2024 Dog cushing

Jun 10, 2022 · In healthy dogs, this would cause a suppression of the ACTH. In dogs with Cushing’s disease, the negative feedback loop is either completely gone or diminished, as cortisol is high all the time. If the Cushing’s is of pituitary origin, the synthetic dexamethasone injection diminishes the negative feedback loop. . Jul 078

Trilostane (trade name Vetoryl), is the most widely prescribed FDA approved medication for dog Cushing’s disease treatment. This medication works by suppressing the production of cortisol in a dog’s body, and is very effective in controlling the symptoms of Cushing’s disease in dogs. This drug is either given once or twice daily and is ...Jan 19, 2018 · A team of Argentinian researchers studying concurrent canine hyperadrenocorticism (HAC; Cushing disease) and diabetes mellitus identified several risk factors pre-disposing dogs with HAC to diabetes. The researchers believe this is the first study to identify such risk factors, thus adding new insight into HAC’s well-known predisposition to ... The typical pituitary-induced Cushing dog will hypersecrete cortisol to levels in excess of 17.0 micrograms/dl following ACTH injection. There are some who respond to levels ranging 8 to 15 μg/dl, however. (A very low to minimal response to ACTH in a cushingoid dog suggests either iatrogenic disease due toESSENTIAL Diet for Dogs with Cushing’s Prana Pets Team Let food be thy medicine—and your dog’s, too. Cushing’s disease in dogs can be a scary thing to deal with as an owner and as a dog; but luckily, a dog’s food has the ability to heal its Cushing’s disease symptoms over the course of their life. Since there is no cure, treatment must represent a holistic lifestyle change in order ...Oct 27, 2013 · A dog with Cushing’s may have skin that feels thin to the touch, as opposed to the plumpness of healthy skin. Of course, if you notice bruises on your dog, you should tell your vet. 6. Recurrence of Infections. Ear and eye infections may occur more and more frequently in a dog who’s dealing with Cushing’s disease. 7. The following may contain Chewy links. PetMD is operated by Chewy. Cushing’s disease develops when a dog’s body produces too much of a steroid hormone called cortisol. . Chronically high levels of cortisol in the body leads to recurrent infections, skin problems, a pot-bellied appearance, and increased appetite, thirst, and urinati Español Your nine-year old dog has been drinking a lot more lately and eating everything in sight. Plus, he's developed a potbelly and is losing hair. A visit to the vet and some diagnostic tests... The results came back today with indications of Cushing's disease and hypothyroidism. She has a lot of the classic Cushing's symptoms (other than the skin infections and fur loss), as well as the classic hypothyroid symptoms. She's also been more anxious than usual lately, which may be due to mouth pain or could be related to Cushing's. The following may contain Chewy links. PetMD is operated by Chewy. Cushing’s disease develops when a dog’s body produces too much of a steroid hormone called cortisol. . Chronically high levels of cortisol in the body leads to recurrent infections, skin problems, a pot-bellied appearance, and increased appetite, thirst, and urinati suspected canine Cushing’s syndrome or Addison’s disease ACTH stimulation test Diagnostic protocol for cases of suspected canine hyperadrenocorticism (Cushing’s syndrome) or hypoadrenocorticism (Addison’s disease) Rule out nonadrenal causes for clinical signs. If alternate cause not identified, consider additional testing for Cushing’s Jan 1, 2001 · Most cases occur in dogs between ages 5 and 12 years of age. This endoscopic photograph of calcium oxalate bladder stones are in a dog. Bladder stones can be detected during periods of urinary discomfort or they might be discovered incidentally as a surprise. If allowed to remain in the bladder, they can lead to on-going infection, urinary ... The results came back today with indications of Cushing's disease and hypothyroidism. She has a lot of the classic Cushing's symptoms (other than the skin infections and fur loss), as well as the classic hypothyroid symptoms. She's also been more anxious than usual lately, which may be due to mouth pain or could be related to Cushing's.Aug 22, 2023 · Medication can control small Cushing’s tumors for many years. However, for larger tumors that affect the brain, the prognosis isn’t as good. If your dog has a malignant adrenal tumor, the prognosis is poor. The life expectancy for a dog with pituitary-dependent Cushing’s is 2 years. When To Put Your Dog With Cushing’s Down. First of all ... Aug 23, 2018 · A nutritionally balanced canine diet for dogs with Cushing’s disease contains: 60% – 80% Protein – mostly from meat. 20% – 40% Carbohydrates – from grains, vegetables, and fruit. A minimum of 2% fat and a maximum of 16% fat. Dogs with Cushing’s disease also often suffer from hyperlipidemia–too much fat in the blood. The most common symptoms of Cushing’s disease are drinking and urinating more than normal (polyuria/polydipsia, or PU/PD), excessive panting, thinning hair coat, and a pot-bellied appearance with loss of muscle mass along the backbone and a noticeably rounded abdomen. Many dogs also have an increased appetite (polyphagia), and may also show ...Common symptoms of Cushing syndrome. Weight gain in the trunk, with thin arms and legs. Weight gain in the face. This is sometimes called moon face. A fatty lump between the shoulders. This may be referred to as a buffalo hump. Pink or purple stretch marks on the stomach, hips, thighs, breasts and underarms.Dec 28, 2021 · Pituitary-dependent Cushing’s disease is the most common cause of Cushing’s. This is when there is a tumor on your dog’s pituitary gland. This tumor will cause there to be an overproduction of ACTH hormone, which will trigger the adrenal glands to produce an excessive amount of cortisol. The pituitary tumor can be either malignant or ... Cushing's disease (hyperadrenocorticism) is a serious health condition in dogs that occurs when the adrenal glands overproduce cortisol (cortisone) in the animal's body. Excess cortisol can put a dog at risk of several serious conditions and illnesses, from kidney damage to diabetes, and can be life-threatening.My dog was diagnosed with cushings 5 years ago and she is doing well. Besides the fact that she drinks more water, her medication has put that under controlled. I have to admit that the testing every years and the medication every month is very expensive. I'm sorry to hear this news. I hope your dog has the same experience my dog has had. Feb 17, 2023 · Chicken fat and flaxseeds supply omega fatty acids to support skin and coat health. These also aid in reducing inflammation — a common issue for dogs with Cushing’s. Blueberries, kale, pumpkin, and oranges provide your large breed dog with plenty of antioxidants. These can boost immune system health. Jan 1, 2001 · Most cases occur in dogs between ages 5 and 12 years of age. This endoscopic photograph of calcium oxalate bladder stones are in a dog. Bladder stones can be detected during periods of urinary discomfort or they might be discovered incidentally as a surprise. If allowed to remain in the bladder, they can lead to on-going infection, urinary ... The following may contain Chewy links. PetMD is operated by Chewy. Cushing’s disease develops when a dog’s body produces too much of a steroid hormone called cortisol. . Chronically high levels of cortisol in the body leads to recurrent infections, skin problems, a pot-bellied appearance, and increased appetite, thirst, and urinati Most cases of Cushing’s disease in dogs ( 80-85%) are caused by a benign tumor in the pituitary gland that overstimulates the adrenal glands. The pituitary gland is located at the base of the brain and makes adrenocorticotropin hormone (ACTH) to control the production and secretion of cortisol from the adrenal glands.The most common symptoms of Cushing’s disease are drinking and urinating more than normal (polyuria/polydipsia, or PU/PD), excessive panting, thinning hair coat, and a pot-bellied appearance with loss of muscle mass along the backbone and a noticeably rounded abdomen. Many dogs also have an increased appetite (polyphagia), and may also show ... Hyperadrenocorticism, commonly known as Cushing’s disease, is an endocrine (hormonal) disorder that is most common in middle- to older-aged dogs. Cushing’s disease is a serious medical condition. It is caused by excess cortisol levels, which can affect multiple organ systems and lead to potentially dangerous complications. frequent urination. has thinning skin. weak and inactive. The primary treatment for Cushing's Disease in dogs is usually surgery. If the pituitary gland tumor or adrenal gland tumor is not ...Jan 1, 2001 · Most cases occur in dogs between ages 5 and 12 years of age. This endoscopic photograph of calcium oxalate bladder stones are in a dog. Bladder stones can be detected during periods of urinary discomfort or they might be discovered incidentally as a surprise. If allowed to remain in the bladder, they can lead to on-going infection, urinary ... Cushing's syndrome (hyperadrenocorticism) is a chronically debilitating hormone imbalance that can affect many species, humans included; we will be limiting our discussion to dogs and cats, however. Cushing's syndrome, also called Cushing's disease, results from excessive cortisol in the bloodstream and the symptoms all stem from long-term over ...Cushing’s disease is a debilitating disease, usually affecting geriatric dogs. Hyperadrenocorticism is the formal name for Cushing’s. Cushing’s happens due to a malfunction in the endocrine system. Dogs have two small glands sitting on top of their kidneys, called adrenal glands. The adrenals produce and store cortisol.My dog was diagnosed with cushings 5 years ago and she is doing well. Besides the fact that she drinks more water, her medication has put that under controlled. I have to admit that the testing every years and the medication every month is very expensive. I'm sorry to hear this news. I hope your dog has the same experience my dog has had. Cushing’s disease, or hyperadrenocorticism, occurs when the adrenal glands produce excess cortisol. As a result, dogs often experience panting, excessive appetite, increased thirst (polyuria), and frequent urination (polydipsia). About 85-90% of Cushing’s syndrome in dogs is pituitary-dependent. According to The VIN Dermatology Consultants ...However, in this case, if the dog is showing signs of weakness, the Cushing's may be having a negative impact on the dog's heart condition, which would be a reason to treat her if financially possible. Regardless of whether or not this dog is treated, I would monitor her heart disease, especially if weakness persists or she starts coughing.May 30, 2023 · Cushing’s disease, or hyperadrenocorticism, occurs when the adrenal glands produce excess cortisol. As a result, dogs often experience panting, excessive appetite, increased thirst (polyuria), and frequent urination (polydipsia). About 85-90% of Cushing’s syndrome in dogs is pituitary-dependent. According to The VIN Dermatology Consultants ... Adrenal Dependent Cushing’s. This type of Cushing’s usually signifies there is a tumor on the adrenal gland. If your dog has an adrenal tumor growing on the adrenal glands, your vet may suggest abdominal surgery to remove it. Adrenal tumors as a cause of the disease is rare and affects only about 10% of the dogs treated for the disease.Aug 23, 2018 · A nutritionally balanced canine diet for dogs with Cushing’s disease contains: 60% – 80% Protein – mostly from meat. 20% – 40% Carbohydrates – from grains, vegetables, and fruit. A minimum of 2% fat and a maximum of 16% fat. Dogs with Cushing’s disease also often suffer from hyperlipidemia–too much fat in the blood. Aging dogs: Cushing’s disease is mostly associated with middle-aged and older dogs, with the average age of dogs diagnosed with the disease being ten years. Females : There has been some evidence to show that female pets are more susceptible to the condition as compared to their male counterparts even though most vets dispute the claim.This condition represents a classical excess in cortisone-type hormone circulation in the body; it's a relatively common hormone imbalance. Both cats and dogs can be affected (though it is primarily a dog's disease) and the onset is insidious. Cushing's syndrome is the resulting set of symptoms observed when the body is exposed to excess ...May 23, 2017 · The following four natural treatments can and do benefit dogs with Cushing’s: Milk Thistle. Fish Oil. Vinegar. Eastern Herbals. Ophiopogon powder. Rehmannia 11. Rehmannia 14. Read on to discover details on all of the different options. Jun 19, 2012 · Cushing’s disease often can be controlled or cured, and finding it early may increase the efficacy of treatment. These five facts may help guide you toward helping your dog live a longer and happier life. 1. It may be more than just getting old. Cushing’s disease is often not identified correctly, due to symptoms seeming too mild or just a ... My dog was diagnosed with cushings 5 years ago and she is doing well. Besides the fact that she drinks more water, her medication has put that under controlled. I have to admit that the testing every years and the medication every month is very expensive. I'm sorry to hear this news. I hope your dog has the same experience my dog has had. The following may contain Chewy links. PetMD is operated by Chewy. Cushing’s disease develops when a dog’s body produces too much of a steroid hormone called cortisol. . Chronically high levels of cortisol in the body leads to recurrent infections, skin problems, a pot-bellied appearance, and increased appetite, thirst, and urinaticushings and seizures. My 14 year old dog has had cushings for 2 1/2 years. She has been declining the last few months...more tired on her walks, picky and inconsistent with her eating, sensitive about being touched. Sometimes it's hard to get her trilostane in her because she often refuses food. This morning she had a seizure. It was frightening.Cushing's - no response to treatment. Q: Hi! I have a dog of ten years, diagnosed with Cushing's, possibly due to a tumor in the hipofisis (adrenal glands have been seen by Ultrasound and they are normal in size; liver is enlarged). Yokie is a dog of 10 kilos of weight and is being treated with Lysodren. The following may contain Chewy links. PetMD is operated by Chewy. Cushing’s disease develops when a dog’s body produces too much of a steroid hormone called cortisol. . Chronically high levels of cortisol in the body leads to recurrent infections, skin problems, a pot-bellied appearance, and increased appetite, thirst, and urinati Jun 15, 2021 · What is Cushing's disease in dogs? Cushing's disease (hyperadrenocorticism) is a serious health condition in which the adrenal glands overproduce cortisol (cortisone) in the body. Excess cortisol can put a dog at risk of several serious conditions and illnesses, from kidney damage to diabetes, and can be life-threatening. In healthy dogs, this would cause a suppression of the ACTH. In dogs with Cushing’s disease, the negative feedback loop is either completely gone or diminished, as cortisol is high all the time. If the Cushing’s is of pituitary origin, the synthetic dexamethasone injection diminishes the negative feedback loop.Jun 15, 2021 · What is Cushing's disease in dogs? Cushing's disease (hyperadrenocorticism) is a serious health condition in which the adrenal glands overproduce cortisol (cortisone) in the body. Excess cortisol can put a dog at risk of several serious conditions and illnesses, from kidney damage to diabetes, and can be life-threatening. Cushing’s disease, or hyperadrenocorticism, occurs when the adrenal glands produce excess cortisol. As a result, dogs often experience panting, excessive appetite, increased thirst (polyuria), and frequent urination (polydipsia). About 85-90% of Cushing’s syndrome in dogs is pituitary-dependent. According to The VIN Dermatology Consultants ...Find helpful customer reviews and review ratings for Pet Wellbeing Adrenal Harmony Gold - Vet-Formulated - for Dog Cushing's, Adrenal Health, Cortisol Balance - Natural Herbal Supplement 2 oz (59 ml) at Amazon.com. Read honest and unbiased product reviews from our users. Cushing's disease, or hyperadrenocorticism, is a condition in dogs that occurs when the body produces too much cortisol. Cortisol is a hormone and natural steroid that helps regulate essential bodily functions, including metabolism, blood sugar, blood pressure, and immune responses.Cushing's - no response to treatment. Q: Hi! I have a dog of ten years, diagnosed with Cushing's, possibly due to a tumor in the hipofisis (adrenal glands have been seen by Ultrasound and they are normal in size; liver is enlarged). Yokie is a dog of 10 kilos of weight and is being treated with Lysodren. Jan 28, 2021 · Cushing's disease (hyperadrenocorticism) is a serious health condition in dogs that occurs when the adrenal glands overproduce cortisol (cortisone) in the animal's body. Excess cortisol can put a dog at risk of several serious conditions and illnesses, from kidney damage to diabetes, and can be life-threatening. Symptoms of Cushing’s disease in dogs. When a dog has Cushing’s disease, they often show symptoms of drinking and eating more, accompanied by weight gain and an increase in urination. Other signs include: Developing a pot belly. The dog’s skin and hair becomes thin. Wasted muscles.The most common underlying cause of calcinosis is either endogenous Cushing’s disease or iatrogenic Cushing’s disease. It can also be a sign of chronic renal failure. If caught early enough, your dog has a good chance of recovering from calcinosis cutis without having to undergo a surgical procedure to remove the deposits. May 30, 2023 · Cushing’s disease, or hyperadrenocorticism, occurs when the adrenal glands produce excess cortisol. As a result, dogs often experience panting, excessive appetite, increased thirst (polyuria), and frequent urination (polydipsia). About 85-90% of Cushing’s syndrome in dogs is pituitary-dependent. According to The VIN Dermatology Consultants ... It occurs more commonly in female dogs than male dogs, and the average age of diagnosis is between 9 and 11 years of age. Here is a list of the most common symptoms of Cushing’s disease in dogs: Drinking a lot of water. Increased frequency or amount of urination. Increased appetite. Panting a lot. Potbelly appearance.Find helpful customer reviews and review ratings for Pet Wellbeing Adrenal Harmony Gold - Vet-Formulated - for Dog Cushing's, Adrenal Health, Cortisol Balance - Natural Herbal Supplement 2 oz (59 ml) at Amazon.com. Read honest and unbiased product reviews from our users.In some cases, Selegiline hydrochloride (Anipryl®), and ketoconazole (Nizoral®) may be used to treat canine Cushing’s disease, The first line of defense for treating adrenal-dependant Cushing's in dogs is surgery to remove the tumor. If the surgery is uncomplicated and the tumor hasn't spread and isn't malignant, there is a chance that your ...Cushing’s disease is caused by excessive levels of the hormone cortisol. Most of the time, the underlying cause is a tumor on the pitutiary or adrenal glands. It can, however, also develop in dogs who are on a long-term treatment with steroids. Treatment is aimed at normalizing cortisol levels. Thank you, Kenzo, for sharing Viva’s story.Español Your nine-year old dog has been drinking a lot more lately and eating everything in sight. Plus, he's developed a potbelly and is losing hair. A visit to the vet and some diagnostic tests... Aug 24, 2023 · First 5 Ingredients: Chicken, Carrots, Peas, Rice, Chicken Liver. 50% Off First Order. Our top overall pick for the best dog food fur Cushing’s disease is Ollie fresh Chicken recipe, a reputable fresh dog food option that’s respected for its all natural, high-quality food, and human-grade ingredients. However, in this case, if the dog is showing signs of weakness, the Cushing's may be having a negative impact on the dog's heart condition, which would be a reason to treat her if financially possible. Regardless of whether or not this dog is treated, I would monitor her heart disease, especially if weakness persists or she starts coughing.Find helpful customer reviews and review ratings for Pet Wellbeing Adrenal Harmony Gold - Vet-Formulated - for Dog Cushing's, Adrenal Health, Cortisol Balance - Natural Herbal Supplement 2 oz (59 ml) at Amazon.com. Read honest and unbiased product reviews from our users. Feb 17, 2023 · Chicken fat and flaxseeds supply omega fatty acids to support skin and coat health. These also aid in reducing inflammation — a common issue for dogs with Cushing’s. Blueberries, kale, pumpkin, and oranges provide your large breed dog with plenty of antioxidants. These can boost immune system health. Mar 22, 2022 · ESSENTIAL Diet for Dogs with Cushing’s Prana Pets Team Let food be thy medicine—and your dog’s, too. Cushing’s disease in dogs can be a scary thing to deal with as an owner and as a dog; but luckily, a dog’s food has the ability to heal its Cushing’s disease symptoms over the course of their life. Since there is no cure, treatment must represent a holistic lifestyle change in order ... Dogs with Cushing’s disease have clinical signs due to the chronically elevated cortisol levels in their circulation. Cortisol is the natural “prednisone” of the body. Too much cortisol causes the same things one would see with a dog receiving prednisone. The following may contain Chewy links. PetMD is operated by Chewy. Cushing’s disease develops when a dog’s body produces too much of a steroid hormone called cortisol. . Chronically high levels of cortisol in the body leads to recurrent infections, skin problems, a pot-bellied appearance, and increased appetite, thirst, and urinati Small dogs can range from 140 to 160 dollars for the test, while large dogs cost 200 to 500 dollars. This test is often more helpful for diagnosing the opposite problem of too little cortisol production (Addison’s disease). It only picks up 60 to 90 percent of Cushing’s cases. However, it is useful for assessing your treatment of Cushing’s.A dog with Cushing’s may have skin that feels thin to the touch, as opposed to the plumpness of healthy skin. Of course, if you notice bruises on your dog, you should tell your vet. 6. Recurrence of Infections. Ear and eye infections may occur more and more frequently in a dog who’s dealing with Cushing’s disease. 7.Diagnosis. Taking glucocorticoid medicines is the most common way to get Cushing syndrome. Your health care provider can look at all your medicines — pills, injections, creams and inhalers — to see if you're taking medicines that can cause the syndrome. If you are, you won't need other tests. When Cushing syndrome is caused by the body ...Recent studies have shown that 20 percent of dogs with Cushing's disease have an inapparent bladder infection. Feline Cushing's Disease is a Little Bit Different. The classical screening test findings seen in dogs are not typically seen in cats. Most cats with Cushing's disease do not have a stress leukogram as described above.The results came back today with indications of Cushing's disease and hypothyroidism. She has a lot of the classic Cushing's symptoms (other than the skin infections and fur loss), as well as the classic hypothyroid symptoms. She's also been more anxious than usual lately, which may be due to mouth pain or could be related to Cushing's.cushings and seizures. My 14 year old dog has had cushings for 2 1/2 years. She has been declining the last few months...more tired on her walks, picky and inconsistent with her eating, sensitive about being touched. Sometimes it's hard to get her trilostane in her because she often refuses food. This morning she had a seizure. It was frightening.Trilostane (trade name Vetoryl), is the most widely prescribed FDA approved medication for dog Cushing’s disease treatment. This medication works by suppressing the production of cortisol in a dog’s body, and is very effective in controlling the symptoms of Cushing’s disease in dogs. This drug is either given once or twice daily and is ...Find helpful customer reviews and review ratings for Pet Wellbeing Adrenal Harmony Gold - Vet-Formulated - for Dog Cushing's, Adrenal Health, Cortisol Balance - Natural Herbal Supplement 2 oz (59 ml) at Amazon.com. Read honest and unbiased product reviews from our users.Cushing’s disease, or hyperadrenocorticism, occurs when the adrenal glands produce excess cortisol. As a result, dogs often experience panting, excessive appetite, increased thirst (polyuria), and frequent urination (polydipsia). About 85-90% of Cushing’s syndrome in dogs is pituitary-dependent. According to The VIN Dermatology Consultants ...The most common underlying cause of calcinosis is either endogenous Cushing’s disease or iatrogenic Cushing’s disease. It can also be a sign of chronic renal failure. If caught early enough, your dog has a good chance of recovering from calcinosis cutis without having to undergo a surgical procedure to remove the deposits.These dog belly rash bumps and redness you see can have a variety of causes, from a simple bacterial skin infection to a more serious underlying condition, such as Cushing’s disease. If left ...Feb 17, 2023 · Chicken fat and flaxseeds supply omega fatty acids to support skin and coat health. These also aid in reducing inflammation — a common issue for dogs with Cushing’s. Blueberries, kale, pumpkin, and oranges provide your large breed dog with plenty of antioxidants. These can boost immune system health. A dog with Cushing’s may have skin that feels thin to the touch, as opposed to the plumpness of healthy skin. Of course, if you notice bruises on your dog, you should tell your vet. 6. Recurrence of Infections. Ear and eye infections may occur more and more frequently in a dog who’s dealing with Cushing’s disease. 7.Cushing's disease (hyperadrenocorticism) is a serious health condition in dogs that occurs when the adrenal glands overproduce cortisol (cortisone) in the animal's body. Excess cortisol can put a dog at risk of several serious conditions and illnesses, from kidney damage to diabetes, and can be life-threatening.Twenty percent of dogs with Cushing's disease will have normal results with an ACTH stimulation test. According to Dr. Bruyette, the patient is most likely still in the early stages of the disease process and hasn't developed adrenal hyperplasia yet. Can a dog with Cushing's disease have normal results with a low-dose dexamethasone suppression ...Cushings treatment is working for my dog but her blood sugar levels are staying in the 600 range. My vet says sometimes there is a lag between when the Cushings is controlled and when the effects of Cushings improve. Very concerned about the effects of staying at such a high glucose level and increased dosages of insulin have had not effect.Published: October 29, 2020 Cushing’s disease—also known as hypercortisolism and hyperadrenocorticism—is a serious disease that most affects middle-aged and senior dogs. It can be serious if left untreated. Here’s what you need to know about Cushing’s disease in dogs—from types and symptoms to treatment and care. What Is Cushing's Disease in Dogs?Regarded as a lifelong condition, Cushing’s disorder occurs when the body of your dog starts producing excessive quantities of cortisol or cortisone, which is much more than what the body can handle. As the adrenal glands produce this stress hormone, the disorder is often known as ‘hyperadrenocorticism.’.

Adrenal Dependent Cushing’s. This type of Cushing’s usually signifies there is a tumor on the adrenal gland. If your dog has an adrenal tumor growing on the adrenal glands, your vet may suggest abdominal surgery to remove it. Adrenal tumors as a cause of the disease is rare and affects only about 10% of the dogs treated for the disease.. Doc.suspected

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