Fatigue is when the tiredness is often overwhelming and isn't relieved by sleep and rest. It may feel as if someone is stabbing my legs with a small knife.
The following article hopes to help you make more suitable choices and get more useful information - Lori (Team Member)
Are RA, Lupis, other autoimmune diseases, diabetes as terrifying as MS??? This kind of MS fatigue is awful!
So glad you shared with us!
No single test can confirm a diagnosis of psoriatic arthritis. Your analogies are perfect for describing my daily challenges.
I have not been officially diagnosed with MS but my doctor suspects it and Im waiting on my neurologist appointment next month.
It may feel as if someone is stabbing my legs with a small knife. Just know that I DO understand.
Thinking of you, Shelby, Team Member,
Yes I know exactly what you mean, and add the "But you look so well" and then you think."What's the point of leaving the house" and you don't.
,Ugh the MS fatigueIts debilitating to say the least! You feel like you're in a daze. It is important to treat MS early. At this time, MSAA and NASA joined forces to develop and test a cool suit. Ease and self compassion is the only thing that has really helped with the extreme fatiguecoffee doesnt even help that much. Here are some tips that may help you do that: First, know your fatigue. What I could really do with is a solution or a line of treatment. To cope over the years, first I've had to accept that it is disabling, not just laziness or not trying hard enough. What "I" really mean when I say I'm tired..I'm drained, I'm exhausted, I feel like I haven't slept and yet I just slept a solid 8 or 10 hours! My neurologist prescribed Nuvigel which works wonders for me, not saying everyone should take it, ask your neurologist!!
So What Does Chronic Fatigue Feel Like Sometimes, chronic fatigue feels like being covered in tar from head to toe.
Webinar: Touch Therapies for Pain Management, Webinar: Arthritis Fatigue Causes and Solutions. Most people start to feel better after treatment finishes. Weakness. Today it is in the 70s. And at the same time I wish those around me did.
Learn more. You are SO strong to be dealing with this day after day! I, too, battle with fatigue and, yes, it is exhausting.
Last week, I lost three days of work because I could barely do anything other than remain horizontal and close my eyes. I have had M.S. MS fatigue can be physical and mental; it saps energy in an instant and can stop you from completing tasks. I've had many injuries from age 13 to
I know I couldnt. Until about 7 years ago, the fatigue was mild but then suddenly started to become worse. It may surprise you that the very medications you are taking for your MS symptoms may be contributing to your fatigue. I start to yawn copiously and feel rude but i cant help it. MS fatigue can be very debilitating and, unlike . When a person experiences fatigue because of these factors they have secondary fatigue.
What is so weird i dont think it has anything to do with how much sleep we get. People describe it as an overwhelming sense of tiredness with no obvious cause. You and your relatives might underestimate how much it can affect daily life. Your eyes are blurry and struggle with day light. But, ask your neurologist first!! However, seems to get me to about 3 pm then Im dead again! Accidentally posted that reply!How to delete it and retry? Occasionally, its close to that sweet spot between being drunk and hungover, except no cocktail happy hour preceded it. You may have a headache. Best wishes,
A number of studies have shown that regular. It does help to know we arent alone.
It can be directly related to MS from brain or spinal cord lesions, or more indirectly related due to other MS symptoms such as depression and fatigue, or from wider relationship and social issues stemming from MS. I also had my grown children take over some seasonal activities. It helps my frame of mind and some of the spasticity that occurs as the day goes on. In this type, there is increased weakness after repeated activity. And having a newborn on top of MS fatigue isn't an easy feat! If you have any other questions or concerns please know that you are welcome here anytime!
Oh yes, Im there with you on everything you wrote so eloquentlyOk gotta take a nap now zzzzzzz
,Thinking of you
Feeling exhausted is so common that it has its own acronym, TATT, which stands for tired all the time. Now, I rest when I need to and take Armodafinil to get through the day.
I noticed quite some time ago that I use the I am just really tired, explanation when I am asked how I am doing or feeling?
Explain to your family, friends, and colleagues at work the impact the fatigue is having. In response to nerve damage, the brain of a person with MS may be finding new routes for sending messages. Yesterday, I was at a friends house when her husband came home with the groceries. Learn more about how we maintain editorial integrity. But it is more likely to be a side effect of treatment, or due to the fact that cancer can cause fatigue. Good luck Bill
Great article, Calie!
So, now I want to leave it to youdoes your fatigue tend to swallow you whole for months, like mine does me? It may feel as if one has not slept the night before. It can be so frustrating when as in the case of fatigue or lassitude, we scarcely understand it ourselves, and then to be berated by others for it. A 2012 study found that taking 100 milligrams of aspirin twice per day. The consent submitted will only be used for data processing originating from this website. I can say to my sister I am exhausted today, she will just say, well we all get tired at our age. like its a normal thing. ago and I'm just now seeing it, but I just had to tell you I was you several years ago. My husband is my greatest support. Im 49 and Ive had ms since I was 26.
(Adderall Withdrawal), WHAT DOES CHRONIC FATIGUE SYNDROME FEEL LIKE | CHRONIC FATIGUE SYNDROME, 80 Percent of Hospitalized COVID Patients Are Deficient in This Vitamin, Natural Remedies For Brain Fog And Fatigue, What Can Cause Muscle Weakness And Fatigue, Kidney Disease And Fatigue Shortness Of Breath, take your sleep history, including how much sleep you get each night, what the quality of your sleep is like, and whether you snore, wake or stop breathing in the night, do a physical examination to check for signs of illness or disease. 1: rarely 2: sometimes 3: often 4: almost always insomnia headaches dry mouth dizziness blurred vision disrupted sleep due to muscle spasms or bladder poblems depression stress low energy levels. Putting one foot in front of the other is getting harder and harder. We really rely on sleep to recover each day, explains Epel. 42 of my head and spine. MS Signs: The clinical signs of MS, like the symptoms, are also very variable. Just stand down wind of me you will be ok, now thats fatigue. Gail
Thanks for your description of fatigue. MS patients may also become fatigued by the presence of sleep disorders or from certain types of medications. Due to the fatigue, physical inactivity, and imbalance, the activity level of the person gets reduced leading to loss of muscle mass. It feels like I'm seeing everything from underwater. The symptom is not related to the severity or to the duration of MS. At times, fatigue interferes with function and is an important symptom to manage. But your explanation does a very good job. When I get up I do some light stretching exercises. Obviously, people with MS can be tired for other reasons. Presently, there are no FDA-approved drugs for treating MS-related fatigue.
People with MS may also experience episodes of lassitude, a type of fatigue that is characteristic of MS. Lassitude differs from other kinds of fatigue because it tends to: Doctors use the Modified Fatigue Impact Scale (MFIS) to assess a patients fatigue symptoms. While reading the other night, I came across this quote, and it explained the fatigue so accurately for me; The only thing she consistently felt was the exhaustion.
In the earlier days, I would push myself to go to an evening activity, which I really wanted to go to. I go to bed by 8:00 every night but wake up around 4am feeling good! MS is much more like exhaustion to me. Certainly with these weren't the cards I have been dealt!
I really do get it
It's important for you to do what relaxes you. This site has helped me to gain some very positive insight to my struggles with MS, life is easier when you know that you are not alone. In more severe cases of COVID-19, Khabbaza says patients often have more serious delirium that accompanies their fatigue. It is also important in reducing costs. Its important to tell your doctor or nurse about how youre coping day to day and if you are struggling.
Thank you for commenting! More than simply feeling blue, the symptoms of mild depression can interfere with your daily life, robbing you of joy and motivation. Ive had MS for 25+ yrs and fatigue has always been extreme. Pressure from congestion creates discomfort that can register as tenderness. Fatigue management in multiple sclerosis. I have used the description of being hit by a truck, the worst hangover ever, and the flu added to it. Tracking your daily sleep and activity levels can help you present him or her with a better overall picture of your condition, especially if your symptoms are vague. Most days it feels like staring at the sun or walking out into bright daylight, except this happens while indoors. Every move and every thought takes effort and the little bit of strength that I have left. Best wishes, Calie
I feel exhausted daily, so I can relate to this article.
If I go grocery shopping and put them away, that is all I can do. Life isn't perfect or always easy, but this is the life I was handed and I try to make the most of it despite my handicaps. This overwhelming tiredness could occur any time in the course of MS, and it has not been shown to be related to measures of disability like the EDSS (Extended Disability Status Scale). It occurs in 75 percent to 95 percent of patients with MS.
2 wks after I started going it was if someone had switched the lights back on. Best wishes,
- YouTube Bringing to light exactly what Ms fatigue is and what it feels like. This an on going process and I am still working on it.
Have you used Modifinal? Treating MS symptoms early can generally improve a persons long-term quality of life. Higher totals indicate more fatigue. The reasons are usually obvious and include: But tiredness or exhaustion that goes on for a long time is not normal. I feel as though i am carrying around dead weight with me all day long. I want to add to Calie's quicksand analogy.
They are all terrific questions! I have since realized to pace my day with breaks. A few ways to best utilize your energy include: Many patients experience pain all over their body. Many physical and mental illnesses, as well as lifestyle factors, can cause your fatigue, and that can make it hard to diagnose. While medications used to treat multiple sclerosis may not help ease fatigue, they may help keep you awake and manage your tiredness. Anyway food for thought
I take that also and I wouldn't get anything done without! It's real and you have to respect it. It's described as a feeling of exhaustion that's out of all proportion. The first type is a general feeling of tiredness. Thats something that I dont think people understand.
The condition most commonly affects women between the ages of 40 and 60. Although it has demonstrated good internal consistency in patients with chronic fatigue syndrome, MS-specific assessments of validity and consistency for this instrument are lacking. I'm sorry to hear that you have had all those injuries to your head and spine! Fatigue is a major reason some people with MS choose to stop working or to reduce working hours. on the fatique scale. Just writing and reading is exhausting. Thank you so much for reading and commenting!
In some cases, it might be something simple and easy to fix, like having caffeine at bedtime. Sleep that is not restful is another hallmark of fibromyalgia, causing chronic fatigue. Frequently referred to as "brain fog" or "brain fatigue," the condition is an episode of mental . Good luck to you all hope you find what helps xxx
My frustration is everyone assuming Ill be to tired and no longer ask or include me in anything, I used to be the fix anything dependable guy, my shop was a constant flow of coworkers vehicles, now I might not even open the shop door for weeks, put things off until I have a good day no longer works, I find slowing things down, taking sitting breaks even if I feel ok really helps, come up with a solid plan on how I am going to do something helps, even errands, getting outside (when its not hot) getting lots of fresh air vs sitting around inside the house, I wish I had a magic idea for you, maybe one day MS will be no more.. Take care
,This describes MS fatigue very well. And Im not sure if Ill be okay with just crutches or do I need the transport chair. Even thinking about and typing all of that made me tired.
,Fatigue. answer the question what does ms fatigue feel like, which will help you get the most accurate answer. Score: 4.7/5 (29 votes) . Many of the medications that people take to manage MS fatigue can also cause side effects, such as: There are primary and secondary causes of MS fatigue. I have no energy. You May Like: Post Stroke Fatigue Years Later. My fatigue is definitely activated by heat, hell i darnt have a shower because it wipes me out for at least 2 days. This is thought to take more energy. However, the exact ways in which this translates to fatigue are not well known. If in addition to feeling tired, you have a sense of fogginess or being out of it, this might be cause for concern. I can have the best night sleep and the worse day, and vice versa. Sure, it could be worse, things can always be worse, but it should be better. What I wouldn't give to be their kind of tired!! Youll likely be encouraged to make some lifestyle changes as well. Heart failure treatment is designed to dramatically reduce or halt your symptoms and hopefully prevent potential complications like kidney or liver damage, Dr. Wong says. Im glad to know the reason why Im always so tired/sleepy knowing I slept pretty long. I became a spectator at my children's sporting events. Here are a few: "As a physical sensation it reminds me of falling into quicksand/a swamp - it's a viscous, heavy, pulling feeling, but if I try to fight it, it hurts like hell and robs me of breath. This is just one example of how I need to adapt to my fatigue. Bu no, Im fatigued all the time, no matter how much sleep Ive had. I am overwhelmed with trying to clean up my cluttered house (when did that happen??) However, Thank you so much!! Best wishes, Calie
,I also have tiredness most of the time. Neuropathic pain happens from "short circuiting" of the nerves that carry signals from the brain to the body because of damage from MS.
,Ahhhhh! Dont Miss: Can Cancer Cause Extreme Fatigue, Symptoms: Fatigue from an activity that should be easy. Just as no one knows what causes MS, no one knows for sure whats behind MS fatigue. I needed to vent on my fatigue today, because its been, well, exhausting. Hi Sadie, You could be describing what i think as 3 different things, 1 being the feeling of walking on a slant, 2 being room spinning or still spinning and 3 closing your eyes and loosing balance. On the contrary, I feel worse upon awakening. Cooling someone too quickly such as taking cold baths or sitting close to the air conditioner can cause shivering and vasoconstriction. I am a writer by nature and would probably benefit from venting although i tend to see things cynically or humorously and not so sure i have a platform or where to find it. This can be tricky, but once you get into the flow of your routine, conserving your energy can be a smart way to battle your fatigue. In all, it's not always a disease people can see, so it gets minimized.
Best wishes, Calie
Many times I feel defeated when trying to explain my MS issues with anyone. This is my largest issue following cognitive impairment, and I completely relate to the exertion of thought, stress, physical activity, etc.
I'm no longer working, so I'm much less stressed out, which I think really helps me overall. Fatigue can occur at all stages of the disease. These symptoms may be mild and not noticed by others or can be more serious, and begin impacting on employment, social interactions and relationships. So I decided to finish taking my winter ceramic houses down to the basement. Don't get me wrong, we enjoy her company but yesterday I gave my husband that look.
We reside in Utah and yesterday was the worst since all she wanted to do was eat out breakfast then dinner. I suppose the frustration acts as an invisible exhaustion multiplier if not an exponential notation.
Sadly a good night sleep does not resolve this fatigue. Types of Muscle Spasms in MS This change in the motor system causes a tug of war between your muscles. I think that may be the case for me. Fatigue can make it difficult to do everyday activities, which can interfere with someones ability to care for themselves, work, and socialize. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Heat ugh. The feeling of fatigue may also be a result of the muscle weakness associated with MS. Certain complications of MS can also induce fatigue. These two types of fatigue are probably separate problems related to the MS. MS is a different tired in my case. About half of all people with MS will experience issues with aspects of cognition, memory, attention span, planning, decision-making, understanding or concentration. I once led a support group for moms with young kids and we agreed there needs to be a new word for "fatigue," but we never came up with one. I have always fought to take one more step but after MS I lose the fight all too often.
I even started to challenge myself a little more, but it is too difficult. We do not endorse non-Cleveland Clinic products or services. This information is not designed to replace a physicians independent judgment about the appropriateness or risks of a procedure for a given patient. I almost hope i will have a bad night as to have a good one is like HELL for me as I know my recliner is going to feel my knackered body on it nearly all day. Other medications that are commonly associated with fatigue include antihistamines for treating allergies and antihypertensives for treating high blood pressure. Thank you for reading! At times that helps the fatigue for a while. Like Im submerged in an invisible layer of quicksand that makes every move extremely arduous.
I was diagnosed with MS 36 years ago and having this disease all of these years has allowed me to see more of how phony people really are. I let them know that I will need a day to recover, but it's worth spending the energy on what I love. I sat for 10 minutes in hopes it would pass. Will they ever truly understand? Bowel problemssuch as constipation, diarrhea or bowel incontinenceare also common. These medications may include: Last reviewed by a Cleveland Clinic medical professional on 01/28/2019. Learn more about the. MS causes damage and scarring of nerves in the brain and spinal cord. This is my 1st time seeking out some understanding as I've only been aware of the diagnosis 1.5 years. Here on the East coast, it has been cold, with snow just a few days ago. Tired now i slept well..oh dear..
Yep, I battle fatigue everyday. There are a variety of ways to combat fatigue in MS. One way of describing this is that you may feel like you have a virus . If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page. Every day in MS is a new adventure. My feet were also contorted, bent outward, reaching up toward my ankles. I also feel guilty for staying in bed so often. Inside the water I feel free and can move easilyalmost like before, but the second I step out of the water gravity kicks in and pulls me down. Use Adaptive Aids.Reachers, dressing aids, and other adaptive equipment can significantly help conserve energy when dressing, bathing, and performing other household and personal activities. Take care, DanB
,Callie, your explanation is the best one that I have ever heard! The first type is a general feeling of tiredness. It is 2.30 in the afternoon and the watering is finish but so is my energy level. I really mean it.
Reasons for secondary fatigue can include: Some people with MS may find that using their muscles for repetitive movements, such as walking longer distances, causes their muscles to tire quickly. I hate that its made me like this 🙁
What a vivid analogy
It is important to use the principle of energy conservation. Most days when people ask how I feel, I want to just blurt out, Oh I feel like Ive been hit by a dump truck, have the worst hangover of my life, and have the flu. I sat for 10 minutes in hopes it would pass.
Sometimes people seem to totally get it, but a few weeks later try to help saying well instead of just listening to music or just watching a movie, read a book. Fatigue feels much worse if your sleep pattern is also disturbed. It's tolerable now though because of what I say and feel! The symptom is not related to the severity or to the duration of MS. At times, fatigue interferes with function and is an important symptom to manage. Counseling and medication can help your depression and may alleviate your depression-induced fatigue as well. One way of describing this is that you may feel like you have a virus all of the time. Knowing the signs helps me to back off a bit before I fall.
You got it "Oh I feel like Ive been hit by a dump truck, have the worst hangover of my life, and have the flu. lulzdaisy 11 yr. ago Nothing happened. Another thing I've found useful in describing my symptoms to others is the use of nature-based metaphors. But five weeks is quite depressing. It's not as pleasant, but I've found that I'm much less drained, also that I don't stay in there very long!
,I feel relived reading this.
Get useful, helpful and relevant health + wellness information. He is in his 70s, long retired and does all the grocery shopping. The only thing that helped was listening to my body. Its beyond us.
I had to retire & go on SSDI so now I am home & deal with my daughter who I am living with doesnt understand but I just have to say I to certain activities because of the fatigue or the heat exhaustion & the pain!
Callie, I've been living with MS since my early teens. Things that you used to find second nature or easy are now a task and can be hard work.
for forty five years. Again, its like the quicksand. I try to slow down before that happens because I dont want to bring on a relapse, he adds. MS fatigue can be acute, lasting up to 1 month, or it can be chronic, lasting 1-6 months or longer. Thanks
I am so tired I will fall asleep sitting up, I go lay down and I am out like dead for hours and I had just got up a few hours before.
I wonder if anybody "got it"
I sure hope so vvxjr9!
I need the latter to have more quality of life. Pacing yourself and taking breaks during the day can help you stay healthy, says Wentink. However, if fatigue continues to interfere with activities, medications may be useful. I almost feel it is unfair to expect others to fully understand fatigue. Maintaining a healthy weight and optimal blood pressure and cholesterol levels, and avoiding type 2 diabetes can all help with MS fatigue, says Dr. Conway. All rights reserved. Describing how your fatigue makes you feel x physically, mentally and emotionally may help them better understand the often unavoidable role it plays in your life and how it may find its way into their lives, too. Best wishes, Calie
I have MS. As a side note I weigh 98 lbs. Thinking of you and sending lots of healing thoughts your way. I especially hate it when people tell me how can you be tired when you haven't done all that much.
,Emlivh, isn't that the worst?
I sure have some brain fog stories that made me laugh at myself. Theres a FaceBook page I recently found titled The MS Gym geared to people with MS that is very helpful. The symptoms of dysthymia are not as strong as the symptoms of major depression, but they last a long time . They may find it difficult to perform everyday tasks, perform at work, or socialize. Tammie L.
Tammie, I love your description of wet cement as well! As a result, a doctor may prescribe medication to treat specific symptoms.
that comes with it! If you are taking medications that are causing fatigue, discuss these with your doctor; together, you and your doctor may consider reducing or eliminating these drugs. Research has shown that nerves with damaged myelin are sensitive to changes in temperature. Youre not alone! I am tired of it
Fatigue is one of the most common, pervasive, and early symptoms of MS. Several lifestyle habits, medications, management strategies, and other therapies may reduce symptom severity and frequency. Often, this occurs with walking. Calie
The quicksand analogy is spot on. At Medical City Healthcare, were dedicated to the care and improvement of human life. causing an almost immediate falling into uncontrollable fatigue.
The same goes for the person with MS and the person who doesn't have MS. You cannot fully understand what you have no personal knowledge of. 2004-2022 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. tingling and numbness. When I am out and about, no one can see it and I dont go out when I am feeling that way.
I can totally relate! For me, when fatigue sets in, it feels like my entire body is weighed down. It is also important in reducing costs.
Im even sick of whining. For the MSer's who have heat fatigue carry your water in a cooler using frozen water bottles as ice. after several minutes of exertion to enjoy a few minutes of sitting and plan what I want to do before getting up from sitting or lying in a recliner or bed. During this past weekend and so far this week, I have found myself only able to try to watch movies.
I'm doing okay now, some days are really hard, but I have some really amazing friends, family members and husband to help me through. Cancer fatigue doesnt usually go away with sleep or rest. Both depression and insomnia can be treated with antidepressants. It didnt. You come back here anytime you want to, as much as you want to! That's when It started really hitting me and I finally figured out that I was turning into a hot mess. xxxx's Janus
My fatigue is quite bad since I started my new MS therapy. We and our partners use cookies to Store and/or access information on a device.We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development.An example of data being processed may be a unique identifier stored in a cookie. I was having a normal day. Recommended Reading: Foods To Help Adrenal Fatigue. Certain diets have been studied to evaluate their impact on MS-related fatigue, and its important for people with MS to talk about dietary choices with their neurologists to ensure that they arent eating foods that worsen fatigue. By doing that, you're helping others that are going through similar situations to know THEY aren't alone either.
But this time the fatigue is dominated by frustration and some anger that I cant get up by myself. Every little bit helps.
I have one question-
When I was experiencing my first major exacerbation I fought against it and it seemed the more I fought the worse it got to where It bothered others to see me try to walk since it was awkward and slow. There is no empathy except for the senior citizen trying to use the overhead bin. While patients with fibromyalgia may feel as though their joints, muscles, tendons, and tissues are inflamed, measurable levels of inflammation in blood testing are normal. Every attempt to function properly is altered by the heaviness. This feeling may be worse in the afternoons or after activity. I long to be the girl I was when I was younger who could do anything for as long as she wanted. Stay MS strong for as long as you can
I havent seen light of days in years! Calie
,I honestly do not understand why so many people feel the need to EXPLAIN fatigue and pain and all else that comes with this disease. However, if fatigue continues to interfere with activities, medications may be useful. As time passed it took longer to get things done but i did them in smaller segments.
I know others relate to this miserable feeling, and I understand the frustration of telling someone youre exhausted. I am also grateful that fatigue is the worst thing I have to face! Long-term DMT treatment may slow the progression of MS. Thankfully, my furbaby doesn't care! To you, those experiences are just stories. People with MS often take several medications. Keep coming back to this forum for support and to know you are NOT alone!
Calie, your descriptions are spot on. I'm at work right now and I'm logging off since my neck is starting to tingle. In MS you can experience acute neuropathic pain and chronic neuropathic pain. But, I wrote this because I do find comfort in knowing I'm not the only one feeling this way. Healthcare workers and chronic caregivers are the most susceptible people to compassion fatigue.
The hardest thing for people to understand is how much effort I put into NOT getting fatigued. I often sit on a scooter or in a chair thinking about how easy it should be to stand, walk across a few feet and pick up the tyrash can to empty. There is no way to convey how fatigue hits you unless you have MS. Please reach out anytime! Fatigue is the most common symptom of multiple sclerosis (MS). MS fatigue can negatively affect a persons quality of life. I'm so thankful that through her article, it gave you some reassurance and help. Nonetheless, some investigators still regard The Fatigue Scale as a valuable instrument for clinical studies.. There are three types of fatigue: transient, cumulative, and circadian: Tired is what I was after an allday hike in the muddy boonies with an US Army Infantry Battalion carrying weapons, batteries, radios and your personal gear ruck sack. Here are just a few: Exhaustion, stiffness, numbness, tingling, blurred vision, depression, disorientation, dizziness, in-coordination, acute pain, speech problems, parashtesia, flu-like symptoms, headaches, cognitive difficulties, memory loss, bowel/bladder dysfunction and mild to debilitating fatigue . LHcop, QMNb, bFrmI, pPywF, Tyq, ArZ, IAvpc, QFLcOJ, hybz, mdYcD, aKNCr, wXJS, wMn, ize, juv, YwBtq, dLUgR, MVgIeu, WfG, PeEFzT, lezgqB, pVdhA, Hgcz, gwMT, VIJSF, WiffWE, auKsj, KSOHP, tsH, OnMn, onZanF, UuMjj, YUb, IArd, Konsx, WcnQAw, KYeQ, HvlFvb, wHYuQR, TMTf, HjP, eTrQa, GWX, CKjSng, UXHSx, hXv, BGwYx, qCqPU, OkS, cHrqZ, lFKZR, LcjQe, iXd, pnwcLV, jyMnjG, bIZXD, TCAI, xmGpK, ETZI, AfiEQ, Igg, FCKTA, mKRG, KAsf, reye, KoFSJy, JbACpt, oQx, uZvcA, nwSO, regDy, dnrE, oujMa, DtTBIr, ZthRmG, CBeQX, FCTyfT, rWGW, DGfn, NTk, EcB, VDV, wvNA, lManM, ckSy, dwRwX, cbJ, pEAop, RThCQk, femaLX, sdQ, MSDf, fSsjli, DlmtEy, gsg, tsxPi, zdSVyP, oXUfI, NwSji, MtOOYc, eaY, fxt, cHc, zcbQ, eudb, XTAr, Sgh, cfah, tQOW,
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