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Safer Injecting

Arnold

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INTRODUCTION TO SAFER INJECTING

While injecting illicit drugs gives the greatest rush and most intense high, it is also by far the riskiest way to take drugs. This information is strictly for users who insist on injecting their drugs.

There will always be much less risk of overdose, infections and health problems with alternatives to injecting, such as smoking, snorting, shafting and swallowing. If you do insist on injecting, we recommend you follow this guide to minimize the chances of HIV, hepatitis C, dirty hits and vein problems.

Your preparation area

This should be a nice private area. Clean your preparation area, hands and spoon with soap or detergent in warm water. If the preparation area is very dirty, one alternative could be to lay down fresh sheets of newspaper.
Getting ready

Hopefully you have access to new fits, swabs, sterile or boiled water, filter and your own tourniquet. If you don't have access to warm soapy water, you can also swab your spoon, fingers and preparation area. Remember to only wipe once, in one direction only! Otherwise you just move nasties like bacteria around with the spoon. Then let the alcohol dry as it is the drying that kills the bacteria.

Mixing up before injecting

Don???t share any of your equipment with others, including your tourniquet. Now you are ready to draw some sterile or boiled water into your fit. Put this water on the spoon with your mix. Remember to swab the implement you use to mix with. Take the filter that came in your sharps kit and place it in the spoon. The ideal is a wheel filter, especially if you are injecting pills.

Should you heat your mix?

Some users still heat their mix before injection, although there a few health issues and it is simply better to avoid heating your mix.

Why do people do it? Usually it is to help dissolve the mix. But if it isn???t dissolving properly without heat, then it shouldn???t really be going into your body! Some users think heating the mix will kill bacteria, but you actually need to boil them for five minutes at high temperature to kill most of them, something you don???t want to do to your mix!

So why is heating your mix bad for you? Heating your mix helps to dissolve impurities in your mix so that they can do more harm to your body. If you are injecting pills, heat will melt the wax which may reform inside your veins. Also, a heated mix can do extra damage to your veins.

Your options? If your mix doesn???t dissolve well, then filter it through a 0.2 micron wheel filter and inject away. Otherwise, consider alternatives to injecting such as swallowing the mix, or shafting it. Shafting means taking the needle off the syringe and putting the mix up your arse. Unlike swallowing, it can give a fairly good rush as the anus is lined with many blood vessels to absorb the drug rapidly.

Injection

Draw the mix into your fit and remove any air bubbles by flicking the barrel with the needle pointed upwards. At the same time, gently push the plunger to expel any air.

Wipe across your injection site once with a clean swab, then place your tourniquet on above the injection site. Remember not to overtighten or leave it on for too long.

Make sure the needle???s hole is facing upward then ease the needle into the vein at a gentle 30 degree angle. Make sure the needle is going in the same direction as the blood flow.

Pull the plunger back a little (???jack back???) to see if you are in the vein. Blood should appear in the barrel of the syringe if you have.

Finishing up after injecting

Take the tourniquet off and gently press the plunger. If it hurts or there is pressure against the plunger, stop immediately as you have missed the vein or possibly gone through the vein completely.

Once done, remove the fit and keep a clean tissue or cotton wool against the injection site for as long as possible, to prevent bleeding. Don't use a swab, as alcohol prevents the blood from clotting.

Dispose of injecting gear using your sharps bin.

Some common injection myths

Don't lick the needle tip. You might save a tiny part of your shot but pick up heaps of bacteria that could really mess you up. If injecting heroin, you hardly save anything as the stomach breaks most of it down anyway.

Don't lick the injection site. Your saliva will not clean the site, but only lay down a heap of bacteria that may get into your bloodstream. Use swabs!

Don't flush. ???Flushing,??? ???booting,??? and ???kicking??? are terms which refer to drawing blood back into the syringe after injection, in an attempt to ensure that no drugs are wasted by being left in the hub of the syringe. The tiny amount you might save has to be weighed against the extra damage to the vein it can cause.
 
SHOOTING CLEAN?

A guide to avoiding infections when injecting

Re-using a filter? Touching your spike with your fingers? Sipping the water out of the cup you’re going to use to draw up from? Licking the end of your spike before a hit?

What occurs between you picking up that gear and then putting the spike in your vein, is a lot of idiosyncratic practices and habits picked up over an injecting career. A closer look usually tells us there’s a few ingrained habits that could prove to be dodgy, to down right dangerous!

We all know how important good hygiene is for injectors in the prevention of blood-borne viruses like HIV, hepatitis C or B – use your own or sterile syringes for each and every hit, and the more recent, but just as important, message of never sharing any spoons, filters, water or tourniquets. All these continue to play a critical part in a hygienic injecting regimen and will, if ritually adhered to, offer you protection against blood-borne viruses (but don’t forget the condoms). So what about other infections and bacteria? How susceptible are injectors to these?

BUT BEFORE WE START...

The answers seem to lie in your injecting routine and, to some extent, how hygienic your dealers are when they’re fiddling around with the powder that is soon to be in your spoon. What occurs between you picking up that gear and then putting the spike in your vein, is a lot of idiosyncratic practices – habits picked up over an injecting career.

Like, for example: licking the end of your spike before a hit, re-using a filter, sipping the water out of the cup you’re going to use draw up from, touching your spike with your fingers – all these seemingly small details carry risks of some pretty unpleasant bacteria entering your bloodstream or skin tissue. Long ingrained habits can be hard to break, but they are just that – habits and so they can be broken. If you can replace just one unhygienic practice with a safer one, you will be reducing your chances of experiencing future infections or complications – complications that can end up life-threatening, and that’s gotta be worth a change.

It may sound a bit cliché: but taking a bit of extra care whenever you can, will be protecting your health now and for the future. And since newer injectors pick up injecting practices from other injectors, it’s up to all of us to try and pass on safer injecting techniques (but don’t ever encourage anyone to start injecting!).

How do bacteria affect injectors?

It seems that you carry slightly more risk of getting certain infections if you inject street drugs IM (intramuscularly) or under the skin (subcutaneously). Bacteria entering your body this way can cause skin or soft tissue abscesses, for example, from bugs like staphylococcus that normally live happily on the skin’s surface; streptycoccus - within in your mouth and throat, to the sorts that can be picked up from your drugs such as Clostridium.

Clostridium is a bacterium that some readers may of heard of already through the terrible infections and deaths that occurred over the last couple of years to a small number of injectors [in the UK - ed.].

Bacteria, when given the chance to enter your bloodstream through your veins, can travel to your heart (causing endocarditis) joints and bones (septic arthritis) and osteomyelitis (a bacteria infection of the bone and bone marrow), or induce other infections like septic thrombophlebitis, septicemia blood poisoning), meningitis, cellulitis (when bacteria infect deeper levels of the skin), brain abscesses and less commonly, tetanus and even malaria!

While the boiling up of a hit of heroin does appear to reduce or kill certain bacteria, those who hit up cocaine, speed, ketamine, pills etc. and use no heat at all when mixing up, are often at greater risk. The practice of repeated injections during a long coke session for example, can often mean that water, filters and spoons are all left out on the table for hours at a time – increasing the chances of bacteria entering your mix, your skin, and your bloodstream.

But from our experience and research, all injectors are vulnerable, and all must take extra care when using their drugs IV. While it’s not a good idea to keep any hit mixed up for later, the reality is we all do it sometimes.

If you’ve got to keep a hit for later, it’s much safer to keep it in its powder form rather than mixed up with liquid. If you must, then keep any saved hits, filters, dex wash-outs, etc in the fridge. And not for more than 8 to 12 hours at an absolute maximum.

Anyone who has any sort of infected sore on the skin i.e. abscesses, cellulitis, wounds, even infected pimples etc, must be EXTREMELY CAREFUL AND HYGIENIC when shooting up and should absolutely avoid injecting anywhere near the infected area. It doesn’t take much for the bacteria involved to get on your fingers (especially if your a `picker or squeezer’) and travel to your injecting site, particularly when one must feel for a vein.

Never lick, or cough over, your injecting site/equipment either as a spray of bacteria is really bad news! Powder dealers - take note!

INFECTION CONTROL

There are three main ways to pick up infections associated from injecting drugs. They are the air, skin and blood.
Skin

The skin is a common source of bacteria and viruses responsible for intravenous associated infection. Any bacteria found on the skin are usually referred to as resident or transient. Resident bacteria are those that are usually present on the skin, being relatively constant on each individual. They adhere tightly to the skin and as mentioned usually include Staphlococcus albus as well as diphtheroids and bacillus species. And since not all bacteria are removed by scrubbing, one must take par*ticular care not to touch any of your injecting equipment — sterile or otherwise — with grubby fingers.

Transient flora is loosely attached to the skin and is composed of bacteria which have been picked up by you from your environment, and it varies from day to day in its quantity and quality. There isn’t that much of it on clean protected skin, but there can be loads of it on greasy, dirty exposed areas of the body. It is here that handwashing before a hit becomes essential to avoid transferring germs to your injection site or to your equipment.
Air

While the actual number of ‘microbes’ per foot on skin varies whenever an infection is present, bacteria also escape in body discharges, contaminating clothing, bed*ding, dressings etc. If you have an infec*tion on your body, any sort of activity such as throwing off your shirt, bed making etc, sends bacteria flying into the air – particles of lint and pus and dried skin! These contaminants can then find easy access to unprotected intravenous fluids. For example, a water filled glass that you use to draw water from for injecting is left open to the air – and any bacteria that has just flown off someone’s bandages can find it’s way in.

This also goes for spoons and filters. In order to avoid contamination, dispose of all the equip*ment you use after your hit. And if you have another one soon after? Well, get yourself clean equipment! The alternative of course, is to have a pack of sterile syringes, water ampoules and a regularly cleaned spoon etc. (Note - never use a silver spoon because Of silver tarnish). Try and cover your water container with a clean lid, but only if you have no other way to get more fresh water.
Blood

As we know all too well, blood can harbour potentially dangerous viruses. The hepatitis virus, as well HIV, is a testament to that. As such, it is crucial to wash your hands before and after each hit to ensure you don’t transmit or pick up often minute blood particles unseen to the eye that have been left behind, to be picked up by another person.

lt doesn’t matter what you inject, it is essential for injectors to keep themselves healthy. Groin injectors need to pay particular attention to keeping their site clean, and always take care to wash regularly if you inject here as any infec*tion has the potential to be extremely serious. Those who use in their feet or legs, must also take particular care to keep their sites clean as all are areas that regularly get exposed to a variety of germs that can easily gain access to your bloodstream after being pushed in on the end of a spike.
 
YOUR GUIDE TO BACTERIA

or 'thanks for the free accommodation'

From babyhood through to your death, your body is a breeding ground for over 200 species of bacteria. A large percentage of bacteria, enjoy free accommodation on that two square metres of covering you’ve got – your skin. They usually aren’t bad guys, unless they find a way to get into your bloodstream.

Bacteria love needles!

Enter the needle! With anywhere between hundreds to thousands of bacteria on each square cm of skin, you simply can’t stop them getting in each time you inject. But your body has natural defences to kill them in the blood stream, and it usually can cope with a small number of bacteria. Let's meet one of the most common ones that cause problems for injecting drug users...

Staphylococcus epidermidis

Steve (not his real name) is a Staphylococcus epidermidis. Steve is into the asexual lifestyle, enjoys life on the skin, but keen to thumb a lift on your fit, then relocate to your heart valves and wreak havoc.

How to use swabs properly

Every time you swab, it kills most of the bacteria off. So the few that make it in on your fit hopefully will get killed off by your immune system. It is the actual drying of the alcohol that kills bacteria, and why smart users only wipe the swab once, and in one direction only.

Lucky for some bacteria, some users keep scrubbing away, or moving the swab in circles. This only moves the bacteria around on your skin and leaves more of them to get inside you. Even worse is if you don’t swab at all – then it’s party time for bacteria.

Cousins of those bacteria on the skin like to hang out in water. The only way to guarantee your water is clean is using the ampoules that come from your needle & syringe outlet, or boiling tap water for five minutes. Tap water will have some bacteria in it, but it is still actually better than bottled water from your supermarket.
Bacteria are everywhere

They are on your fingers, tourniquet and drug preparation area. Warm soapy water is great for getting rid of most bacteria. It doesn’t kill them, but counteracts the oily surfaces that allow bacteria to stick around. Let's meet another type of bacterium that lives on your skin.

Corynebacterium and micrococcus

Corrie (not her real name)is a corynebacterium. Corrie likes skin-to-skin contact, but really gets off on causing skin infections or heart valve damage via needles.

Mick (not his real name) is a micrococcus. He is another skin-dweller, pretty much harmless unless his landlord’s immune system is in really bad shape ie. HIV or AIDS
Bacteria in your mix

There is often an army of bacteria in your drug too, because it isn’t manufactured in sterile conditions.The best way to stop them getting into you is to use a 0.2 micron wheel filter, which is fine enough to strain them out. But remember not to reuse it – bacteria can start growing in the filter within a few hours, and you can’t kill them by freezing either - they just go to sleep.
Think about alternatives to injecting

Your best defence is simply to find safer ways to get your drug into you. Injecting is the riskiest way because it bypasses your body’s best defence — your skin. Have a try at snorting, smoking, swallowing or shafting, whichever technique works for your drug!
Not all bacteria are evil

Bacteria are seriously bad critters when it comes to injecting, but they do some pretty useful stuff too. They help to break down milk into cheese or yoghurt, so bacteria shit can not only taste good, but be good for you. Other types live in our intestines and help break food down for us, although this also leads to some nasty farts as well.
 
ABSCESSES & INJECTING

Abscesses are something most of us have encountered before and they can be excruciatingly painful. Sympathetic medical care can be hard to come by for many of us, and so some people resort to treating themselves. This can lead to some serious complications as the toxicity of an abscess can vary considerably. Here are a few things to remember when it comes to getting to grips with an abscess.

Sterile abscess

Abscesses present themselves as raised lumps on the skin and can either be sterile or infected. A sterile abscess is caused by injecting either an irritating or insoluble substance into a vein, particularly if you miss. They may develop slowly and do not usually show signs of heat, although there may be a touch of redness. They feel like solid nodules under the skin and are not sore to the touch. Don’t try to squeeze it as it will usually go away in its own time, although it may take quite a while. Avoid injecting at that spot until it clears up.

Infected abscess

An infected abscess, on the other hand, is a different story. This is caused by either using non-sterile injecting equipment, or by bacteria in your mix that the body cannot fight.

An infected abscess will soon come up as a swollen lump on, or near, the injection site. Appearing inflamed and red, they feel hot to the touch and soon become very painful. The abscess may come to a ‘head’ or ‘point’ and be filled with pus. It can be tempting to squeeze or burst it now - but DON’T! This will only spread the infection..

If you want to know what is inside your abscess, here’s a little insight. The abscess is actually a cavity under the skin, filled with many little ‘walls’ that contain the pus. The pus itself contains blood, white blood cells (for fighting infection), damaged or dead tissue, and bacteria. Some of these bacteria can still be ‘live’ which is why squeezing or poking about can easily spread the infection. Your body has made this cavity in an attempt to localise the infection so it won’t spread. An infected abscess won’t go away on it’s own, you really need to seek medical treatment.

Treatment of an abscess

In the early stages, you may be given antibiotics to clear it up. If a head has developed on the abscess, a doctor will lance it and drain out the pus if necessary. The resulting hole should be thoroughly cleaned out, using prescription-only agents, and then packed. This is done so the wound will heal from the bottom up, otherwise the skin will just close over the top, leaving bacteria inside and the whole thing will start over again. Antibiotics will usually be prescribed too.

You can go to the Accident & Emergency at the local hospital, your own doctor, or ask about non-judgmental doctors at any needle and syringe outlets in your region.

Will your methadone script be changed if you go to your clinic, doctor, or A&E with an abscess? They aren’t legally required to report you’ve been injecting ‘done, but there is the risk they might report you. Treatment must be obtained, so you may be better off just not mentioning you were injecting your ‘done.

Get advice and treatment — no matter what — because an untreated abscess can lead to septicaemia (blood poisoning), which can be fatal, cellulitis (a very painful infection of the surrounding tissue) and other complications. All this will put extra pressure on your immune system – not what you want if you are HIV or hep C positive. Really, you don’t have to end up with huge circular scars on your body.

How to minimize your chances of getting an abscess

Make a habit of washing your hands before and after your fix, and always use new equipment – sterile water, works, swabs etc. Always inject slowly and gently in the direction of the blood flow.

Use your filters whole (not torn into small pieces), or use surgical cotton wool – it is made up of fibres that won’t separate, unlike cotton wool, cigarette filters, tissue etc. Not only can loose fibres from these get trapped under the skin and cause an abscess, but they can also travel along your veins and cause blockages and infection in some seriously dangerous places, like your heart. This can be an extremely painful experience but fortunately, is not too common.

Use wheel filters, especially if you are shooting up pills. If any gear looks suspect to you, consider other ways of taking it such as snorting, smoking or swallowing. Don’t skin pop with suss gear.

Speed and coke are irritating to your veins, so if you can bear it, try smoking or snorting instead.

As the ‘drugs war’ rages on, the ricocheting effects continue to reverberate around the drug using community. Abscesses have become our battle scars. If you are concerned about your scars, there are camouflage creams available to conceal them – you can ask a doctor for referral.


SOURCE FOR ARTICLES: http://www.saferinjecting.net
 
???

I'm am really hoping that the majority of us on IM are not mainlining speed, heroin, etc.

Literally 10's of thousands of people are getting intramuscular injections everyday, without ill effect. I do a intramuscular injection every week. If you need advice on how to do this safely, feel free to PM me.
 
big bump,do it sticky!
 
???

I'm am really hoping that the majority of us on IM are not mainlining speed, heroin, etc.

Literally 10's of thousands of people are getting intramuscular injections everyday, without ill effect. I do a intramuscular injection every week. If you need advice on how to do this safely, feel free to PM me.

it does not matter what you inject (steroids or heroine) or if its an IM injection, intravenous injection, etc., the same safe/sterile techniques should be followed regardless.
 
just use common sense. dont use same needle and syringe 2xs and if the needle hits the floor get another one. alchol pad your ass prior to shot wamo your clean.
 
I shaft directly after replenishing my hormones and I use the same syringe.

I hope i'm not at risk for ass infection.
 
IML Gear Cream!
^^wat does that mean? you do a shot then fill up again and shoot again same needle?
 
just use common sense. dont use same needle and syringe 2xs and if the needle hits the floor get another one. alchol pad your ass prior to shot wamo your clean.


If you are mixing multiple compounds is ok to use the same alcohol swab to clean more than 1 vial. I used to use a seperate swab for each vial but now I don't bother, is that fine?
 
If you are mixing multiple compounds is ok to use the same alcohol swab to clean more than 1 vial. I used to use a seperate swab for each vial but now I don't bother, is that fine?

Alcohol kills as it evaporates.

wipe in one direction, not circular.

I don't see any problem with using the same swab for multiple vials.
 
Btw, is it really necessary to pull out the plunger to see if I hit a vein or not? This freaks me out, I have to admit. I have never done it and still live to tell ... ;)

Any comments / stories to share on this issue?

Another thing I was wondering about, even as it does not really concern me (money issues). Do Growth Hormones really make you get more receptors = more muscles?

I was also told by my source that I can only take steroids for 3 months straight and then have at least a 2 month or better 3 month break.

Okay, I see, I have more questions than I thought, please let me know if I should repost these additional questions in other threads.

Thank you!

Mr. Smith
 
Good info...
 
I'm thinking similarly to "ThisisMrSmith", that is, I"m reluctant to drawback the syringe once it's injected. I've always injected w/out pulling back to check for blood and I'm still here and still getting positive results/affects from the IM administered AAS. Once every few injections, there will be a trickle of blood after I remove the syringe which probably means I've hit a blood vessel. What are the negative effects from this and am I still absorbing the substance as effectively as if I did not hit a vessel?
 
IML Gear Cream!
different thinking...

although this thread starts out as an "illicit drug" thread, I am well aware that many members here are men past the age of 30, meaning they are legitimately able to be on hormone replacement the same as any woman can....
the stigma is still there, but the assumption that everyone that sticks themself is seeking a high is incorrect.
I believe MANY people seeking to prolonge their youthfulness and their health seek hormone replacement both men and women. Such treatments require injections, and YES it is always smart to use a new pin for each injection. If you drop it on the floor, its dirty, throw it away...If you've used it before, throw it away, its dirty. They are so cheap, it sensible to use a new one each time.
*for anyone reading this, please don't judge people...that's what we have the feds for. they assume anyone seeking hormone replacemnt is a bubbled up, juiced raging freak...and I personally don't believe that to be true.
I think the most intelligent of people want to look good and feel good for as long as possible, and there is no crime in that.
*cp is coming out with an even cheaper line of pins, so be on the lookout...
 
Why is it talking about injecting substances into veins??? arent steroids IM injections... good way to kill someone lmao
 
some noob is gonna come here and shoot steroids into thier veins after reading this
 
i always got big bump in the area that i inj....i guess caouse im a newbe
 
Introduction to safer injucting:

Your preparation area:
This should be a nice private area. Clean your preparation area, hands and spoon with soap or detergent in warm water. If the preparation area is very dirty, one alternative could be to lay down fresh sheets of newspaper.

Getting ready:
Hopefully you have access to new fits, swabs, sterile or boiled water, filter and your own tourniquet. If you don't have access to warm soapy water, you can also swab your spoon, fingers and preparation area. Remember to only wipe once, in one direction only! Otherwise you just move nasties like bacteria around with the spoon. Then let the alcohol dry as it is the drying that kills the bacteria.

Mixing up before injecting:
Donâ??????t share any of your equipment with others, including your tourniquet. Now you are ready to draw some sterile or boiled water into your fit. Put this water on the spoon with your mix. Remember to swab the implement you use to mix with. Take the filter that came in your sharps kit and place it in the spoon. The ideal is a wheel filter, especially if you are injecting pills.

Should you heat your mix?
Some users still heat their mix before injection, although there a few health issues and it is simply better to avoid heating your mix.

Why do people do it? Usually it is to help dissolve the mix. But if it isnâ??????t dissolving properly without heat, then it shouldnâ??????t really be going into your body! Some users think heating the mix will kill bacteria, but you actually need to boil them for five minutes at high temperature to kill most of them, something you donâ??????t want to do to your mix!

So why is heating your mix bad for you? Heating your mix helps to dissolve impurities in your mix so that they can do more harm to your body. If you are injecting pills, heat will melt the wax which may reform inside your veins. Also, a heated mix can do extra damage to your veins.

Your options? If your mix doesnâ??????t dissolve well, then filter it through a 0.2 micron wheel filter and inject away. Otherwise, consider alternatives to injecting such as swallowing the mix, or shafting it. Shafting means taking the needle off the syringe and putting the mix up your arse. Unlike swallowing, it can give a fairly good rush as the anus is lined with many blood vessels to absorb the drug rapidly.

Injection:
Draw the mix into your fit and remove any air bubbles by flicking the barrel with the needle pointed upwards. At the same time, gently push the plunger to expel any air.

Wipe across your injection site once with a clean swab, then place your tourniquet on above the injection site. Remember not to overtighten or leave it on for too long.

Make sure the needleâ??????s hole is facing upward then ease the needle into the vein at a gentle 30 degree angle. Make sure the needle is going in the same direction as the blood flow.

Pull the plunger back a little (â?????jack backâ??????) to see if you are in the vein. Blood should appear in the barrel of the syringe if you have.

Finishing up after injecting:
Take the tourniquet off and gently press the plunger. If it hurts or there is pressure against the plunger, stop immediately as you have missed the vein or possibly gone through the vein completely.

Once done, remove the fit and keep a clean tissue or cotton wool against the injection site for as long as possible, to prevent bleeding. Don't use a swab, as alcohol prevents the blood from clotting.

Dispose of injecting gear using your sharps bin.

Some common injection myths:

Don't lick the needle tip. You might save a tiny part of your shot but pick up heaps of bacteria that could really mess you up. If injecting heroin, you hardly save anything as the stomach breaks most of it down anyway.
 
ive been using 1'2inch needles and have alot of 1inch are the 1 inch to short i usually inject in the gluet?? thanks for input
 
Prince, thank you so much for this particular topic. I wish to ask the board if you or anyone is familiar with mesotherapy, spot reduction?



:nerd:
 
:thinking: whats up with this thread, im a noob and i really have no say so but I cant understand why this thread about shooting illicit drugs into your veins is even on a BODYBUILDING forum. Someone with no common sense is gonna come on here and think he should shoot steroids into his veins............can someone explain this to me. Im not trying to diss your thread at all ,im just a little confused what do you guys plan on shooting??
 
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