My Experience Misoprostol Cytotec For Miscarriage

281 Replies
ishy - September 2

hi, i dont know if im on a right thread to post if not kindly advise me. i seem to read some of the posts here. im having problem and im asking anyone who can help me with my prob. i am 1 month delayed i supposed to have a menstruation on aug 22 and up to now sep 3,12 dont have yet. i took a pt and it is positive. im confused and dont know what to do. i took and buy from someone legit of cytotec of 10 tabs and 5 anti hemo and 2 tabs of med for hilab and her instruction was no meals start at 4 and took the meds from 6-10pm each hour when i start med 6pm one in sublingual oral and 1 in v____a every hour i did that to complete the instruction. i feel headache and fever too and worst is diarrhea. continously watery diarrhea. it has a gray and yellow some stool and had a bleeding when i defecate or release my stool in bowl. i feel too much abdominal pain too. i started taking it aug 30,12. by aug 31 i took ibuprofen coz of too much abdominal pain and lomotil too. and it stop my diarrhea but it appear again and experience sept 1 the abdominal pain and cramping and been diarrhea again 4 hours interval. i felt too dehydrated so i took some cracker and banana and gatorade to quench my thirst. please help me.. until now when i defectae and release my stool i see some piece of tissue with blood minimal and grayish and some yellowish stool in my bowl.i dont know what to do i dont want to continue my pregnancy forgive me but i have personal reasons not to continue.i dont also experience having bleeding on my pad just like what you all are saying and im wondering why but when i defecate it appear on there some blood minimal particles on it with some tissue. but my question is: 1. is the instruction given me right or wrong? 2. what is the right time and route if oral and v____ally? and how many meds to take or tab? 3. DO you think im pa__sing out all the tissue and placenta and miscarriage already?is it effective or not? 4. DO i have to go to my OB gyne to consult? im really afraid to consult in ob and finding what to do.. D=5.do i have to ultrasound in my case? 6.Did an Ob could also give me the cytotec meds and help me on this here in the philippines. please help me too i may have a bigggest mistake but i want to correct it and prevent from havng a pregnancy.hope someone could help me on this. i dont know what to do please give me some piece of advice. i don knw anyone who i can rely on. im all alone and accepting this by myself hope to hear from you.i hope u also understand what im going through. i feel helpless and until now im experiencing diarrhea.im afraid to confine in a hospital and dont want to undergo D and C. please help me.thank you.

 

ishy - September 2

hi, i dont know if im on a right thread to post if not kindly advise me. i seem to read some of the posts here. im having problem and im asking anyone who can help me with my prob. i am 1 month delayed i supposed to have a menstruation on aug 22 and up to now sep 3,12 dont have yet. i took a pt and it is positive. im confused and dont know what to do. i took and buy from someone legit of cytotec of 10 tabs and 5 anti hemo and 2 tabs of med for hilab and her instruction was no meals start at 4 and took the meds from 6-10pm each hour when i start med 6pm one in sublingual oral and 1 in v____a every hour i did that to complete the instruction. i feel headache and fever too and worst is diarrhea. continously watery diarrhea. it has a gray and yellow some stool and had a bleeding when i defecate or release my stool in bowl. i feel too much abdominal pain too. i started taking it aug 30,12. by aug 31 i took ibuprofen coz of too much abdominal pain and lomotil too. and it stop my diarrhea but it appear again and experience sept 1 the abdominal pain and cramping and been diarrhea again 4 hours interval. i felt too dehydrated so i took some cracker and banana and gatorade to quench my thirst. please help me.. until now when i defectae and release my stool i see some piece of tissue with blood minimal and grayish and some yellowish stool in my bowl.i dont know what to do i dont want to continue my pregnancy forgive me but i have personal reasons not to continue.i dont also experience having bleeding on my pad just like what you all are saying and im wondering why but when i defecate it appear on there some blood minimal particles on it with some tissue. but my question is: 1. is the instruction given me right or wrong? 2. what is the right time and route if oral and v____ally? and how many meds to take or tab? 3. DO you think im pa__sing out all the tissue and placenta and miscarriage already?is it effective or not? 4. DO i have to go to my OB gyne to consult? im really afraid to consult in ob and finding what to do.. D=5.do i have to ultrasound in my case? 6.Did an Ob could also give me the cytotec meds and help me on this here in the philippines. please help me too i may have a bigggest mistake but i want to correct it and prevent from havng a pregnancy.hope someone could help me on this. i dont know what to do please give me some piece of advice. i don knw anyone who i can rely on. im all alone and accepting this by myself hope to hear from you.i hope u also understand what im going through. i feel helpless and until now im experiencing diarrhea.im afraid to confine in a hospital and dont want to undergo D and C. please help me.thank you.

 

lilmiszkimmie - October 3

It def sucks to lose a baby. I'm 22 and I was ten weeks two days pregnant when I started bleeding. I went to the hospital and I was still preg. My baby had a normal heart beat but my cervix dilated. I was told I could lose it and later that day I did. I'm currently still going thru it. I haven't lost all my tissue. I just did a v____al dose of miso. Its very nerve racking. I keep feeling like I killed my baby since it had a heart beat but my body didn't accept my pregnancy.

 

julia0808 - November 25

Hi guys - just wanted to share my experience with Misoprostol (Cycotec) with you. I just finished going through it a second time and these forums really helped me get through it. The first time, my doctor instructed me to take 4 pills intrav____ally. I went home, ate dinner, inserted the pills at 10 PM, and fell asleep hoping to sleep through the whole thing. I woke up at about 2 AM in wild pain, ran to the bathroom and spent most of the night switching between vomiting, diarrhea, and extreme pain from cramping/contractions. At about 5 AM I was finally able to go back to my bed and slept the rest of the night. I only had mild spotting at this point and was concerned that it wasn't successful, however heavy bleeding started intermittently over the next few days, and I remember pa__sing a grey blob that I'm pretty sure was the sac. The second time, just happened yesterday. I made sure not to eat heavily as I knew I'd likely vomit again. I took the pills intrav____ally again at 1 PM and laid down on the couch until 5 PM. I didn't feel much aside from a few stomach growls, so I got up to use the bathroom and that was a huge mistake. The moment I got up, I started to feel dizzy, and the cramps came on in full force. I started to vomit, which actually provided some relief from the pain of the cramping. I took a Tylenol 3 that I had lying around the apartment, but threw it up about 20 minutes later so I'm not sure that anything got into my system. I finally was so desperate for relief I just turned on a hot shower and sat on the bathtub floor for about 45 minutes. Honestly, this was a godsend. This was the only way in which I didn't feel the cramps and definitely recommend this to anyone about to go through this. I finally got out and made my way to my bed, where I slept for about an hour. By the time I woke up, the worst had pa__sed and I've only had light cramping since. Again, very light bleeding up until this point, but I imagine this will be just like last time, in which the heavy bleeding will come through the next few days. Just wanted to pa__s along this info for anyone about to go through this. Try not to eat too heavily before this process, drink LOTS of fluids as you'll be losing a lot through the process, make sure you have someone with you, and when the pain gets really bad, take a hot shower! Good luck!

 

NaProFan - December 21

Hello everyone, I miscarried my first pregnancy (twins) on August 30, 2012. I am so sorry for all the pain of everyone here who has lost a child. I'm sure you, like me, are desperate for answers to your fertility problems and want to be able to have healthy babies who are born full-term and live long, happy lives! My miscarriage wasn't complete, and even though it is 3 months later, just last night I had to take misoprostol to try to get some remaining tissue to empty out of my uterus. But I am happy and hopeful, because my NaPro Technology doctor thinks she has really ascertained why I lost the twins, and how to make sure I never miscarry again. Apparently I have a slight touch of hypothyroidism! I was never tested for that before or during my pregnancy, and it is crucial. The thyroid is in charge of progesterone production, and too little progesterone during pregnancy can cause miscarriage. So even though when I am tested for progesterone levels right now, outside of pregnancy, the results come back fine, my doctor says that pregnancy is very taxing on the thyroid, and that my hormone levels probably drop during pregnancy, because my thyroid is on the lower end of a healthy range right now. So I am now taking Armour Thyroid medication every day, and when I conceive again my doctor wants me to have my blood tested right away and she will give me progesterone supplements if it looks like my levels are getting low. I am so excited to have a healthy baby ... hopefully in about 9 or 10 months! Please pray for me. I needed to write to all of you because maybe some of you are in a similar position. NaPro Technology and Creighton Fertility are the future of women's reproductive health! please look into it and try to get connected with a NaPro Doctor. I am so hopeful that you will also have your questions answered, as I have. Good luck!

 

NaProFan - December 21

Hello everyone, I miscarried my first pregnancy (twins) on August 30, 2012. I am so sorry for all the pain of everyone here who has lost a child. I'm sure you, like me, are desperate for answers to your fertility problems and want to be able to have healthy babies who are born full-term and live long, happy lives! My miscarriage wasn't complete, and even though it is 3 months later, just last night I had to take misoprostol to try to get some remaining tissue to empty out of my uterus. But I am happy and hopeful, because my NaPro Technology doctor thinks she has really ascertained why I lost the twins, and how to make sure I never miscarry again. Apparently I have a slight touch of hypothyroidism! I was never tested for that before or during my pregnancy, and it is crucial. The thyroid is in charge of progesterone production, and too little progesterone during pregnancy can cause miscarriage. So even though when I am tested for progesterone levels right now, outside of pregnancy, the results come back fine, my doctor says that pregnancy is very taxing on the thyroid, and that my hormone levels probably drop during pregnancy, because my thyroid is on the lower end of a healthy range right now. So I am now taking Armour Thyroid medication every day, and when I conceive again my doctor wants me to have my blood tested right away and she will give me progesterone supplements if it looks like my levels are getting low. I am so excited to have a healthy baby ... hopefully in about 9 or 10 months! Please pray for me. I needed to write to all of you because maybe some of you are in a similar position. NaPro Technology and Creighton Fertility are the future of women's reproductive health! please look into it and try to get connected with a NaPro Doctor. I am so hopeful that you will also have your questions answered, as I have. Good luck!

 

anonymous44 - January 3

I read all 16 pages of posts before taking misoprostol and found it helpful so I wanted to add my experience. I found out I miscarried my first preganancy (38 years old) on 11/13. I had a fetal pole and it stopped at about 6w. My Dr. gave me the 2 choices: surgery or medicine. Due to my age and the fact that it took a couple years to get pregnant in the first place, I immediately went low risk and agreed to try the medicine with a presciption for hydrocodone. This was on a Wednesday. I decided to wait to use the miso on Saturday. That gave me three days to anticipate what would happen and accept the loss. That's when I found this website. I freaked out. Although reading about what to expect helped me, it also made me very scared. My Dr. called to check on me and I asked her many questions. On Saturday evening at 5:30 pm, my husband inserted 4 pills v____ally. I started feeling light cramping a couple hours later but held off on taking the pain pills since I wanted to know the medicine was working. Soon after some light bleeding started and I took one hydrocodone. I laid on the couch with a heating pad and watched a movie with my husband. He waited on me and took care of me which was a great relief. The cramping started getting worse and it took two hours for the pain pill to kick in. But otherwise I felt fine and was able to eat and relax, it just felt like a period. There was no gushing and the clots were small. I put on a large maxi pad and went to bed around midnight. I woke up around 3am and my husband asked if I needed a pain pill and I said no since the cramping was light. However, just a couple hours later I woke up again and decided to take a pain pill. I stayed up for a little while watching tv when the cramping started getting much worse. I rocked back and forth on the toilet moaning in pain and paced back and forth in my living room. I a__sumed this would be when I would pa__s the sac but nothing like that came out. There were only small to medium clots. I finally called the nurse on call to ask if I could take a second pain pill just two hours later. They confirmed it was OK so I took another pain pill. Finally I was able to drift back to sleep. By Tuesday, I still did not feel like it was successful so I took a second dose. My husband again inserted 4 more pill v____ally. There was no additional or severe cramping. I hardly noticed anything except the blood kept coming steadily. From then on out, there was heavy bleeding and mild cramping for several days. I never had a moment where I felt it was all over like many of the women on this post. I had three days where I pa__sed a large clot that I actually felt come out (one was over two weeks later) but not a sac. I kept expecting this sac but my Dr. said I may not see something like that since I was so early in the pregnancy. It was a very good experience (considering the situation); however, it lasted FOREVER. I've been getting my beta levels checked weekly since Thanksgiving and today is 1/3 and last week I was still at 6. Two weeks ago I had some heavy bleeding that came out of nowhere since the bleeding had stopped after a few weeks of bleeding and then there was some brown blood spotting. I'm hoping to finally be under level 2 a week from today and after two months, I can feel like this is over and behind me. I dont know when to expect my next period, I just hope my body knows what to do. I hope that I can have a baby. For any woman reading this, please do not worry too much because it most likely will not be as bad as you think. For me the anticipation was far worse than the actual misprostol experience. Even though it has dragged on for me, I still think I would choose this option over going to the hospital for surgery.

 

Ammmickens - February 25

I was perscribed the pills which I took v____ally. I believe I inserted 2 pills and then 6hrs later 2 more. The bleeding started after the second set of pills. I did a follow up ultrasound a few days later which showed that some tissue remained. I then did a second round of pills (same instructions as before) and once again did another ultrasound. This ultrasound showed that the tissue left behind had actually grown. I ended up having to do a d&c anyway. To know more about this drug visit internationaldrugmart.com/cytotec.html

 

Ammmickens - February 25

I was perscribed the pills which I took v____ally. I believe I inserted 2 pills and then 6hrs later 2 more. The bleeding started after the second set of pills. I did a follow up ultrasound a few days later which showed that some tissue remained. I then did a second round of pills (same instructions as before) and once again did another ultrasound. This ultrasound showed that the tissue left behind had actually grown. I ended up having to do a d&c anyway. To know more about this drug visit internationaldrugmart.com/cytotec.html

 

Ammmickens - February 25

I was perscribed the pills which I took v____ally. I believe I inserted 2 pills and then 6hrs later 2 more. The bleeding started after the second set of pills. I did a follow up ultrasound a few days later which showed that some tissue remained. I then did a second round of pills (same instructions as before) and once again did another ultrasound. This ultrasound showed that the tissue left behind had actually grown. I ended up having to do a d&c anyway. To know more about this drug visit internationaldrugmart(dot)com/cytotec.html

 

Ammmickens - February 25

I'm 29 y.o. and took Cytotec to soften my cervix prior to IUD insertion. I took it the night before my procedure and had some very mild cramping through the night. It helped make the insertion painless! I'm so glad my NP prescribed this medication. To know more visit internationaldrugmart(dot)com/cytotec.html

 

hopefulinnj - March 28

thanks to all for sharing your stories - so helpful! here is a bit of my story.... I had a normal ultrasound which estimated baby at 7 weeks, fetus looked great. I had another ultrasound 10 days later and they couldn't find the heartbeat. Options---1)do nothing and let it pa__s 2)induce 3)D&C I was anxious to complete the miscarriage and start again with my husband so I opted for induction with cytotec. The silly tablets kept falling out of my v____a everytime I had to pee. I kept reinserting a few times. I think 2 out of the 4 actually absorbed into my body. I had begun on Thursday. Monday afternoon I went in for a follow up ultrasound but there was too much blood and the sac hadn't pa__sed so my doctor highly recommended the D&C. I reluctantly agreed. She took a 'vacc_m' that looked like a turkey baster and 'sucked out' the uterine contents. The procedure was quick but so painful. I thought I was going to pa__s out on the table! I didn't bleed the next day but I bled for several days after. No tissue material, just blood. If this happens again, I am going to administer the cytotec orally. I don't care about the pain. Doing it v____ally just didn't work well for me. I shouldn't have needed that D&C. The bleeding has tapered off but I am still spotting a little (two weeks after inducing). OB said to wait for 3 good menstrual cycles before trying again. So I wait.....

 

Katrinki - March 31

I went in for my first ultrasound and everything looked good at about 7 weeks. Then when I went in at 10 they couldn't see the heartbeat. I was devastated. So I opted for the misoprostol pills since I didn't miscarry the baby. I took the pills and nothing seemed to be any different until I hit almost exactly 6 hours after inserting them v____ally (4 of them). I started cramping at 6 hours and it didn't seem any worse than my normal cramps. I have always had really painful cramps that go down my legs and make it so I can't walk. Finally at about 12 hours all hell broke loose. I started contracting and I couldn't walk. The pain subsided after taking some lortab and I was doing ok with small cramps. Luckily I stayed over at my parents house since my husband had to work. I started bleeding and I wasn't filling a pad every hour but it was heavy. My mom made sure I took the lortab exactly 4 hours from the last time I took it but it didn't seem to help at all that time. The pain was getting so bad I was wimpering in bed. My mom then gave me some ibuprofen in between the lortab. This started helping and I was finally calmed down to where I thought I might get some sleep. That was far from the case. All of a sudden the flood gates opened and it was not filling a pad every hour or even a half hour....I filled one in less than a minute. I sat on the toilet bleeding for the next 20 minutes until we thought maybe I was done so I hopped in the shower. Well standing up opened the flood gates again and I stood there bleeding for another 30. Once the bleeding slowed I was able to go to bed and sleep. I was fine for the next day and a half with minimal bleeding and cramps. Unfortunately all of a sudden my cramps are back and I am bleeding again. I am a little scared that I am going to bleed too much and pa__s out. I heard how painful the d&c is so the pills are probably a better option but I hope I stop bleeding soon. I have already lost more blood than you give to the red cross so I am starting to get a little worried. I think I am going to have to go take more lortab. I hope this never has to happen to you. You go through all the pain and you don't get the prize at the end.....the baby.

 

AnneGee - April 1

I was diagnosed with a blighted ovum (anembryonic pregnancy) after a couple of ultrasounds, sonograms and countless blood tests. My pregnancy was a surprise in the first place because my husband and I weren't trying but we were VERY excited about it and so was my family. I'm 35 years old. My doctor figures that my body shut down the pregnancy sometime around week 5 or 6. The amniotic sac developped but remained at a a size appropriate fora 6 1/2 week sac. There was no fetus visible, and no heartbeat detected. I had a couple of instances of light bleeding that started for a few hours then stopped. Playing the waiting game was very frustrating for me and I was afraid of miscarrying while I was at work. My elevated and fluctuated hormone levels were causing me to be VERY emotional and often nauseated. I discussed my options with my doctor and the specialists at the Early Pregnancy clinic. I chose to try Misoprostol (also known as Cytocec), knowing that if it didn't work I would have to undergo a D&C. I took 4 Misoprostol tablets v____ally, inserting them as far up as I could (like an O.B. tampon) at 11 pm Thursday night. I then went to bed. I woke up at 3:30 am with strong stomach cramps and I ran to the toilet because I had very bad diarrhea. After I was done, I took a Tylenol Extra Strength, had a quick shower, and fell back asleep. I woke up on Friday morning at 7:30 am and felt a "whoosh." Suddenly, I had soaked an entire extra long, extra absorbent pad and I had blood dripping down my leg. It was intense but it didn't hurt. I ran to the toilet where I heard some things go "plop" into the bowl. When I got up, I couldn't see what was in the toilet because of all the bright red, opaque blood in the bowl. My cramps increased in instensity from that point on. I pa__sed several large, jelly-like clots ranging in size from a penny to a golf ball. I became quite emotional that afternoon and went for a walk to clear my head at 2 p.m. I walked for about 1 1/2 hours and that really made me feel better. I continued to take Extra Strenght Tylenol every 4 hours for the pain from cramps. I had a prescription for Tylenol 3 but I didn't need them. It's a good idea to have them handy though, just in case. At around 7:30 pm on Friday I pa__sed something that I think was the sac. It was about the size of half of my hand (palm and fingers). The cramps continued to come in waves, but after that they were less intense and less frequent. By late Day 2 and Day 3 the blood was darker (not just bright red) and I was able to switch to regular pads rather than the extra large jumbo variety. Today (Monday) is Day 4 and I'm back at work. Still getting occasional cramps, still bleeding (comparable to a regular period now) but feeling relieved to know that the worse is over (or so I hope!). The experience was anything but pleasant, but not overly traumatic. It helps to have someone with you (in this case my husband, then a good girlfriend) to help clean the blood, make you tea, get you a hot water bottle, distract you, etc. I recommend movies, books, and (if you're up to it) some light exercise in the form of a walk... it will help clear your mind and remind you that this too shall pa__s and that if it's your wish to have a happy, healthy pregnancy, that may be in your future. My heart goes out to everyone who is going through this. It's statistically very common, but I find that few people talk about it very openly. This forum has been a godsend to me. It REALLY helped me a lot. My husband and I do want children and we hope to start trying to concieve later this year.

 

xhaller - April 4

I wanted to relate my experience since I read so many others and to rea__sure women that your experience does not need to be horrible. Mine was not. First. Clarify with your doctor the dosage. The nurse just told me to "Take the medicine" and then the pills at the pharmacy had instructions to take one every four hours. I thought that was odd, really odd, but I went with it. Predictably, after three doses, nothing happened. I called my doc in the morning and she said to refill the prescription and take the full dose at once. I did that, taking them "bucally" (I hate that word). Basically you hold them in your cheek for a half hour and then chew and swallow. 24 hours later still nothing! Yes I was frustrated and emotionally exhausted. We canceled all our plans. We hunkered down at home. I was preparing for some blood avalanche. So 24 hours later, I took another full dose but decided to take them v____ally. Since I regularly check my cervix, this didn't bother me. I pushed them up all the way. Then I laid on my couch for about three hours. Still NOTHING! That was frustrating as all hell. I remembered reading how some of these ladies used exercise to speed things along. I raked in the yard with my husband for a few hours and then we went on a long hour walk. When I returned and I went to the bathroom I had my first clotting, gushing blood. I should clarify that I was about 6 weeks along and I had had a blighted ovum. That's really the extent of my story. I had some cramps and I took ibuprofen but nothing that severe but I also think I have a decent pain tolerance. There were some globby clusters that came out and it was *weird* but not grotesque. I didn't cry or freak out. I never lost so much blood that I was losing consciousness. I could totally go about my daily business. I bled between heavy, medium, and light for 8 days. I then spotted for about 10 more. I don't want to diminish any else's more horrific experience. We all process this stuff in different ways. Our bodies go through their own weird things. I just wanted to tell my story for the people who are freaking out. My doctor a__sured me it would be like a heavy period and she was right. So if your doctor tells you that, maybe just trust them. It's now been about a month since my experience. I am thrilled I could avoid the D&C. I am glad I did not wait it out naturally. That weekend of taking the pills was a bit of a mind f*ck with the ups and down and frustrations and bad dosage and taking the pills different ways. But I got beyond it. You will too. I hope whoever reads this that you remember to be kind to yourself. That you remember you did nothing wrong. You are also not alone. I'd hug you if you could. Good luck on your journey.

 

xhaller - April 4

I wanted to relate my experience since I read so many others and to rea__sure women that your experience does not need to be horrible. Mine was not. First. Clarify with your doctor the dosage. The nurse just told me to "Take the medicine" and then the pills at the pharmacy had instructions to take one every four hours. I thought that was odd, really odd, but I went with it. Predictably, after three doses, nothing happened. I called my doc in the morning and she said to refill the prescription and take the full dose at once. I did that, taking them "bucally" (I hate that word). Basically you hold them in your cheek for a half hour and then chew and swallow. 24 hours later still nothing! Yes I was frustrated and emotionally exhausted. We canceled all our plans. We hunkered down at home. I was preparing for some blood avalanche. So 24 hours later, I took another full dose but decided to take them v____ally. Since I regularly check my cervix, this didn't bother me. I pushed them up all the way. Then I laid on my couch for about three hours. Still NOTHING! That was frustrating as all hell. I remembered reading how some of these ladies used exercise to speed things along. I raked in the yard with my husband for a few hours and then we went on a long hour walk. When I returned and I went to the bathroom I had my first clotting, gushing blood. I should clarify that I was about 6 weeks along and I had had a blighted ovum. That's really the extent of my story. I had some cramps and I took ibuprofen but nothing that severe but I also think I have a decent pain tolerance. There were some globby clusters that came out and it was *weird* but not grotesque. I didn't cry or freak out. I never lost so much blood that I was losing consciousness. I could totally go about my daily business. I bled between heavy, medium, and light for 8 days. I then spotted for about 10 more. I don't want to diminish any else's more horrific experience. We all process this stuff in different ways. Our bodies go through their own weird things. I just wanted to tell my story for the people who are freaking out. My doctor a__sured me it would be like a heavy period and she was right. So if your doctor tells you that, maybe just trust them. It's now been about a month since my experience. I am thrilled I could avoid the D&C. I am glad I did not wait it out naturally. That weekend of taking the pills was a bit of a mind f*ck with the ups and down and frustrations and bad dosage and taking the pills different ways. But I got beyond it. You will too. I hope whoever reads this that you remember to be kind to yourself. That you remember you did nothing wrong. You are also not alone. I'd hug you if you could. Good luck on your journey.

 

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