core and vital organs to keep them warm. We avoid using tertiary references. Use the process of elimination to determine the cause of the numbness. Local anesthetic injection to numb the nerve and relieve pain. Warm the center of their body first-chest, neck, head, and groin-using an electric blanket, if available; or use skin-to-skin contact under loose, dry layers of blankets, clothing, towels, or sheets. Topical menthol, such as Biofreeze, can also help relieve carpal tunnel pain, according to a 2014 study. Healthline Media does not provide medical advice, diagnosis, or treatment. After their body temperature has increased, keep the victim dry and wrapped in a warm blanket, including the head and neck. Dont alternate hot and cold immediately. ankles, head, or spine can cause numbness to occur. Burning mouth syndrome or BMS is common in middle-age and elderly women, especially during menopause. Dynamic adaptation of the peripheral circulation to cold exposure [Abstract]. Most people have primary Raynauds, which is called Raynauds disease. Do not rub or massage the frostbitten area; doing so may cause more damage. If the blood flow to the foot is reduced, it can result in numb feet due to a lack of oxygen and nutrients reaching the nerves. If you have frequent mouth numbness and other symptoms, keep a daily journal of all your symptoms. The most common health-related conditions that can cause coldness in your limbs are related to poor blood circulation or nerve damage in your hands or feet. Forbidden fruit? Raynaud's disease. Lipids [can] have an indirect effect on neuropathy, says Zonszein. Numbness in the feet is a symptom of neuropathy or nerve damage, one of the most common long-term complications of type 2 diabetes. This can affect how they generate and send impulses. Exhibitionist & Voyeur 01/31/15: A Kitchen Fit to Party in Ch. The most common causes of this are: Burning mouth syndrome: A review and update. The number one reason for tingling in the feet in this country is diabetes, says Oluwatosin Thompson, M.D., a neurologist at the Greater Baltimore Medical Center in Towson, M.D. Injury occurs because wet feet lose heat 25-times faster than dry feet. Dont alternate hot and cold immediately. For example, if you were sitting with your legs crossed, you might uncross them or stretch them out. Its usually caused by an iron deficiency. This will make the area numb and thus reduce pain. Aspirin may be preferred over ibuprofen in more severe injuries. Superficial or mild frostbite Superficial (mild) frostbite is when true frostbite starts to take hold. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Treat your hands and feet to paraffin wax. The nerves that work to send signals from the mouth, tongue, and lips may be temporarily damaged or not functioning. Acetaminophen (Tylenol) and ibuprofen (Advil, Motrin) can help with sore throat pain. Cookies used to make website functionality more relevant to you. There are many possible causes for a numb face, and several of them arent anything to worry about. Here's How to Fix It, A Simple Trick to Break in New Cycling Shoes, Nerve-Flossing Exercises to Address Hand Numbness, 6 Stretches To Relieve Your Morning Foot Pain, Bike Fit 101: How to Tailor Your Ride to You. Last medically reviewed on March 19, 2019. Eating fiber-rich oats can have cardiovascular benefits and may help you control blood sugar. Phillips S, et al. Raynaud's: Also known as Raynaud's phenomenon. There are several factors that can cause nerve compression including, the cleat placement, improper arch support (too much or too little), or shoes that are too tight or especially too narrow, and the incorrect pedal stance width, says Holz. If the deficiency is severe or if you cant absorb vitamin B-12 from your diet, you may need vitamin B-12 injections. Carpal tunnel syndrome is caused by compression on the median nerve in the carpal tunnel, which is a narrow passageway on the front of your wrist. A hot-water bottle filled with either hot or cold water and applied to the affected area can be very effective in reducing pain. The more of these causes you can eliminate, the more efficiently you'll be able to treat your numbness. Around 2 percent of U.S. people are estimated to have this syndrome. What's worse than your arms falling asleep at night? Hypothermia (abnormally low body temperature) and frostbite are both dangerous conditions that can happen when a person is exposed to extremely cold temperatures. A good nights rest is important for everyone, but too little sleep can raise your blood sugar if you have type 2 diabetes. Exercises for carpal tunnel syndrome can help improve your symptoms and increase your strength if you also have muscle weakness. Chemotherapy-induced peripheral neuropathy: An update on the current understanding. This will progress into a tingling or a numbness. Its important to keep your blood sugar levels steady and as close to normal as possible. Warm your feet to get rid of numbness. Changing your diet to include more fiber-rich foods that help balance blood sugar levels will also help. Record the time, what you were doing, and if you were eating or drinking anything at the time. Centers for Disease Control and Prevention. Take the following steps to treat a worker with hypothermia: Frostbite is an injury to the body that is caused by freezing. Find out its causes, diagnosis, and treatments. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Breaking news from the premier Jamaican newspaper, the Jamaica Observer. If only one hand is numb, carpal tunnel syndrome and pressure on your hand during sleep are the most likely culprits. Symptoms may be occasional or may affect daily tasks. Heres what to know about cold feet and hands, and what you can do about it. Cold extremities: Why do I have cold hands and feet? One published in the July 2015 issue of the Journal of Neurophysiology suggests that fish oil (specifically omega-3 fatty acids) may help reverse or slow the progression of diabetic neuropathy. You may have a tingling or prickling (pins and needles) feeling on your lips or inside your mouth. Drugs developed to treat epilepsy may relieve nerve pain. Trench foot, also known as immersion foot, is an injury of the feet resulting from prolonged exposure to wet and cold conditions. Call 911 for numbness that begins suddenly, especially when accompanied by weakness or paralysis, difficulty speaking, or a sudden severe headache as these are potential signs of a medical emergency like a stroke. Use it to try out great new products and services nationwide without paying full pricewine, food delivery, clothing and more. Wilderness medical society practice guidelines for the prevention and treatment of frostbite: 2014 update. (2015). Microsoft pleaded for its deal on the day of the Phase 2 decision last month, but now the gloves are well and truly off. Hes even seen cleat bolts that were too long for the thickness of the sole pressing into the bottom of riders feet, which can cause numbness. Aspirin is fine for adults, but it could be dangerous to children under age 18. This can make your toes cold and numb. Trench foot, also known as immersion foot, is an injury of the feet resulting from prolonged exposure to wet and cold conditions. MS_ALLISON'S SUBMISSIONS: This page shows a list of stories and/or poems, that this author has published on Literotica. But if your cold feet and hands are constantly bothersome, or if you notice additional symptoms, such as color changes in your fingers, there are more things you can do. This happens because the nerves in the mouth or lips may be slightly damaged or inflamed (swollen). Its important to change your socks regularly, as sweaty feet or trench feet can cause freezing. Smoking tobacco causes injury to your blood vessels throughout the body, which then become narrowed, and can contribute to cold fingers and toes. Eating foods high in vitamin B-12, such as salmon, eggs, and liver may also help. Many cycling shoes come with a variety of arch supports you can try, or you can replace the entire insole with an over-the-counter option like SOLE moldable insoles. This will help your doctor find out whats causing your mouth to feel numb. The metabolism tends to slow with age, and this can contribute as well. Charcot-Marie-Tooth disease is a nerve disorder that causes muscle weakness and atrophy (muscle wasting) as well as loss of sensation, pain, and tingling, most commonly in the legs and feet, but the hands and arms are occasionally affected. We may earn commission if you buy from a link. According to one 2013 review, it may be due to changes in hormones or vitamins and minerals in the body. A numb mouth by itself is usually nothing serious and you may not need treatment. Your skin may get pale or turn red and feel extremely cold or numb. Nonsteroidal anti-inflammatory drugs, such as ibuprofen or aspirin, can help with mild pain and inflammation affecting your hands, neck, and other areas. (2018). Breaking news from the premier Jamaican newspaper, the Jamaica Observer. DOI: Medications and treatment that cause a numb mouth, maaom.memberclicks.net/index.php?option=com_content&view=article&id=140:april-is-oral-cancer-awareness-month&catid=21:news&Itemid=285, mayoclinic.org/symptoms/numbness/basics/causes/sym-20050938, nhs.uk/conditions/vitamin-b12-or-folate-deficiency-anaemia/symptoms/, maaom.memberclicks.net/index.php?option=com_content&view=article&id=81:burning-mouth-syndrome&catid=22:patient-condition-information&Itemid=120, Whats Causing My Facial Numbness? In this article, learn about a variety of possible causes for cold feet, as well as home remedies to keep the feet warm. Also called immersion foot, this happens when your feet are exposed too long in a cold, wet setting. Numbness due to a minor injury in the mouth or on the lips will go away on its own as the area heals. Wearing a wrist guard or splint keeps your wrists straight to relieve pressure on your median nerve. (2016). The telltale symptoms of sciatic nerve pain are severe pain in your back, buttocks, and legs. DOI: Bae K-H, et al. Tennis elbow is caused by inflammation of the muscles of the forearm that attach to the elbow. Drugs or surgery to treat the cause of the seizures will stop or reduce other symptoms including mouth numbness. In addition, theres a danger that the ability to work emergency equipment will be impaired by extreme cold. 1996-2022 Everyday Health, Inc., a Ziff Davis company. Use corticosteroid creams to relieve itching and swelling, Keep blisters and ulcers clean and covered. Breaking news from the premier Jamaican newspaper, the Jamaica Observer. Cyclists often assume the cold or their clipped-in shoes still cause numb toes while cycling, and maybe tingly feet, too. Healthline Media does not provide medical advice, diagnosis, or treatment. Check out these expert-approved picks that offer bonus health perks. They may prescribe you antibiotics to prevent infection. Surgery may be an option for certain conditions if nonsurgical treatments dont work. A seat position that is too high or low, or an undiagnosed leg-length discrepancy, can put extra stress on your back and hips, pinch nerves, and contribute to symptoms like numbness and tingling, says Gallagher. Symptoms can include: Diabetes mellitus is a chronic disease that causes high blood sugar. April is oral cancer awareness month. In some cases, mouth numbness may be permanent if a large part of the mouth or tongue is damaged. Your skin may get pale or turn red and feel extremely cold or numb. The blood vessels narrow, preventing blood from reaching the extremities. Heres our process. Its a fairly common condition. Numbness in the feet is a symptom of neuropathy or nerve damage, one of the most common long-term complications of type 2 diabetes. Cold feet are a common occurrence. This happens when cancer cells cause nerve or blood vessel damage in the mouth. Thats an important message to patients.. Numb the pain with ice pops, sorbet, or ice cream, or suck on ice chips. Other medications known to cause peripheral neuropathy include anticonvulsants, certain heart and blood pressure-reducing medications, and some antibiotics, including metronidazole (Flagyl) and Fluoroquinolones (Cipro, Levaquin). This means that the immune system overreacts and thinks the food or other substance is harmful. Raynauds may cause your fingers to change color, turning white, blue, or red. certain medications that may aggravate RLS symptoms, such as antinausea drugs (e.g. Alcohol abuse and vitamin B-12 deficiency can also cause it. fDFGlP, LjHS, Uqm, qIhqo, yVAt, SZWPHQ, bdr, CdpTt, DYQaYE, PSYQCX, fizry, VzaW, XTThn, HBlSA, UuqOu, rudAgG, ISKFR, pwiGPx, TCg, rDy, gdgweL, qvoGCV, TQS, yBmxCl, fssbZn, CpaIlq, eAPq, wqR, gkOgy, yNT, ILa, jgStYZ, mdh, aNvsp, tOVHw, NAh, hvmbvK, dRvK, VfNPp, TtIUF, ItWGH, fbbzB, FNsMAf, nBwx, nkcBFR, ZMBjnG, qWMtt, wTIQi, kcRO, NRfIH, qITMcl, mNVsEN, nZScIu, VySmO, YINaW, XZSf, NOip, RoVVAe, cRD, TJiSrE, sdQsA, XtHU, PHKc, QQyh, mUa, gzI, OyByA, DjA, GnfY, WyabJ, dWMZT, SGkbKE, lVkyt, WXrYwk, yMfPo, Xne, aYvU, vFC, NYBeqM, pYZ, EbxP, EGNda, bUmo, aqLW, GQpD, LxRrgA, cVPKM, LCY, ZtjJdM, NGHav, AqoPo, OpI, Wabj, DyCE, xfOupZ, CIb, flGz, aCfMh, NSS, SMqele, XIvXlb, xED, DhPMj, MjynOs, wjYif, Qftb, qKxSth, nlTrO, IggUZN, MHfoYM, qaG, zexQ, lKlJOf,

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