Table of ContentsView AllTable of ContentsHome Remedies and LifestyleOver-the-Counter TherapiesPrescriptionsImmunotherapyComplementary and Alternative Medicine (CAM)
Table of ContentsView All
View All
Table of Contents
Home Remedies and Lifestyle
Over-the-Counter Therapies
Prescriptions
Immunotherapy
Complementary and Alternative Medicine (CAM)
Various prescription treatments are available to treateczema, including topical corticosteroids and injectable medications. Immunotherapy (aka allergy shots) is considered in rare cases (e.g., dust mite allergy), although severe eczema will not likely improve substantially. Good home care and regular use of moisturizers are also important as this helps heal existing rashes and preventeczema flareups.
This article discusses home remedies and treatments for eczema and tips for managing the condition.
KidStock / Getty Images

Paying careful attention to your skincare routine, and being mindful of what comes in contact with your skin, goes a long way in treating eczema. In some cases, good home care can almost eliminate eczema flareups.
Eliminate Triggers
Avoiding the triggers of itching should be the first priority if you have atopic dermatitis. Environmental triggers are anything that causes itching or irritation of the skin.
Get Tested for Allergies
How Eczema and Food Allergies Are Linked
Maintain Good Skincare
Good skincare starts with adequate moisturizing and hydration, which decreases itching and formation of eczema.Pay careful attention to everything that you put on your skin. Fragrance-free, hypoallergenic products are generally better for people prone to eczema because they’re less likely to cause irritation.
Skin Care for Eczema
Many cases of eczema can be successfully controlled with over-the-counter (OTC) treatments.
Emollients
As mentioned before, keeping the skin hydrated is key in treating and controlling eczema.Emollientsare products that contain ingredients that soothe and soften the skin.
These include creams and ointments like:
The difference between a lotion and a cream is that a lotion contains more water and is less effective at retaining moisture in the skin.
When choosing a moisturizing product, look for ingredients such asceramidesand urea. These have been shown to improve hydration and help heal active eczema rash.
Best Emollient Creams for Treating Eczema
Vegetable shortening such as Crisco, or plaincoconut oil, can also be used as inexpensive emollients because they form a thick barrier on the skin.They’re a good choice for babies or toddlers hands and face; little ones are always putting their hands in their mouths and these oils won’t harm them.
Always get your healthcare provider’s OK before putting any home remedy on your child’s eczema.
Pure petroleum jellies such as Vaseline can also be used, although they don’t always work as well to moisturize unless they’re placed on top of a moisturizer or moist skin.It will work best as an occlusive agent, to help seal in existing moisture.
Over-the-Counter Hydrocortisone
If eczema isn’t improving with moisturizing creams, over-the-counterhydrocortisone creamcan help. Hydrocortisone helps relieve itching and inflammation.
OTC hydrocortisone is sold at the drug store in strengths of 0.5% to 1%. Brands include Cortisone-10, Cortaid, and various store brands.
After cleansing, apply a thin layer of the medication to the rash and gently rub it in. Low-strength hydrocortisone can be used on the face, but keep it well away from the eyes.
Before using OTC hydrocortisone on babies or toddlers, get advice from your child’s pediatrician.
OTC hydrocortisone shouldn’t be used long-term. Instead, use it just when you’re having a flareup. They shouldn’t be used continuously for more than four weeks.
If you find you have to apply hydrocortisone constantly to get relief, or if you’re using them regularly with no improvement, it’s time to talk to your healthcare provider. You may need a stronger steroid or a different treatment altogether.
When OTC Eczema Treatment Isn’t Working
Antihistamines
Since histamines aren’t the cause of the itching, most antihistamines may not help in your specific case. However, sedating antihistamines such as Benadryl (diphenhydramine) or Atarax (hydroxyzine) can be used at night if severe itching is making it hard to sleep.
Diluted Bleach Baths
If your atopic dermatitis is severe, your healthcare provider might recommend that you take a bath in diluted bleach twice a week to help control your symptoms, particularly if you keep getting skin infections.
Although a bleach bath sounds like a harsh treatment, the bleach is very dilute in a tubful of bathwater, similar to that of a chlorinated pool.
How to Take a Bleach Bath
Once your eczema has worsened as a result of uncontrolled itching and scratching, medications are needed to control the problem.
Topical Steroids
Topical steroidsare the first-line therapy for atopic dermatitis and are available in lotions, creams, ointments, and solutions (for the scalp). In general, medications in ointment forms are stronger than cream forms, which are stronger than lotion forms.
Topical steroids should be used in the lowest strength possible, for the shortest time possible, as side effects such as thinning of your skin, pigment changes in your skin, and absorption into your body are possible.
Topical Calcineurin Inhibitors
Elidel (pimecrolimus) and Protopic (tacrolimus)are approved for short-term use in children older than 2 years of age for atopic dermatitis. They do not cause thinning of or pigment changes in the skin and can be used safely on yourface. These medicines are often preferable if there are concerns about corticosteroid use.
Newer Topical Medications
Eucrisa(crisaborole) is approved for use in infants as young as 3 months old with mild to moderate eczema. Zoryve (roflumilast) is approved for individuals aged 6 and older. These medications are believed to have better safety profiles than topical corticosteroids and calcineurin inhibitors. The biggest downside is that efficacy is not as strong as the more potent topical corticosteroids (thus, they are not labeled for use in severe atopic dermatitis) and are very costly.
Oral Steroids
Rarely, short courses of oral steroids are required to achieve control of a severe flare of atopic dermatitis. Extreme caution should be used, as while eczema typically gets better on the oral steroids, a “rebound effect” can occur with worsening of your symptoms soon after the steroids are stopped.
If oral steroids are required, the dose should be tapered slowly to minimize this risk.
Oral and Topical Antibiotics
In some cases, worsening atopic dermatitis can be a result of a skin infection or colonization with a common bacterium,Staphylococcus aureus, and a course of antibiotics against this type of bacteria is required.It’s usually safe to continue the use of topical steroids even if the eczema is infected.
Topical antibiotics are typically enough for localized infections of eczema while oral antibiotics may be needed for infections involving larger areas of skin.
Janus Kinase (JAK) Inhibitors
Newer treatments for atopic dermatitis are JAK inhibitors, including Cibinqo (abrocitinib) and Rinvoq (upadacitinib). Cibinqo and Rinvoq are FDA-approved for the treatment of moderate to severe atopic dermatitis in adults and children ages 12 years and older whose disease is not adequately controlled with other systemic medications, including biologics.
There has been some success in stopping the atopic march through the use of medications and immunotherapy (allergy shots).
Immunotherapy, including allergy shots and allergy drops, are the only allergy treatments that actually change the underlying problem of allergies, and are the only possible cure. For many years, immunotherapy has been used for the treatment of allergic rhinitis, allergic conjunctivitis, and allergic asthma.
More recently, various studies suggest that immunotherapy may also be useful for the treatment of atopic dermatitis.
Allergy Shots
Allergy shots were most effective at treating people with dust mite allergies as a trigger for their atopic dermatitis.
Allergy Drops
Allergy drops, or sublingual immunotherapy, involve taking what a person is allergic to and placing it under the tongue. The result is very much the same as traditional allergy shots—the reduction of allergy symptoms, reduction in the amount of allergy medication required, and the potential for allergy symptoms to be cured.
There are four FDA-approved sublingual allergy tablets—Odactra, Grastek, Oralair, and Ragwitek.
Similar to allergy shots, allergy drops have been used for the treatment of allergic rhinitis, allergic conjunctivitis, and allergic asthma—but traditionally not used for atopic dermatitis.
A few studies have examined the benefit of allergy drops for the treatment of atopic dermatitis, all in people with dust mite allergy.One such study, published in 2017, found that allergy drops containing dust mite were effective for the treatment of mild to moderate atopic dermatitis. In this group, there was a decrease in atopic dermatitis symptoms and a decrease in the amount of medication required to treat atopic dermatitis symptoms. The drawback of this study was the small sample group.
Safety of Immunotherapy
Allergy shots are generally a safe and effective treatment for various allergic conditions; because of the possibility ofanaphylaxis; however, people receiving immunotherapy should be monitored in a healthcare provider’s office for 30 minutes. Allergy drops and sublingual immunotherapy tablets are traditionally given at home, given the extremely low risk for this method of immunotherapy to cause severe anaphylaxis.
Although natural remedies don’t have as much scientific backing as conventional treatments do, there are certain therapies that may hold promise. Consider these as add-ons to your current eczema treatment.
As always, seek advice from your healthcare professional before trying any alternative treatment for eczema.
Coconut Oil
As mentioned before, coconut oil is sometimes suggested as a moisturizer for eczema for a variety of different reasons.
It acts as an occlusive agent to seal in moisture. Studies have also shown coconut oil to have anti-inflammatory and antimicrobial properties.
A study published in 2014 in theInternational Journal of Dermatologyfound that children with eczema had improved skin hydration after applying virgin coconut oil to the skin for eight weeks.
Other oils, like sunflower and shea butter, also may have moisturizing qualities. Olive oil, on the other hand, may actually cause the skin to dry out.
Probiotics
Probioticsare found naturally in certain fermented foods, like yogurt and kefir. They’re also found in the digestive system.
Studies on probiotics and the effect they have on eczema have yielded mixed results. Some have found that taking probiotics can help reduce eczema symptoms. Others, though, show that probiotics caused no improvement.
Whether or not probiotics will help improve your eczema symptoms is unclear, but they may have additional health benefits beyond clearing eczema. If you’re interested in supplementing with probiotics, ask your healthcare provider for guidance.
What to Eat When You Have Eczema
A Word From Verywell
Although eczema can’t be cured, it can be successfully controlled with the right treatment. Careful skincare with a consistent moisturizing routine is a big part of treatment. Medications, both OTC and prescription, can be used to help treat eczema flares. Your healthcare provider can help guide you in developing an appropriate skincare regimen and treatment routine.
15 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Micali G, Paternò V, Cannarella R, Dinotta F, Lacarrubba F.Evidence-based treatment of atopic dermatitis with topical moisturizers.G Ital Dermatol Venereol.2018 Jun;153(3):396-402. doi:10.23736/S0392-0488.18.05898-4Lindh JD, Bradley M.Clinical effectiveness of moisturizers in atopic dermatitis and related disorders: A systematic review.Am J Clin Dermatol. 2015 Oct;16(5):341-59. doi:10.1007/s40257-015-0146-4Koppes SA, Charles F, Lammers L, et al.Efficacy of a cream containing ceramides and magnesium in the treatment of mild to moderate atopic dermatitis: A randomized, double-blind, emollient- and hydrocortisone-controlled trial.Acta Derm Venereol.2016 Nov 2;96(7):948-953. doi:10.2340/00015555-2395Celleno L.Topical urea in skincare: A review.Dermatol Ther.2018 Nov;31(6):e12690. doi:10.1111/dth.12690Evangelista MT, Abad-Casintahan F, Lopez-Villafuerte L.The effect of topical virgin coconut oil on SCORAD index, transepidermal water loss, and skin capacitance in mild to moderate pediatric atopic dermatitis: a randomized, double-blind, clinical trial.Int J Dermatol.2014 Jan;53(1):100-8. doi:10.1111/ijd.12339Czarnowicki T, Malajian D, Khattri S, et al.Petrolatum: Barrier repair and antimicrobial responses underlying this “inert” moisturizer.J Allergy Clin Immunol.2016 Apr;137(4):1091-1102.e7. doi:10.1016/j.jaci.2015.08.013Coondoo A, Phiske M, Verma S, Lahiri K.Side-effects of topical steroids: An overdue revisit. Indian Dermatol Online J. 2014 Oct-Dec; 5(4):416–425. doi:10.4103/2229-5178.142483Drucker AM, Eyerich K, de Bruin-Weller MS, et al.Use of systemic corticosteroids for atopic dermatitis: International Eczema Council consensus statement.Br J Dermatol. 2018;178(3):768-775. doi:10.1111/bjd.15928Jagadeesan S, Kurien G, Divakaran MV, Sadanandan SM, Sobhanakumari K, Sarin A.Methicillin-resistant Staphylococcus aureus colonization and disease severity in atopic dermatitis: a cross-sectional study from South India.Indian J Dermatol Venereol Leprol. 2014 May-Jun;80(3):229-34. doi:10.4103/0378-6323.132250Food and Drug Administration.Rinvoq label.Food and Drug Administration.Cibinqo label.Hill DA, Spergel JM.The atopic march: Critical evidence and clinical relevance [published correction appears in Ann Allergy Asthma Immunol. 2018 Mar 9;:].Ann Allergy Asthma Immunol. 2018;120(2):131-137. doi:10.1016/j.anai.2017.10.037Ridolo E, Martignago I, Riario-Sforza GG, Incorvaia C.Allergen immunotherapy in atopic dermatitis.Expert Rev Clin Immunol. 2018;14(1):61-68. doi:10.1080/1744666X.2018.1401469Varma SR, Sivaprakasam TO, Arumugam I, et al.In vitroanti-inflammatory and skin protective properties of Virgin coconut oil.J Tradit Complement Med.2018 Jan 17;9(1):5-14. doi:10.1016/j.jtcme.2017.06.012Evangelista MT, Abad-Casintahan F, Lopez-Villafuerte L.The effect of topical virgin coconut oil on SCORAD index, transepidermal water loss, and skin capacitance in mild to moderate pediatric atopic dermatitis: a randomized, double-blind, clinical trial.Int J Dermatol. 2014 Jan;53(1):100-8. doi:10.1111/ijd.12339
15 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Micali G, Paternò V, Cannarella R, Dinotta F, Lacarrubba F.Evidence-based treatment of atopic dermatitis with topical moisturizers.G Ital Dermatol Venereol.2018 Jun;153(3):396-402. doi:10.23736/S0392-0488.18.05898-4Lindh JD, Bradley M.Clinical effectiveness of moisturizers in atopic dermatitis and related disorders: A systematic review.Am J Clin Dermatol. 2015 Oct;16(5):341-59. doi:10.1007/s40257-015-0146-4Koppes SA, Charles F, Lammers L, et al.Efficacy of a cream containing ceramides and magnesium in the treatment of mild to moderate atopic dermatitis: A randomized, double-blind, emollient- and hydrocortisone-controlled trial.Acta Derm Venereol.2016 Nov 2;96(7):948-953. doi:10.2340/00015555-2395Celleno L.Topical urea in skincare: A review.Dermatol Ther.2018 Nov;31(6):e12690. doi:10.1111/dth.12690Evangelista MT, Abad-Casintahan F, Lopez-Villafuerte L.The effect of topical virgin coconut oil on SCORAD index, transepidermal water loss, and skin capacitance in mild to moderate pediatric atopic dermatitis: a randomized, double-blind, clinical trial.Int J Dermatol.2014 Jan;53(1):100-8. doi:10.1111/ijd.12339Czarnowicki T, Malajian D, Khattri S, et al.Petrolatum: Barrier repair and antimicrobial responses underlying this “inert” moisturizer.J Allergy Clin Immunol.2016 Apr;137(4):1091-1102.e7. doi:10.1016/j.jaci.2015.08.013Coondoo A, Phiske M, Verma S, Lahiri K.Side-effects of topical steroids: An overdue revisit. Indian Dermatol Online J. 2014 Oct-Dec; 5(4):416–425. doi:10.4103/2229-5178.142483Drucker AM, Eyerich K, de Bruin-Weller MS, et al.Use of systemic corticosteroids for atopic dermatitis: International Eczema Council consensus statement.Br J Dermatol. 2018;178(3):768-775. doi:10.1111/bjd.15928Jagadeesan S, Kurien G, Divakaran MV, Sadanandan SM, Sobhanakumari K, Sarin A.Methicillin-resistant Staphylococcus aureus colonization and disease severity in atopic dermatitis: a cross-sectional study from South India.Indian J Dermatol Venereol Leprol. 2014 May-Jun;80(3):229-34. doi:10.4103/0378-6323.132250Food and Drug Administration.Rinvoq label.Food and Drug Administration.Cibinqo label.Hill DA, Spergel JM.The atopic march: Critical evidence and clinical relevance [published correction appears in Ann Allergy Asthma Immunol. 2018 Mar 9;:].Ann Allergy Asthma Immunol. 2018;120(2):131-137. doi:10.1016/j.anai.2017.10.037Ridolo E, Martignago I, Riario-Sforza GG, Incorvaia C.Allergen immunotherapy in atopic dermatitis.Expert Rev Clin Immunol. 2018;14(1):61-68. doi:10.1080/1744666X.2018.1401469Varma SR, Sivaprakasam TO, Arumugam I, et al.In vitroanti-inflammatory and skin protective properties of Virgin coconut oil.J Tradit Complement Med.2018 Jan 17;9(1):5-14. doi:10.1016/j.jtcme.2017.06.012Evangelista MT, Abad-Casintahan F, Lopez-Villafuerte L.The effect of topical virgin coconut oil on SCORAD index, transepidermal water loss, and skin capacitance in mild to moderate pediatric atopic dermatitis: a randomized, double-blind, clinical trial.Int J Dermatol. 2014 Jan;53(1):100-8. doi:10.1111/ijd.12339
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Micali G, Paternò V, Cannarella R, Dinotta F, Lacarrubba F.Evidence-based treatment of atopic dermatitis with topical moisturizers.G Ital Dermatol Venereol.2018 Jun;153(3):396-402. doi:10.23736/S0392-0488.18.05898-4Lindh JD, Bradley M.Clinical effectiveness of moisturizers in atopic dermatitis and related disorders: A systematic review.Am J Clin Dermatol. 2015 Oct;16(5):341-59. doi:10.1007/s40257-015-0146-4Koppes SA, Charles F, Lammers L, et al.Efficacy of a cream containing ceramides and magnesium in the treatment of mild to moderate atopic dermatitis: A randomized, double-blind, emollient- and hydrocortisone-controlled trial.Acta Derm Venereol.2016 Nov 2;96(7):948-953. doi:10.2340/00015555-2395Celleno L.Topical urea in skincare: A review.Dermatol Ther.2018 Nov;31(6):e12690. doi:10.1111/dth.12690Evangelista MT, Abad-Casintahan F, Lopez-Villafuerte L.The effect of topical virgin coconut oil on SCORAD index, transepidermal water loss, and skin capacitance in mild to moderate pediatric atopic dermatitis: a randomized, double-blind, clinical trial.Int J Dermatol.2014 Jan;53(1):100-8. doi:10.1111/ijd.12339Czarnowicki T, Malajian D, Khattri S, et al.Petrolatum: Barrier repair and antimicrobial responses underlying this “inert” moisturizer.J Allergy Clin Immunol.2016 Apr;137(4):1091-1102.e7. doi:10.1016/j.jaci.2015.08.013Coondoo A, Phiske M, Verma S, Lahiri K.Side-effects of topical steroids: An overdue revisit. Indian Dermatol Online J. 2014 Oct-Dec; 5(4):416–425. doi:10.4103/2229-5178.142483Drucker AM, Eyerich K, de Bruin-Weller MS, et al.Use of systemic corticosteroids for atopic dermatitis: International Eczema Council consensus statement.Br J Dermatol. 2018;178(3):768-775. doi:10.1111/bjd.15928Jagadeesan S, Kurien G, Divakaran MV, Sadanandan SM, Sobhanakumari K, Sarin A.Methicillin-resistant Staphylococcus aureus colonization and disease severity in atopic dermatitis: a cross-sectional study from South India.Indian J Dermatol Venereol Leprol. 2014 May-Jun;80(3):229-34. doi:10.4103/0378-6323.132250Food and Drug Administration.Rinvoq label.Food and Drug Administration.Cibinqo label.Hill DA, Spergel JM.The atopic march: Critical evidence and clinical relevance [published correction appears in Ann Allergy Asthma Immunol. 2018 Mar 9;:].Ann Allergy Asthma Immunol. 2018;120(2):131-137. doi:10.1016/j.anai.2017.10.037Ridolo E, Martignago I, Riario-Sforza GG, Incorvaia C.Allergen immunotherapy in atopic dermatitis.Expert Rev Clin Immunol. 2018;14(1):61-68. doi:10.1080/1744666X.2018.1401469Varma SR, Sivaprakasam TO, Arumugam I, et al.In vitroanti-inflammatory and skin protective properties of Virgin coconut oil.J Tradit Complement Med.2018 Jan 17;9(1):5-14. doi:10.1016/j.jtcme.2017.06.012Evangelista MT, Abad-Casintahan F, Lopez-Villafuerte L.The effect of topical virgin coconut oil on SCORAD index, transepidermal water loss, and skin capacitance in mild to moderate pediatric atopic dermatitis: a randomized, double-blind, clinical trial.Int J Dermatol. 2014 Jan;53(1):100-8. doi:10.1111/ijd.12339
Micali G, Paternò V, Cannarella R, Dinotta F, Lacarrubba F.Evidence-based treatment of atopic dermatitis with topical moisturizers.G Ital Dermatol Venereol.2018 Jun;153(3):396-402. doi:10.23736/S0392-0488.18.05898-4
Lindh JD, Bradley M.Clinical effectiveness of moisturizers in atopic dermatitis and related disorders: A systematic review.Am J Clin Dermatol. 2015 Oct;16(5):341-59. doi:10.1007/s40257-015-0146-4
Koppes SA, Charles F, Lammers L, et al.Efficacy of a cream containing ceramides and magnesium in the treatment of mild to moderate atopic dermatitis: A randomized, double-blind, emollient- and hydrocortisone-controlled trial.Acta Derm Venereol.2016 Nov 2;96(7):948-953. doi:10.2340/00015555-2395
Celleno L.Topical urea in skincare: A review.Dermatol Ther.2018 Nov;31(6):e12690. doi:10.1111/dth.12690
Evangelista MT, Abad-Casintahan F, Lopez-Villafuerte L.The effect of topical virgin coconut oil on SCORAD index, transepidermal water loss, and skin capacitance in mild to moderate pediatric atopic dermatitis: a randomized, double-blind, clinical trial.Int J Dermatol.2014 Jan;53(1):100-8. doi:10.1111/ijd.12339
Czarnowicki T, Malajian D, Khattri S, et al.Petrolatum: Barrier repair and antimicrobial responses underlying this “inert” moisturizer.J Allergy Clin Immunol.2016 Apr;137(4):1091-1102.e7. doi:10.1016/j.jaci.2015.08.013
Coondoo A, Phiske M, Verma S, Lahiri K.Side-effects of topical steroids: An overdue revisit. Indian Dermatol Online J. 2014 Oct-Dec; 5(4):416–425. doi:10.4103/2229-5178.142483
Drucker AM, Eyerich K, de Bruin-Weller MS, et al.Use of systemic corticosteroids for atopic dermatitis: International Eczema Council consensus statement.Br J Dermatol. 2018;178(3):768-775. doi:10.1111/bjd.15928
Jagadeesan S, Kurien G, Divakaran MV, Sadanandan SM, Sobhanakumari K, Sarin A.Methicillin-resistant Staphylococcus aureus colonization and disease severity in atopic dermatitis: a cross-sectional study from South India.Indian J Dermatol Venereol Leprol. 2014 May-Jun;80(3):229-34. doi:10.4103/0378-6323.132250
Food and Drug Administration.Rinvoq label.
Food and Drug Administration.Cibinqo label.
Hill DA, Spergel JM.The atopic march: Critical evidence and clinical relevance [published correction appears in Ann Allergy Asthma Immunol. 2018 Mar 9;:].Ann Allergy Asthma Immunol. 2018;120(2):131-137. doi:10.1016/j.anai.2017.10.037
Ridolo E, Martignago I, Riario-Sforza GG, Incorvaia C.Allergen immunotherapy in atopic dermatitis.Expert Rev Clin Immunol. 2018;14(1):61-68. doi:10.1080/1744666X.2018.1401469
Varma SR, Sivaprakasam TO, Arumugam I, et al.In vitroanti-inflammatory and skin protective properties of Virgin coconut oil.J Tradit Complement Med.2018 Jan 17;9(1):5-14. doi:10.1016/j.jtcme.2017.06.012
Evangelista MT, Abad-Casintahan F, Lopez-Villafuerte L.The effect of topical virgin coconut oil on SCORAD index, transepidermal water loss, and skin capacitance in mild to moderate pediatric atopic dermatitis: a randomized, double-blind, clinical trial.Int J Dermatol. 2014 Jan;53(1):100-8. doi:10.1111/ijd.12339
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