--- title: "Choosing a Dysautonomia Clinic: What to Look For & Why" description: Searching for a dysautonomia clinic? 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Choosing a Dysautonomia Clinic: What to Look For & Why # Choosing a Dysautonomia Clinic: What to Look For & Why ![Image of Andy Clower, ATC](https://www.cognitivefxusa.com/hubfs/Andy_150px.webp) Andy Clower, ATC • Updated on 07 July, 2026 • Medically Reviewed by [Dr. Alina Fong](https://www.cognitivefxusa.com/blog/author/dr-alina-fong-phd) [mailto:?subject=Check%20out%20https://www.cognitivefxusa.com/blog/dysautonomia-clinic%20&body=Check%20out%20https://www.cognitivefxusa.com/blog/dysautonomia-clinic&media=https://2921058.fs1.hubspotusercontent-na1.net/hubfs/2921058/dysautonomia-clinic.jpg](mailto:?subject=Check%20out%20https://www.cognitivefxusa.com/blog/dysautonomia-clinic%20&body=Check%20out%20https://www.cognitivefxusa.com/blog/dysautonomia-clinic&media=https://2921058.fs1.hubspotusercontent-na1.net/hubfs/2921058/dysautonomia-clinic.jpg) Choosing a Dysautonomia Clinic: What to Look For & Why 14:34 Living with dysautonomia can be overwhelming. Symptoms often appear suddenly and unpredictably. One day you may feel mostly normal; the next, simply standing up triggers dizziness, lightheadedness, or a racing heart rate. Some patients faint. Others struggle with gastrointestinal issues, brain fog, or difficulty regulating temperature. Because symptoms of autonomic dysfunction vary so widely and affect so many organs, searching for the right dysautonomia clinic can feel frustrating. Many patients tell us they saw multiple doctors before anyone took their symptoms seriously. They were told it was “just stress,” despite experiencing disabling episodes of orthostatic intolerance, palpitations, and fatigue. This is why choosing the right clinic matters. Dysautonomia requires a healthcare provider (or often, a multidisciplinary team of providers) who understands autonomic disorders, performs appropriate autonomic testing, and offers a treatment plan that addresses the underlying neurology—not just the symptoms. In this guide, we’ll walk through: - [What conditions dysautonomia clinics treat](https://www.cognitivefxusa.com/blog/dysautonomia-clinic#clinic) - [Common symptoms and what they indicate](https://www.cognitivefxusa.com/blog/dysautonomia-clinic#symptoms) - [Key characteristics of a good clinic](https://www.cognitivefxusa.com/blog/dysautonomia-clinic#characteristics) - [A step-by-step process to choosing the right dysautonomia center](https://www.cognitivefxusa.com/blog/dysautonomia-clinic#choosing) - [The unique POTS treatment we offer at Cognitive FX](https://www.cognitivefxusa.com/blog/dysautonomia-clinic#cognitive-fx) ## What Conditions Are Treated in a Dysautonomia Clinic? Dysautonomia clinics specialize in diagnosing and treating disorders that affect the autonomic nervous system (ANS). These clinics often manage a wide spectrum of conditions, combining lifestyle guidance, autonomic testing, medication management, and targeted therapies. Not every clinic handles all types of dysautonomia, but common conditions include: ### Postural Orthostatic Tachycardia Syndrome (POTS) This is the most commonly diagnosed form of dysautonomia. POTS triggers an increase in heart rate when patients stand up, causing symptoms like dizziness, lightheadedness, fatigue, and exercise intolerance. ### Orthostatic Hypotension (OH) OH causes fainting or near-fainting due to a drop in blood pressure when patients stand up. ### Multiple System Atrophy (MSA) MSA is a progressive neurological disorder causing severe damage to nerve cells, particularly affecting autonomic functions. ### Vasovagal Syncope (VVS) VVS occurs when the autonomic nervous system fails to maintain adequate vascular tone, resulting in low blood pressure and low heart rate, causing temporary loss of consciousness. This is also known as neurocardiogenic syncope (NCS). ### Diabetic Autonomic Neuropathy (DAN) DAN is a serious complication of diabetes where high blood sugar damages the autonomic nervous system. ### Pure Autonomic Failure (PAF) PAF is a rare and progressive neurodegenerative disorder that affects the autonomic nervous system. ### Autoimmune Conditions These include a variety of conditions, such as autoimmune autonomic ganglionopathy (AAG) or autonomic issues associated with lupus, Sjögren's syndrome, or rheumatoid arthritis. ### Post-Viral Dysautonomia These conditions appear after infections, including Long COVID. ### Familial Dysautonomia This is an inherited condition that affects the autonomic nervous system, especially breathing, salivating, forming tears, and regulating body temperature and blood pressure. ## Symptoms of Dysautonomia Dysautonomia is often called an “invisible illness.” Patients may appear healthy even while struggling with significant ANS dysfunction. Symptoms vary depending on which systems are affected, but common ones include: - **Orthostatic Intolerance:** Dizziness and lightheadedness when standing up - **Cardiovascular** **Symptoms:** Heart palpitations, chest discomfort, high heart rate (tachycardia), low heart rate (bradycardia), high or low blood pressure, and blood pooling in the legs - **Gastrointestinal Symptoms:** Nausea, vomiting, diarrhea, constipation, abdominal pain, reflux, and heartburn - **Secretomotor Symptoms:** Difficulty sweating, tearing, and other fluid production (dry eyes, dry mouth, difficulty swallowing, dry skin) - **Pulmonary** **Symptoms:** Shortness of breath and difficulty breathing - **Neurological Symptoms:** Cognitive difficulties and brain fog - **Pupillomotor Symptoms:** Impaired pupil response (uncomfortable in bright light) and impaired vision - **Urinary Symptoms:** Difficulty with urine retention and/or excretion Because dysautonomia affects virtually every body system, a clinic must look at the body holistically—not just one symptom at a time. ## Key Characteristics of a Good Dysautonomia Clinic   Choosing a Dysautonomia Clinic 6 Signs You've Found the Right Provider Because dysautonomia is often dismissed — knowing what good care looks like matters. 01 Treats it as a multi-system condition The autonomic nervous system connects to nearly every organ. A good clinic approaches diagnosis holistically, not one symptom at a time, and not assuming anxiety is the culprit. 02 Performs condition-specific autonomic testing Validated tests like tilt-table, QSART, Valsalva maneuver, and HRV analysis, tailored to your presentation, not a single workup that comes back "normal." 03 Tailors treatment to your specific diagnosis POTS, orthostatic hypotension, MSA, and autoimmune ganglionopathy each require different treatments. Clinics applying the same protocol to every patient are a red flag. 04 Uses a multidisciplinary care model Dysautonomia affects multiple organ systems. High-quality clinics coordinate neurology, cardiology, physical therapy, and other specialties around a cohesive plan. 05 Offers education and reliable follow-up Symptoms fluctuate. You should leave with real self-management tools, and actual follow-up support between visits, not appointments months apart with nothing in between. 06 Listens and validates your experience A normal EKG doesn't rule out ANS dysfunction. Good clinics don't dismiss invisible symptoms, and they give you enough time to actually be heard. Watch Out For Clinics that dismiss or over-simplify Be cautious of providers who attribute all symptoms to stress, anxiety, or deconditioning, or who rely on a single test. Normal labs do not rule out autonomic dysfunction. Cognitive FX · cognitivefxusa.com Because dysautonomia includes many different disorders—from postural orthostatic tachycardia syndrome (POTS) to autoimmune autonomic neuropathy, neurocardiogenic syncope, multiple system atrophy, and more—the characteristics of a high-quality clinic will vary depending on the patient’s needs. However, certain foundational elements apply across all forms of dysautonomia. Below are the features that consistently distinguish a reliable, patient-centered dysautonomia center from one offering only minimal or outdated care. ### 1. They Recognize Dysautonomia as a Complex, Multi-System Condition A good clinic understands that dysautonomia is not a single disease but a group of disorders involving the autonomic nervous system. These conditions can affect: - Cardiovascular regulation (blood pressure, heart rate) - Gastrointestinal motility - Temperature regulation and sweating - Bladder and bowel function - Sensory and neurological processing Because the ANS connects to nearly every organ system, a good clinic should approach diagnosis and treatment with a holistic, multi-system perspective. Clinics that oversimplify symptoms or attribute them solely to stress, anxiety, or deconditioning are less likely to provide meaningful help. ### 2. They Perform Appropriate and Condition-Specific Autonomic Testing Accurate diagnosis matters. A credible clinic should offer or coordinate validated autonomic testing tailored to the patient’s presentation. This may include: - Tilt-table testing - Valsalva maneuver - QSART / sudomotor testing - Heart-rate variability analysis - Blood pressure monitoring - Autonomic reflex screen - Gastrointestinal motility testing - Metabolic panels for autoimmune or neuropathic causes Different types of dysautonomia require different diagnostics. For example: - **Autoimmune autonomic ganglionopathy** requires antibody testing. - **Diabetic autonomic neuropathy** requires glucose control assessments. - **Multiple system atrophy** requires neurological imaging and neurodegenerative evaluation. - **POTS** requires orthostatic heart rate and blood volume assessment. A strong clinic should not rely on a single test or dismiss symptoms when basic labs appear normal. ### 3. They Provide Treatment Plans Tailored to the Specific Dysautonomia Diagnosis Because the underlying causes vary widely, treatment cannot be one-size-fits-all. Examples: - **Orthostatic forms (POTS, OH, NCS)** may benefit from fluids, salt intake, compression, pacing, and autonomic regulation or retraining strategies. - **Autoimmune autonomic neuropathy or ganglionopathy** may require immunotherapy (IVIG, corticosteroids, plasma exchange). - **Diabetic autonomic neuropathy** requires optimizing glycemic control and addressing GI or bladder complications. - **Multiple system atrophy** requires coordinated neurological, urological, and palliative care. - **Familial dysautonomia** involves genetic, pulmonary, and feeding support. A good clinic understands the distinctions between these conditions—rather than applying generic advice across all patients. ### 4. They Use a Multidisciplinary Care Model Because dysautonomia impacts multiple organs, high-quality care usually includes coordinated input from several specialties: - Autonomic neurology - Cardiology (including electrophysiology for tachycardia/bradycardia issues) - Gastroenterology - Endocrinology - Rheumatology (for autoimmune causes) - Nephrology (for blood-volume issues) - Urology - Physical and occupational therapy - Psychology or pain management - Sleep medicine For complex or advanced conditions like multiple system atrophy or familial dysautonomia, involvement of palliative care, pulmonology, or feeding specialists may also be necessary. A strong clinic ensures that all providers follow a cohesive treatment plan—not contradictory or piecemeal advice. ### 5. They Offer Education, Self-Management Support, and Clear Follow-Up Regardless of diagnosis, patients benefit from learning how to self-manage symptoms in daily life. A good dysautonomia clinic should provide: - Guidance on pacing and activity management - Hydration and stabilization strategies - Breathing mechanics - Flare management tips - Medication education - Nutrition strategies when GI issues are present - Follow-up support between visits Because symptoms fluctuate and new complications may arise, reliable follow-up is essential. Patients should feel supported—not left on their own between appointments. ### 6. They Listen to Patients and Validate Their Symptoms This is especially important because many dysautonomias are “invisible illnesses.” Normal EKGs, labs, or imaging do not rule out autonomic failure or autonomic neuropathy. A good clinic should: - Take patient experiences seriously - Allow sufficient time for history and symptom review - Avoid prematurely labeling symptoms as psychological - Maintain respectful communication Validation and clear communication significantly improve the patient experience and help patients stay engaged in their treatment plan. ## How to Find the Best Dysautonomia Clinic for You: A Practical Step-by-Step Guide ### Step 1: Search Credible Online Resources Begin with reputable websites and directories specifically designed for individuals with dysautonomia. Some examples include: - [**Dysautonomia International**](https://www.dysautonomiainternational.org/)**:** The Physician List features vetted providers with experience in treating autonomic conditions. - **Patient-led forums: **Sites like Reddit’s[ r/dysautonomia](https://www.reddit.com/r/dysautonomia/) or[ r/POTS](https://www.reddit.com/r/POTS/) often include recommendations for clinics. - **Health provider directories:** Sites like[ Zocdoc](https://www.zocdoc.com/) or[ Vitals](https://www.vitals.com/). Entries are not vetted, so look for centers with consistent, not one-off, positive reviews. ### Step 2: Ask for Referrals Online research is helpful, but real-life referrals from a doctor or even recommendations from a friend can help you find the best place for you. - **Ask your doctor or another trusted healthcare provider.** They may know of a neurologist or a cardiologist working in a dysautonomia clinic. - **Search local support groups.** Members are often willing to share who helped and who didn’t. - **Rely on your network of friends, coworkers, or extended family members. **They may know someone who has gone through this before. ### Step 3: Verify Credentials Before booking, check for: - Board certification - Expertise with your specific condition (POTS, OH, MSA, etc.) - Experience with complex or multi-system cases - Research involvement or affiliation with a major medical center - Knowledge of current clinical trials ### Step 4: Schedule a Consultation Use the appointment to ask targeted questions: - What types of dysautonomia do you treat? - What diagnostic tools do you use (tilt table, QSART, Valsalva, etc.)? - Do you offer treatment beyond symptom management? - Do you coordinate care with other specialists? - How often do you treat patients with symptoms like mine? ### Step 5: Choose Your Clinic If a clinic doesn’t feel right—even after starting treatment—give yourself permission to find a better fit. Dysautonomia care should be personalized, responsive, and grounded in neurology. ## Our Unique Approach to Treating Orthostatic Dysautonomia (POTS & OH) at Cognitive FX At Cognitive FX, we specialize in treating orthostatic dysautonomia, primarily POTS, but we can also help patients diagnosed with orthostatic hypotension (OH). Our 5-day program targets the *root causes* of POTS by retraining autonomic function. This is the key difference between our approach and the treatment approach of most [POTS clinics](https://www.cognitivefxusa.com/blog/choosing-the-right-pots-clinic), where patients are advised to increase salt intake and hydration, wear compression garments, and engage in light steady state exercise to manage symptoms. The goal of our program is long-term regulation and sustainable quality-of-life improvements, *not just short-term symptom relief*. This program grew out of the success we’ve had treating concussion patients who commonly experience POTS symptoms. As we consistently saw their autonomic function improve through neurological rehabilitation, we refined and formalized those methods into a dedicated POTS program. ### The Five-Day POTS Treatment Program Cognitive FX · POTS Treatment The CFX 5-Day POTS Program "We're recalibrating the thermostat, not just adjusting to a room that's always too hot." 5 days total 4–6 hrs/day Provo, Utah POTS diagnosis required Three root systems we target 01 Autonomic Regulation Brainstem control of heart rate and blood pressure responses 02 Vestibular Calibration Inner ear sensors detecting vertical position changes 03 Breathing Mechanics CO₂/O₂ balance affecting blood flow and brain oxygenation Program structure Day 1 Comprehensive Evaluation Assessment only Mapping your specific dysregulation pattern Functional testing of orthostatic response, vestibular function, cranial nerve inputs, and breathing mechanics. Your entire treatment plan is built from this data. Orthostatic response Vestibular function Breathing assessment Cranial nerve inputs Days 2–5 Multi-Modal Treatment 4–6 hrs/day Six modalities targeting different aspects of ANS dysfunction Neuro-Cardio Training Vestibular Recalibration Breathing Mechanics Cranial Nerve Activation CO₂-Based Therapies Planned Rest Blocks After Home Program Ongoing A daily protocol built around your dysregulation pattern Not generic advice, a repeatable system tested and refined during your treatment week, with follow-up support after you leave. Personalized daily drills Follow-up consultations **Who is this for?** Patients already diagnosed with POTS who want to address the neurological root cause, not just manage symptoms with salt, fluids, and compression. Patients need to travel to our Provo, Utah clinic. Cognitive FX · cognitivefxusa.com/pots-treatment   Our intensive program lasts five days and includes: - **Comprehensive medical and neurophysiological assessment:** Functional testing of orthostatic response, vestibular function, cranial‑nerve inputs, and breathing mechanics to create a customized treatment plan. - **Neuro Cardio Training:** Brief high‑intensity bursts (≈8/10 RPE) → full recovery with cooling, positioning, and diaphragmatic breathing to teach the ANS to switch gears. - **Vestibular Recalibration:** Exercises that improve vertical‑change sensing and reduce orthostatic overreactions. - **Breathing Mechanics & Chemistry:** Nasal/diaphragmatic technique; longer exhales; CO₂ support as indicated. - **Cranial‑Nerve Stacking:** Taste/scent inputs (e.g., salt intake pre‑interval, calming scents during recovery) to steer autonomic tone. - **CO₂‑Based Recovery:** End‑of‑day CO₂ suit for relaxation and tissue perfusion. - **Planned** **Rest Blocks** to protect tolerance. Each therapy targets a different aspect of ANS dysfunction, teaching the brain how to self-regulate more effectively. Throughout treatment, patients also receive education on what POTS is, what drives symptoms, and how to support ongoing improvement at home. **Note: **We do not currently offer diagnostic testing for POTS. We’re only accepting patients who have already received a POTS diagnosis. *If you’ve been diagnosed with POTS and you live in the Utah Valley area—or can travel to Provo—our clinic offers one of the few neurologically focused POTS treatment programs in the country. *[*Fill out this form*](https://cognitivefxusa.typeform.com/pots-intake)* to see if you’re a good fit for our program, or call our patient care coordinator at *[*385-334-6093*](tel:+13853346093)*.* --- ![Image of Andy Clower, ATC](https://www.cognitivefxusa.com/hs-fs/hubfs/Andy_150px.webp?height=150&name=Andy_150px.webp) ### About the author [Andy Clower, ATC](https://www.cognitivefxusa.com/blog/author/andy-clower) Andy is a Certified Athletic Trainer (ATC) and Z-Health Performance Master Trainer. He began his career in Orthopedics, then worked as Head Athletic Trainer and Director of Human Performance at a specialty physical therapy clinic. Here, his passion for innovative human body approaches ignited. In 2010, he founded Fitness Evolved in Berkeley, CA, focusing on a neurologically informed health and exercise paradigm. Andy mastered the Z-Health Performance Solutions system, creating brain-centric training and rehab at Fitness Evolved, serving diverse clients, including pro athletes and brain injury survivors. He's an accomplished Z-Health instructor, having trained professionals worldwide. Andy is thrilled to join Cognitive FX, contributing to our revolutionary concussion and TBI recovery techniques. ## Related Posts ![How to Find the Right POTS Clinic: What to Look For (and Why It Matters)](https://www.cognitivefxusa.com/hs-fs/hubfs/choosing-the-right-pots-clinic.jpg?height=175&name=choosing-the-right-pots-clinic.jpg) ### Choosing the Right POTS Clinic: What to Look For & Why ![Image of Andy Clower, ATC](https://www.cognitivefxusa.com/hs-fs/hubfs/Andy_150px.webp?height=70&name=Andy_150px.webp) [Andy Clower, ATC](https://www.cognitivefxusa.com/blog/author/andy-clower) Finding effective care for postural orthostatic tachycardia syndrome (POTS) can be more challenging than you would expect. Most healthcare providers approach POTS as a cardiovascular issue — focusing... [Read the full article ](https://www.cognitivefxusa.com/blog/choosing-the-right-pots-clinic) ![POTS and the Tilt Table Test](https://www.cognitivefxusa.com/hs-fs/hubfs/pots-tilt-table-test.png?height=175&name=pots-tilt-table-test.png) ### POTS and the Tilt Table Test: What It Is & What the Results Show ![Image of Andy Clower, ATC](https://www.cognitivefxusa.com/hs-fs/hubfs/Andy_150px.webp?height=70&name=Andy_150px.webp) [Andy Clower, ATC](https://www.cognitivefxusa.com/blog/author/andy-clower) If you’re experiencing symptoms like dizziness, lightheadedness, fainting, or a racing heart when you stand, your healthcare provider may suspect a form of dysautonomia—including postural orthostatic... [Read the full article ](https://www.cognitivefxusa.com/blog/pots-tilt-table-test) ![IV Infusions for POTS: Benefits, Risks, and When They’re Used](https://www.cognitivefxusa.com/hs-fs/hubfs/iv-infusion-for-pots.jpg?height=175&name=iv-infusion-for-pots.jpg) ### IV Infusions for POTS: Benefits, Risks, and When They’re Used ![Image of Andy Clower, ATC](https://www.cognitivefxusa.com/hs-fs/hubfs/Andy_150px.webp?height=70&name=Andy_150px.webp) [Andy Clower, ATC](https://www.cognitivefxusa.com/blog/author/andy-clower) For patients with postural orthostatic tachycardia syndrome (POTS), proper hydration is a key part of symptom management. Many POTS patients are advised to increase their daily fluid intake, usually... [Read the full article ](https://www.cognitivefxusa.com/blog/iv-infusion-for-pots) ![](https://www.cognitivefxusa.com/hs-fs/hubfs/is-there-a-cure-for-pots.jpg?height=175&name=is-there-a-cure-for-pots.jpg) ### Is There a Cure for POTS? What Patients Need to Know ![Image of Andy Clower, ATC](https://www.cognitivefxusa.com/hs-fs/hubfs/Andy_150px.webp?height=70&name=Andy_150px.webp) [Andy Clower, ATC](https://www.cognitivefxusa.com/blog/author/andy-clower) If you’re living with POTS, you’ve probably wondered: [*Is this ever going to get better?*](https://www.cognitivefxusa.com/blog/will-pots-go-away) [Read the full article ](https://www.cognitivefxusa.com/blog/is-there-a-cure-for-pots) ![Autonomic Testing for POTS](https://www.cognitivefxusa.com/hs-fs/hubfs/autonomic-testing-for-pots.jpg?height=175&name=autonomic-testing-for-pots.jpg) ### Autonomic Testing for POTS: Complete Patient Guide ![Image of Andy Clower, ATC](https://www.cognitivefxusa.com/hs-fs/hubfs/Andy_150px.webp?height=70&name=Andy_150px.webp) [Andy Clower, ATC](https://www.cognitivefxusa.com/blog/author/andy-clower) If you’re experiencing symptoms such as dizziness, rapid heartbeat, or fatigue when standing, your healthcare provider may recommend autonomic testing to evaluate for Postural Orthostatic Tachycardia... [Read the full article ](https://www.cognitivefxusa.com/blog/autonomic-testing-for-pots) ![Natural Remedies for POTS (& When They’re Not Enough)](https://www.cognitivefxusa.com/hs-fs/hubfs/natural-remedies-for-pots.jpg?height=175&name=natural-remedies-for-pots.jpg) ### Natural Remedies for POTS (& When They’re Not Enough) ![Image of Andy Clower, ATC](https://www.cognitivefxusa.com/hs-fs/hubfs/Andy_150px.webp?height=70&name=Andy_150px.webp) [Andy Clower, ATC](https://www.cognitivefxusa.com/blog/author/andy-clower) If you’ve been diagnosed with postural orthostatic tachycardia syndrome (POTS), daily life can feel unpredictable and exhausting. Many POTS patients experience lightheadedness, heart palpitations,... 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All Rights Reserved. | [Privacy Policy](https://www.cognitivefxusa.com/blog/dysautonomia-clinic#) ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Andy Clower, ATC", "url" : "https://www.cognitivefxusa.com/blog/author/andy-clower" }, "dateModified" : "2026-07-07T07:08:42.775Z", "datePublished" : "2026-03-06T21:37:43.000Z", "headline" : "Choosing a Dysautonomia Clinic: What to Look For & Why", "image" : [ "https://www.cognitivefxusa.com/hubfs/dysautonomia-clinic.jpg" ], "mainEntityOfPage" : { "@id" : "https://www.cognitivefxusa.com/blog/dysautonomia-clinic", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "https://www.cognitivefxusa.com/hubfs/Cognitive-Final-Logo-BlBlk-Med.png" }, "name" : "Cognitive FX" } } ``` ```json { "@context" : "https://schema.org", "@type" : "Article", "about" : { "@type" : "MedicalCondition", "name" : "" }, "audience" : { "@type" : "Audience", "audienceType" : [ "patient", "caregiver" ] }, "author" : { "@type" : "Person", "affiliation" : { "@type" : "MedicalOrganization", "name" : "Cognitive FX", "url" : "https://www.cognitivefxusa.com" }, "name" : "Andy Clower, ATC" }, "dateModified" : "07 July, 2026", "datePublished" : "2026-03-06 21:37:43", "description" : "Searching for a dysautonomia clinic? 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