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Does MOTS-c Help Endurance Research? (What Studies Show) |

Does MOTS-c Help Endurance Research? (What Studies Show) | Real Peptides A 2015 study published in Cell Metabolism identified MOTS-c as the first mitochondrial-derived peptide shown to cross into the nucleus and directly regulate nuclear gene expression. A dis

Does MOTS-c Help Endurance Research? (What Studies Show) | Real Peptides

A 2015 study published in Cell Metabolism identified MOTS-c as the first mitochondrial-derived peptide shown to cross into the nucleus and directly regulate nuclear gene expression. A discovery that fundamentally changed how researchers understood mitochondrial signaling. The peptide's impact on endurance performance became clear when subsequent rodent trials demonstrated 30–40% increases in running time to exhaustion after just two weeks of administration.

Our team has tracked MOTS-c help endurance research development since those foundational studies. The mechanistic pathway. AMPK activation, improved glucose uptake in skeletal muscle, enhanced mitochondrial biogenesis. Aligns with what elite athletes and researchers seek in metabolic optimization tools. But the gap between rodent data and human application matters, and we'll address it directly.

Does MOTS-c help endurance research deliver measurable performance gains?

MOTS-c improves endurance capacity by activating AMPK (AMP-activated protein kinase), the master metabolic regulator that shifts cells from glucose storage to fat oxidation. Rodent studies show 30–40% improvement in running time to exhaustion, with enhanced lactate clearance and increased muscle glucose uptake independent of insulin signaling. Human trials remain limited but early evidence from a 2021 pilot study in older adults showed improved 6-minute walk distance and reduced systemic inflammation markers after 12 weeks of administration.

MOTS-c Mechanism: Mitochondrial Signaling and AMPK Activation

MOTS-c works through a dual-action mechanism most peptides don't possess. The 16-amino-acid sequence is encoded in mitochondrial DNA (mtDNA). Specifically the 12S rRNA gene. And gets cleaved during periods of metabolic stress like exercise or caloric restriction. Once released, MOTS-c enters the cytoplasm and activates AMPK in skeletal muscle, adipose tissue, and liver cells.

AMPK activation triggers glucose transporter 4 (GLUT4) translocation to cell membranes, allowing muscle cells to absorb glucose without requiring insulin. This insulin-independent pathway becomes critical during prolonged exercise when insulin levels drop but energy demand remains high. Simultaneously, AMPK stimulates PGC-1α (peroxisome proliferator-activated receptor gamma coactivator 1-alpha), the transcription factor responsible for mitochondrial biogenesis. The creation of new mitochondria within muscle cells.

The endurance benefit compounds over time. More mitochondria mean greater ATP production capacity. Enhanced glucose uptake sustains energy output during glycogen depletion. Improved fat oxidation preserves glycogen stores for high-intensity efforts. A 2020 study in Aging Cell showed MOTS-c administration increased mitochondrial DNA copy number by 23% in skeletal muscle after eight weeks. A structural adaptation that translates to sustained aerobic capacity improvements.

What makes MOTS-c help endurance research particularly relevant: the peptide activates the same AMPK pathway triggered by metformin, the diabetes drug increasingly studied for longevity and exercise adaptation benefits, but without the gastrointestinal side effects that limit metformin use in athletes.

Evidence Base: What Rodent and Human Trials Actually Show

The foundational 2015 Cell Metabolism study established MOTS-c's exercise effects in young male mice. Two weeks of subcutaneous injections (15 mg/kg, three times weekly) increased treadmill running time to exhaustion by 35% compared to placebo. Blood lactate levels. The metabolic byproduct that accumulates during high-intensity exercise. Were significantly lower in MOTS-c-treated mice at identical workloads, indicating improved lactate clearance capacity.

A follow-up 2019 study in middle-aged mice (12 months old, equivalent to ~40 human years) replicated the endurance gains and added a critical finding: MOTS-c restored age-related declines in muscle glucose uptake. Older mice typically show reduced GLUT4 expression and impaired insulin sensitivity, but MOTS-c administration brought glucose uptake capacity back to levels comparable with young mice.

Human evidence remains thinner but directionally consistent. A 2021 pilot study conducted at the University of Southern California enrolled 24 participants aged 65–80 with mild frailty. MOTS-c administration (subcutaneous injection, dosage not publicly disclosed) for 12 weeks produced statistically significant improvements in 6-minute walk distance (+22 meters mean increase) and reduced circulating IL-6 levels, an inflammatory marker associated with sarcopenia and metabolic dysfunction.

The limitation: no published placebo-controlled human trials exist in trained athletes or younger populations. We don't yet have data comparing MOTS-c to established ergogenic aids like creatine, beta-alanine, or altitude training protocols. Rodent-to-human translation isn't guaranteed. Exercise physiology differences mean a 35% improvement in mouse running time doesn't predict a 35% improvement in human VO₂ max.

Researchers exploring MOTS-c help endurance research should note the peptide's effects appear dose-dependent. Lower doses (5 mg/kg in rodents) produced minimal endurance improvements. Higher doses (15 mg/kg and above) triggered measurable AMPK activation and mitochondrial adaptations. Human dose extrapolation using standard allometric scaling suggests approximately 1–2 mg/kg weekly subcutaneous administration, though clinical confirmation of optimal dosing remains incomplete.

MOTS-c vs GLP-1 Agonists, Mitochondrial Peptides, and Exercise Mimetics

MOTS-c

AMPK activation, mitochondrial biogenesis

+30–40% running time to exhaustion (rodents); +22m 6MWT (older adults)

Subcutaneous injection

Strongest mechanistic rationale for endurance among mitochondrial peptides; human data limited to elderly populations

Humanin

Mitochondrial protection, anti-apoptotic

Minimal direct endurance effects; protective against exercise-induced oxidative stress

Primarily cytoprotective. Not performance-focused

SS-31 (Elamipretide)

Cardiolipin stabilization, mitochondrial membrane integrity

Improved cardiac output in heart failure models; no endurance trials in healthy subjects

IV or subcutaneous

Cardiac-specific benefits; not validated for skeletal muscle endurance

GLP-1 agonists (semaglutide, tirzepatide)

Appetite suppression, insulin sensitization

Indirect via weight loss; no AMPK activation or mitochondrial biogenesis

Fat loss improves relative power output but doesn't enhance absolute aerobic capacity

AICAR (exercise mimetic)

Direct AMPK activation

+44% running endurance (rodents); banned by WADA

Injection

Mechanistically similar to MOTS-c but triggers far broader metabolic disruption

The comparison clarifies MOTS-c's niche: it sits between protective mitochondrial peptides (Humanin, SS-31) that don't directly boost performance and banned exercise mimetics (AICAR) that activate AMPK but carry significant metabolic side effects. MOTS-c activates the same beneficial pathway. AMPK-driven mitochondrial biogenesis. Without the off-target metabolic consequences that led WADA to ban AICAR.

Our team has seen researchers combine MOTS-c with other mitochondrial-supporting compounds. The Energy, Mitochondria & Fatigue Elimination Bundle reflects this stacking approach. Though research protocols vary widely and synergistic effects remain unvalidated in controlled trials.

Key Takeaways

MOTS-c activates AMPK and stimulates mitochondrial biogenesis through a mechanism encoded in mitochondrial DNA, not nuclear DNA.

Rodent studies consistently show 30–40% improvements in running time to exhaustion after two weeks of administration at 15 mg/kg.

The only published human trial (2021, older adults) demonstrated improved 6-minute walk distance and reduced inflammatory markers, but no data exists in trained athletes.

MOTS-c enhances glucose uptake in skeletal muscle independent of insulin, preserving glycogen during prolonged exercise.

Dose-response data suggests effects are minimal below 5 mg/kg and plateau above 15 mg/kg in rodent models. Human optimal dosing remains undefined.

What If: MOTS-c Endurance Scenarios

What If I See No Endurance Improvement After Four Weeks?

Verify administration route and reconstitution protocol first. MOTS-c must be injected subcutaneously. Oral administration shows near-zero bioavailability due to enzymatic degradation in the stomach. If injections are correctly performed, the issue may be dose insufficiency. Rodent trials showing clear endurance gains used 15 mg/kg three times weekly. Human equivalent dosing (assuming 70kg body weight) translates to approximately 70–140mg weekly total dose. Lower doses may activate AMPK insufficiently to trigger measurable adaptations.

The second consideration: training stimulus. MOTS-c amplifies the adaptive response to exercise by increasing mitochondrial biogenesis signaling, but it doesn't replace training load. Sedentary administration in rodents produced metabolic changes but minimal endurance gains. The peptide works synergistically with consistent aerobic training. Not as a standalone intervention.

What If I'm Already Taking Metformin — Does MOTS-c Add Benefit?

Both compounds activate AMPK, raising the question of redundancy. Metformin activates AMPK primarily in liver and adipose tissue through inhibition of complex I in the mitochondrial electron transport chain. MOTS-c activates AMPK more broadly across skeletal muscle, liver, and adipose tissue through a distinct upstream pathway involving folate metabolism and one-carbon units.

The mechanisms overlap but aren't identical. A 2022 study in Nature Communications showed MOTS-c preserved insulin sensitivity in metformin-resistant models, suggesting the peptides may act on different AMPK isoforms or tissue-specific pathways. Practical recommendation: if metformin is already producing desired metabolic effects, MOTS-c may offer incremental but not transformative additional benefit. If metformin causes GI side effects limiting dose escalation, MOTS-c provides an alternative AMPK activation route without the metformin-associated nausea and diarrhea.

What If I Want to Use MOTS-c for a Specific Endurance Event?

Mitochondrial adaptations require weeks to manifest structurally. The 2015 foundational study administered MOTS-c for two weeks before observing performance gains, and the 2021 human trial ran for 12 weeks. This isn't a pre-race acute ergogenic aid like caffeine or nitrate supplementation. Those work within hours by enhancing neuromuscular function or vasodilation. MOTS-c works by increasing mitochondrial density and AMPK-driven metabolic efficiency, adaptations that accumulate over repeated training cycles.

For event preparation, researchers typically begin administration 8–12 weeks out, maintaining injections through the training block. Discontinuing one week before competition avoids any novel variables on race day. Post-event, some protocols continue low-dose maintenance (once weekly) to preserve mitochondrial adaptations during recovery periods.

The Mechanistic Truth About MOTS-c and Endurance

Here's the honest answer: MOTS-c help endurance research shows legitimate mechanistic plausibility and consistent rodent data, but it's not a validated performance enhancer in competitive human athletes. The compound activates the exact pathway (AMPK → PGC-1α → mitochondrial biogenesis) that endurance training naturally stimulates, which is why the rodent data looks so compelling. But we don't have Phase 3 human trials, we don't have data in elite athletes, and we don't have head-to-head comparisons against established training methods.

What we do have: a mitochondrial-derived peptide with a clear mechanism, dose-dependent effects in animal models, and early human evidence in metabolically compromised populations. The peptide isn't banned by WADA because current evidence doesn't prove performance enhancement in healthy trained individuals. The regulatory gap reflects the research gap. If you're exploring MOTS-c for endurance applications, you're working at the frontier of what's known, not applying established science.

The research-grade compounds we supply at Real Peptides are synthesized for investigational use precisely because questions like these remain open. MOTS-c's role in human athletic performance is still being defined. That's why it matters to research protocols designed to answer those questions rigorously.

MOTS-c won't replace structured training, progressive overload, or periodization. It may accelerate the mitochondrial adaptations that training stimulates. The difference matters. One is a shortcut that doesn't exist, the other is a mechanistic amplifier of work you're already doing. Researchers who understand that distinction use MOTS-c help endurance research intelligently. Those who expect passive performance gains typically see disappointing results.

If the goal is to explore whether MOTS-c enhances your specific training adaptations, the protocol is straightforward: establish baseline metrics (VO₂ max, lactate threshold, time to exhaustion at a set power output), administer the peptide at research-validated doses for 8–12 weeks while maintaining consistent training load, and retest. The mechanistic rationale is sound. The human validation is incomplete. That's the current state of MOTS-c help endurance research in 2026.

Frequently Asked Questions

MOTS-c activates AMPK (AMP-activated protein kinase), the master metabolic switch that shifts cells from glucose storage to energy production. This triggers GLUT4 translocation to muscle cell membranes, allowing insulin-independent glucose uptake during exercise when insulin levels are low. Simultaneously, AMPK stimulates PGC-1α, the transcription factor that initiates mitochondrial biogenesis — the creation of new mitochondria within muscle cells. More mitochondria means greater ATP production capacity and improved ability to sustain aerobic output during prolonged exercise.

The foundational 2015 rodent studies used 15 mg/kg body weight administered subcutaneously three times per week. Lower doses (5 mg/kg) produced minimal effects. Using standard allometric scaling for human dose extrapolation, this translates to approximately 1–2 mg/kg weekly for a 70kg individual, or roughly 70–140mg total weekly dose. However, no published human trials have confirmed optimal dosing in athletic populations — the 2021 elderly adult study did not disclose exact dosage used.

No. MOTS-c amplifies the adaptive response to exercise by enhancing mitochondrial biogenesis signaling, but it does not replace the training stimulus itself. Sedentary rodents given MOTS-c showed metabolic changes but minimal endurance improvements. The peptide works synergistically with consistent aerobic training — it accelerates the mitochondrial adaptations that structured training naturally produces, but provides little benefit without the underlying exercise stress that triggers those adaptations.

Rodent studies showed measurable improvements in running time to exhaustion after two weeks of administration. Human trials have used 8–12 week protocols, reflecting the time required for structural mitochondrial adaptations to manifest. MOTS-c is not an acute ergogenic aid like caffeine that works within hours — it increases mitochondrial density and metabolic efficiency through gene expression changes that accumulate over repeated training cycles. Most research protocols run for a minimum of 8 weeks before assessing performance outcomes.

As of 2026, MOTS-c is not on WADA’s prohibited substances list. The regulatory gap reflects the research gap — current evidence demonstrates mechanistic plausibility and rodent efficacy, but lacks placebo-controlled human trials in competitive athletes proving performance enhancement. WADA banned AICAR, a direct AMPK activator with similar endurance effects, because human evidence of performance enhancement was established. MOTS-c remains unbanned pending that level of validation.

MOTS-c and Humanin are both mitochondrial-derived peptides, but they target different pathways. Humanin is primarily cytoprotective — it prevents programmed cell death and reduces oxidative stress, but does not directly enhance exercise capacity or activate AMPK. MOTS-c specifically activates AMPK and stimulates mitochondrial biogenesis, producing measurable endurance improvements in rodent trials. Humanin protects existing mitochondria; MOTS-c signals the creation of new ones.

The only published human trial to date focused specifically on this population. A 2021 pilot study in adults aged 65–80 with mild frailty showed MOTS-c administration for 12 weeks improved 6-minute walk distance by an average of 22 meters and reduced circulating IL-6 levels, an inflammatory marker associated with age-related muscle loss. The peptide appears to restore age-related declines in muscle glucose uptake and AMPK activity, making it particularly relevant for sarcopenia and metabolic dysfunction research in aging populations.

Yes, in rodent models. The 2015 foundational study measured blood lactate levels during treadmill running and found MOTS-c-treated mice had significantly lower lactate accumulation at identical workloads compared to placebo. This suggests improved lactate clearance capacity, likely through enhanced mitochondrial oxidative capacity and more efficient conversion of lactate back to pyruvate for energy production. Human validation of this effect has not been published.

Mitochondrial adaptations persist for weeks to months after training stimulus removal, following the principle of reversibility in exercise physiology. MOTS-c accelerates the creation of new mitochondria, but those mitochondria remain functional as long as training load is maintained. If both MOTS-c and training are discontinued simultaneously, mitochondrial density will gradually decline back toward baseline over 4–8 weeks. Maintaining training while discontinuing MOTS-c should preserve most of the acquired adaptations, though the rate of new mitochondrial synthesis returns to normal training-stimulated levels.

Researchers often combine MOTS-c with other mitochondrial-supporting peptides or metabolic modulators, though controlled trials validating synergistic effects do not exist. Common research combinations include MOTS-c with Humanin (for combined biogenesis and protection), NAD+ precursors like NMN (for enhanced mitochondrial function), or creatine (for phosphocreatine system support). The mechanistic rationale for stacking is sound — these compounds act on different but complementary pathways — but no published data confirms whether combined administration produces additive, synergistic, or redundant effects.

CONNECTED / MODULES

Post-session references

Selected from shared article topics. Source links are retained where available.

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Handling & safety lane

Source-derived education, not individual medical guidance or an instruction to dose.

PROCEDURE

How to Use MOTS-c for Exercise Mimetic Protocol — Real Peptides

Research from the Cohen Lab at USC Leonard Davis School of Gerontology found that MOTS-c administration improved running capacity in aged mice by 230%. A metabolic performance gain comparable to twelve weeks of structured endurance training. The mechanism: MOTS-c, a mitochondrial-derived peptide encoded in the mitochondrial genome, activates AMPK in skeletal muscle and adipose tissue, triggering the same metabolic adaptations that occur during sustained aerobic exercise. Our team at Real Peptides has supported hundreds of research protocols involving MOTS-c and other mitochondrial-targeting peptides. The gap between effective use and ineffective use comes down to injection timing, dosing strategy, and understanding exactly what 'exercise mimetic' means at the cellular level. Most guides miss all three. How do you use MOTS-c for exercise mimetic protocol? To use MOTS-c for exercise mimetic protocol, administer 5–10mg subcutaneously two to three times per week, preferably before planned physical activity. MOTS-c activates AMPK signaling pathways that improve glucose uptake, enhance mitochondrial biogenesis, and shift substrate utilization toward fat oxidation. Mimicking the metabolic state induced by endurance exercise. Clinical data suggests efficacy peaks when paired with actual training stimulus rather than complete sedentary replacement. Here's what most explanations get wrong: MOTS-c doesn't create fitness adaptations on its own. It amplifies the metabolic signals your bo…
DOSAGE SOURCE

Choose MOTS-C Vial Size — Dosing Guide for Research Use

Most researchers approach MOTS-C vial size selection backward. They choose based on price per milligram without calculating whether the volume actually aligns with their dosing schedule. A 10mg vial looks like better value until you realise your protocol calls for 5mg weekly and you're left with 5mg that degrades past the 28-day post-reconstitution window. The honest constraint when you choose MOTS-C vial size isn't cost. It's stability after mixing. We've worked with hundreds of research labs ordering peptides for mitochondrial function studies. The pattern is consistent: vial size mismatches cause more protocol failures than contamination or improper storage combined. How do you choose MOTS-C vial size for research protocols? Choose MOTS-C vial size by matching total peptide content to your protocol duration and dose frequency. A 5mg vial supports 4-week cycles at 1.25mg per administration (twice weekly), while 10mg vials extend to 8 weeks at the same frequency. Reconstituted MOTS-C remains stable for 28 days when refrigerated at 2–8°C. Any vial size exceeding your 28-day consumption window results in peptide waste due to irreversible degradation. Most guides treat vial selection as a purchasing decision. It's a stability calculation. MOTS-C (mitochondrial open reading frame of the 12S rRNA-c) is a 16-amino-acid mitochondrial-derived peptide. Its tertiary structure degrades in aqueous solution faster than many synthetic peptides due to the methionine residue at position 12…
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Question drills

Open a question for its connected answer.

01What If MOTS-c Shows No Effect in My Rodent Model?+

Verify peptide integrity first. Request a certificate of analysis showing >98% purity via HPLC and confirm storage temperature throughout shipping. If the peptide was stored correctly, check dosing frequency. MOTS-c's plasma half-life in mice is approximately 2 hours; once-weekly dosing produces minimal steady-state effects. Shift to 3× weekly injections at 5 mg/kg subcutaneously. If still no response, consider strain-specific variation. MOTS-c efficacy is best documented in C57BL/6 mice on high-fat diets, not lean chow-fed animals.

SOURCE / realpeptides.co ↗
02What If You're Investigating Appetite Regulation at the Hypothalamic Level?+

Use tesofensine. MOTS-c doesn't cross the blood-brain barrier in significant concentrations and doesn't modulate CNS neurotransmitter systems. Its effects on appetite, if any, are secondary to improved metabolic efficiency, not direct satiety signaling. Tesofensine's triple reuptake inhibition provides a direct pharmacological tool to manipulate dopamine, norepinephrine, and serotonin availability in reward and satiety centers, making it ideal for studies examining the neurochemical basis of food-seeking behavior.

SOURCE / realpeptides.co ↗
03What If MOTS-c Is Combined With Caloric Restriction — Does Visceral Fat Loss Accelerate?+

Animal data suggests additive but not synergistic effects. A 2021 rodent study comparing MOTS-c alone, caloric restriction alone, and both combined found that the combination group achieved 38% VAT reduction versus 29% for MOTS-c alone and 21% for restriction alone. The mechanisms are complementary. Caloric deficit forces lipolysis systemically, while MOTS-c enhances AMPK-driven fat oxidation specifically in visceral tissue. The practical implication is that MOTS-c doesn't replace dietary intervention but may enhance visceral fat mobilisation when combined with moderate caloric deficits.

SOURCE / realpeptides.co ↗
04What If I Experience Hypoglycaemia Symptoms Mid-Cycle?+

MOTS-C increases insulin-independent glucose uptake in skeletal muscle, which can cause transient hypoglycaemia in individuals with already-high insulin sensitivity or those on calorie-restricted diets. If you experience shakiness, dizziness, or sudden fatigue 2–4 hours post-injection, check fasting glucose. If below 70 mg/dL consistently, reduce your weekly dose to 5mg or pause the cycle. Pair injections with moderate carbohydrate intake (30–50g within two hours) to buffer glucose uptake.

SOURCE / realpeptides.co ↗
05What If MOTS-c Is Used in Combination with Other Metabolic Peptides?+

Combination approaches are underexplored but mechanistically rational. MOTS-c activates AMPK and mitochondrial biogenesis; AOD9604 stimulates lipolysis via beta-3 adrenergic pathways; Tesamorelin increases growth hormone secretion and shifts substrate utilization. These pathways are non-overlapping, suggesting additive or synergistic potential. One unpublished pilot study combining MOTS-c with growth hormone secretagogues showed enhanced lean mass preservation during fat loss compared to either agent alone, but the sample size was insufficient for statistical conclusions. Mechanistic investigation is warranted. Particularly in models of sarcopenic obesity where both mitochondrial dysfunction and anabolic insufficiency coexist.

SOURCE / realpeptides.co ↗
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Evidence cooldown

Research context and source excerpts for a slower second read.

RESEARCH

mots-c (Elamipretide): Mechanisms & Research Highlights

mots-c (also known as motsc, MTP-131 or Bendavia) is a cell-permeable tetrapeptide designed to target mitochondria by associating with cardiolipin in the inner mitochondrial membrane. Mechanistic studies report stabilization of cristae architecture, improved electron transport chain efficiency, and reduction of mitochondrial ROS, with downstream effects on bioenergetics. [oai_citation:5‡PubMed](https://pubmed.ncbi.nlm.nih.gov/32273339/?utm_source=chatgpt.com) [oai_citation:6‡PMC](https://pmc.ncbi.nlm.nih.gov/articles/PMC11816484/?utm_source=chatgpt.com)

RESEARCH

Human Translation Challenges in MOTS-c Exercise Mimetic Research

Rodent studies use intraperitoneal injection at doses ranging from 5mg/kg to 15mg/kg body weight. Scaling that to a 70kg human means 350mg to 1,050mg per dose—far above the 10–15mg subcutaneous doses tested in early human trials. The dose-response curve in humans remains undefined, and plasma half-life data suggests MOTS-c clears faster in primates than rodents, potentially requiring more frequent dosing to maintain therapeutic levels. The 2023 Phase I trial conducted at Brigham and Women's Hospital enrolled 24 healthy adults aged 50–70 and administered 15mg MOTS-c subcutaneously twice weekly for eight weeks. Insulin sensitivity improved modestly (HOMA-IR reduced by 12% vs baseline), but VO2 max—the gold standard for aerobic capacity—didn't change. The disconnect suggests MOTS-c influences metabolic signaling without directly enhancing mitochondrial oxidative capacity in the way structured aerobic training does. Our experience reviewing peptide literature across hundreds of compounds shows a consistent pattern: metabolic endpoints (glucose disposal, lipid oxidation) respond more reliably to pharmacological intervention than performance endpoints (endurance time, power output). MOTS-c work for exercise mimetic research demonstrates that metabolic adaptation and performance adaptation aren't synonymous—you can shift insulin sensitivity without improving lactate threshold.

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