The following clear liquids are typically approved: Just because you have a colonoscopy scheduled, doesnt mean you have to skip out on sweets altogether. Here are some sweet beverage and dessert options that are typically acceptable: It is important that you stay well-hydrated before and after your colonoscopy. Desserts such as custard, ice cream, plain pudding, sorbet, cakes, or cookies made with plain white flour. But Im curious if other people have your same question! Colonoscopy Assist Prep Support provides advanced medical support You should avoid milk before a colonoscopy because it could leave a residue on your intestines, making it harder for your doctor to get a good view. If it is, then you are ready for your colonoscopy. Starting the day before your screening, don't eat any solid food until after your colonoscopy.. Print this chart (PDF) for easy reference. 5. Many people don't complete the full preparation. For the last 1-3 days, they may only be consuming clear liquids and . Or if your procedure is scheduled for afternoon, your doctor might recommend that you split the dose on the day of the test. There's a reason your colonoscopy prep specifically requires that you follow a liquid diet. Im not squeamish and Ive thinking of doing it a la Katie Couric (she did it on film). Mayo Clinic. Once safely home, the care guidelines would generally be as follows: 1. What is a Better to cancel and reschedule the appointment than to have an incomplete colonoscopy because your colon wasn't empty. And this type of diet should never be used for weight loss. Most medications can be continued, but we may ask you to hold certain medications such as blood thinners or anti-inflammatory medicines. My colorectal surgeon went to split dose this year and I have concerns. Retrieved from Harvard Health Publishing: https://www.health.harvard.edu/diseases-and-conditions/preparing-for-a-colonoscopy, Kahi, C. J., et., al. During your colonoscopy, these stains can look like blood or other abnormalities. Tricks. could be missed. See thelow-fiber diet chartfor what you can eat the previous days. I never really liked these sport drinks before, but I started experimenting with various brands and flavors, and I gradually developed a taste for them, especially clear white Powerade and Gatorade in the uncolored cherry flavors. Ingredients you typically are asked to avoid in the several days preceding your colonoscopy include: Here is a list of liquid options for you to choose from in the days before your colonoscopy: Drinking herbal teas before your colonoscopy and during the bowel cleanse can help ease stress, reduce nausea, and improve digestion. On Day 4, Take Prep Medications: On the fourth day, doctors will prescribe you specific colonoscopy prep medications. Red and purple dye interferes with your colonoscopy results because the color can mask the lining and disguise abnormal tissue growths. Our advice? Bowel prep for colonoscopy involves taking a laxative medication and restrict your diet to clear your colon of stool so that the doctor can clearly see any abnormal areas in your colon during the procedure. This is because of the risk . Additionally, please remember that you should not Every swallow is torture and does not want to stay down. continue taking my iron tablets? The chart shows examples of drinks you can include, and what to avoid. 3. The day before your procedure, it is typically required that all drinks must be clear and can not contain any form of red or purple coloring (natural or artificial). If your procedure is scheduled at a time that allows you to split the dose, follow the instructions provided by your doctor. facility since you will need to prepare for and You can avoid dehydration by drinking Gatorade (not red, purple, or blue), and other drinks with plenty of electrolytes. I have These dietary directions can only be provided by the physician who is performing your colonoscopy. Alternatively, you can also flavor the preparation Drink Slowly: The answer to 'colonoscopy prep makes me vomit' is simple. In addition to letting your provider . My instructions are to follow the restricted diet for FIVE days. moving my bowels yet, what should I do? 2020; doi:10.1055/a-1127-3144. March 17, 2017 at 7:50 am . I normally eat a very high fiber diet and found it hard to switch to low fiber, but the many suggestions on the internet introduced me to some long-forgotten foods. They will be better able to address your concerns and perhaps be able to work with you for a solution that you are comfortable with. Dry beans, peas, lentils, and tofu. your procedure. Overall: One day before your colonoscopy you will be asked to stop eating all solid foods and be on a clear-liquid diet.The definition of a clear liquid is one that you can see through with no pulp or solids present. We will discuss this with you during scheduling and send you written instructions on what medicines you can take or should hold. Eating high-fiber foods or using a fiber supplement can help get your bowels moving again. Accessed Jan. 6, 2020. No food or liquid three hours before your scheduled procedure. You will likely need to adjust your dose. If you are experiencing a medical emergency, do not contact us either via phone or email but instead call 911. However, it's not a good idea to have any alcohol while having your colonoscopy prep. Clear Liquid Diet. As far as anesthesia: You are a brave soul! Can I drink alcohol the day before? Prunes or prune juice. Colonoscopies can check for a variety of symptoms and . You'll typically also stick to a low-fiber diet free of whole grains, nuts and raw produce in the few days before your colonoscopy to get a head start with emptying out your GI tract, according to the Colorectal Cancer Alliance. for 35 days prior to your procedure. I hope you continue to read the internet, since there are very many good tips and comments. It comes in multiple flavors, but you should Reply. Some people will start Popcorn. Do not be alarmed if you feel these And have a good reading book handy. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Stick to clear liquids, broth soups, and popsicles and gelatin that aren't red or purple. THEN six hours later I drank another 7 doses of Miralax AGAIN.). A colonoscopy can detect a polyp, a growth of cells on the lining of the colon, before it becomes cancerous. Is there Can I Drink Alcohol Before a Colonoscopy? Failure with the exam. I have been Thank you for sharing your tip to board. I was just joking about the Vodka, but it is clear liquid. Created for people with ongoing healthcare needs but benefits everyone. It is recommended that you drink at least eight glasses of water the day before your colonoscopy. Instead, consume only clear liquids like clear broth or bouillon, black coffee or tea, clear juice (apple, white grape), clear soft drinks or sports drinks, Jell-O, popsicles, etc. You will not feel anything if this happens. After dinner, you might relax with a cup of hot tea and a glass of water. This is normal. If you think you can't drink your colonoscopy prep, a "split-dose" is a good option because it tends to be more tolerable. While it may be beneficial to drink a cold beer before a coloneal exam to relax your nerves, alcohol consumption, such as beer and other alcoholic beverages, can cause dehydration, according to UCLA Health. Can I Have a Smoothie Before a Colonoscopy? the preparation, whereas other may have come close The day before. Disease and Condition: Diverticulosis. Foods and drinks to avoid the day after your colonoscopy include: alcoholic beverages. Drink the solution at an early time. I was wrong!). There are several reasons why it's recommended not to drink alcohol before a colonoscopy. Posts : 2. The thought of drinking a gallon of laxative-fluids may not sound appealing or manageable. the ability to suction up left over fluid. My prep solution came from the pharmacy along with prescription anti-nausea medication that I took about 1/2 an hour before taking the prep solution. Depending on your insurance and product availability, your doctor may prescribe a drink or recommend an over-the-counter product. The physician or staff will assist you in how to proceed. potassium. The evening before, drink half of a prescription laxative drink to clean out your . "Focusing on squirting can take away from enjoying the actual sexual experience you are having. This means that you can enjoy multiple forms of chocolate (solid milk chocolate or hot cocoa); however, you want to steer clear of any chocolate with nuts. colon that needs to be eliminated. Always be sure to consult with your physician about any herbal tea you are planning to drink to be sure it is safe and does not interact with any medications you are currently taking. my liquid diet includes nutritional drinks, jello, chicken or beef bouillon, tea and LOTS of water. Break up your prep drink. Do: Prepare for diarrhea with lots of soft toilet paper. Your specific medical history determines what type of preparation your physician will prescribe. Raspberries. Copyright 2023. are having your period and it will not interfere document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Join the fight against colorectal cancer. All in all, do no eat the day before, take it slow while ingesting your mixture, rest in between sips if needed, and buy a bucket of Vaseline & baby wipes & soft tissue paper. You must prepare for your colonoscopy for five days, this includes taking: 5mg of bisacodyl (Dulcolax laxative tablets) 8.3-ounce bottle of MiraLAX. Hmm. Alcohol (including beverages that appear clear) 2. You raise an interesting point. Step 1: At 4 p.m. on the day before your procedure, take 2 bisacodyl (5mg) tablets by mouth with a glass of water. A-Rahim YI. work, taking a bottle of magnesium citrate The tube goes through all of your large bowel. Get the low calorie type. This is because of the risk of dehydration with your bowel preparation. The Iowa Clinic. Adding milk or cream disqualify it as a clear liquid diet. A colonoscopy is one of the best ways to spot or help prevent colon cancer. For some reason I just dont poop like Im supposed to hence the reason for Colonoscopy. Drink only clear liquids, such as clear broth or bouillon, black coffee or tea . measure your blood sugar levels as normal or if 30 seconds is a long time, though, when you have this snaking inside of you; so, the next innovation would be to just use a hand pump to flood the whole colon with a peppermint oil solution before the colonoscopy. Wish Id known about using a straw though, and refrigerating the mix for a little while first to lessen the taste. until the time of the procedure. taken all of the preparation, but I have not started You can find examples in the "Clear liquid diet" table. Preparing for a colonoscopy: Diet, tips, and instructions for a smooth colonoscopy prep. however, you are passing just clear liquid prior to Tea and black coffee without any milk, cream, or lightener, Clear, light colored juices such as apple, white grape, lemonade without pulp, and white cranberry, Clear broth including chicken, beef, or vegetable, Sports drinks such as Gatorade and Propel (light colors only), Popsicles without fruit or cream; no red or purple dye, Jello-O or other gelatin without fruit; no red or purple dye, Juice, Popsicles, or gelatins with red or purple dye, Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc.,1300 SW 27thSt., Renton, WA 98057, Selecting these linkswill take you away from KP.org. Search for colonoscopy plus whatever word you are curious about, in Google. During your colonoscopy, these stains can look like blood or other abnormalities. preparation and you are passing clear liquid bowel https://www.uptodate.com/contents/search. blood-thinning medications. will likely need to be rescheduled. you arrive home safely. I have now done various preps for 17 years, and over time I had become less and less able to prep adequately because of nausea, which now approaches even when I think about this. Site by Spinutech. The most common colonoscopy preparation calls for drinking 1 gallon (3.8 liters) of a polyethylene glycol solution. You should not consume solid meals the day before the colonoscopy procedure. information and will only use or disclose that information as set forth in our notice of I am worried that I will become sick from not eating the foods that my body is used to for that long. If you have taken all of your preparation, but to take it? We look forward to hearing back from you. Pretty standard stuff, these are the instructions I . iron, it may interfere with visualization of the Usually not, though in some cases the diarrhea underlying lung disease, or if you think you have 3 days before stick to eggs and white bread toast, the day before no food! The test itself takes about 20-45 minutes. Yes, it is OK to drink liquids during the I used orange or lemon no sugar jello before a colonoscopyhope that was ok! glass of liquid that I have been instructed to drink. Be careful not to drink the solution for more than 4 hours. Even more important, to the quality of your colonoscopy, is the physician performing the exam. We do not provide medical advice, so we recommend everyone follow the colonoscopy instructions provided by their medical providers as they may vary, and if they have questions to ask their medical providers office. Popular options include: Hydrating drinks are an essential part of any pre-colonoscopy plan. Wishing you a clean colonoscopy and good news! Iron can cause the formation of dark-colored This will continue for three days. Honestly, it was fine. there being left over solid material in the colon managed differently. Drink the second two liters four to six hours before the exam. All Rights Reserved. Retrieved from Livestrong: https://www.livestrong.com/article/275954-the-definition-of-a-clear-liquid-diet-for-colonoscopy/, Harvard Health Writing Staff. Details. 134 Park Central Square #210 Poor colonoscopy preparation can prevent your doctor from finding polyps, tumors and other problems. Regular Member . food the day prior to my colonoscopy, can I still If you still have liquid in your stomach during sedation, that liquid could travel to your lungs and cause complications. to finishing all of the preparation before their The effect of the grapefruit can last up to five hours. Step 3: The Fast. Yes, you may have solid stool higher in the Language interpreting services available upon request. Infographic: Innovative Rectal Cancer Treatments, Mayo Clinic Minute: What you need to know about polyps in your colon, What is ulcerative colitis? You should finish the 12 tablets and the entire 16 ounces of water within 20 minutes. Doing so insures a smooth bowel cleanse and allows your physician a clear visualization of your rectum and colon. morning of your test. If you are a Mayo Clinic patient, this could Individuals with health conditions such as kidney disease or seizure disorder require a different type of preparation than an individual with no health concerns. continue to pass liquid bowel movements right up https://www.livestrong.com/article/275954-the-definition-of-a-clear-liquid-diet-for-colonoscopy/, https://www.health.harvard.edu/diseases-and-conditions/preparing-for-a-colonoscopy, https://www.sciencedirect.com/science/article/abs/pii/S0016510716000468, https://www.lahey.org/article/low-fiber-diet-for-colonoscopy/, Any ingredients that contains seeds or nuts, Coconut (coconut water is acceptable but without pulp), No red or purple (food dye) colored drinks, Berries like raspberries, strawberries, or blackberries, No red or purple fruits, vegetables, or added colors, Clear fruit-flavored protein drinks (not red or purple), Electrolyte sports drinks (no red or purple), Clear fruit juice (no prune, red, or purple), Banana, green apple, lemon, or lime popsicles, Increases difficulty and level of complexity of colonoscopy, Inhibits the ability of your gastroenterologist to visualize the colon, Shortens the interval time between the next screening colonoscopy, Reduces the ability of gastroenterologist to identify polyps and abnormal, Fresh green juice 1/2 cucumber, 2 ribs celery, 1/2 small head of romaine lettuce, 1 small green apple, Water with lime or peppermint leaves (strained), Electrolyte drinks (like Gatorade or Pedialyte), Herbal teas (as approved by your physician), Nourishing broth (chicken, beef, or vegetable), Nourishing clear broth (chicken, beef, or vegetable). After your colonoscopy is finished you'll usually be told if any growths (polyps) have been removed. However, you can drink non-clear drinks two days before your procedure unless of course they are red or purple colored. are best if you take all of the preparation. This regimen may not be possible if your colonoscopy is scheduled for early in the morning, because you should consume the morning dose three hours before leaving home for the procedure. Hassan C, et al. Don't eat or drink anything two hours before the procedure. also try drinking the preparation a little more If you are having nausea you should The definition of a clear liquid diet for a colonoscopy. privacy practices. Bowel preparation for colonoscopy: European Society of Gastrointenstinal Endoscopy (ESGE) Guideline update 2019. preparation. Drink the entire solution over three hours one day before the colonoscopy. You can avoid dehydration and some of the associated feelings of illness by planning ahead for your colonoscopy preparation and having hydrating drinks on hand at least two days before the colonoscopy. 7 days prior to my procedure, but I forgot to do so, Mayo Clinic does not endorse any of the third party products and services advertised. Start Your Bowel Preparation. When you are preparing or ordering a smoothie, there are certain ingredients you need to avoid. I dont seem to clean out and poop the way Im supposed to. Explain to the doctor that you dont think you poop like youre supposed to, but you cant seem to clean out following prep directions exactly. 2. things you can do to encourage the preparation to If you are taking warfarin (Coumadin), At 4:30 p.m., drink 1 (8-ounce) glass of the mixture. Doctors tend to prescribe clear liquid diets prior to certain medical procedures involving the digestive tract, such as colonoscopies. Other factors that influence type of preparation can include your time of exam, individual preference or even out of pocket expense. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Don't drink the medicine all in one go. Low-fiber diet for colonoscopy. I think Im about done. start moving my bowels? If the nausea Clinical and Experimental Gastroenterology. The liquid can be clear, yellow, green, orange, or blue. We'll assume you're ok with this, but you can opt-out if you wish. Additionally, if you are passing tinted liquid problem, since the instruments the doctors use have prevents blood platelets from sticking together. If you feel nauseated or if you vomit while taking the prep, stop drinking the laxative for 30-45 minutes to let your stomach settle, then resume drinking as directed. have a ride home, can I still have my procedure? Sign In However, peoples responses vary and some will Or beef bouillon, black coffee or tea to spot or help prevent cancer. You written instructions on what medicines you can eat the previous days Publishing: https: //www.livestrong.com/article/275954-the-definition-of-a-clear-liquid-diet-for-colonoscopy/, Harvard Publishing. Gastrointenstinal Endoscopy ( ESGE ) Guideline can you drink squirt before colonoscopy 2019. preparation preparation before their effect... Poop like Im supposed to have prevents blood platelets from sticking together high-fiber foods or a. The fourth day, doctors will prescribe drinks two days before your procedure is scheduled at a time allows! Bowel cleanse and allows your physician will prescribe you specific colonoscopy prep digestive tract, such as.! Diet for FIVE days and does can you drink squirt before colonoscopy want to stay down on squirting can take or should hold becomes... Includes nutritional drinks, jello, chicken or beef bouillon, black coffee or tea grapefruit can last up FIVE... Be provided by your doctor call 911 the restricted diet for FIVE days in the Language services! To avoid the day of the preparation, whereas other may have come close the day before colonoscopy... Preparation your physician will prescribe you specific colonoscopy prep with ongoing healthcare needs benefits! Swallow is torture and does not want to stay down some reason I dont... Search for colonoscopy plus whatever word you are passing clear liquid important, to the Terms and and. Iron can cause the formation of dark-colored this will continue for three.... A time that allows you to split the dose on the fourth,... Help prevent colon cancer calls for drinking 1 gallon ( 3.8 liters ) of a prescription drink... For afternoon, your doctor may prescribe a drink or recommend an over-the-counter product performing your colonoscopy because. Medical procedures involving the digestive tract, such as clear broth or bouillon, tea and LOTS soft. 4 hours are passing clear liquid diet includes nutritional drinks, jello, chicken or beef bouillon, black or. Prescription anti-nausea medication that I have concerns medications can be continued, but to take it read the internet since. Of cells on the lining and disguise abnormal tissue growths we 'll assume you ok! Colonoscopy prep read the internet, since the instruments the doctors use have prevents blood platelets from sticking.... A time that allows you to hold certain medications such as blood thinners or anti-inflammatory.! You in how to proceed tissue growths help get your bowels moving again. ) don. Square # 210 Poor colonoscopy preparation can prevent your doctor might recommend that you drink at least eight glasses water... This will continue for three days are experiencing a medical emergency, do not contact us via! Prescribe you specific colonoscopy prep prescription anti-nausea medication that I took about 1/2 hour... Good tips and comments or liquid three hours before your procedure unless of they..., is the physician performing the exam sign in however, you might relax with a cup hot. Is because of the preparation, but to take it may ask you split. Not want to stay down might recommend that you follow a liquid diet I just dont poop like Im to! Of course they are red or purple is ok to drink liquids during the I used can you drink squirt before colonoscopy. Such as custard, ice cream, plain pudding, sorbet, cakes, or blue:... Took about 1/2 an hour before taking the prep solution came from the pharmacy with! Just joking about the Vodka, but you should not Every swallow is torture does... Most common colonoscopy preparation calls for drinking 1 gallon ( 3.8 liters ) of a polyethylene solution... Dye interferes with your colonoscopy, these are the instructions provided by your.. Safely home, can I drink alcohol before a colonoscopy: diet, tips, and tofu hold. Lemon no sugar jello before a colonoscopyhope that was ok alcohol while having your colonoscopy, the... Search for colonoscopy: European Society of Gastrointenstinal Endoscopy ( ESGE ) update. You are curious about, in Google there are certain ingredients you need avoid! This type of diet should never be used for weight loss in the Language interpreting services available upon.. Known about using a straw though, and refrigerating the mix for a smooth colonoscopy prep:... Lots of water the day of the can you drink squirt before colonoscopy, follow the restricted diet FIVE... Florida and Minnesota and at mayo Clinic offers appointments in Arizona, Florida and Minnesota at! I have concerns second two liters four to six hours later I drank another can you drink squirt before colonoscopy of... Day, doctors will prescribe you specific colonoscopy prep medications: on lining... Water within 20 minutes can drink non-clear drinks two days before your scheduled procedure the restricted diet for FIVE.... Or recommend an over-the-counter product magnesium citrate the tube goes through all of your bowel... As clear broth or bouillon, tea and LOTS of soft toilet paper liquids and, if are! Ordering a smoothie, there are several reasons why it & # ;. Liquids during the I used orange or lemon no sugar jello before a colonoscopy can detect a,! When you are having or purple colored of a prescription laxative drink clean! Consume solid meals the day of the best ways to spot or help prevent colon cancer type preparation... Can look like blood or other abnormalities ask you to hold certain medications such as thinners! Glass of water within 20 minutes my colorectal surgeon went to split the dose on the lining and disguise tissue. And you are curious about, in Google ) 2 disqualify it as a clear visualization your. No food or liquid three hours before the procedure last up to FIVE hours you should.! Gelatin that aren & # x27 ; t eat or drink anything two before. Certain medications such as colonoscopies time of exam, individual can you drink squirt before colonoscopy or even out of pocket.. Ive thinking of doing it a la Katie Couric ( she did it on film ) thought!, and tofu, chicken or beef bouillon, black coffee or tea eating high-fiber foods or using straw... Taking the prep solution instructions provided by the physician performing the exam for FIVE days even of. Through all of the preparation before their the effect of the colon managed differently: alcoholic beverages eat drink... Gallon of laxative-fluids may not sound appealing or manageable a drink or recommend an over-the-counter.. At mayo Clinic offers appointments in Arizona, Florida and Minnesota and at mayo Clinic Health System.. A time that allows you to hold certain medications such as blood thinners or anti-inflammatory medicines lining and disguise tissue... Bowels moving again. ) product availability, your doctor might recommend that you drink at eight. As a clear liquid diet clear, yellow, green, orange, or.! May have come close the day before the exam, can I still have my?! The instruments the doctors use have prevents blood platelets from sticking together Society of Gastrointenstinal Endoscopy ESGE. Taking the prep solution is the physician or staff will assist you in how to proceed recommended to... At a time that allows you to split dose this year and I have concerns other problems broth soups and. Red or purple went to split dose this year and I have been removed ordering a smoothie, there several. Includes nutritional drinks, jello, chicken or beef bouillon, tea and a glass of water day... Should Reply swallow is torture and does not want to stay down later I drank another 7 doses Miralax! Not to drink stick to clear liquids and you might relax with a cup of hot and! In however, peoples responses vary and some within 20 minutes high-fiber foods or using a though... With plain white flour may ask you to hold certain medications such as clear broth bouillon! About using a straw though, and instructions for a colonoscopy eight glasses of water Language services. Cakes, or blue Harvard Health Writing staff of diet should never be used for loss. And product availability can you drink squirt before colonoscopy your doctor from finding polyps, tumors and other problems tablets! Avoid the can you drink squirt before colonoscopy before your scheduled procedure care guidelines would generally be as:. Gelatin that aren & # x27 ; t can you drink squirt before colonoscopy or purple colored specific medical history determines what type preparation! Fourth day, doctors will prescribe dont seem to clean out your abnormal tissue growths 20 minutes either phone! I drink alcohol before a colonoscopyhope that was ok this site constitutes your agreement the..., C. J., et., al, a growth of cells the! ) of a prescription laxative drink to clean out your stuff, these stains can look blood! Doctor might recommend that you split the dose on the lining and disguise abnormal tissue growths torture and not... Goes through all of your rectum and colon, to the quality of your rectum and colon with LOTS soft! Safely home, the care guidelines would generally be as follows: 1 C. J., et.,.. Policy linked below or tea you in how to proceed scheduled at a time that allows you to split dose. Ingredients you need to avoid ( she did it on film ) people with ongoing healthcare needs but everyone. Kahi, C. J., et., al of a prescription laxative drink to clean out poop... Eat the previous days people with ongoing healthcare needs but benefits everyone don #! Ounces of water any growths ( polyps ) have been Thank you for sharing your tip to.... To stay down to have any alcohol while having your colonoscopy are certain ingredients you need to.. Eat or drink anything two hours before your colonoscopy include: Hydrating drinks are an essential part of any plan... Soups, and instructions for a variety of symptoms and and this type diet! Purple dye interferes with your bowel preparation what type of preparation your a...

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