Women Before After FUT Hair Transplant


Hair loss in women is much more common than people think as about 30 million women in the U.S. have thinning hair.

Some hair loss symptoms in women are different from those in men. There's no need to just live with your hair loss!

Good news: some women can take steps to address hair loss. Unfortunate news: current solutions do not work for all female hair loss causes.


Causes of Female Hair Loss We Can Help

As a practice, we strive to help every patient by creating a customized hair loss solution that solves your hair loss problem(s). Unfortunately, many women come to us with hair loss causes that we cannot help. So, who can we help? It's highly likely we can help you, if your hair loss is due to:

1) Traction Alopecia

2) Angular Alopecia

3) Localized Thinning Patterns

4) Genetically Advanced Hairlines

5) Plastic Surgery Revisions

Types of Female Hair Loss We Can Not Help

At The Hair Loss Doctors of TRUE & DORIN, we are candid with you about your hair loss treatment option(s) and, if your female hair loss is caused by anything other than what is listed above, we will not be able to assist you due to the lack of current hair loss treatment options.

While we loathe telling women (any person, candidly) that we can not help, we believe it's more important to be honest with you rather than give you false hope. That being said, other practices do not have our level of moral obligation to patients. So, if you visit another practice that says they can help you solve your hair loss and your hair loss is not due to one of the 5 reasons listed above, please think twice about proceeding with a procedure. Not only can it create an unnecessary cost for you, but it could also create emotional challenges due to the lack of results. We know this is hard to read, but it's only fair and right that we are candid with you.

If you are a woman, The Hair Loss Doctors at TRUE & DORIN will not be able to help you if your hair loss is caused by:

1) Hair Breakage

2) Diffuse Unpatterned Alopecia (DUPA)

3) Hair Loss Due to Medical or Metabolic Issues including:

- Hypothyroidism

- Hyperthyroidism

- Iron Deficiency Anemia

- Telogen Effluvium

- Medication Side Effects

- Active Scarring Alopecia

What Else Can Cause Hair Loss (Alopecia) In Females?

There are many causes of hair loss that are unique to women. Women might lose their hair about three months after giving birth, and after discontinuing birth control pills. Another cause of female hair loss is excessive estrogen. The type of hair loss that occurs due to pregnancy and after going off birth control pills typically reverses after six months. See detailed information below on the following female specific causes:

  • Menopause
  • Polycystic ovary syndrome
  • Pregnancy

Ludwig classification of female pattern hair loss

Interaction Of DHT With Hair Follicles

In cases of female hair loss, DHT causes a slow thinning of the hair on top of the head over many years (it should be noted, however, that the hormonal mechanisms for female pattern baldness involve more than DHT and are still under investigation). This produces the Ludwig patterns 1, 2, and 3. Loss of estrogen after menopause adds to this effect. In rare cases, women may experience thinning all over the scalp, rather than pattern baldness. Diffuse thinning is generally not treatable with hair transplantation, unlike female pattern loss.

Since men have considerably more DHT than women, our doctors presume this to be the reason for the more rapid progression of alopecia noted in our patients.

Common Alopecia Characteristics

In both female and male pattern baldness, there is a gradual miniaturization of the hairs, produced by affected follicles until they eventually stop growing and fall out. This is why a person's hair will be finer in texture for several years before actual baldness occurs. In pattern baldness, the hair around the sides and back is generally immune to the effects of DHT. This hair is also immune to DHT if it is moved to another area of the scalp. This very concept of donor dominance explains why the results of a hair transplant are permanent.

Causes Of Hair Loss In Women

Women might experience hair loss due to a genetic condition called androgenic alopecia. But even if genes are the cause of hair loss, women can still slow or treat the loss. Hair loss can also be caused by:

Some women can lose their hair as a result of autoimmune conditions, such as alopecia areata and chronic telogen effluvium (CTE), although the latter is less common. Hair loss can also occur from chemotherapy treatments, X-rays, radiation, and certain medications including those used for anesthesia, cholesterol, and blood pressure. Sudden hair loss can be a symptom of an underlying medical condition or health change and should be discussed with your doctor.

Nonscarring Alopecia


Primary Skin Disorders
Alopecia Areata- Usually patchy, sometimes diffuse totally bald area
Androgenetic Alopecia-

Male and female pattern baldness

Telogen Effluvium- Hair loss after pregnancy and childbirth, high fever, rapid weight loss (naturally or after bariatric surgery) and drugs.
Tinea capitis- Fungal infection of the scalp
Traumatic Alopecia- Traction alopecia from constant tight braiding, overstyling, chemical relaxors, etc.


Systemic Diseases That Can Cause Hair Loss
HIV infection Hypopituitarism
Hypothyroidism Systemic Lupus Erythematosus
Hyperthyroidism Secondary Syphilis
Deficiency of Vitamin B, Protein, Biotin, Iron, Zinc
III Trichotillomania- An obsessive-compulsive disorder causing self-inflicted hair pulling resulting in hair loss.

Scarring Alopecia


Primary Skin Disorders
Cutaneous Lupus
Folliculitis Decalvans
Idiopathic Pseudopelade of Brocq
 Lichen Planus
Traumatic Alopecia- chemical burns


Systemic Diseases Leading To Hair Loss
Lupus Erythematosus
Skin Metastases

TYPES OF HAIR LOSS Alopecia Overview

By far, the most common of the many hair loss causes treated at TRUE & DORIN Medical Group  is androgenetic alopecia. However, some of the other forms of alopecia can be successfully treated once the medical condition has been corrected or controlled or if the underlying issue has stabilized on its own.

Androgenetic Alopecia

Also known as hereditary balding, androgenic baldness, male pattern hair loss, and female pattern hair loss. Occurring in both men and women, this type of alopecia is progressive and results from a sensitivity of the follicles to androgens (DHT) among those who are genetically predisposed. While the age of onset and degree of balding vary, the patterns tend to be somewhat predictable.

Traumatic Alopecia

Especially affects women and more often African-American women. Generally resulting in hair loss around the periphery of the scalp, traumatic alopecia is caused by the use of cosmetic treatments to the hair and in particular the overuse of hair straightening tools, hair dyes, and hair permanents. In addition, constant tension on the hair follicles due to tight braiding or the use of hair extensions, can lead to traction alopecia.


Female Hair Loss Testimonial


During and after pregnancy, your body will undergo substantial changes. One of these changes often includes hair loss that may result in different degrees of shedding. While shedding is often alarming, for most women, it is only temporary. However, for those who are experiencing excessive hair loss, do not see regrowth, or would like professional assistance to manage their experience with hair loss and pregnancy, TRUE & DORIN Medical Group can provide the resources, evaluation, and treatment you need.

What Causes Postpartum Alopecia?

Estrogen plays an integral role in hair growth, which is why many women experience an extra thick head of hair during pregnancy followed by increased hair loss several months after giving birth. While you are pregnant, there is a significantly higher amount of estrogen in your body which interrupts the natural hair loss cycle and causes more of your hair to remain in the growth phase. As a result, it delays some of the hair from falling out. Once hormone levels return to normal, the hair cycle will resume and those hairs will fall out, often all at once. This can make it more difficult to notice until excessive shedding occurs while brushing or in the shower.

What Can You Expect?

About three to four months after giving birth, many women begin to experience hair loss. This can occur all over the head or in concentrated clumps around the center part. While the condition may resemble androgenetic alopecia, or pattern balding, for many women the effects are only temporary. Within six to twelve months, regular hair growth is usually restored. 

What Can You Do To Manage This ?

We can provide patients with a variety of resources for dealing with hair loss after pregnancy. There are several options for managing postpartum alopecia including: 

  • Changes in behavioral habits 
  • Concealing thinning
  • Hair restoration procedures 
  • Medication to stimulate hair growth

If you are interested in concealing your condition temporarily, you may consider changing your hairstyle, choose to wear a wig, or change your grooming habits.

Advanced Treatment Options

Our dedicated doctors have the resources and advanced treatment options you need to help you overcome postpartum hair loss. 

While postpartum hair loss is usually temporary, for some women, it can evolve into a progressive and permanent condition.

In these cases, we have diverse treatment options specifically tailored for women's needsd. Our doctors can recommend a prescription, procedure, or combination of treatments that will help to restore your hair to a thick, healthy-looking state.

MENOPAUSE AND HAIR LOSS Affects Up To 40% Of Women

Menopause, Hormones, And Hair Loss

Some women will notice slower hair growth and increased shedding in the years leading up to menopause. Although most will experience more dramatic thinning afterward, it is not uncommon for hair loss and thinning to occur beforehand as well. During both perimenopause and menopause, estrogen levels will dramatically decrease while the effects of androgens increase. This combination can result in failing hair follicles, which leads to female pattern hair loss (FPHL).

Other Contributing Factors

Not all cases of hair loss can be contributed solely to hormonal changes. Other contributing factors may include:

  • Hair Loss from Aging: Natural aging plays a role in both female and male pattern hair loss.
  • Hair Loss from Diet: Since menopause can lead to weight gain, patients may restrict their diet. A reduction in foods containing certain vitamins and nutrients may cause hair to go into a resting stage.
  • Hair Loss from Genetics: Genes from the mother and father can contribute to thinning and balding.
  • Hair Loss from Iron Deficiency: Healthy hair follicles require necessary minerals, so deficiencies in iron can cause the hair to enter the telogen or resting phase.
  • Hair Loss from Medications: Certain types of medications can cause hair follicles to prematurely enter the resting phase, causing hair to fall out.
  • Hair Loss from Stress: Physical and emotional stress can interfere with the natural phases of hair growth.

In contrast to male pattern baldness, women tend to experience more subtle signs of hair loss. Oftentimes, thinning occurs over a larger area of the scalp. This can make it more difficult to notice until excessive shedding occurs while brushing or in the shower.

Discover A Treatment That's Right For You

Although your primary physician may recommend medications to improve the effects of menopause, these may not be sufficient to prevent hair loss. Fortunately, with improvements in hair restoration technology and techniques, we can deliver a safe and effective method to help you regrow your natural hair.

Our doctors understand how important it is for women to maintain their beautiful hair throughout their lifetime. We can provide personally tailored treatments to meet your unique needs.

YOU DON'T NEED TO SETTLE FOR HAIR LOSS Schedule Your Consultation Today

If you are unhappy with the state of your hair, you are not alone. Most men and many women experience some degree of hair loss as they age. Thanks to modern hair transplant technology, hair loss does not have to be permanent. 

We invite anyone curious about hair transplants to schedule a virtual or in-person consultation with our medical team today. With several offices in the Greater New York City area and one in Boston, we are always ready to welcome new patients and provide information on the variety of hair restoration treatments we provide.

You can schedule a consultation with The Hair Loss Doctors℠ at TRUE & DORIN by filling out our online form or calling our headquarters to schedule your local office or virtual consultation :

(212) 826-2525


VIDEO: OTHER HAIR LOSS CAUSES IN WOMEN & MEN? See other reasons why women experience hair loss.


Instances of female hair loss frequently occur in a woman’s early twenties and can worsen over time. The hair on the back of the head retains its original density, so our doctors can harvest that area for donor hair. Transplants are then placed throughout areas of the thinning hair. Depending on the extent of thinning, a woman can have substantially thicker hair in as little as a single treatment session.

hair loss infographic

It is less common for women to bald in a pattern similar to men; most often, hair loss in women occurs either in the temporal and / or hairline region or diffusely throughout the top of the scalp. Fortunately, both conditions are usually repairable as long as sufficient donor supply remains on the back of the scalp. TRUE & DORIN Medical Group can also recreate feminine hairlines.

Hair Loss Patterns

  • Androgenic alopecia: Follows the same patterns of male balding.
  • Angular alopecia: Hair is lost on the sides only.
  • Diffuse alopecia (DA): The hair thins throughout the entire scalp.
  • Gradual thinning: Occurs throughout the top of the head behind the hairline.


In this hair restoration patient testimonial, Anna discusses how she felt very comfortable with the doctors and staff, and explains her options and treatment in detail.


Polycystic Ovary Syndrome (PCOS) is a condition that affects roughly up to 10% of women who are of reproductive age. PCOS is characterized by the development of many small cysts on the ovaries. While these growths are not directly harmful to a patient's health, they disrupt hormonal balance, causing many different complications. Among those suffering with PCOS, hair loss is a common side effect thought to be caused by the overproduction of androgen.

Polycystic Ovary Syndrome And Hormone Production

PCOS is an endocrine disorder that is typically diagnosed by ultrasound. The cause is unknown. However, it is known to affect hormone production. 

The ovaries normally produce only a small amount of androgen, which triggers the production of other hormones. PCOS patients produce excessive androgen, which may cause hair loss and other symptoms, including:

  • Acne
  • Depression
  • Fertility problems
  • Irregular periods
  • Weight gain
If you are suffering with PCOS and hair loss, we can determine a solution to restore your hairline and help you feel confident and attractive.

Hair Loss In PCOS Patients

Hair loss related to the effects of androgen in PCOS patients is called androgenic alopecia. This male-pattern hair loss is also seen in women with other disorders that affect hormone production in the same manner that PCOS does. Typically, patients will first notice a thinning of the hair at the crown of the scalp or an excess of hairs lost after washing or combing.

If you are suffering from polycystic ovary syndrome and hair loss, Drs. Robert True and Robert Dorin can assess the state of your hair, review your medical history, and take note of your goals to develop a treatment plan for you at our practice serving Manhattan, NYC, communities throughout greater NYC, and Boston, MA.


What Is Traction Alopecia?

Traumatic alopecia, or traction alopecia, is categorized as a non-scarring condition. This form of alopecia is characterized by hair loss that occurs without symptoms found on the skin such as inflammation or fibrosis

What Causes Traction Alopecia? 

Traumatic alopecia is unique compared to other hair loss conditions as it is caused directly by the patient. The condition often develops as a result of prolonged tension on the hair, which can lead to inflamed follicles or hair that has completely detached from the root. This tension is commonly caused by: 

  • Chemical straightening treatment.
  • Hairpieces and weaves that rely on the hair for security .
  • Headgear such as helmets.
  • Tight hairstyles such as braiding or ponytails.
  • Tight rollers.

Since cosmetic treatments and styling techniques that cause tension are more commonly used by women, it is not commonly a cause of male hair loss. Patients who suffer from trichotillomania, an emotional condition that drives compulsive pulling, twisting, or plucking of the hair, may also develop traumatic alopecia. 

Symptoms And Indicators 

Common warning signs that you may be causing excessive tension and damage to your hair follicles include: 

  • A scalp that is sensitive to the touch when you take your hair down.
  • Itchy scalp when wearing braids or a weave.
  • The need for painkillers for a headache caused by a tight hairstyle.

As damage escalates, hair will begin to fall out or become sparse. Typically, this will happen more quickly around the hairline or behind the ears. However, depending on your habits, it can also occur at the crown of the scalp. 

Preventing Further Damage

Traumatic alopecia can be prevented by actively avoiding certain hairstyling techniques or lifestyle habits. If you are committed to preventing the effects of traumatic alopecia, you can stop hair loss and in some cases, restore your hair naturally. However, if your hair follicles have been irreversibly damaged, professional intervention by The Hair Loss Doctors at TRUE & DORIN will be necessary.

We are dedicated to helping our patients achieve a natural-looking, full head of hair and can help you develop a plan to properly manage your condition.

Actual Patients, Natural-Looking Hair Transplants

before hair restoration
after hair restoration
before hair restoration
after hair restoration
before hair restoration
after hair restoration

GET YOUR HAIR AND CONFIDENCE BACK! Receive Personalized Results

Our Manhattan, NY; Boston, MA; Short Hills, NJ; and Syosset, NY practices are recognized as global leaders in hair restoration treatment because we are able to consistently achieve excellent outcomes. Our goal is to help all of our patients achieve the hairline and confidence that they deserve. You can schedule your consultation at one of our clinics serving Greater NYC today by contacting us online or by calling our NYC headquarters to schedule a virtual consultation or in-person consultation at your local practice:

(212) 826-2525


Overstyling can involve using the wrong styling tools or the overuse of certain hair products. This can cause significant damage to your hair and hair follicles, resulting in brittle, frizzy, and weakened hair that falls out more easily.

Styling Mistakes To Avoid

Many patients are aware that using harsh chemicals on their scalp can negatively impact hair quality and growth, but few understand some of the more common mistakes that can be made when caring for their hair. 

Towel Drying

Drying your hair roughly with a towel can cause extensive damage to the hair cuticles, which are the outer layer of each hair strand. When your hair is wet, it swells, leaving it vulnerable to damage when it comes into contact with a towel. Our doctors advise patients to allow their hair to air dry before using a towel.

Aggressive Brushing

Using a brush or a comb aggressively can damage the hair strand itself in addition to the cuticle and follicle. While it may be impossible to completely avoid pulling out strands of hair when brushing, if you are noticing an excessive amount of hair in your comb, it may be a sign that you are brushing too hard.

Using the wrong types of hair products containing harmful ingredients may be damaging your hair.

Ultraviolet Light

Most of us understand how harmful prolonged sun exposure can be for your skin, but few attempt to take the same protective measures for their hair. Ultraviolet (UV) light can damage the connective structures within each hair strand, weakening the hair and allowing it to fall out more easily. Our doctors recommend that patients use products that contain sun protection, wear hats, or use hydrating shampoos to restore lost moisture.

Harmful Styling Products

We understand that most men and women use some type of product in their hair, but using the wrong types containing harmful ingredients may be causing additional damage. Certain types of soap can dry out hair and cause more shedding. Some preservatives that are commonly found in hair products, such as parabens and formaldehyde, can affect your body's hormonal balance, which can also contribute to hair loss.

Styling Tools

While many styling tools are safe and effective, extensive use of heat or other tools may be harmful to the structure of your hair. Our doctors recommend that patients exercise caution when determining which tools to use, and how often they are using them on their hair.

VIDEO: STRESS AND HAIR LOSS How May Stress Be Impacting What's Happening To Your Hair?


Burning scalp syndrome, also known as trichodynia, is a condition that can cause you to experience a burning, tingling, and itching feeling on the scalp. Although there is no definitive explanation for its cause, sufferers can experience several effects, including thinning hair and increased shedding.

Understanding Trichodynia

Burning scalp syndrome can result in several symptoms such as:

  • Burning sensation.
  • Pain and discomfort.
  • Prolonged itching.
  • Scalp sensitivity.

These symptoms may seem constant or worsen during certain activities, such as combing and brushing your hair. Little research has been conducted on the subject, but it appears to affect three times more women than men. However, men are often less likely to seek treatment and more prone to naturally experience hair loss, so it is unclear whether this increased risk is a fact. 

Burning scalp syndrome and hair loss are closely associated, although studies have been unable to conclude whether hair loss leads to or is a result of trichodynia. In either case, patients can experience increased stress, anxiety, and depression, all of which may contribute to worsening of the condition. 

Treating Burning Scalp Syndrome

We understand how difficult it can be to manage both the physical and emotional toll of burning scalp syndrome, in addition to the impact it can have on your appearance and confidence. During a full evaluation at one of our locations, our doctors will closely examine your scalp and the severity of your hair loss. Depending on your unique case, we will discuss surgical and non-surgical solutions.

We understand how frustrating it can be to not have all the answers regarding your condition. However, we also know that improving your appearance can have a huge, positive impact on you psychologically.

EATING DISORDERS AND HAIR LOSS A Closer Look At Bulimia And Anorexia

Eating disorders such as bulimia and anorexia have an effect on how the body uses the reduced amount of vitamins and nutrients that enter the body. Since an eating disorder diminishes these nutrients and leads to malnourishment, the body begins to use those limited amounts to protect the essential organs. The nutrients that were regularly used to help promote hair growth are distributed elsewhere, which causes the hair follicles to enter a resting stage. Along with the lack of necessary nutrients, bulimia is also a known cause of telogen effluvium, which leads to hair loss following emotional or physical stress or trauma.


Hair loss and bulimia are commonly interrelated. Unfortunately, patients may continue to be affected well after treatment and recovery. A lack of sufficient vitamins and nutrients, along with the emotional and physical stress, which results from an eating disorder, can all play a role in your hair loss. The loss and thinning of hair can be a traumatic event for some, often resulting in worsened issues with self-confidence and concerns over your appearance and self-image.

Bulimia And Telogen Effluvium

One of the natural phases of hair growth is called telogen. This is a resting phase where hair ceases to grow. This is natural, but increased stress or trauma can cause more hairs than normal to enter this phase and produce noticeable hair loss and thinning. Some may experience the loss of large clumps or that their hair simply appears thinner than it has in the past. Effects can occur at the time a patient is suffering from bulimia, or even months into their recovery.


Malnourishment leads to the depletion of proteins. This causes the body to redirect vitamins and nutrients to the essential parts of the body that control organ function and muscle retention. The body has a natural ability to recognize that keratin, which is the main protein that makes up hair, is not essential for the body to function. As a result, the nutrients that are typically used to keep hair growing and healthy become depleted. The hair will then prematurely enter telogen effluviaum phase.

Is Your Hair Loss From Bulimia Or Anorexia Permanent?

If you are currently suffering from anorexia or another eating disorder, your hair may continue to fall out until you receive treatment for the disorder. Typically, hair loss is considered a temporary condition that can be improved with a professional hair restoration treatment or naturally through a change in diet. In some cases, even following sufficient treatment for an eating disorder, some patients will continue to struggle to regrow their hair, and they may even experience chronic hair loss. In either case, Dr. Dorin or Dr. True will fully evaluate your condition to determine whether your shedding is due to poor nutrition or whether it is being caused by genetics or the onset of male or female pattern hair loss. 

VIDEO: WHY AM I GOING BALD? Dr. Dorin Discusses The Reasons That Women And Men Lose Their Hair

CHEMOTHERAPY AND HAIR LOSS What Are The Possibilities To Regain Your Hair?

Unfortunately, hair loss after chemo is a common side effect of these powerful drugs. For many, hair growth can resume shortly after cancer treatment. However, for some, permanent baldness or changes in hair growth may be permanent.

What Causes Hair Loss After Chemotherapy?

The medication used to effectively attack cancer-causing cells can also attack other rapidly dividing cells, including those that contribute to hair growth. This rapid hair loss is referred to as anagen effluvium and can affect hair on your head, as well as virtually any other part of the body. The degree to which hair loss occurs depends mainly on the unique composition of the prescription and the duration of treatment. Drugs associated with chemo that commonly cause hair loss include:

  • Adriamycin
  • Cyclophosphamide
  • Dactinomycin
  • Daunorubicin
  • Docetaxel
  • Doxorubicin
  • Etoposide
  • Fluorouracil
  • Ifosfamide
  • Irinotecan
  • Methotrexate
  • Nitrosureas
  • Paclitaxel
  • Tamoxifen
  • Topotecan
  • Vinorelbine

In cases when radiation must also be applied to the head, hair will often fall out and for many will not grow back. 

Preparing For Hair Loss 

Developing a plan ahead of time for before, during, and after chemotherapy can provide you with peace of mind and the ability to actively change the way hair loss affects you. While there is no proven method that can completely prevent this side effect, Dr. True and Dr. Dorin can help you better prepare. For those who wish to conceal their hair loss or maintain a hairstyle that looks natural, we provide several resources that can help you find a lifelike wig or hairpiece that suits you. 

What To Expect During And After Chemo

Generally, hair will begin to fall out several weeks into treatment or later. Once hair loss begins, you can expect the condition to persist for the duration of chemotherapy. The extent of hair loss will vary from patient to patient and may range from minimal thinning to complete baldness.

We understand the challenges our patients have faced and their desire to regain control of their appearance. 

Once treatment has ended, hair loss should cease a few weeks late. Hair may regrow in a different color or texture than before, but will often revert to its normal state after a few years. For those who do not experience substantial regrowth or experience complete baldness after their chemotherapy has ended, our team can help you determine the best restoration options. 

Hair Restoration Treatment Options

TRUE & DORIN Medical Group has helped many patients reestablish their hair growth after chemotherapy. We understand the challenges our patients have faced and their desire to regain control of their appearance. We can conduct a thorough evaluation where our team will evaluate the stage of your regrowth and the damage that has been imposed on the hair cells. We offer surgical, non-surgical, and medicinal options, and often combine treatments to achieve optimal results.

our doctors

TRUE & DORIN Medical Group

At TRUE & DORIN Medical Group headquartered in Manhattan, NYC, New York, Drs. Robert J. Dorin and Robert H. True help men and women reverse the effects of hair loss through various surgical and non-surgical treatments, including Follicular Unit Transplantation and Follicular Unit Extraction. We have offices in Manhattan, New Jersey, Long Island, and Boston. Our doctors are affiliated with:

  • The International Society of Hair Restoration Surgery
  • The American Board of Restoration Surgery
  • The International Alliance of Hair Restoration Surgeons
  • The American Osteopathic Association

For more information, or to schedule a consultation, please contact us online or call (212) 826-2525.

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