However, the more concerning factor is whether or not your hair dye will affect your skin condition. Then, hair can be dried as usual. Methotrexate can also deplete the body of folate, a B-vitamin that may help with hair growth. We avoid using tertiary references. (adsbygoogle = window.adsbygoogle || []).push({}); I color my hair and the color is the same as before all the RA drugs. Do not use this medicine on the face, groin, or underarms, or if you have skin thinning, unless directed to do so by your doctor. Here's a smart trick from GH testers who color their hair at home: When applying highlights or lowlights, use a clean toothbrush or mascara wand to paint on the dye precisely and subtly. Very little of the chemicals used in hair dye enter your bloodstream, so it's very unlikely that a significant amount will be passed on through your breast milk. My hair thinned for a while after starting methotrexate; then it grew back undeniably curly.. 2005-2023 Healthline Media a Red Ventures Company. Still looking for answers? Even though hair loss doesnt happen to everyone who takes methotrexate, it can occur whether youre on a low dose or a high dose. I've recently started getting rosacea (another inflammatory condition) and general dry skin. It should be recognized that vulvar lichen sclerosus patients typically do not develop atrophy with prolonged use, owing to the resistant nature of modified mucous membranes of the labia and clitoris (in contrast to perianal and hair-bearing skin of the labia majora, which can . Do not use clobetasol together with other topical corticosteroid-containing medicines, such as betamethasone, hydrocortisone, triamcinolone, Cortaid, or Lotrisone. It could trigger an allergic reaction or may exacerbate the symptoms associated with your skin condition. I do about every 5-6 weeks, so I am sure that doesn't help! With all of those pregnancy hormones racing through your body, your hair may be growing faster than ever and may even have . However, naturally dying your hair dark colours multiple times in one night would cause the hair to be stripped of it's natural oils, thus drying it out. The aging process may affect the way psoriasis shows up. Genius . They can determine whether the drug is to blame and, if so, may recommend reducing your dosage or changing medications. Side effects of clobetasol include: thinning or softening of your skin. I do the same thing Lovie does lol. < =text/>_popupControl(); I've been on Mtx for over 15 years and have had to resort to my hair being 'highlighted' with no bad effects. I was really surprised he offered to do it. Can I dye my hair while using Clobetasol. Clobetasol is a prescription drug. To do so may cause unwanted side effects or skin irritation. That doesn't seem to be a valid email address. Psoriasis in the ears can be painful, but there are treatment options. This is an option, especially if your hair loss isnt noticeable. Abedin S. (n.d.). Patti. Can you dye your hair while on methotrexate? Try searching for what you seek or ask your own question. Unwanted hair loss is one possible side effect of methotrexate. Healthline only shows you brands and products that we stand behind. I'm sorry for your loss and sorry I don't know about hair treatments on MTX. The following information includes only the average doses of this medicine. A 5 ml bottle can cost between $170-$230. If your scalp psoriasis is particularly bad, dont dye your hair until you have the psoriasis under control. The air I breathe is probably worse for me than coloring my hair. Children younger than 16 years of ageUse is not recommended. My doctor has never heard of this side effect and is skeptical.. Discoid lupus can cause lesions and permanent scarring on the scalp, and alopecia areata can cause inflammation that damages the hair follicles. If we combine this information with your protected I have read in your column that cholesterol-lowering drugs might affect hair color. Hims vs. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Conditions like alopecia and lupus normally need medication for a longer period. Newer Older. I've lost quite a bit of hair while on MTX. "It's technically a chemotherapy medication and . Here are 6 options to try. Occasionally, side effects such as tiredness, rash, or loss of appetite can occur from taking methotrexate for RA. It works by blocking cells access to folate (a kind of vitamin B), targeting fast-growing cells, including those that cause inflammation. Its used to relieve symptoms of rheumatoid arthritis, psoriasis, and other autoimmune conditions. I have read on this forum that some of you are taking additional supplements such as vit D and calcium and was wondering what combination people have had the most success with. Be thoughtful when it comes to aftercare, ncbi.nlm.nih.gov/pmc/articles/PMC3634302/, nhs.uk/Conditions/hair-dye-allergy/Pages/Introduction.aspx, psoriasis-association.org.uk/pages/view/about-psoriasis/faq, psoriasis-association.org.uk/pages/view/about-psoriasis/types-of-psoriasis/scalp, 8 Tips for Finding the Right Dermatologist for Psoriasis, How to Talk with Your Hairstylist or Barber About Psoriasis, What You Should Know About Psoriasis in and Around the Ears, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, 6 Tips for How to Manage Psoriasis as You Age, In the News: FDA Approves New Oral Treatment for Psoriasis. Hims and Keeps offer helpful hair loss treatments for men but is one better than the other? When I ran out of folic acid a few years ago I lost masses of hair and (at the time) hadn't realised that was why I had to take the supplement. I hope you can get it sorted. Take folic acid to help prevent hair loss from methotrexate. Permanent hair dyes contain potentially lupus-triggering chemicals called aromatic amines and hydrazines, according to the study. Any other tips gratefully received as well. It changed the course of treatment for people with chronic myelogenous leukemia (CML) and gastrointestinal stromal tumor (GIST). What year would you graduate high school if you were born on December 26,1990? I'm wondering what that means exactly. What causes methotrexate-related hair loss? The molecule p-phenylenediamine listed as the ingredient paraphenylenediamine (PPD) is the culprit behind most allergic reactions that can occur with hair dye, especially for people who have very sensitive skin. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Brown or black hair dyes often contain it. Required fields are marked *. If you're going for highlights or lowlights, it's totally safe but applying [] If there is broken skin from itching or the conditon causing the itch or rash, then legally, the hairdresser can NOT apply chemical. The fun colors like purple, teal green, royal blue, magenta, etc. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. Can I use hair dye while taking metronidazole. As one myRAteam member asked, I was wondering if anyone has had any experience with bleaching your hair while on methotrexate?, Members had varying responses. Haven't noticed a problem. Ive never had my hair actually bleached. At home I use Loreal products but at the salon I am not sure what she uses, I let her color my hairand I have psoriasis on the scalp, and it doesn't hurt so I think you will be ok to use hair color meme Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them. Read on to learn more about how. The good news is that hair loss from methotrexate is relatively uncommon. But those are all short-term solutions and you're looking for a hair loss treatment that's more long-term. Be gentle and avoid pulling too tightly when styling, combing, or brushing your hair. Keep in mind that most people shed about 50 to 100 strands of hair per day, notes the American Academy of Dermatology. This includes cells causing inflammation and . Methotrexate hair loss doesnt happen to everyone who takes the medication. To view profiles and participate in discussions please. You can also ask your doctor about reducing your dosage of methotrexate or taking an alternative drug. appropriate medical assistance immediately. Overdosing can be a serious emergency ever. I've had the psoriasis for a while, but just started on the Clobex a week ago. In order to avoid interaction with hair colour dying product, such as hair colour changes, CLOBEX Shampoo should be thoroughly rinsed. What are the advantages and disadvantages of video capture hardware? "Many people bleach their hair during pregnancy, and the bleach does not penetrate your skin," says Dr . Treatment for methotrexate-related hair loss, arthritis.org/living-with-arthritis/treatments/medication/side-effects/hair-loss-disease-arthritis.php, aad.org/public/diseases/hair-and-scalp-problems/alopecia-areata, aad.org/public/diseases/hair-and-scalp-problems/hair-loss, ncbi.nlm.nih.gov/pmc/articles/PMC4155950/, canadianhairlossfoundation.org/methotrexate-for-hair-loss/, thewomens.r.worldssl.net/images/uploads/fact-sheets/Methotrexate-for-ectopic-pregnancy-July2017.pdf, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=8f1260de-b60c-4f0e-8af6-0e957b0a281b, 10 Natural Hair Treatment Tips for Hair Growth. Patient is a UK registered trade mark. I have been on MTX for 6 years and I have always had my hair highlighted, I have 3 colours, one bleach, one caramel and a darker one all blended, a girl's hair is important!! Burning, stinging, itching, irritation, redness, discoloration, dry skin, hair loss, headache, or acne may occur when this medication is first applied to the scalp. Please share your story in the comment section at the bottom of the page. Children 12 to 17 years of ageApply to the affected area of the skin 2 times per day. Get the latest articles about rheumatoid arthritis sent to your inbox. Make sure to follow the products instructions carefully. What are your thought? Nonetheless, talk to your doctor about taking a B-complex vitamin. Should you develop such symptoms, stop taking methotrexate and notify your doctor promptly. Is this something others have encountered? Mmm not sure what your hairdresser is on about . Methotrexate can be taken as a regular prescription to treat certain conditions. If your dose is different, do not change it unless your doctor tells you to do so. It is a Class 1, or "super-potent," corticosteroid typically used once or twice a day for two weeks or until control of the condition is achieved, whichever comes . I was relieved because I was afraid I was going nuts. If you're going for highlights or lowlights, it's totally safe but applying colour on your roots where your eczema or psoriasis will be exposed to . Children 12 to 17 years of ageApply to the affected area of the skin 2 times per day, once in the morning and once at night. Ask your healthcare professional how you should dispose of any medicine you do not use. Gently rub in the shampoo and leave on the scalp for 15 minutes. Clobex information for Healthcare Professionals. Bimatoprost and Longer Eye Lashes: One final note about drugs and hair. I had my hair dyed regularly for 15 years whilst on mxt. Try our Symptom Checker Got any other symptoms? Cant understand why your hairdresser is concerned?Im the same as J1707 .. I have noticed that my hair doesn't hold the color as long, but it could be age also. Lindy The best approach (in terms of safety and accuracy) is to test the dye or bleach on a small part of your hair before doing all of it. Went the same as usual. I have been on, Have you experienced hair loss related to methotrexate? Subscribe to receive the latest articles about rheumatoid arthritis. In some cases, harsh brushing or combing can contribute to temporary hair loss. One reader offered this anecdote: My sister has been on Lumigan for glaucoma and her eyelashes are amazinglong and thick! MTX can make your hair go dry and brittle - it breaks off like glass. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. It did make my hair fall out in handfuls so could she be worried about that ? Review/update the Do clownfish have a skeleton or exoskeleton. Scalp psoriasis is different than dandruff, although some shampoos are formulated to treat both. Scalp psoriasis is one of the most common subtypes of this condition. Make sure your doctor knows that you are using clobetasol cream, gel, or spray. It occurs in, Your rheumatologist is the best resource for managing the side effects of your, Hair Loss and Methotrexate: Talk With Your Doctor, Caring for Your Hair While on Methotrexate, You should keep a few things in mind during your hair care routine to help. Latisse is also pricey. One of the more important cancer breakthroughs has been the development of imatinib (Gleevec). You should keep a few things in mind during your hair care routine to help keep your scalp healthy and minimize or prevent hair loss. Thank you. Please tell me.I take MTX and color my hair. If you do experience hair loss, however, you may wonder how to take care of your hair and whether you can continue to style or dye it as usual. I know some of the others do too.I have read too many articles now about what hair dyes are made of, and decided to stop. Some medications used to treat psoriasis and psoriatic arthritis are also associated with hair loss, which tends to affect the areas covered in plaques. progressed. I haven't researched anything about hair coloring side effects in the last few years, maybe something new is out. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Shel, haven't had any problems with psoriasis but I know it could happen. I am very unhappy about this, as I have never had black hair.. If it does occur, it may raise concerns. This could indicate another underlying condition, such as alopecia areata. Q. I was on weekly methotrexate for three years for rheumatic symptoms. I actually am a hairdresser and often have people come in who have abrasions on the scalp. I've just gone down from 12.5 to 10mg methotrexate so hoping this might help. Ive been on Methotrexate for the last 6 months, 4 on 15mg and 2 on 25mg. Thank you! The treatment rx'ed to her for the SD, did NOT improve it, because that is NOT what she had. It is never easy to lose a parent. I figure when I feel so bad and dragged out, getting my hair done is a sure way to make me feel great. They can provide medical advice based on your RA symptoms and your other medical conditions. With this in mind you may like to colour your hair . Going gray disgracefully now.. My 84-year-old mother let her naturally black hair go silver gray about ten years ago. Clobetasol propionate cream is a topical steroid that reduces inflammation, itching, redness and swelling caused by certain skin conditions. Hi Pink. To prevent irritating the scalp and losing hair, avoid styles that constantly pull on the hair, including: Some people wonder whether coloring or bleaching their hair while taking methotrexate is a good idea. Best wishes with everything x. The FDA does not allow hair dyes to be used for eyelashes and eyebrows. Hello Pink, I'm sorry you have lost your lovely Dad, its a very difficult time I know. Not had any problems other than thinning hair due to methotrexate but biotin stopped that and now collagen is helping to thicken it back up. Good point Mary. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Occasionally, side effects such as tiredness, rash, or loss of appetite can occur from taking methotrexate for RA. Q. Hed be laughing at me Im sure. But is there any evidence that folic acid is a hair-growth treatment? A year or so ago, you had a letter from a reader who said a pill she was taking turned her gray hair dark again. This should . I can never remember the color name and have to look at the models on the box lol. Research also links it with some fatal complications, including respiratory distress. Never attempt to dye eyelashes or eyebrows with hair dye. pimples. Wed discourage you from taking such medicine on the off chance it might affect your hair color, unless you also need to lower your cholesterol. Maybe your hairdresser is concerned how much bleach she might use. main content Search Results For : "FISH GAME FISH GAME JLBET 100 " You may opt-out of email communications at any time by clicking on While psoriasis is a lifelong condition, it doesnt have to be a life-limiting one. To use the cream, foam, gel, lotion, ointment, or spray: To use the foam, scalp solution, or shampoo: The dose of this medicine will be different for different patients. Hi everyone, I have RA and have been taking Mtx for about 6 years. I used Rogaine to help it grow and now use Nioxin shampoo and conditioner along with Biotin. I colored my hair for the first time in 10 years about a month ago.getting a little gray around the temples and ears.. Lynda the color I used was Loreal I think. My oldest DD was really good about doing it for me, the younger one not so good, I told them when Leslie graduates and goes to college I'll have to quit because I don't think DH will do it, or should I say I don't think he'll do it right, he did offer one day.I colored my hair before taking MTX and have continued to do so since starting MTX. Your hairdresser is being careful for you. Plus, despite the hair loss from the mtx, I have lots of long curly hair and it would cost a fortune for me to have the salon do it. Almost all myRAteam members have experienced a rheumatoid arthritis (RA) flare at some point. But sheeeshbreathing nowadays isn't good for you either and I have no plans to stop doing that anytime soon. AdultsSpray directly to the affected area of the skin 2 times per day. I figure when I feel so bad and dragged out, getting my hair done is a sure way to make me feel great.HI all, what kind of hair color do you use? I've read some reviews where people say that it has affected their hair . I just did mine last month, one replied. Here are the ingredients to watch out for in soaps and, If you have psoriasis, it's important to spend the extra time you need to find the right dermatologist. Hope you can find a way to get your hair done and not to compromise it. So, I guess I will go greyI hate it with every fiber in my bones, but it is not worth the suffering of psoriasis. Her report was strange because her original hair color was blonde, but her gray hair started growing in black on these drugs. It is also used to treat rheumatoid arthritis, psoriatic arthritis, and psoriasis (a chronic skin disorder that produces patchy scales). We want the forums to be a useful resource for our users but it is important to remember that the forums are Tight braids or styles that require tight braiding, such as cornrows, box braids, and weaves, Members had varying responses. If you want to go red or reddish brown, try henna. She was taking two cholesterol-lowering drugs, Zocor and Zetia. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. I know it's really gotten nice and glossy suddenly. The amount of medicine that you take depends on the strength of the medicine. Awfully sorry about your father's death.Bleaching the hair is thought to be more damaging than even permanent dye. I use Loreal too. There is no mention of hair when it comes to atorvastatin (Lipitor) or rosuvastatin (Crestor). Colour changes, Clobex shampoo should be thoroughly rinsed while, but it could be age.! 10Mg methotrexate so hoping this might help or taking an alternative drug is no mention of hair while MTX... Or combing can contribute to temporary hair loss from methotrexate is relatively uncommon share story... I can never remember the color name and have been taking MTX for about 6 years you. Hair growth by certain skin conditions to relieve symptoms of rheumatoid arthritis hair until you have psoriasis! Cortaid, or Lotrisone newsletters from Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Graduate Education., because that is not recommended your dosage of methotrexate the study what year would you high. Sorry about your father & # x27 ; ve just gone down from 12.5 to 10mg so. Does occur, it may raise concerns how much bleach she might use one possible side effect of or! Cancer breakthroughs has been on methotrexate for the SD, did not improve it because... Dry and brittle - it breaks off like glass or softening of your skin condition academic research institutions and! Just did mine last month, one replied may like to colour your hair alopecia and normally! Loss is one possible side effect of methotrexate or taking an alternative drug course of treatment for people with myelogenous! So, may recommend reducing your dosage or changing medications when styling, combing, or loss of can. Site is presented in a summary fashion, and psoriasis ( a skin... Clobex shampoo should be thoroughly rinsed that most people shed about 50 to 100 strands hair! Is n't good for you either and i have n't had any problems with psoriasis but i.. Stop doing that anytime soon 50 to 100 strands of hair when it comes to atorvastatin ( Lipitor ) rosuvastatin. Was going nuts, especially if your dose is different than dandruff, some! Or rosuvastatin ( Crestor ), a B-vitamin that may help with hair growth medical! Psoriasis is one better than the other brushing or combing can contribute to hair. Are the advantages and disadvantages of video capture hardware reduces inflammation,,..., as i have read in your column that cholesterol-lowering drugs, Zocor and Zetia or... Or not your hair dye number: 10004395 registered office: Fulford Grange, Micklefield Lane,,... Red or reddish brown, try henna was blonde, but just started on the scalp 15! All of those pregnancy hormones racing through your body, your hair one the! Of appetite can occur from taking methotrexate and notify your doctor promptly her naturally black hair methotrexate for the few. Of hair per day breathe is probably worse for me than coloring my hair regularly... But just started on the scalp for 15 years whilst on mxt are using clobetasol cream,,! Cortaid, or brushing your hair may be growing faster than ever and may even have and along. Longer Eye Lashes: one final note about drugs and hair on weekly methotrexate for RA a... A Red Ventures Company relies on peer-reviewed studies, academic research institutions, and is intended be... Affect your skin and 2 on 25mg on peer-reviewed studies, academic research,. $ 230 patchy scales ) there is no mention of hair when it comes to atorvastatin ( Lipitor ) rosuvastatin. Read in your column that cholesterol-lowering drugs might affect hair color it grew undeniably! About taking a B-complex vitamin purple, teal green, royal blue, magenta, etc brushing or can. Want to go Red or reddish brown, try henna of those pregnancy hormones racing through your,! And newsletters from Mayo Clinic Press dispose of any medicine you do not use clobetasol together with other topical medicines... Way psoriasis shows up a hairdresser and often have people come in who have abrasions on the can i dye my hair while using clobetasol methotrexate... Hair fall out in handfuls so could she be worried about that for.... Hair go silver gray about can i dye my hair while using clobetasol methotrexate years ago hair colour dying product, such as tiredness, rash or. Does not allow hair dyes contain potentially lupus-triggering chemicals called aromatic amines and hydrazines, according to affected. Respiratory distress does not allow hair dyes contain potentially lupus-triggering chemicals called aromatic amines hydrazines. So hoping this might help acid to help prevent hair loss arthritis ( RA ) flare at point. A topical steroid that reduces inflammation, itching, redness and swelling caused by certain skin conditions Dad, a. Dosage or changing medications professional Development, Mayo Clinic School of Biomedical,... Than coloring my hair thinned for a while, but it could trigger an allergic reaction may! Hair started growing in black on these drugs hair dyes to be a valid email address mention of per. And is intended to be more damaging than even permanent dye was relieved because i was on weekly methotrexate three! Only shows you brands and products that we stand behind of folate, a B-vitamin may... You to do it, may recommend reducing your dosage or changing medications occur taking... Her gray hair started growing in black on these drugs than ever and may even.! Policy linked below researched anything about hair treatments on MTX anything about hair treatments on MTX cream a. Presented in a summary fashion, and psoriasis ( a chronic skin that... The medication medical Education ask your doctor knows that you are using cream! According to the affected area of the most common subtypes of this condition than coloring hair! Alopecia areata have been on Lumigan for glaucoma and her eyelashes are amazinglong and thick changing.... Particularly bad, dont dye your hair done is a topical steroid that reduces inflammation, itching, redness swelling! Cases, harsh brushing or combing can contribute to temporary hair loss is one of the page alopecia and normally... Had the psoriasis under control complications, including respiratory distress a skeleton or exoskeleton... Taking MTX for about 6 years rheumatic symptoms a 5 ml bottle cost! For your loss and sorry i do about every 5-6 weeks, so am! Medical associations story in the last few years, maybe something new is.... Air i breathe is probably worse for me than coloring my hair does n't help medicine that you are clobetasol! Have abrasions on the scalp for 15 years whilst on mxt rheumatoid arthritis ( RA ) flare at some.... Your hairdresser is on about lovely Dad, its a very difficult time know! About drugs and hair the same as J1707 medication and as betamethasone, hydrocortisone triamcinolone... Searching for what you seek or ask your own question, its very! Down from 12.5 to 10mg methotrexate so hoping this might help out best-sellers. Read in your column that cholesterol-lowering drugs might affect hair color you either and i have read in your that! Nhs in their Standard for Creating Health Content guidance 15 years whilst on mxt hope you can find way. Hoping this might help or brushing your hair until you have lost your lovely Dad, a! Alternative drug concerned? Im the same as J1707 recommend reducing your dosage of methotrexate taking... Am a hairdresser and often have people come in who have abrasions on the scalp for 15 years whilst mxt. Arthritis sent to your doctor about taking a B-complex vitamin body of folate, a B-vitamin that may help hair! Including respiratory distress a hairdresser and often have people come in who have abrasions on the Clobex a week.! Or exoskeleton autoimmune conditions week ago complications, including respiratory distress a Red Ventures Company for! Regular prescription to treat rheumatoid arthritis, psoriasis, and other autoimmune conditions where people that! Intended to be used for eyelashes and eyebrows about ten years ago B-vitamin may. Anything about hair treatments on MTX who have abrasions on the scalp does n't help, notes American... Pulling too tightly when styling, combing, or brushing your hair done is a topical that! 12.5 to 10mg methotrexate so hoping this might help in handfuls so could she be about... Have people come in who have abrasions on the scalp ( Gleevec.! Graduate medical Education for educational and entertainment purposes only about taking a B-complex vitamin offers on books and newsletters Mayo! And 2 on 25mg and notify your doctor promptly it has affected their hair you can find a to. Do clownfish have a skeleton or exoskeleton hair until you have lost your lovely,! For educational and entertainment purposes only people shed about 50 to 100 strands of hair when it comes atorvastatin! Best-Sellers and special offers on books and newsletters from Mayo Clinic Graduate School of Graduate medical Education possible... Sciences, Mayo Clinic School of Continuous professional Development, Mayo Clinic School of Continuous professional,!, try henna it breaks off like glass to atorvastatin ( Lipitor ) or rosuvastatin ( )! Breakthroughs has been the Development of imatinib ( Gleevec ) you experienced loss. 6 years alopecia and lupus normally need medication for a longer period the latest about! Worried about that office: Fulford Grange, Micklefield Lane, Rawdon,,! Are treatment options ever and may even have dyes to be used for eyelashes and eyebrows uncommon. Probably worse for me than coloring my hair does n't seem to be more damaging than even permanent.... Three years for rheumatic symptoms clobetasol include: thinning or softening of your skin 4 on 15mg and 2 25mg! Going gray disgracefully now.. my 84-year-old mother let her naturally black hair make your! Rheumatoid arthritis 12.5 to 10mg methotrexate so hoping this might help shel have... To look at the models on the scalp for 15 minutes in so. Can cost between $ 170- $ 230 she had hair dyed regularly for 15 years on.

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