Destroying Super Immunity & Getting Rid of That Annoying Cough
Dr. Syed Haider
I made it through multiple upper respiratory illnesses affecting my wife and kids over the last year without getting sick myself.
The biggest difference maker seemed to be spending a lot of time outdoors in sunny Puerto Rico.
It’s not just about the vitamin D that you get in the afternoons, it’s also about the lack of blue light toxicity you get the rest of the day from glass filtered indoor sunlight (or artificial lights).
Blue light in the visible spectrum needs to be balanced by the naturally present infrared and UV spectrum in natural sunlight. Unfortunately both are blocked by typical window glass.
Anyway, my long run of seemingly bulletproof immunity came to an inglorious end when I finally succumbed to what had been plaguing my nuclear family for a couple weeks: it began with a tickle in my throat, then progressed to a mild sore throat, stuffy and runny nose, bad a cough, and fatigue. It was rough going for a day or two. Hard to sleep with all the coughing.
My post mortem analysis of what went wrong: I visited family overseas, where they live in an apartment full of artificial light and not much direct sun. I did my best to get outside, but couldnt do it anywhere near as much as I used to at home. Then (perhaps more or less important?) I started including once a week “stress test days” (nee cheat days) on my carnivore diet. That turned into a general laxity during my regular carnivore diet days, including eating out and being exposed to ubiquitous seed oils.
Then one day I was enjoying my meat dish at a local restaurant and decided spur of the moment (always a mistake) to try the side dish I would have normally skipped. Unfortunately it was probably the worst possible side I could have indulged in: a nightshade veggie bomb comprising tomatoes, potatoes, eggplant and various kinds of peppers.
Nightshade vegetables are notoriously toxic (despite mainstream claims that the toxins are neutralized by cooking), especially for those with a history of autoimmune disease, or leaky gut. They are also problematic for anyone with a history of allergic disorders or MCAS. It doesn’t help that traditional methods of picking and preparation that minimized the toxicity for otherwise healthy people are no longer followed.
Pin on Hold the tomato
Almost immediately after consuming this side dish I started to feel that first tickle in my throat and it was a slow downhill roll from there. Took 2-3 days, during which I had enough of a chance to head it off with some high dose vitamin C, but I’m one of those people who usually prefers to let nature take its course (maybe don’t do this in our current environment of repeated COVID infections, with all the problems they can bring).
Once the illness got started I began to notice very clearly that what I ate had an almost immediate impact on how I felt. I think it probably required the sensitization of having been strictly carnivore for weeks beforehand.
Thank you for reading Dr. Syed Haider. This post is public so feel free to share it.
Share
I could tell when I ate high histamine fruits or vegetables that my symptoms would worsen significantly, I might get an instant headache, stuffy nose, worsening cough, fatigue, dizziness, and even occasional anger outbursts that had plagued me before the carnivore experiment.
All these can be due to histamine intolerance. When you’re sick or already exposed to something that lowers your histamine tolerance, adding histamine-containing foods or those that tend to liberate histamine is just added fuel for the fire.
Histamine Intolerance Doctor Gilbert AZ
Anyway this has been going around (not surprising since it is winter). Some people get bad diarrhea, for others it’s the cough that’s the worst.
If you treat this early in the first day or two you can usually cut it short within the first week. If not then many people end up being somewhat under the weather for a couple weeks and the unlucky ones have lingering symptoms for many weeks. It’s not necessarily anything new, it happened before COVID too. Now people are hyperaware of it, and for good reason, because the current iterations are often due to the COVID bioweapon which damages every organ system.
Whether or not COVID was diagnosed you can usually treat a cough heavy post viral syndrome with key lifestyle changes like avoiding airway irritants (eg use an air filter) low or even no carb (but first try a good quality medicinal honey 1-3 teaspoons dissolved in warm water 1-3 times a day), avoiding trigger foods, plenty of direct sunlight, good sleep; supplements from mygotostack.com like vitamin C, D, zinc, quercetin, turmeric, nigella sativa; and prescription meds from mygotodoc.com like: ivermectin and LDN (we can’t prescribe codeine for cough online since its a controlled substance).
Other effective treatments include IV vitamin C, IV ozone, HBOT, or what’s easier and nearly as effective: a home oxygen concentrator a couple hours a day,
However one of the best and most underappreciated ways to get rid of a lingering non productive (dry) cough is simple breathwork.
That’s because it’s not always just a persistent infection or inflammation that leads to a persistent cough, it may be that, but it is also often a disordered breathing pattern that can develop after just a couple days of illness. This pattern becomes imprinted on the nervous system and can be hard to shake. The longer you leave it unaddressed the longer it may continue. The more you cough the more likely you are to keep coughing, and the less you cough the more likely you are to stop coughing.
Now, when most people think of breathwork they think of deep breathing exercises. But deep breathing is usually a trigger for a coughing fit rather than any kind of solution (during my long COVID illness I also found it can also worsen anxiety).
The real fix for a persistent cough (and anxiety) due to a disordered nervous system is often in breathing less, while becoming aware of the impending urge to cough and trying to head it off and suppress it.
Practitioners of the Buteyko breathing method have a great exercise for stopping a persistent dry cough.
Share
When you feel the urge to cough you press your hand over your mouth, swallow and hold your breath for 5 seconds while telling yourself you don’t need to cough. Then start breathing slow and shallow through the nose, keeping your hand over your mouth. Imagine the air going in one nostril and out the other in a circle (obviously this is not actually happening it just helps keep the breathing light and not irritating to the throat, partly a psychological phenomenon).
Do this whenever you feel the urge to cough during the day, and you’ll see that it often works rather well and makes you more aware of what triggers the coughing. Unless there is something more serious going on (don’t nocebo yourself, just assume there is not) it usually only takes 1-3 days of this to retrain your nervous system and end the cough for good.
You can also check out other Buteyko and pranayama yoga breathing methods (like alternate nostril breathing) for stopping a cough on YouTube:
If there is residual inflammation, often manifested by a post nasal drip irritating the throat leading to coughing fits (easy to test if you have this, just lie down flat and see if you start coughing, or get worse, within a minute or so), it’s also important to avoid trigger foods that raise histamine or lead your own body to release histamine.
Some common ones include: the nightshades I mentioned (tomatoes, potatoes, eggplant, all peppers), bananas, strawberries, mangoes, citrus fruits, avocado, chocolate, dairy, preserved or canned meats and fish, leftover meat and fish, lentils, beans, alcohol, tea, coffee and there may be some that are individual specific (think of any foods that in small or large quantities have caused you problems in the past).
If you don’t go low or no carb, then also avoid grains until better as they tend to be pro inflammatory.
Fish oil supplements have a short term anti-inflammatory effect that may lead to a longer term proinflammatory outcome. I’m not clear on all the science and implications here, but you can check out Chris Masterjohn’s work on the topic. Generally speaking it seems to be fine to eat fatty fish for the Omega 3s, but most people should probably avoid the high dose supplementation currently recommended by some groups.
Another key lifestyle measure that works great for the post nasal drip is lifting your head at night using 2-3 pillows (or a wedge pillow - also helps with chronic reflux), and even propping yourself up against the headboard or wall behind your bed. Might be uncomfortable at first, but it’s better than a night of hacking up your lungs.
Manage Acid Reflux & more: EZsleep Wedge| EQUANIMO
I’ve also used pieces of chewed and softened licorice root to help cover up the irritating sensation of a post nasal drip while sleeping.
Using a neti pot a few times a day may also help with this, and you can add things like turmeric, hydrogen peroxide, iodine, or just go with the usual salt water flush.
If there is a persistent infection then more drastic measures will be needed including the IV methods mentioned above, and you can consider nebulization of peroxide.
Promising studies have been done on more exotic methods of relieving a cough such as nebulizing honey, drinking a mixture of honey and coffee syrup dissolved in water, and inhaling a very dilute mixture of capsaicin (from cayenne peppers - which can help with both cough and post nasal drop, and other than snorting or otherwise breathing it in, you can also mix it with honey or water and take it orally as an antihistamine).
Finally, the most powerful herb I know of for insomnia and anxiety is the sedative-hypnotic mulungu bark, and it is also effective in treating various kinds of coughs.
Let me know below if you’ve gotten sick this winter, and what you swear by to get better, especially what works for a prolonged dry nagging cough.
https://blog.mygotodoc.com/p/destroying-super-immunity-and-getting
https://telegra.ph/Destroying-Super-Immunity--Getting-Rid-of-That-Annoying-Cough-03-20
Dr. Syed Haider
I made it through multiple upper respiratory illnesses affecting my wife and kids over the last year without getting sick myself.
The biggest difference maker seemed to be spending a lot of time outdoors in sunny Puerto Rico.
It’s not just about the vitamin D that you get in the afternoons, it’s also about the lack of blue light toxicity you get the rest of the day from glass filtered indoor sunlight (or artificial lights).
Blue light in the visible spectrum needs to be balanced by the naturally present infrared and UV spectrum in natural sunlight. Unfortunately both are blocked by typical window glass.
Anyway, my long run of seemingly bulletproof immunity came to an inglorious end when I finally succumbed to what had been plaguing my nuclear family for a couple weeks: it began with a tickle in my throat, then progressed to a mild sore throat, stuffy and runny nose, bad a cough, and fatigue. It was rough going for a day or two. Hard to sleep with all the coughing.
My post mortem analysis of what went wrong: I visited family overseas, where they live in an apartment full of artificial light and not much direct sun. I did my best to get outside, but couldnt do it anywhere near as much as I used to at home. Then (perhaps more or less important?) I started including once a week “stress test days” (nee cheat days) on my carnivore diet. That turned into a general laxity during my regular carnivore diet days, including eating out and being exposed to ubiquitous seed oils.
Then one day I was enjoying my meat dish at a local restaurant and decided spur of the moment (always a mistake) to try the side dish I would have normally skipped. Unfortunately it was probably the worst possible side I could have indulged in: a nightshade veggie bomb comprising tomatoes, potatoes, eggplant and various kinds of peppers.
Nightshade vegetables are notoriously toxic (despite mainstream claims that the toxins are neutralized by cooking), especially for those with a history of autoimmune disease, or leaky gut. They are also problematic for anyone with a history of allergic disorders or MCAS. It doesn’t help that traditional methods of picking and preparation that minimized the toxicity for otherwise healthy people are no longer followed.
Pin on Hold the tomato
Almost immediately after consuming this side dish I started to feel that first tickle in my throat and it was a slow downhill roll from there. Took 2-3 days, during which I had enough of a chance to head it off with some high dose vitamin C, but I’m one of those people who usually prefers to let nature take its course (maybe don’t do this in our current environment of repeated COVID infections, with all the problems they can bring).
Once the illness got started I began to notice very clearly that what I ate had an almost immediate impact on how I felt. I think it probably required the sensitization of having been strictly carnivore for weeks beforehand.
Thank you for reading Dr. Syed Haider. This post is public so feel free to share it.
Share
I could tell when I ate high histamine fruits or vegetables that my symptoms would worsen significantly, I might get an instant headache, stuffy nose, worsening cough, fatigue, dizziness, and even occasional anger outbursts that had plagued me before the carnivore experiment.
All these can be due to histamine intolerance. When you’re sick or already exposed to something that lowers your histamine tolerance, adding histamine-containing foods or those that tend to liberate histamine is just added fuel for the fire.
Histamine Intolerance Doctor Gilbert AZ
Anyway this has been going around (not surprising since it is winter). Some people get bad diarrhea, for others it’s the cough that’s the worst.
If you treat this early in the first day or two you can usually cut it short within the first week. If not then many people end up being somewhat under the weather for a couple weeks and the unlucky ones have lingering symptoms for many weeks. It’s not necessarily anything new, it happened before COVID too. Now people are hyperaware of it, and for good reason, because the current iterations are often due to the COVID bioweapon which damages every organ system.
Whether or not COVID was diagnosed you can usually treat a cough heavy post viral syndrome with key lifestyle changes like avoiding airway irritants (eg use an air filter) low or even no carb (but first try a good quality medicinal honey 1-3 teaspoons dissolved in warm water 1-3 times a day), avoiding trigger foods, plenty of direct sunlight, good sleep; supplements from mygotostack.com like vitamin C, D, zinc, quercetin, turmeric, nigella sativa; and prescription meds from mygotodoc.com like: ivermectin and LDN (we can’t prescribe codeine for cough online since its a controlled substance).
Other effective treatments include IV vitamin C, IV ozone, HBOT, or what’s easier and nearly as effective: a home oxygen concentrator a couple hours a day,
However one of the best and most underappreciated ways to get rid of a lingering non productive (dry) cough is simple breathwork.
That’s because it’s not always just a persistent infection or inflammation that leads to a persistent cough, it may be that, but it is also often a disordered breathing pattern that can develop after just a couple days of illness. This pattern becomes imprinted on the nervous system and can be hard to shake. The longer you leave it unaddressed the longer it may continue. The more you cough the more likely you are to keep coughing, and the less you cough the more likely you are to stop coughing.
Now, when most people think of breathwork they think of deep breathing exercises. But deep breathing is usually a trigger for a coughing fit rather than any kind of solution (during my long COVID illness I also found it can also worsen anxiety).
The real fix for a persistent cough (and anxiety) due to a disordered nervous system is often in breathing less, while becoming aware of the impending urge to cough and trying to head it off and suppress it.
Practitioners of the Buteyko breathing method have a great exercise for stopping a persistent dry cough.
Share
When you feel the urge to cough you press your hand over your mouth, swallow and hold your breath for 5 seconds while telling yourself you don’t need to cough. Then start breathing slow and shallow through the nose, keeping your hand over your mouth. Imagine the air going in one nostril and out the other in a circle (obviously this is not actually happening it just helps keep the breathing light and not irritating to the throat, partly a psychological phenomenon).
Do this whenever you feel the urge to cough during the day, and you’ll see that it often works rather well and makes you more aware of what triggers the coughing. Unless there is something more serious going on (don’t nocebo yourself, just assume there is not) it usually only takes 1-3 days of this to retrain your nervous system and end the cough for good.
You can also check out other Buteyko and pranayama yoga breathing methods (like alternate nostril breathing) for stopping a cough on YouTube:
If there is residual inflammation, often manifested by a post nasal drip irritating the throat leading to coughing fits (easy to test if you have this, just lie down flat and see if you start coughing, or get worse, within a minute or so), it’s also important to avoid trigger foods that raise histamine or lead your own body to release histamine.
Some common ones include: the nightshades I mentioned (tomatoes, potatoes, eggplant, all peppers), bananas, strawberries, mangoes, citrus fruits, avocado, chocolate, dairy, preserved or canned meats and fish, leftover meat and fish, lentils, beans, alcohol, tea, coffee and there may be some that are individual specific (think of any foods that in small or large quantities have caused you problems in the past).
If you don’t go low or no carb, then also avoid grains until better as they tend to be pro inflammatory.
Fish oil supplements have a short term anti-inflammatory effect that may lead to a longer term proinflammatory outcome. I’m not clear on all the science and implications here, but you can check out Chris Masterjohn’s work on the topic. Generally speaking it seems to be fine to eat fatty fish for the Omega 3s, but most people should probably avoid the high dose supplementation currently recommended by some groups.
Another key lifestyle measure that works great for the post nasal drip is lifting your head at night using 2-3 pillows (or a wedge pillow - also helps with chronic reflux), and even propping yourself up against the headboard or wall behind your bed. Might be uncomfortable at first, but it’s better than a night of hacking up your lungs.
Manage Acid Reflux & more: EZsleep Wedge| EQUANIMO
I’ve also used pieces of chewed and softened licorice root to help cover up the irritating sensation of a post nasal drip while sleeping.
Using a neti pot a few times a day may also help with this, and you can add things like turmeric, hydrogen peroxide, iodine, or just go with the usual salt water flush.
If there is a persistent infection then more drastic measures will be needed including the IV methods mentioned above, and you can consider nebulization of peroxide.
Promising studies have been done on more exotic methods of relieving a cough such as nebulizing honey, drinking a mixture of honey and coffee syrup dissolved in water, and inhaling a very dilute mixture of capsaicin (from cayenne peppers - which can help with both cough and post nasal drop, and other than snorting or otherwise breathing it in, you can also mix it with honey or water and take it orally as an antihistamine).
Finally, the most powerful herb I know of for insomnia and anxiety is the sedative-hypnotic mulungu bark, and it is also effective in treating various kinds of coughs.
Let me know below if you’ve gotten sick this winter, and what you swear by to get better, especially what works for a prolonged dry nagging cough.
https://blog.mygotodoc.com/p/destroying-super-immunity-and-getting
https://telegra.ph/Destroying-Super-Immunity--Getting-Rid-of-That-Annoying-Cough-03-20
Destroying Super Immunity & Getting Rid of That Annoying Cough
Dr. Syed Haider
I made it through multiple upper respiratory illnesses affecting my wife and kids over the last year without getting sick myself.
The biggest difference maker seemed to be spending a lot of time outdoors in sunny Puerto Rico.
It’s not just about the vitamin D that you get in the afternoons, it’s also about the lack of blue light toxicity you get the rest of the day from glass filtered indoor sunlight (or artificial lights).
Blue light in the visible spectrum needs to be balanced by the naturally present infrared and UV spectrum in natural sunlight. Unfortunately both are blocked by typical window glass.
Anyway, my long run of seemingly bulletproof immunity came to an inglorious end when I finally succumbed to what had been plaguing my nuclear family for a couple weeks: it began with a tickle in my throat, then progressed to a mild sore throat, stuffy and runny nose, bad a cough, and fatigue. It was rough going for a day or two. Hard to sleep with all the coughing.
My post mortem analysis of what went wrong: I visited family overseas, where they live in an apartment full of artificial light and not much direct sun. I did my best to get outside, but couldnt do it anywhere near as much as I used to at home. Then (perhaps more or less important?) I started including once a week “stress test days” (nee cheat days) on my carnivore diet. That turned into a general laxity during my regular carnivore diet days, including eating out and being exposed to ubiquitous seed oils.
Then one day I was enjoying my meat dish at a local restaurant and decided spur of the moment (always a mistake) to try the side dish I would have normally skipped. Unfortunately it was probably the worst possible side I could have indulged in: a nightshade veggie bomb comprising tomatoes, potatoes, eggplant and various kinds of peppers.
Nightshade vegetables are notoriously toxic (despite mainstream claims that the toxins are neutralized by cooking), especially for those with a history of autoimmune disease, or leaky gut. They are also problematic for anyone with a history of allergic disorders or MCAS. It doesn’t help that traditional methods of picking and preparation that minimized the toxicity for otherwise healthy people are no longer followed.
Pin on Hold the tomato
Almost immediately after consuming this side dish I started to feel that first tickle in my throat and it was a slow downhill roll from there. Took 2-3 days, during which I had enough of a chance to head it off with some high dose vitamin C, but I’m one of those people who usually prefers to let nature take its course (maybe don’t do this in our current environment of repeated COVID infections, with all the problems they can bring).
Once the illness got started I began to notice very clearly that what I ate had an almost immediate impact on how I felt. I think it probably required the sensitization of having been strictly carnivore for weeks beforehand.
Thank you for reading Dr. Syed Haider. This post is public so feel free to share it.
Share
I could tell when I ate high histamine fruits or vegetables that my symptoms would worsen significantly, I might get an instant headache, stuffy nose, worsening cough, fatigue, dizziness, and even occasional anger outbursts that had plagued me before the carnivore experiment.
All these can be due to histamine intolerance. When you’re sick or already exposed to something that lowers your histamine tolerance, adding histamine-containing foods or those that tend to liberate histamine is just added fuel for the fire.
Histamine Intolerance Doctor Gilbert AZ
Anyway this has been going around (not surprising since it is winter). Some people get bad diarrhea, for others it’s the cough that’s the worst.
If you treat this early in the first day or two you can usually cut it short within the first week. If not then many people end up being somewhat under the weather for a couple weeks and the unlucky ones have lingering symptoms for many weeks. It’s not necessarily anything new, it happened before COVID too. Now people are hyperaware of it, and for good reason, because the current iterations are often due to the COVID bioweapon which damages every organ system.
Whether or not COVID was diagnosed you can usually treat a cough heavy post viral syndrome with key lifestyle changes like avoiding airway irritants (eg use an air filter) low or even no carb (but first try a good quality medicinal honey 1-3 teaspoons dissolved in warm water 1-3 times a day), avoiding trigger foods, plenty of direct sunlight, good sleep; supplements from mygotostack.com like vitamin C, D, zinc, quercetin, turmeric, nigella sativa; and prescription meds from mygotodoc.com like: ivermectin and LDN (we can’t prescribe codeine for cough online since its a controlled substance).
Other effective treatments include IV vitamin C, IV ozone, HBOT, or what’s easier and nearly as effective: a home oxygen concentrator a couple hours a day,
However one of the best and most underappreciated ways to get rid of a lingering non productive (dry) cough is simple breathwork.
That’s because it’s not always just a persistent infection or inflammation that leads to a persistent cough, it may be that, but it is also often a disordered breathing pattern that can develop after just a couple days of illness. This pattern becomes imprinted on the nervous system and can be hard to shake. The longer you leave it unaddressed the longer it may continue. The more you cough the more likely you are to keep coughing, and the less you cough the more likely you are to stop coughing.
Now, when most people think of breathwork they think of deep breathing exercises. But deep breathing is usually a trigger for a coughing fit rather than any kind of solution (during my long COVID illness I also found it can also worsen anxiety).
The real fix for a persistent cough (and anxiety) due to a disordered nervous system is often in breathing less, while becoming aware of the impending urge to cough and trying to head it off and suppress it.
Practitioners of the Buteyko breathing method have a great exercise for stopping a persistent dry cough.
Share
When you feel the urge to cough you press your hand over your mouth, swallow and hold your breath for 5 seconds while telling yourself you don’t need to cough. Then start breathing slow and shallow through the nose, keeping your hand over your mouth. Imagine the air going in one nostril and out the other in a circle (obviously this is not actually happening it just helps keep the breathing light and not irritating to the throat, partly a psychological phenomenon).
Do this whenever you feel the urge to cough during the day, and you’ll see that it often works rather well and makes you more aware of what triggers the coughing. Unless there is something more serious going on (don’t nocebo yourself, just assume there is not) it usually only takes 1-3 days of this to retrain your nervous system and end the cough for good.
You can also check out other Buteyko and pranayama yoga breathing methods (like alternate nostril breathing) for stopping a cough on YouTube:
If there is residual inflammation, often manifested by a post nasal drip irritating the throat leading to coughing fits (easy to test if you have this, just lie down flat and see if you start coughing, or get worse, within a minute or so), it’s also important to avoid trigger foods that raise histamine or lead your own body to release histamine.
Some common ones include: the nightshades I mentioned (tomatoes, potatoes, eggplant, all peppers), bananas, strawberries, mangoes, citrus fruits, avocado, chocolate, dairy, preserved or canned meats and fish, leftover meat and fish, lentils, beans, alcohol, tea, coffee and there may be some that are individual specific (think of any foods that in small or large quantities have caused you problems in the past).
If you don’t go low or no carb, then also avoid grains until better as they tend to be pro inflammatory.
Fish oil supplements have a short term anti-inflammatory effect that may lead to a longer term proinflammatory outcome. I’m not clear on all the science and implications here, but you can check out Chris Masterjohn’s work on the topic. Generally speaking it seems to be fine to eat fatty fish for the Omega 3s, but most people should probably avoid the high dose supplementation currently recommended by some groups.
Another key lifestyle measure that works great for the post nasal drip is lifting your head at night using 2-3 pillows (or a wedge pillow - also helps with chronic reflux), and even propping yourself up against the headboard or wall behind your bed. Might be uncomfortable at first, but it’s better than a night of hacking up your lungs.
Manage Acid Reflux & more: EZsleep Wedge| EQUANIMO
I’ve also used pieces of chewed and softened licorice root to help cover up the irritating sensation of a post nasal drip while sleeping.
Using a neti pot a few times a day may also help with this, and you can add things like turmeric, hydrogen peroxide, iodine, or just go with the usual salt water flush.
If there is a persistent infection then more drastic measures will be needed including the IV methods mentioned above, and you can consider nebulization of peroxide.
Promising studies have been done on more exotic methods of relieving a cough such as nebulizing honey, drinking a mixture of honey and coffee syrup dissolved in water, and inhaling a very dilute mixture of capsaicin (from cayenne peppers - which can help with both cough and post nasal drop, and other than snorting or otherwise breathing it in, you can also mix it with honey or water and take it orally as an antihistamine).
Finally, the most powerful herb I know of for insomnia and anxiety is the sedative-hypnotic mulungu bark, and it is also effective in treating various kinds of coughs.
Let me know below if you’ve gotten sick this winter, and what you swear by to get better, especially what works for a prolonged dry nagging cough.
https://blog.mygotodoc.com/p/destroying-super-immunity-and-getting
👉https://telegra.ph/Destroying-Super-Immunity--Getting-Rid-of-That-Annoying-Cough-03-20
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