Medical Forum / Diseases and Disorders / Cancer / July 2006
waiting for Tinosorb in sunscreens
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Doug Skrecky - 06 Jul 2006 05:49 GMT [Tinosorb constitutes a significant UVA upgrade for sunscreens. Unfortunately this is currently available only in Europe and Australia. Mexoryl gives some Canadian sunscreens a UVA advantage over USA products. Vichy SPF 60 seem to be about as good as it gets in Canada.]
Chemical & Engineering News April 11, 2005 Volume 83, Number 15 pp. 18-22
NEW-WAVE SUNSCREENS Active ingredient makers are frustrated by the long list of sunscreens and UV-A testing protocols that are still awaiting FDA decisions
MARC S. REISCH, C&EN NORTHEAST NEWS BUREAU
The rest of the world benefits from a variety of sunscreen active ingredients and effectiveness rating systems that aren't available in the U.S. The Food & Drug Administration has promised to give U.S. consumers more options, but sunscreen ingredient suppliers contend that the agency is dragging its feet. For example, almost three years ago, chemical companies applied to FDA for permission to sell three new sunscreen active ingredients under expedited review procedures. They are still waiting.
Six years ago, FDA promised manufacturers and formulators that it would advise them on an acceptable measuring system to let consumers know how effectively a sunscreen formulation blocks UV-A rays. The industry is still waiting.
Today, consumers buying sun protection lotions and creams can get some sense of how these products protect them from sunburn-causing UV-B rays by reading the Sun Protection Factor (SPF) rating, which has long been in place to indicate the ability of sunscreens to block UV-B. However, scientists believe that radiation from the UV-A spectrum is responsible for skin wrinkling and, more important, may contribute to skin cancer. UV-B light wavelengths range from 290 to 320 nm; UV-A wavelengths, from 320 to 400 nm.
Until FDA provides UV-A testing guidelines, manufacturers can only indicate that their lotions and creams offer UV-A protection. Consumers have no idea of how effective a sunscreen product is in protecting them against the cancer-causing rays of the sun. That would be useful information because most of the more than 1 million nonmelanoma cases of skin cancer diagnosed in the U.S. annually are considered to be sun-related, according to the American Cancer Society.
FDA says its reviews have taken longer than expected to ensure "that they reflect the current understanding of medicine and science in the field." But the frustration among sunscreen makers and formulators over the agency's lack of action is palpable. In 1999, FDA issued a "final" sunscreen monograph--the dos and don'ts of sunscreen labeling and formulation. The agency has not "finalized" the document. Proposed UV-A testing and labeling rules are due later this year, the agency promises.
Personal care industry consultant David Steinberg accuses FDA of "foot-dragging." He attributes the delays in the UV-A testing protocols and the slow approval of new sunscreen ingredients to a highly politicized atmosphere at the agency. "It's politics, not science, that has gone wrong," Steinberg says.
Many professionals in FDA are as frustrated as those in the industry over the slow pace of approvals, Steinberg says. Wrangling between Democrats and Republicans over who is to head FDA, pressure on FDA to speed approval of new drugs, and the controversy over approved drugs with serious problems--such as Vioxx and the COX-2 inhibitor class--have all made the agency especially cautious.
Steinberg, who worked with one of the three companies to submit a new sunscreen application to FDA, says it "should only take a half-day to get approval." But it has been almost three years since Symrise, Germany's Merck, and BASF submitted requests to allow use of three ingredients in sunscreen formulations in the U.S.
Symrise, formed in 2002 through the merger of Haarmann & Reimer and Dragoco, asked for approval of isoamyl methoxycinnamate. Merck sought approval for 4-methylbenzylidene camphor. And BASF requested approval for octyl triazone. All would add to the arsenal of UV-B sunscreens available to product formulators.
Each of the companies submitted applications in August 2002 under FDA's TEA process for time and extent applications. FDA put the TEA process in place early in 2002 to expedite listing new sunscreens and other types of over-the-counter (OTC) ingredients in FDA's monographs. Active ingredients with a five-year history of extensive and safe OTC use in another country are eligible for the fast-track FDA review.
COMPARED WITH many other countries, the U.S. has few useful UV-B filters and even fewer UV-A filters. Of the 16 filters now listed for use in U.S. sunscreen formulations, nine are basic UV-B filters, says Nadim A. Shaath, president of personal care consulting firm Alpha Research & Development. Of those nine, only five are extensively used. The others have one issue or another associated with them. Aminobenzoic acid, for instance, stains clothing and may cause adverse reactions in sensitive individuals.
Seven UV filters listed in the U.S. monograph block UV-A rays, Shaath says. But oxybenzone, for instance, is primarily a UV-B filter that also blocks some UV-A rays. Menthyl anthranilate is not a broad-spectrum UV-A filter. Avobenzone provides broad-spectrum UV-A blockage but quickly loses potency on the skin if not formulated properly. Sulisobenzone and dioxybenzone are difficult to solubilize and are rarely used. Two physical blockers, titanium dioxide and zinc oxide, are difficult to incorporate into formulations.
In Europe, by contrast, the list of approved useful UV-A and UV-B sunscreens "goes on and on," Shaath says. That list, in fact, contains 28 approved sunscreens. Sun-kissed Australia has 26 on its approved list, and Canada has 21. Since 1978, FDA has only allowed the addition of avobenzone and zinc oxide to the list.
FDA treats sunscreen active ingredients like drugs for regulatory purposes, Shaath explains, while regulators in Europe and elsewhere treat sunscreens as cosmetics, for which the regulatory approval procedure is less onerous.
Until FDA initiated the TEA process, the only way to get a sunscreen approved was to file a New Drug Application. That meant spending many millions of dollars to do the testing and studies necessary for drug approval in the U.S. Such a route might be cost-effective for a new cancer drug or antibiotic, where annual sales can be in the hundreds of millions of dollars. But a blockbuster sunscreen ingredient would only have sales of about $10 million, Shaath says, far too little to justify the kind of testing expenditures that would satisfy FDA.
In fact, the total U.S. market for sunscreen lotions and potions at the producer level comes in at just about $640 million a year, reports Carrie Bonner, a market manager at consulting firm Kline & Co. By comparison, annual pharmaceutical industry sales in the U.S. exceed $150 billion.
IN EUROPE, the approval process is swifter and less costly. Manufacturers of a new sunscreen ingredient submit standard irritation and sensitivity tests to the European Cosmetic, Toiletry & Perfumery Association, which may then recommend it for regulatory approval. The tests are not as costly as what is required in the U.S. After several years of provisional testing, a new ingredient can move onto a final list of approved ingredients. The list expands and contracts at a faster pace than in the U.S., depending on experience in use, Shaath says.
"We started with a new drug application seven years ago" to get FDA approval of isoamyl methoxycinnamate, says Karl Harris, director of regional business management at Symrise. "We switched to the TEA process when it became available. We're still waiting for approval." Harris adds that he expects approval "any day now."
Ratan K. Chaudhuri, director of cosmetics research and applications at EMD Chemicals, the U.S. affiliate of Germany's Merck, says his firm has yet to hear from FDA about its application seeking U.S. approval for the use of 4-methylbenzylidene camphor (4-MBC). He says he is frustrated that a product with a 25-year history of use in Europe still cannot be used in the U.S.
Chaudhuri acknowledges that scientists have recently looked into the possibility that 4-MBC might be an endocrine disrupter. But he points out that his own company's investigation found no estrogenic effects. Furthermore, the Scientific Committee for Cosmetic Products & Non-Food Products Intended for Consumers, a European Commission advisory body, has for now cleared 4-MBC and one other sunscreen ingredient, octyl methoxycinnimate, while it continues to look into the matter.
"The U.S. is one of the most highly regulated markets," says Folker Ruchatz, cosmetic solutions marketing manager for BASF, which is awaiting approval of its TEA to list octyl triazone in the sunscreen monograph. Octyl triazone is "an extremely photostable filter with strong UV-B absorbence characteristics," according to BASF Technical Service Manager Lee Mores. In other words, Mores says, a little bit goes a long way.
In the meantime, BASF must bide its time before it can submit other new sunscreens for approval. In February, European authorities approved the firm's new UV-A absorber, diethylamino hydroxybenzoyl hexyl benzoate, but it will likely be at least five years before BASF can bring the ingredient to the U.S. "We're committed to introducing it in the U.S. as soon as regulators allow us," Ruchatz says.
Aside from pushing through new active ingredients, it is important that FDA publish acceptable testing methods and label requirements for UV-A protection, says Julian P. Hewitt, sun care team leader for Uniqema. "We currently have no rules for determining or labeling products for UV-A protection," he points out.
Europeans, however, do have such a guideline. Many formulators have adapted the Boots PLC star rating system, which provides a measure of the ratio of UV-A to UV-B radiation absorbed from a simulated light source. For a five-star rating, a sunscreen's UV-A performance must be at least 90% as good as its UV-B efficiency.
Hewitt also points out that current FDA rules do not allow formulators to combine the organic UV-A sunscreen avobenzone with the inorganic sunscreen titanium dioxide. Such a combination, he says, might allow formulators to achieve desirable UV-A and UV-B benefits at lower cost. Uniqema sells a range of nanoparticle-size titanium dioxide products for sunscreens under the Solaveil trade name.
In a letter to FDA in 2000, Ciba Specialty Chemicals argued that the agency should include two of its new sunscreens in a final sunscreen monograph. The firm had developed two broad-spectrum, organic microfine UV-A and UV-B sunscreens now used in Europe and elsewhere: bis-ethylhexyloxyphenol methoxyphenol triazine and methylene bis-benzotriazolyl tetramethylbutylphenol. Ciba trade named the two Tinosorb S and Tinosorb M, respectively.
Tinosorb M is the first of a new class of sunscreens that combine the benefits of an organic and an inorganic filter. "The idea came to us seven or eight years ago," explains Uli Osterwalder, global marketing manager for UV protection and actives. Ciba scientists developed an organic filter that absorbed radiation like an organic compound and scattered and reflected radiation like an inorganic material.
Ciba developed Tinosorb M as a large, photostable, organic molecule with performance characteristics typical of titanium dioxide and zinc oxide, Osterwalder says, but it is easier to formulate with and has higher transparency. Company scientists used similar criteria to develop Tinosorb S, relying instead on chemistry from light stabilizers used in plastics, he adds. Tinosorb M is intended for use in aqueous dispersions, whereas Tinosorb S is for oil-phase sun-care formulations.
Because the sunscreen particles are relatively large, scientists reasoned there would be little chance that Tinosorb M and S could be absorbed through the skin and pose a threat to human health. "We checked both Tinosorb M and S for estrogenic activity, and they were both negative," Osterwalder says. The earliest that Ciba expects to see these two new sunscreens allowed for use in the U.S. is in 2006, when the company will be eligible to submit data to FDA for approval under the TEA process.
Another company with products sitting on the sidelines is DSM, which acquired a stable of sunscreen ingredients as part of its 2003 acquisition of Roche's vitamins and fine chemicals business. "The U.S. has effectively closed the door on newer and better technologies," says Fintan Sit, global marketing manager for DSM Nutritional Products.
Even before the acquisition, Roche had launched a new UV-B filter, dimethicodiethylbenzal malonate, for use everywhere in the world--except the U.S. Sit says the cost of filing a New Drug Application in the U.S. for the filter, known as Parsol SLX, is too high. And without five years of data, it is still too early to qualify Parasol SLX using the TEA route, he says.
"Parsol SLX addresses safety issues we think will come up in the future," Sit says. Octyl methoxycinnimate and 4-MBC came under suspicion a few years ago because people thought these materials might penetrate the skin. Parsol SLX, like the new Ciba filters, is larger than conventional sunscreens. It is made of organic chromophores attached to a polysiloxane chain, Sit says. While the silicone chain has an affinity for skin, it does not penetrate the skin's surface and keeps the sunscreen active ingredients on top, he explains.
While new sunscreen actives are unlikely to find their way into the U.S. market soon, sunscreen ingredient suppliers are doing all they can to tweak approved sunscreens or improve the usefulness of existing sunscreen actives.
For instance, Oxonica, spun out of England's University of Oxford, recently introduced an ultrafine titanium dioxide sunscreen doped with 0.7% manganese. According to Gareth Wakefield, vice president of R&D, the manganese changes the rutile pigment's electronic structure, eliminating its potential to generate free radicals. The manganese also makes the pigment a better UV-A filter than undoped titanium dioxide, he says.
According to David Browning, Oxonica's health care business director, because titanium dioxide is already listed in FDA's monograph, Oxonica expects to introduce its Optisol sunblocker in the U.S. soon.
BASF has also supplemented its existing line of titanium dioxide with two coated microfine pigments manufactured by Sakai Chemical Industry of Japan. "It is a better grade of titanium dioxide because it is more transparent than existing grades," technical services manager Mores says.
And EMD Chemicals' Chaudhuri says his firm expects to introduce a stabilizer that will boost the effectiveness of the UV-A sunscreen avobenzone. The stabilizer, diethyl hexyl syringylidene malonate, is a singlet oxygen quencher that will effectively boost the sunscreen's photostability.
Many involved in the sunscreen ingredients business contend that FDA is ignoring their industry's needs. And as long as the agency remains preoccupied with other matters, U.S. consumers will be among the last to benefit from the latest sun care products.
Docs rally for better sun protection Advances still unavailable in United States
Jul 1, 2005 By: Beth Kapes Dermatology Times
Vienna, Austria - While it is increasingly clear that ultraviolet A radiation (UVA) defense is essential for immune protection, in the United States, unlike many other parts of the world, there is a lack of uniform standards for the assessment of UVA protectiveness of sunscreen.
"Sunscreens with clearly defined broad spectrum protection is needed (in the United States)," said Henry W. Lim, M.D., at the 10th World Congress on Cancers of the Skin, here. "We know that sun protection factor (SPF) is a reflection of the protection against the erythemogenic effect of UVB (rays). While there are several methods to assess the protectiveness against UVA, these have not yet been applied in the United States."
UVA filters approved by the U.S. Food and Drug Administration (FDA), including avobenzone (Parsol 1789) and benzophenones, and inorganic (physical) filters, namely, zinc oxide and titanium dioxide, are the primary sunscreen actives used to protect against skin damaging UVA. However, there are several filters with UVA protection superior to the above available in other parts of the world, including Canada, European Union, Mexico and Japan. Some of these are currently undergoing the FDA approval process; as such, they are not yet available in the United States.
New UVA filters Widely used and excellent UVA filters include Mexoryl SX and Mexoryl XL (both patented by L'Oreal); two UVA filters that have been approved in Europe in 1992 and 1999 respectively, and in Japan in 1999 and 2002. Sunscreens containing these filters are available in Europe, Asia, Latin and South America. Millions of units have been sold without any reported adverse effects. Mexoryl SX provides long-lasting, effective protection due to the virtually impervious nature of the molecule to the action of solar energy, according to its manufacturer, L'Oreal.
Additional superb UVA filters include Tinosorb M and Tinosorb S, both manufactured by Ciba Specialty chemicals. Both are approved in Europe, and Tinosorb M is also approved in Australia. Both are photostable and have strong absorption in the UVB and UVA range.
"Mexoryl and Tinosorb are significantly better than what we have now in the States for two reasons: one, both have significantly better absorption in the UVA range; and two, from the data we have now, both are photostable - they do not degrade following exposure to light like many of the filters used currently," says Dr. Lim, chairman and C.S. Livingood chair, department of dermatology, Henry Ford Hospital, Detroit. "Recent studies show that both types of Mexoryl are better than all (UVA) filters in the U.S. in prevention of photo-induced conditions."
In several studies, the presence of Mexoryl SX and Mexoryl XL rendered sunscreen products to be more efficient in preventing the induction of lesions in patients with photosensitive lupus erythematosus and in those with polymorphous light eruption, as compared to sunscreens containing avobenzone and Ti02, as the UVA filters (Stege, H, et al, Photodermatology Photoimmunology & Photomedicine, Volume 16 Issue 6 , December 2000, and Moyal, D, et al, J European Acad of Dermatology and Venereology, Sept 1999, s 317).
"What's important is that we recognize UVA plays a significant role in immune suppression, and that there are excellent UVA filters available that would benefit our patients in the United States," Dr. Lim says. "Mexoryl SX, Tinosorb M and Tinosorb S are at various stages of the FDA-approval process. It is our hope that this process will move forward in a timely manner."
Photodermatol Photoimmunol Photomed.2000 Dec;16(6):256-9 Evaluation of the capacity of sunscreens to photoprotect lupus erythematosus patients by employing the photoprovocation test. Although sunscreens are widely used to photoprotect patients with photosensitive lupus erythematosus (LE), standardized controlled studies that can prove their efficacy for this indication have been lacking. Therefore, in the present study, the capacity of three different, commercially available sunscreens to prevent the development of skin lesions that have been induced in LE patients under standardized, reproducible conditions by employing a provocative phototest was assessed. In a double blind, intraindividual comparative study, 11 patients with LE were photoprovoked according to a standard protocol. All patients developed LE-specific skin lesions upon photoprovocation with a combination of UVA plus UVB radiation. Each of the sunscreens tested prevented the development of skin lesions in this assay, but to various extents. Suncreen A (UVB: Octocrylene; UVA: Mexoryl SX, Mexoryl XL, Parsol 1789; TiO2) was by far the most effective by protecting in 11/11 patients. This protective capacity was corroborated by studies in which strong ICAM-1 mRNA expression was found in unprotected test areas, but not in sunscreen A pretreated sites. In contrast to sunscreen A, sunscreen B (UVB: Eusolex 6300, Parsol MCX, Uvinul T150, Neohelipan; UVA: Parsol 1789; TiO2) protected in 5 patients and sunscreen C (Eusolex 6300, Parsol MCX, Uvinul T150; UVA: Parsol 1789; TiO2) in 3 out of 11 patients. These studies indicate that the use of sunscreens is beneficial to LE patients because it can prevent the development of UV radiation-induced skin lesions. Effective protection, however, might vary considerably between different sunscreens.
Emily - 07 Jul 2006 02:29 GMT oberonSPAMBLOCK@vcn.bc.ca said...
> [Tinosorb constitutes a significant UVA upgrade for sunscreens. > Unfortunately this is currently available only in Europe and > Australia. Mexoryl gives some Canadian sunscreens a UVA advantage > over USA products. Vichy SPF 60 seem to be about as good as it gets in > Canada.] And that, I fear, was as much as I understood of a very long and technical post. Maybe it's all that was required - a link to a URL would have sufficed...
J - 07 Jul 2006 10:32 GMT > oberonSPAMBLOCK@vcn.bc.ca said... > > [Tinosorb constitutes a significant UVA upgrade for sunscreens. [quoted text clipped - 6 lines] > technical post. Maybe it's all that was required - a link to a URL > would have sufficed... That too..complaints filed. He's been a problem for a while. J
Emily - 07 Jul 2006 23:00 GMT analyse@invalid said...
> > oberonSPAMBLOCK@vcn.bc.ca said... > > > [Tinosorb constitutes a significant UVA upgrade for sunscreens. [quoted text clipped - 8 lines] > > That too..complaints filed. On what grounds?
> He's been a problem for a while. If what he wrote was true then it's a valid concern; however I'm not at all convinced that it's necessarily valid for this particular NG. After all, people are here because they've already got or are concerned with cancer of some sort. It's a bit like shutting the stable door after the horse has done a Houdini act. But I confess I didn't bother to read the whole thing - just skimmed it. Neither did I follow up any of the information. Life's too short as it is, without that.
 Signature Em
Doug Skrecky - 08 Jul 2006 04:33 GMT > analyse@invalid said... >> That too..complaints filed. [quoted text clipped - 8 lines] > whole thing - just skimmed it. Neither did I follow up any of the > information. Life's too short as it is, without that. I'm rather curious at the unexpected hostile response this post had on this unmoderated newsgroup. So I checked just what sort of newsgroup this is. I found some spam, some flame wars, some off-topic posts, quite a few emotional posts by cancer patients, and a few technical posts on cancer treatement that I liked. In the past several years I've made a grand total of two posts here on cancer treatments, both of which were well recieved. However I could not find any post specifically having to do with cancer prevention, which is the main interest regarding cancer of most people outside of this newsgroup. The people who post on this newgroup seem to be a diverse lot, with a variety of interests, but the largest single group appears to be people who either have or have had cancer. I'm told I'm supposed to be fairly good at figuring out people's motivations. (I'm a former member of Mensa.) When I examine this negative response by Analyse@Invalid I can find no explanation if she? does not have cancer herself. Even assuming a considerable loading on mental pathology, no plausible explanation turns up if she is cancer free. I assume therefore that Analyse@Invalid must be a cancer patient. Now if I were a cancer patient, a posting on cancer prevention would not be an issue, nor would it be an issue with any of my friends. However by a torturous convulsion of the grey matter, I can see how this could be annoying to a small minority of cancer patients. So, I will not post anything more on cancer prevention in this forum.
BTW: Analyse@Invalid - do you have some type of cancer? Let me know, and perhaps I may be able to find something useful in the 7500+ papers in my personal medical library.
alex - 08 Jul 2006 04:53 GMT .>
> BTW: Analyse@Invalid - do you have some type of cancer? Let me know, > and perhaps I may be able to find something useful in the 7500+ papers in > my personal medical library. I assume you are referring to J, who is not a doctor, nurse, or healthcare professional. She is not a cancer survivor or have a living family member touched by cancer. but must be very clumsly since she has had 30 self treated sprain ankles in her life.
I found your posting very interesting since skin cancer is rising. Alex
J - 08 Jul 2006 12:13 GMT > have a living family member touched by cancer. Alex knows nothing about my family members (or loved ones) current health status. J
J - 08 Jul 2006 11:28 GMT > In the past several years I've made a > grand total of two posts here on cancer treatments, both of which were > well recieved. BS - pomegranate is not a cancer treatment. Sunscreen is not a cancer treatment. If it's (more) about (what you think is) a cancer treatment, post to sci.med.diseases.cancer If a cancer patient asks about a cancer treatment, one of us takes care of it.
Or if they want to read about various studies/trial results (too many that would flood this newsgroup) about cancer treatments and I know there's been some on sci.med.diseases.cancer, I refer them to those posts or tinyurl the posts for them. Or I find the information and post them there for them.
And there are 4 posts by you (not 2), 3 crossposted - one about mice and rats.
Studes about rats are useless. And it was prostate cancer related - wrong newsgroup anyway. see alt.support.cancer.prostate You (and many others) have been doing this for years and I'm asking you to stop. Only a few types of crossposts are appropriate here.
Last night, I went through all your archived posts here, since 1997. Not one is about support. Many were crossposted. What is or is not appropriate here, was redefined in 2003 (by means of a Charter), in order to stop crossposts and off topics in order to keep it support. And I think you'll find if you read other support newsgroups, those that don't put their feet down about topics and posts, end up junk newsgroups, which this one was before the Charter.
As far as I know, the breast and prostate cancer newsgroups don't mind your type of posts. Post them there if that pleases you. They'll let you know if they don't want them. They'll let you know if they don't want crossposts. Or keep it simple, crosspost to sci.med.diseases.cancer instead. J
J - 08 Jul 2006 12:04 GMT > In the past several years I've made a > grand total of two posts here on cancer treatments, both of which were > well recieved. BS - there's 4 posts (3 crossposted) One about pomegranate and rats and mice and dogs. pomegranate is not a cancer treatment sunscreen is not a cancer treatment Posts about animal studies are useless
I went through all your posts, back to 1997 - none were about support. All of them were inappropriate, as defined by the Charter of this newsgroup, voted in in 2003. All of your crossposts were inappropriate, as defined by the Charter of this newsgroup, voted in in 2003. None were about support, which is the purpose of this newsgroup. None was contributing to an ongoing discussion here. I've been systemically, one poster, at a time, clearing out such posts, from this newsgroup. This newsgroup was a "cesspool" of offtopics, inappropriate posts before the Charter. The intent of the Charter was to keep the signal-to-noise ratio down and it's been a mostly working formula ever since; unless I have to re-explain this to people who never bothered checking for one.
If you think people should know about a sunscreen, post it to the rest of the world - other newsgroups. But be aware that many other support newsgroups, don't like crossposts either.
If your post is (more) about (what you think) is a cancer treatment than cancer support, post/crosspost it to sci.med.diseases.cancer instead. Or try the breast or prostate cancer newsgroup. One or more will let you know if they think your posts are not on topic or inappropriate. Some of them also object to crossposts. And they can get a lot more vocal than I, so be forewarned.
If you or a loved one ever get cancer and it's not covered by the breast or prostate newsgroup, you are welcome here. J
maryanne kehoe - 08 Jul 2006 05:11 GMT There are some places that will allow you to order cosmetics from overseas. Perhaps Tinosorb sunscreens can be obtained that way?
Vichy is hard to find here in the USA-I haven't really used it extensively but I have bought it when overseas and it is a good product.
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