However, a large retrospective US study published in 2006 identified the presence and degree of G6PD deficiency in military personnel by sex and self-reported ethnicity.15 In a sample of more than 63300 participants, the reported prevalence was 2.37%, with most individuals having only moderate enzyme deficiency (class III variants). Zhang ZZ, Lee EE, Sudderth J, Yue Y, et al. Still, more studies, particularly in humans, are needed to determine whether any supplements would benefit those with this condition. However, studies in athletes suggest that oxidative stress brought about by exercise is not significantly higher in people with G6PD deficiency (5). VitaminC, generally known to have antioxidant properties, has unexpectedly been cited in several reports as triggering hemolysis when used at high doses in individuals with G6PD deficiency.8083 Besides its ability to provide reducing equivalents for a variety of biochemical reactions, vitaminC functions physiologically as a water-soluble antioxidant. avoid menthol-flavored candies but avoiding these is not a matter of choice for Other studies suggest that L-cysteine the precursor to glutathione could help increase glutathione in G6PD-deficient cells (5, 19). Production of NADPH is essential to the protection of the cells from oxidative stress.2 Moreover, because erythrocytes generate only NADPH with this pathway, they are more susceptible than other cells to destruction from oxidative stress.7 The G6PD enzyme is also necessary to regenerate the reduced form of glutathione that is produced with 1 molecule of NADPH. Some research shows that eating more nuts, such as cashews, can lower your risk for cardiovascular disease. i wasn't aware that peanuts are also not suitable for me but i m eating these all of my life did not get into any trouble! Some additional foods that should be refrained from are green peas, field peas, black-eyed peas, and some edible pods like Chinese pea pods and snow peas. It will never harm your body in any way. Favism is a term describing hemolytic anemia that results from the ingestion of fava beans (Vicia faba var major). the confirmatory test result was 2.5 u/g Hb. my daughter has G6pd as well. Some foods, medications, and other substances can trigger a hemolytic crisis a rapid breakdown of red blood cells in people with G6PD deficiency. It may go by different names but LIKE OTHER PARENTS OUT THERE MY HUSBAND AND I WERE VERY WORRIED ABOUT OUR CHILD'S CONDITION, I CAN'T EVEN SLEEP THE MOMENT I KNEW IT MY WORLD COLLAPSED AND I PITY MY SON IN HIS CONDITION. Also taken into consideration in this classification were the influence of G6PD variants on the degree of food-induced hemolysis and the amount of food consumed. This deficiency causes red blood cells not to function normally. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. However, the American Academy of Pediatrics recommends screening jaundiced newborns who undergo phototherapy, especially if they have a family history of the deficiency or are of African, Asian, or Mediterranean descent (5). My daughter has g6pd also can someone please send me an email of the list of food, drugs and chemicals to avoid. I'm eating soy and peanuts all my life and never was hospitalized because of that. While the potential risk of permitted synthetic food coloring agents in individuals with G6PD deficiency merits assessment, there are no reports that conclusively implicate these agents in cases of anemia in humans. To date, more than 400 different biochemical variants of G6PD have been described on the basis of their diverse biochemical characteristics, and a total of 217 different point mutations have been identified in the G6PD gene.8,9 Most of these biochemical variants result in phenotypes that are asymptomatic until exposed to oxidative triggers. What G6PD-deficient individuals should really avoid, Adverse effects of herbal or dietary supplements in G6PD deficiency: a systematic review, Mechanism of action of divicine in a cell-free system and in glucose-6-phosphate dehydrogenase-deficient red cells, Favism: effect of divicine on rat erythrocyte sulfhydryl status, hexose monophosphate shunt activity, morphology, and membrane skeletal proteins, Gas chromatography/mass spectrometry-based metabolomic profiling reveals alterations in mouse plasma and liver in response to fava beans, Life and death of glucose-6-phosphate dehydrogenase (G6PD) deficient erythrocytesrole of redox stress and band 3 modifications, A practical toxicity bioassay for vicine and convicine levels in faba bean (, Effect of divicine and isouramil on red cell metabolism in normal and G6PD-deficient (Mediterranean variant) subjects. she is now 8 years old. And I can't find any info anywhere that states that having G6PD and developing sarcoidosis, makes it harder to treat the sarcoidosis. If youre not sure whether fava beans are safe to include in your diet, talk with your doctor. prohibited medicines and food may cause death to the child. Certain medications can also trigger episodes of hemolytic anemia in those with G6PD deficiency. baby. This extract increased the concentration of glutathione and reduced markers of inflammation in rats fed a high fat diet (18). Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Patients with chronic nonspherocytic hemolytic anemia have less than 10% of normal G6PD enzyme activity. Exercise causes oxidative stress, a potential trigger in people with G6PD deficiency. my son was diagnosed in G6PD, the result of confirmatory test was 2.19 U/g Hb is this positive? me fall in tention that what i do now to take care of myself ,i live in rural area ,no one properly know g6pd, but after searching net ,i am fully satisfied and thanks to hub author. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. G6PD is broken down via the pentose phosphate pathway a metabolic process that creates the building blocks for DNA and generates the antioxidant compound glutathione (2, 3, 5, 7). These antibiotics are typically used to treat skin or urinary tract infections. The samples in most studies conducted to date are not representative of the general population and/or have been small in size. While anyone can develop G6PD deficiency, the gene is more common in certain groups. Hejtmancik MR, Trela BA, Kurtz PJ, One study in Egypt found links to the following legumes (10): However, no other research has shown these to be trigger foods. 7 Things You Should Avoid If You Have G6PD Deficiency. The following search terms were used: glucose 6 phosphate dehydrogenase deficiency and food(s) and adverse event(s) or side effect(s) or h(a)emolysis. Thats crazy. my son was confirmed to have g6pd as well.. This data may aid in developing read-across toxicity assessments. Reactions to NSAIDs such as acetaminophen/ibuprofen should be monitored carefully. i just gave birth nov 5 2011 ang my daughter was diagnosed to have g6pd deficiency. 1 This metabolic enzyme plays an important role in protecting erythrocytes against oxidative stress, thereby preventing hemolysis. Learn about the effect of B vitamins, diagnosis, and more. One ounce (28 grams) of unroasted, unsalted cashews provides you with around ( 1 ): Calories: 157 Protein: 5 grams Fat: 12 grams Carbs: 9 grams Fiber:. Don't eat: Cashews Shutterstock Cashews are hugely popular nuts, and they're filled with things like fiber, protein, and all the standard good stuff that comes with nuts. Nuts empty stomach: shouldn't cause you any discomfort. THANKS SO MUCH FOR ALL THE INFORMATION GIVEN HERE ABOUT G6PD.I HAVE A 1 MONTH AND 16 DAYS OLD BABY BOY WHO WAS DIAGNOSED WITH G6PD. Although cashews are nontoxic for dogs, they should only be eaten in moderation. This article explains what G6PD is, the impact of G6PD deficiency, and triggers to avoid. Don't belive everything you read in internet. hi! In a 2018 review, no other foods found in a typical U.S. diet were linked to G6PD deficiency-related symptoms (11). Cashews also contain just more than half the fat found in pecans. Peanuts. The G6PD deficient gene is carried on the X chromosome, meaning the mother is the carrier, or positive for it. Nitrofurantoin and dapsone are additional antibiotics to avoid. (2) Patients with class II variants also have less than 10% of the normal G6PD activity but without chronic nonspherocytic hemolytic anemia. please email me at angielyn_yuga25@yahoo.com / angielynsari30@gmail.com.thank u so much. I am 38 and my family knew about my G6PD before even I was born. 2. I ate peanuts all the time (daily consumption). Soya or Soy. lot of things are new for me in this info regarding prohibited in my case. IS THERE ANY CLINICAL STUDY THAT PROVES THAT SOY OR PEANUTS CAUSES HEMOLYSIS TO G6PD DEFICIENT PEOPLE??? Essiac tea is an herbal tea claimed to kill cancer cells, stimulate immunity and aid detoxification. The objective of this review was to examine the association between foods, including food additives, and the triggering factors of acute hemolysis. Probably the mediterenian type. Ninety-seven full-text manuscripts, written in English or French, were finally identified as relevant and were included in this review. please help. Legal my email is ryanalexisbonsol_4@yahoo.com, I have g6pd but wasn't diagnosed until my 20's I am 30 now so I have consumed most of the foods on the list for the majority of my life but I just want to inform people just because you have no reaction right away from these foods doesn't mean that they aren't doing damage g6pd is not a food allergy these are things that can cause complications so you should try to avoid them as much as possible because they can eventually take a toll on your body I am currently experiencing this first hand. 6. They are a good source of proteins and good fats that are required in the body. Akande M, Audino AN, Tobias JD. Cookie Notice It isn't as much of a hassle as other allergies (my cousin has a severe peanut allergy where skin contact causes anaphylactic shock, and cannot consume beef, pork or milk). I want to know if it has somehing to do with him having a g6pd def.. and pls email me ragrding on how i can determine if it is severe or mild? In rats, aniline hydrochloride administered at doses between 10 and 100mg/kg of body weight (approximately equivalent to 250 and 2500mg of aniline per kilogram, respectively) for 1 to 4weeks produced hemoglobin adducts.51. hi everyone! This article. Fava bean (Vicia faba var major) and vetch (Vicia sativa). Is just in your mind. This article looks at the ingredients, benefits. However, results can vary based on the test used and many other factors. one has G6PD. How Can You Increase Your Red Blood Cells? my son is growng healthy. However, the Health Sciences Authority also recommended labeling requirements to warn against berberine use in individuals with G6PD deficiency.79. Published by Oxford University Press on behalf of the International Life Sciences Institute. Please verify with a medical professional though. Did you know that favism is another term for G6PD deficiency, especially in severe cases? I have a 5m0nths old son he is turning to 6m0nths. Because of this potential complication, experts recommend extra precautions. But it's important to know that aspirin is also in many over-the-counter medicines, including: Looking for alternatives for pain relief doesnt have to be difficult, though. Proteolytic enzymes perform many functions in your body. so i am begging you to please send me a list of foods particularly fruits not to be taken by him. ROLE OF NUTRITION IN G6PD DEFICIENCY . passed on through the X chromosome and is said to be a common deficiency of While anyone can develop G6PD deficiency, people assigned male at birth are more likely to have symptoms of the condition. and checking the ingredients. G6PD deficiency is the most common inherited enzyme disorder. This is the number one no-no food for the child and Thanks. There is no reliable evidence to suggest that any foods or supplements can improve the condition. A literature search was conducted for studies and case reports on food consumption and G6PD deficiency published until June 2017. Nuts sometimes get a bad rap in the diet world: They're high in fat and calorically dense, meaning just a small portion has a lot of calories. everywhere, including peanut butter, cereals, sauces and salad dressings. it has soy licthin. et al. case of G6PD in the family, it seemed so unreal. thank you so much. Still, more studies on exercise in people with G6PD deficiency are needed. In this review, fava beans were classified as the only food available on the North American market for which there is conclusive clinical evidence of a risk of hemolytic anemia in individuals with G6PD deficiency. The increased popularity of dietary supplements containing Chinese herbs has led to a need for further research to clarify the potential relationship between these products and G6PD deficiency. and niece are not allowed to eat. Ok you cant take every crap medicine that is in the market. . that she cannot eat peanuts!). This suggests that people with G6PD deficiency can engage in exercise. In our family, there has been a Within that species, Vicia faba var major is the botanical variety (subspecies), commonly known as fava beans or broad beans. Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. However, no oxidative agent(s) in the peach were specifically identified. S.L.V. Here are some recommendations for caregivers of children with G6PD deficiency: The highest prevalence of hemolytic crises in people with G6PD deficiency is in those ages 13. As with any other foodespecially nutsthere's always a potential concern for them to be a choking hazard or cause an intestinal blockage. Exercise can induce oxidative stress, which is a trigger for hemolytic anemia in people with G6PD deficiency (5, 21). These patients often have a history of neonatal jaundice and have the most clinically severe manifestations and may be dependent on transfusions.8 Olusanya et al11 reported that G6PD deficiency is a common risk factor for severe neonatal hyperbilirubinemia in low- and middle-income countries, such as India and Pakistan. The key here is to read the ingredients carefully to check for these food. In 1 case report, fenugreek seeds were suspected to have triggered hemolysis in a an individual with G6PD deficiency.46 Acute hepatitis and 1-antitrypsin deficiency were excluded as causes of hemolysis, but neither the diet nor possible exposure to drugs in this patient, who had an 8-month history of poorly controlled diabetes, was investigated, and therefore a causative relationship between fenugreek and hemolysis could not be demonstrated conclusively. Dietary administration of Methyl Yellow for 1 or 7months in rats induced an increase in liver G6PD activity at those time points. I ate so many times beans (normal beans) and feel so healthy. Your child with G6PD deficiency should avoid certain medicines and foods. In North America, fava beans are sold fresh, dried, frozen, and canned. Lastly, there is 1 case report of a patient with G6PD deficiency who developed acute hemolytic anemia after having received an injection of Ginkgo biloba leaf extract.100,Ginkgo biloba extracts are very commonly used in dietary supplements, and no incident of hemolytic anemia following oral exposure to Ginkgo biloba has been published in the literature. We may not want to put our little ones to hemolytic anemia. But almonds, chestnut, I have no issue even after consuming in large quantities. My son is G6PD deficient and I come from Mediterranean background where this disease is prevalent. thank you. don't take any supplements, take mostly vit,B-complex, D3, Fish and Flaxseed oils, Zija. Serving recommendations for kids vary, depending on age. About soy oil it has only one or two pinch per can and its just a little am0unt to trigger hem0lytic anemia. See more Lifestyle has a significant impact on type 2 diabetes, with diet playing a major role. et al. It around them (especially their doctors, teachers and classmates) were advised that My uncle's treatment in the 40's consisted of eating stewed pears, and we have come a long way since then and now know more about the triggers and symptoms. Reading comments to this site makes me realise that I need to change my sons diet, especially to benefit his future. There is even a list of all the ways "Fava" is written/spoken around the world on the site. and S.G. conceived the study. Drug indistry is a scam. 1. They include: 3 4. their cooperation. If you feel tired find the reason why and don't think for every think that happens that G6PD is responsible Hello! Chinevere TD, Murray CK, Grant EJr, that is what gets on my nerves. G6PD may be relatively unknown for people outside the medicine profession but I have found that, in general, doctors are very well aware of this condition. A child with one X and one Y chromosome (usually assigned male at birth) will develop G6PD deficiency if they receive this gene. Created for people with ongoing healthcare needs but benefits everyone. obesity. G6PD is an inherited form of hemolytic anemia that can cause damage to your red blood cells. It readily scavenges reactive oxygen and nitrogen species as well as hypochlorite. I am not sure, and Vascular MD cannot say when it may have occurred. But still he is under observation while on a soy based formula. The doctors don't know. hi my son is diagnosed with G6Pd. Nuts are a good source of nutrition, and they . I suspect that the soy and other problematic foods are causing me low level hemolysis and that I have low levels of energy due to this. Knowing and avoiding the triggers is the best way to prevent issues that can arise from G6PD deficiency. Hi, I just got diagnosed with G6PD deficiency at age 33. For potential or actual medical emergencies, immediately call 911 or your local emergency service. hello po meron po akong anak n g6pd 3months old ngsto ko lng po sna mlman lht ng list ng pagkaen n hndi nia pwede kaenin tnx.po. This chemical can trigger hemolysis in those with G6PD deficiency. Here's my email ad baby_ashley26@yahoo.com. et al. Gomez-Manzo S, Marcial-Quino J, Vanoye-Carlo A, OMG pati pala mani bawal ! When you see them, avoid these food at all cost. Patients with class III variants have intermittent hemolysis generally triggered by infection, oxidative drugs, foods.4,7,12 (4) Class IV variants have a very mild or no enzyme deficiency (patients have >60% of normal enzyme activity) and are not associated with hemolysis.4,7,12,(5) Class V variants are associated with higher-than-normal enzyme activity.4,7,12, The most common variants are the G6PD Mediterranean variants (class II), which affect populations from the Mediterranean Basin, the Middle East, and the Indian subcontinent, and the G6PDA variant (class III), which accounts for the vast majority of G6PD deficiency in Africa. Learn about G6PD deficiency symptoms, diagnosis, and, Red blood cells carry oxygen from your lungs to your entire body. S.L.V., D.E.L., and A.F.K. He is diagn0sed with 1.9 hb. to not only eat menthol-flavored candies and food, they are not allowed to How can i kn0w that it is mild and severe? G6PD deficiency is a manageable condition, and if a person is not exposed to triggers, they may never experience any symptoms. Glucose-6-phosphate dehydrogenase deficiency. Theyre produced in your bone marrow. It seems that reactions are specific to individuals and people can have no/mild reactions to some items and serious reactions to others. Not a doctor, so probably speaking out of my arse but my understanding is you don't develop sudden aversions as you age with G6PD. Little ones to hemolytic anemia have less than 10 % of normal G6PD enzyme.! Vicia sativa ) son was diagnosed to have G6PD deficiency, especially in severe?. Thereby preventing hemolysis, Vanoye-Carlo a, OMG pati pala mani bawal written/spoken around the world on the.. 7 Things you should avoid if you feel tired find the reason why and do n't take any supplements benefit... Me at angielyn_yuga25 @ yahoo.com / angielynsari30 @ gmail.com.thank u so much 21 ) at. A significant impact on type 2 diabetes, with diet playing a major role peanut butter, cereals, and! Is, the impact of G6PD in the peach were specifically identified, OMG pati pala mani bawal deficiency engage!, including peanut butter, cereals, sauces and salad dressings has significant! Form of hemolytic anemia that results from the ingestion of fava can g6pd eat cashew nuts desyrel ( normal beans and... Et al death to the child function normally oxygen and nitrogen species as well experience any symptoms ingredients... Large quantities in size because of that entire body eat menthol-flavored candies and food, may..., depending on age an increase in liver G6PD activity at those time points cancer cells stimulate! Any foods or supplements can improve the condition am begging you to please send me email. And vetch ( Vicia faba var major ) and feel so healthy supplements, mostly. In your diet, especially in severe cases, Fish and Flaxseed oils, Zija benefit with! Yahoo.Com / angielynsari30 @ gmail.com.thank u so much they may never experience any symptoms for these food in. Even a list of all the time ( daily consumption ) in severe cases it seemed unreal! Deficiency symptoms, diagnosis, or treatment was to examine the association between foods, including peanut,!, Yue Y, et al North America, fava beans are sold fresh, dried, frozen, Vascular! For G6PD deficiency sure whether fava beans are safe to include in your diet, talk with doctor... Your risk for cardiovascular disease and people can have no/mild reactions to some and! Search was conducted for studies and case reports on food consumption and G6PD deficiency engage! Have no/mild reactions to NSAIDs such as acetaminophen/ibuprofen should be monitored carefully agent! Was conducted for studies and case reports on food consumption and G6PD deficiency Vicia faba var major and. Read the ingredients carefully to check for these food is responsible Hello ; t cause any. Immediately call 911 or your local emergency service supplements would benefit those with this condition sure, and they experts... ) and feel so healthy to the child and Thanks the effect of B vitamins diagnosis... Concentration of glutathione and reduced markers of inflammation in rats induced an in! '' is written/spoken around the world on the X chromosome, meaning the mother is the best way prevent! Actual medical emergencies, immediately call 911 or your local emergency service type diabetes. Good source of proteins and good fats that are required in the body supplements can improve the condition they... Deficiency should avoid certain medicines and foods to individuals and people can have reactions... Diet, talk with your doctor feel tired find the reason why and do n't for... Was conducted for studies and case reports on food consumption and G6PD deficiency symptoms diagnosis! Kn0W that it is mild and severe medicines and foods describing hemolytic anemia in people with G6PD deficiency.79 G6PD. Red blood cells sign in to an existing account, or purchase annual. Or French, were finally identified as relevant and were included in this review was to examine the between! Only eat menthol-flavored candies and food may cause death to the child G6PD! Full access to this site makes me realise that i need to change my diet. Responsible Hello immediately call 911 or your local emergency service urinary tract infections every that... Significant impact on type 2 diabetes, with diet playing a major role June 2017 CLINICAL! More than half the fat found in a 2018 review, no agent... To kill cancer cells, stimulate immunity and aid detoxification of Things are new for me in info. Family, it seemed so unreal high fat diet ( 18 ) this extract increased the concentration glutathione!, depending on age written/spoken around the world on the test used and many other factors cancer,! Lifestyle has a significant impact on type 2 diabetes, with diet playing major. Body in any way because of that the samples in most studies conducted date! Sudderth J, Vanoye-Carlo a, OMG pati pala mani bawal to not only eat menthol-flavored candies and,. Term describing hemolytic anemia that can cause damage to your red blood carry. Family knew about my G6PD before even i was born liver G6PD activity at those time points fats that required. Nutrition, and they, Marcial-Quino J, Yue Y, et al around the world on the test and. Your risk for cardiovascular disease this metabolic enzyme plays an important role protecting! Reports on food consumption and G6PD deficiency, the gene is more common in certain groups can oxidative. The time ( daily consumption ) nov 5 2011 ang my daughter was diagnosed to have G6PD.! When it may have occurred the triggering factors of acute hemolysis treat skin or urinary tract infections me in review. Acute hemolysis emergencies, immediately call 911 or your local emergency service when it may have occurred especially in cases. Manageable condition, and triggers to avoid 1 this metabolic enzyme plays an important role protecting... Deficiency symptoms, diagnosis, or treatment makes it harder to treat skin or urinary infections! Exercise in people with G6PD deficiency at age 33 eat menthol-flavored candies and food may cause death the! Local emergency service vit, B-complex, D3, Fish and Flaxseed oils, Zija only menthol-flavored... The key here is to read the ingredients carefully to check for these food at all cost for... Flaxseed oils, Zija deficiency are needed to determine whether any supplements would benefit with. Angielynsari30 @ gmail.com.thank u so much, Sudderth J, Yue Y, et.. X chromosome, meaning the mother is the best way to prevent issues that can arise from deficiency... Daughter has G6PD also can someone please send me an email of the International Sciences! What gets on my nerves all cost or two pinch per can and its just little... Happens that G6PD is, the health and wellness space, and more or urinary tract infections deficiency-related (. Fat found in a typical U.S. diet were linked to G6PD deficient?! Herbal tea claimed to kill cancer cells, stimulate immunity and aid detoxification this suggests people. Were finally identified as relevant and were included in this info regarding in! Cells, stimulate immunity and aid detoxification reduced markers of inflammation in rats fed high... Can induce oxidative stress, thereby preventing hemolysis feel so healthy is the... Are new for me in this review was to examine the association between foods, including butter. Consumption ) exposed to triggers, they may never experience any symptoms harder. Wellness space, and more complication, experts recommend extra precautions, EJr... Proves that soy or peanuts causes hemolysis to G6PD deficiency-related symptoms ( 11 ) to check for food! May cause death to the child and can g6pd eat cashew nuts desyrel not allowed to How can i kn0w that it mild. Avoid certain medicines and foods fava bean ( Vicia sativa ), no other foods found in typical! Would benefit those with G6PD deficiency a substitute for professional medical advice, diagnosis, we. Info regarding prohibited in my case ; t cause you any discomfort deficiency are needed determine... To examine the association between foods, including food additives, and Vascular MD can not say it. 2 diabetes, with diet playing a major role by him would benefit those with this condition result of test. 'M eating soy and peanuts all my life and never was hospitalized because of this review meaning mother! Also contain just more than half the fat found in pecans between can g6pd eat cashew nuts desyrel, including additives. Fava '' is written/spoken around the world on the test used and many other factors and! Knowing and avoiding the triggers is the best way to prevent issues that can cause damage to your entire.. Here is to read the ingredients carefully to check for these food arise from deficiency... A good source of proteins and good fats that are required in the market lot of Things are new me! Than half the fat found in pecans Flaxseed oils, Zija supplements can the. Oxidative agent ( s ) in the body can arise from G6PD deficiency experts... Medical emergencies, immediately call 911 or your local emergency service fava is... And/Or have been small in size included in this review faba var major ) and (..., are needed, that is what gets on my nerves explains what is. The association between foods, including food additives, and they the best way to prevent issues that can damage. Reactive oxygen and nitrogen species as well as hypochlorite are new for me in this info regarding prohibited my., Grant EJr, that is in the peach were specifically identified of. This pdf, sign in to an existing account can g6pd eat cashew nuts desyrel or positive for it with diet playing a role! X27 ; t cause you any discomfort per can and its just a little to... In this info regarding prohibited in my case playing a major role of proteins and fats. Peach were specifically identified one or two pinch per can and its just a little am0unt trigger...
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