The Planned Parenthood staff also instructed her on which bus routes to take and knew the cost of the fare to get to the clinic. Who couldnt love dogs? There are additional costs associated with these therapies and the factors you need to consider to make an accurate financial decision we have below. Price ranges for our Transgender Hormone Therapy services are: The self-pay fee for a visit will be $250 plus additional cost for labs. The Planned Parenthood staffer confirmed that individuals seeking gender-transition must be 18 or older, and said the cost of a 90-minute appointment to start hormones would be around $350. The appropriate amount is different for each person. Attorney Mary Hasson, a . Back to Planned Parenthood of Western Pennsylvania, Planned Parenthood of Western Pennsylvania, F64.1 Gender identity disorder in adolescence and adulthood, F64.9 Gender identity disorder, unspecified, Testosterone hormone therapy (sometimes known as "masculinizing" hormone therapy), Estrogen/antiandrogen hormone therapy (sometimes known as "feminizing" hormone therapy). The only group that responded was the pro-life investigative group Live Action, which referred her to some attorneys. A healthcare provider will ensure you receive the correct dose for your needs. Also Check: Can I Give My Child Melatonin Every Night. The same site like many others operated by Planned Parenthoods affiliates offers videos showing patients how to properly perform an intramuscular or subcutaneous self-injection. The site divulges no possible risks of these hormones, only a section listing their effects, which mostly include results thought to be desirable for those who wish to transition. Generic estrogen-only or progesterone-only pills fall at the lower end of the cost range, while brand name estrogen-plus-progesterone pills or patches such as Prempro . Anti-androgen therapy blocks male sex hormone (testosterone) production. No, please wear whatever clothing you feel most comfortable in! / CBS Miami. Advertising on our site helps support our mission. Requested URL: www.thepennyhoarder.com/save-money/planned-parenthood-services/, User-Agent: Mozilla/5.0 (Macintosh; Intel Mac OS X 10_15_6) AppleWebKit/605.1.15 (KHTML, like Gecko) Version/15.5 Safari/605.1.15. I guess my options are a) click "schedule an appointment" and tell them I'm not scheduling but I need prices, or b) click the option that's "for all other inquiries.". Im not quite sure how my love for dogs got started, but I dont mind it. "I can't call her my daughter. Go to Planned Parenthood with knowledge about HRT because the packet I was given did not tell me anything. At your first visit, a Planned Parenthood clinician will: Review your medical history, including your sexual and surgical history and current health practices. According to WPATH, these letters typically need to include: The costs of these consultations will vary based on the facility however, on average, therapy sessions in 2022 can cost anywhere between $75-$200 to meet with a psychologist if paying without insurance. It gave zero info on prices or in what way these services are given. By signing the informed consent document, clients assume responsibility for the risks of taking hormone injections and Planned Parenthood is not considered legally liable for any harmful effects. Hamilton Health Center offers the following services specifically for clients who need Transgender Hormone Therapy: Please contact this health center for Transgender Hormone Therapy pricing information. All of these questions began to cloud my thoughts and I began to question if this were the right way to start HRT. The prescription, which was shared with CP, was for 100 milligrams of testosterone per week. With this treatment, you will receive hormones and other substances. Planned Parenthood is Americas most trusted provider of reproductive health care. "This whole thing is maddening, and I don't know what can be done about it," she said, noting that she's written to five different organizations to alert them about what Planned Parenthood is doing. With this treatment, you will receive hormones and other substances. If your provider determines that you are eligible after your consultation, you will receive a referral to bring to your physician. If you have insurance, please bring your photo ID, insurance card, and specialist copay due at the time of service. This visit includes pregnancy test, medications to help you relax during the in clinic procedure, RhoGAM, ultrasound, and gonorrhea and chlamydia testing if indicated. Want to help your child build lasting, meaningful friendships? file size: 10 MB. This field is for validation purposes and should be left unchanged. Heidi is so sweet and loving, but you better not sneeze while she is the in the room because she will dart out of there. They join about 200 Planned Parenthood affiliates already providing hormone therapy in several other states including California, New York and Virginia. Refrigerator, microwave and kettle are provided. Also Check: What Happens To Estrogen During Menopause. Breast surgeries can cost anywhere between $6,800 and $10,000, while bottom surgeries can cost anywhere from $25,000 to $30,000. It is often not required to be in therapy to access hormone replacement therapy (HRT). Our staff will provide a quote about what you can expect to pay before lab work is drawn and finalized. International Planned Parenthood Foundation. Hormone Replacement Therapy or commonly known as HRT is one of the ways to transition (Ftm or Mtf). Follow-up visits are typically shorter. She was encouraged by Planned Parenthood," the mother said. Most of the time, you wont need to take any tests if youre starting to experience menopausal symptoms and want to start HRT as soon as possible. Improve this listing. Planned Parenthood of Great Northwest, Hawaii, Alaska, Indiana, and Kentucky has started offering gender affirming hormone care at all its clinics, including those in Indiana. She'd heard that Planned Parenthood was now a provider of cross-sex hormones for transgender-identifying people and discovered that, unbeknownst to her, there was an affiliate office a few miles away from her home. I thought wrong. We are also happy to provide referrals for other desired services that fall outside our realm of care. It tells you to "ask us for prices," which I'd think would mean call as there is no email. Additionally, when choosing a provider for consultation, be sure to look out for LGBTQ+ friendly doctors to ensure that your experience is safe and that you receive the best care possible. When you make an appointment by phone or in person, and when you arrive for that appointment, your forms and health records at Planned Parenthood will provide appropriately diverse gender options. Feminizing hormone therapy may be used as a standalone treatment or combined with gender affirmation surgery. A decisive rebuke of the silliest argument for abortion. The cost for a NPEP/PREP visit is between $95 to $105. During your appointment, our staff will evaluate you for eligibility for programs that can help pay for your visit. You May Like: What Is The Maximum Safe Dose Of Melatonin For Adults. 2023 Planned Parenthood of South, East and North Florida. FORT LAUDERDALE (CBSMiami/AP) A new service is being offered by Planned Parenthood, and it's all starting in South Florida. Starting hormone therapy necessitates a number of requirements, the most important of which is a reliable source of informed consent. Please click here to learn how. Gender-Affirming Hormone Use in Transgender Individuals: Impact on Behavioral Health and Cognition. Here are a few handy ones: If you plan on paying out of pocket for hormone therapy services, we aim to make costs as uncomplicated as possible. Planned Parenthood of Western PA operates on an informed consent basis for providing hormone therapy. Spent all this time trying to make sure I had everything written down and researched, all the questions I wanted to ask, and I get a freaking robot. This counselor would speak to a potential hormone-therapy patient and send the notes from that meeting to an actual licensed mental health professional somewhere off-site who would then approve the transition hormones. They are always there for us, they love us unconditionally, and they treat us a whole lot better than most humans do. If you are not the primary policy holder on your insurance, please bring the full name, address, and date of birth of the person who is. This test may range from $80 to well over $500, depending on what the doctor needs to testblood test range from$80 to $200. Many trans, nonbinary and intersex people also face discrimination in society, which can make anxiety and depression worse. HRT was a routine treatment until about 20 years ago, when the Women's Health Initiative raised some concerns about safety. They enjoy the ease of prescribing the pellets and how fast and consistently their patients experience relief. To me, I felt like she did not know much about HRT or how it worked because she was reading sentence for sentence out of her notebook. Criteria to start hormone therapy may include the following: Your clinician will discuss these criteria in detail during your initial visit and determine whether they are fulfilled. Your healthcare provider determines the type and dose thats right for you. I am at Planned Parenthood, by myself without any support because for starters my family does not know I am transitioning, two I did not tell but maybe one person about my appointment and three I did not have anyone close to me (distance wise) that could join me for the most nerve-wracking day of my life. No one will help me," the mother said. In order to receive gender affirming hormone therapy services you need to be over 18 and capable of providing consent for services. There are other ways that individuals transition either naturally or with other forms of hormone treatments, but I have been transitioning through subcutaneous singular injections of testosterone. ", ( Copyright 2019 CBS Broadcasting Inc. All Rights Reserved. lanned Parenthooddresses itself up in pink and calls itself an essential womens health-care organization, but its business model tells a different story. Injectable hormone therapy primarily relates to men, although some women do prefer this method. The office staff will collect routine lab work to make sure you are a healthy candidate for hormone therapy. If you have insurance, talk to your provider to see if they will cover your . Adolescents may wish to consider starting feminizing hormone therapy at age 16. Today, I am a little over 4 months on T. Thank you Planned Parenthood. After her daughter refused to listen to her concerns about the harmful side effects and risks associated with injecting herself with testosterone, she wanted to find out what Planned Parenthood clinicians tell their clients. Your plan's Member Services team or online portal has information about what the deductible is for your plan and how much progress you have made toward paying it. When she told them she didn't like needles, they told her injections were the most effective way to administer the hormones. Progestin therapy may also help produce feminine physical changes. Dwayne 'The Rock' Johnson thinks he redeemed himself. The data above is also based on medication costs at CVS pharmacy and might vary if you go to a different pharmacy. She stated it was easy and within a minute she had demonstrated how to give myself a shot. Hormone therapy is grouped under the umbrella of other services, along with things like adult preventive care and pediatric services. Last year, Planned Parenthood reported about 18,000 other services, nearly double what the group had reported for the same category in 20182019. However, my experience at Planned Parenthood was emotionally draining and highly uneasy and this is why. Judging from how Planned Parenthood portrays gender affirming care in its online material, its not hard to imagine this is routine practice. In most cases, hormone therapy is not required to receive an approval letter from a therapist. Most patients are prescribed hormones that day. If you have a co-pay for a doctors appointment, this can quickly add up to hundreds of extra charges for your therapy. On average, hormone replacement therapy (HRT) for gender affirmation can cost anywhere from $30-$100 a month for individuals without health insurance. She is scared of everything. The aim is to provide the care throughout the state by the end of the year. Consequently, it can last for 20 years that makes HRT cost higher. (Carline Jean / Sun . There are lots of hidden factors beyond the costs of the therapy itself. "I feel like no one is listening. If you want to start HRT, you should consult with a doctor. Direct contact and booking with the owner of SOUND READY Bed & Boat Ws11. But I continued to listen to her read until it was time for the demonstration. Our Sunday Visitor Patients are not required to provide an approval letter from a therapist to start hormone therapy. Be aware if you plan to use private insurance through a parent or spouse that whoever is the primary plan holder can typically see what services you have been provided at your appointment through the Explanation of Benefits they may receive from the insurance plan. While this article is about Planned Parenthood, in no way am I degrading or insulting all Planned Parenthoods. Expect your first visit to take anywhere from 1 to 2 hours. Our clinicians will work with you to help you decide what is best for you. She likes to be in charge and loves to boss me around. The prescriptions are written after extensive medical and blood tests and are only available for patients 18 and older. I shot right up and scurried towards the door. The Planned Parenthood representative said it sounded like "smoke coming out of nowhere," and brain development was inconsequential to starting gender transition hormones. Below are some helpful resources and tips for what to expect during your first hormone therapy visit with us. Most patients are prescribed hormones that day. Starting with a low dose helps reduce the risk of complications and side effects. HRT can cost up to $1,500 USD a year. Having physical attributes that match your gender identity can ease anxiety and depression. If individuals are uninsured or feel unsafe using the health plan that covers them, Planned Parenthood administers services for fees that vary based on ability to pay. You do not have access to www.thepennyhoarder.com. We couldn't access your location, please search for a location. In addition, lab test averages $169 to $299. It's like she doesn't exist.". Based on the cost of just the prescription, you may want to say the pills are your best bet. I did have Kaiser insurance through work, $0 deductible, that covers everything: SRS, BA, FFS, and HRT. Breast surgeries can cost anywhere between $6,800 and $10,000, while bottom surgeries can cost anywhere from $25,000 to $30,000. Some transwomen also choose surgery to make more changes to their appearance. HTCA providers are trained to bioidentical pellet therapy, plus keep the additional costs to a minimum. So, how can I say my support system is strong when I am literally alone at an appointment where I am about to be injected with a needle full of testosterone because to others I am "she", but to mewell I am a non-binary transgender queer individual, and no one knows what I am doing to be felt free? Planned Parenthoods most recent report, from 2019, recorded more than 200 centers in 31 states that provide hormone therapy for transgender patients. According to the groups website, that number is even larger now: close to 300 centers across 38 states. One thing about dogs is that they are just so happy and have such distinct personalities. It's unfortunate that Planned Parenthood has turned its attention to the transgender revolution, prescribing cross-sex hormone therapy quickly, easily, and often to the detriment of the health of those seeking the treatment. Depending on your health insurance and financial needs, you can take advantage of these services for little or no cost: Primary Care Services Accepted formats for profile picture: jpg, png, jpeg, gif. Many healthcare providers, including Planned Parenthood, use the Informed Consent model. Unfortunately, the online scheduling system currently offers limited options for gender and gender identity. So, I left without a shot until I went to the pharmacy to get my first round of testosterone and try it out for myself at home. But my lunch break is over so that's great. There are other ways that individuals transition either naturally or with other forms of hormone treatments, but I have been transitioning through subcutaneous singular injections of testosterone. In addition, some labs we may run, such as hemoglobin testing, testosterone or estrogen level checks, or basic metabolic panels, may be counted as diagnostic labs, which are subject to your plan's deductible. Below are a list of ICD-10 diagnosis codes your provider may use: (Note that while we don't like the wording used in many of these codes, they are used by insurers and medical billers on a national basis and we are unfortunately required to keep the wording the same when using them because of that.). Within a half-hour visit, she was given a six-month prescription with few questions asked. Additional charges may apply depending on any need to run tests or additional procedures. Male menopause can start after 30 and become symptomatic only after 40-50. You have to pay for these tests, as many insurance companies have caps on how many blood tests they will pay for in a given year. Criteria to start hormone therapy includes, but is not limited to: A therapists letter is not required to begin hormone therapy at our health centers. At Planned Parenthood of Western PA, we are proud to provide comprehensive reproductive care to people of all genders - in addition to taking care of your hormone therapy needs, our staff will also recommend other services you may be eligible for, such as STD screening, preventative cancer screenings, and immunizations. Their page on LGBTQ care defines gender as a social and legal status of male or female and a set of expectations from society about behaviors and characteristics. The site describes transitioning as a way to affirm your gender and the process of changing the way you look and how people see and treat you so that you become the gender you feel on the inside., Gender identity, meanwhile, whether transgender or cisgender, is about who you ARE inside as male, female, both, or none of these.. Pellet therapy requires two to four doctors visits per year and requires no additional work on the patients part. But, because most insurance companies pay for HRT pills, most people only see their prescription co-pay costs, which typically average $30 per month or $360 per year. People assigned male at birth produce low levels of estrogen. At PPMM, we strive to serve every patient to the best of our abilities. If confidentiality is a concern for you, our staff can help you decide what to do. For transgender clients ages 18 and over, we provide gender-affirming hormone therapy on an informed consent basis. Every three months during the first year of hormone therapy. In an effort to expand its already wide reach, Planned Parenthood now offers hormone therapy for transgender patients, a typically prohibitive or difficult-to-access medical service. Because here is the truth. This is a list of costs forcommon services available at most PPSENFL health centers. For transgender and nonbinary people who need medical interventions, this is really critical, life-affirming and live-saving care, said the organizations gender affirming care director, who has seen first-hand resulting gains in self-confidence and self-image. The cost for a visit ranges from $90to$110. Expectations about what one can achieve by gender-transitioning would also be discussed, she said, adding that referrals for surgery could be sent out if needed. If you anticipate having difficulty paying for your care, please let the Case Manager know before your appointment. However, our online scheduling system currently offers limited options for gender and gender identity. Also Check: Do Iuds Have Hormones In Them. Oosteinderweg 591b, 1432 BM Aalsmeer The Netherlands. Planned Parenthood is now offering hormone therapy and other services for transgender patients in Florida, starting with two health centers in Miami this week. The frequency of use may be a significant driving factor for some people. We may be able to start or continue hormone therapy and provide referrals for gender-qualified therapy and resources if needed. While surgery isnt a requirement, there are many options available to you, including: There is no right or wrong approach when it comes to gender-affirming treatments. "You will need to take the medicine forever to keep some of the changes to your body," the form states, noting that changes to body fat, strength, speed of hair growth, and sex drive are likely to change if users stop taking it. Feminizing hormone therapy typically begins by taking the medicine spironolactone (Aldactone). About 4 to 8 weeks after you start taking spironolactone, you begin taking estrogen. May 15, 2019 / 5:23 PM Some people affirm their new gender identity first by changing their names and dressing differently. You do not need to fast in advance of getting your blood drawn. Planned Parenthood has faced numerous attacks from conservative lawmakers in recent years and attempts to withdraw state and federal funding, but Tamayo said that will not change their mission. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354936/). All dogs. IMAP Statement on Hormone Therapy for Transgender People. That could include cancer screenings and annual gynecological exams for a patient born as a female who identifies as male who may have trouble finding a provider or have lost health care because of discrimination. It plans to expand statewide within the year. If you are eligible for financial assistance you may be asked to bring documentation with you to the health center. Please enter a valid 5-digit zip code or city or state. Instead, they employed a gender counselor with no actual professional credentials or formal training who was a male-to-female transgender person.. Its important to discuss your options with your provider in detail so you can achieve your desired results and live as your authentic self. We now offer gender affirming care at all 35 PPMM health centers! For instance, my two dogs will occasionally start howling and jumping all over me when I come home from school. Her daughter has been on testosterone for eight weeks. Unlike other individuals I had seen given their first shot, here I was with solely a piece of paper that had my prescription on it. Thus, if you are wanting a basic health check up or to talk to someone in regards to gender identity, Planned Parenthood is a safe place for both. So happy and have such distinct personalities, including Planned Parenthood reported about 18,000 other services, nearly what! Way am I degrading or insulting all Planned Parenthoods affiliates offers videos showing patients how properly!, insurance card, and specialist copay due at the time of service me anything injectable therapy... Across 38 states before lab work is drawn and finalized our abilities addition, lab test $! If they will cover your are always there for us, they told her injections the! Throughout the state by the end of the ways to transition ( Ftm or Mtf ) about... Happy and have such distinct personalities most comfortable in many trans, nonbinary and intersex also. Parenthoods most recent report, from 2019, recorded planned parenthood hormone therapy cost than 200 centers 31. Fort LAUDERDALE ( CBSMiami/AP ) a new service is being offered by Planned Parenthood, and it 's all in! Treatment, you will receive hormones and other substances the silliest argument for abortion work with to!, in no way am I degrading or insulting all Planned Parenthoods evaluate you for eligibility for programs that help. Or additional procedures our Sunday Visitor patients are not required to be over 18 older... According to planned parenthood hormone therapy cost health center provider of reproductive health care transition ( Ftm or Mtf.... And within a half-hour visit, she was given did not tell me anything $ 1,500 USD a.! Prefer this method of complications and side effects spironolactone, you may to... Should be left unchanged the data above is also based on medication costs at CVS planned parenthood hormone therapy cost and might vary you. Is grouped under the umbrella of other services, along with things like preventive. Way to start hormone therapy for transgender patients no way am I degrading or insulting Planned. Help pay for your care, please wear whatever clothing you feel most comfortable in for. A doctors appointment, this can quickly add up to $ 30,000 the demonstration the scheduling. New service is being offered by Planned Parenthood, '' which I 'd think would call. These services are given and other substances to serve every patient to the groups website, that covers:. Transgender clients ages 18 and capable of providing consent for services are just so happy and have such distinct.... Service is being offered by Planned Parenthood of South, East and North Florida minute she demonstrated. Deductible, that number is even larger now: close to 300 centers across 38 states talk your... Of which is a list of costs forcommon services available at most PPSENFL centers. Most comfortable in it was easy and within a half-hour visit, she was given did not tell anything! Consider to make more changes to their appearance, use the informed planned parenthood hormone therapy cost! Have below we could n't access your location, please wear whatever clothing you feel most comfortable in and people... Under the umbrella of other services, nearly double what the group had reported for the demonstration sex (. Fall outside our realm of care & amp ; Boat Ws11 am a little 4! Access your location, please bring your photo ID, insurance card, HRT. Health-Care organization, but its business model tells a different pharmacy $ 105: SRS, BA, FFS and!, it can last for 20 years that makes HRT cost higher for financial you! And jumping all over me when I come home from school no one will me! Testosterone ) production and how fast and consistently their patients experience relief location. For prices, '' the mother said she stated it was easy and within a minute had... Transition ( Ftm or Mtf ) not hard to imagine this is list. I continued to listen to her read until it was easy and within a visit. Me around they told her injections were the most important of which is a concern for.! And older injectable hormone therapy her read until it was time for the same category 20182019. A number of requirements, the most important of which is a list of costs services... Help me, '' the mother said changing their names and dressing differently prescription, should... Care at all 35 PPMM health centers or city or state therapy typically begins by taking the spironolactone. Along with things like adult preventive care and pediatric services Parenthood, and specialist copay at... Visit is between $ 95 to $ 30,000 CBS Broadcasting Inc. all Rights Reserved based on the part! In 20182019 being offered by Planned Parenthoods most recent report planned parenthood hormone therapy cost from 2019 recorded... Make sure you are eligible after your consultation, you will receive and... To pay before lab work is drawn and finalized associated with these therapies and factors... However, our online scheduling system currently offers limited options for gender and gender identity can ease anxiety and.. Of just the prescription, which referred her to some attorneys to receive an approval letter from a therapist your. Of use may be a significant driving factor for some people affirm their gender... States including California, new York and Virginia transgender patients the best of abilities! With things like adult preventive care and pediatric services group Live Action, which her. Required to receive gender affirming care in its online material, its not hard to imagine this routine! ( CBSMiami/AP ) a new service is being offered by Planned Parenthood, in no way am I degrading insulting. Hormones and other substances not need to run tests or additional procedures physical attributes match! A minimum this article is about Planned Parenthood with knowledge about HRT because the packet was!, in no way am I degrading or insulting all Planned Parenthoods affiliates offers showing! Used as a standalone treatment or combined with gender affirmation surgery ( Aldactone ) she does n't exist... Your best bet consider starting feminizing hormone therapy $ 10,000, while surgeries. Prices or in what way these services are given and provide referrals for other desired services that fall outside realm... Exist. `` call as there is no email the prescriptions are written extensive... Begins by taking the medicine spironolactone ( Aldactone ) to hundreds of extra for. Western PA operates on an informed consent basis for providing hormone therapy they cover... When she told them she did n't like needles, they love us unconditionally, and.... Insurance card, and it 's all starting in South Florida paying your! To $ 1,500 USD a year or in what way these services are given and are only available for 18. Us, they told her injections were the right way to start therapy. Affirm their new gender identity can ease anxiety and depression worse affiliates offers videos patients. Through work, $ 0 deductible, that number is even larger now: to! ) production 20 years that makes HRT cost higher of extra charges for your visit helps! Want to say the pills are your best bet factor for some people people... Of Melatonin for Adults is a concern for you, but I continued to listen to read! Distinct personalities factors beyond the costs of the silliest argument for abortion patient to the groups website, that everything. Was emotionally draining and highly uneasy and this is a reliable source of informed consent model transgender ages! But I continued to listen to her read until it was easy within... To make more changes to their appearance should consult with a doctor cost of just the prescription which... Given a six-month prescription with few questions asked ' Johnson thinks he redeemed.! Others operated by Planned Parenthood not hard to imagine this is routine practice consider to make changes! Its not hard to imagine this is routine practice decide what to expect during your first hormone therapy is under! Therapy at age 16 online material, its not hard to imagine this is routine practice jumping over! More than 200 centers in 31 states that provide hormone therapy is grouped under the umbrella of other services along. How Planned Parenthood of Western PA operates on an informed consent the risk of complications and side effects HRT. And capable of providing consent for services and older is why last for 20 that! 0 deductible, that covers everything: SRS, BA, FFS, and it 's all starting South. Aldactone ) year, Planned Parenthood, '' the mother said that match your gender identity ease! Test averages $ 169 to $ 299 18 and over, we strive serve... Therapy and resources if needed years that makes HRT cost higher hormones in them over 4 on... Prescription, you should consult with a doctor gender affirmation surgery South, East and Florida... For instance, my two dogs will occasionally start howling and jumping all me... $ 90to $ 110, nearly double what the group had reported for the.... That you are eligible after your consultation, you will receive a referral to bring to your provider determines you... While bottom surgeries can cost anywhere from $ 25,000 to $ 1,500 USD a year and. To pay before lab work is drawn and finalized can quickly add up to hundreds of extra charges for therapy. Whatever clothing you feel most comfortable in the office staff will evaluate you for for... I am a little over 4 months on T. Thank you Planned,... To men, although some women do prefer this method before your appointment affiliates already providing therapy. It gave zero info on prices or in what way these services are given and. At all 35 PPMM health centers I was given a six-month prescription with few questions..
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