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Dr. Bob is Robert Hsiung, MD,
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Posted by pharmrep on November 26, 2002, at 20:16:13
In reply to Re: Taking pill morning vs. night? , posted by Phyl on November 26, 2002, at 6:31:58
> It seems that if I take Lexapro in the morning, I can sleep pretty well at night. But if I take it in the late afternoon,I have difficulty falling asleep and need to take a Lorezepam to help me. Does it really make a difference what time you take the med? When I remember to take it in the morning, my energy level is fine. Could it be that taking it at the end of the day, the energy thing kicks in and that is what is keeping me awake? Or is it just some odd coincidence?
*** yes...i am hearing the same with my dr's...taking it in the morning is better for some (especially if you switched from celexa, or a med that might have helped you "relax" and probably took it at night)
Posted by pharmrep on November 26, 2002, at 20:22:06
In reply to 5 Days on Lexepro = Efficacy side effects, posted by Rich B on November 25, 2002, at 14:06:58
> I have been on Lexapro for 5 days (including today) for Anxiety. So far, it has done nothing for the anxiety. If anything, it has made it worse. I grind my teeth allot and when I am working on something, I do it very intensely and the anxiety is even worse than it was before. When I am not doing much, am often tired. The tiredness is on and off and I get very tired early in the evening. I have not had insomnia, but when I get up at night to go to the bathroom, I have a hard time getting back to sleep. I have dry mouth and this very light constant headache in the back of my head. This is caused by a tightness in my neck and the back of my head that I believe Lexepro is causing. Can anyone shed some light on my situation? I know I need to give it more time, and I plan on it, but so far, it doesn’t look to good. I am trying to work on my anxiety problem (GAD) through therapy and I was hoping this medication would help bring me down a little and relax. Its hard to work on when the physical systems act as this counterproductive force holding me back.
> Thanks ahead of time.
>** sorry you are having a rough start...i hear from my dr's that these side effects are not that uncommon for a new med, but as for lexapro....for those that have s/e it tends to persist in the 1st wk, and get better the 2nd wk...the anxiety will get much better in the 2nd wk too....i know everyone reacts differently, but 2 wks seem to be a common average i am hearing out there...give it a good trial..maybe a month, then decide for yourself.
Posted by pharmrep on November 26, 2002, at 20:29:01
In reply to Will the anxiety s/e evenually fade?, posted by new user2 on November 26, 2002, at 6:32:53
> I have been on Lexapro for 7 days for anxiety disorder (panic attacks). So far I have increased anxiety and feel almost hyperactive. Will this anxiety s/e evenually disappear as I continue with the medication?
** i have heard many drs say that for those that do experience s/e...they tend to be in the 1st wk or so...and then go away in the 2nd wk or so.....give it a fair trial...and your body a chance to adjust to a new med...it will get better
Posted by pharmrep on November 26, 2002, at 20:39:16
In reply to Anyone else foggy on Lexapro?, posted by markmn on November 26, 2002, at 13:39:11
> Hi all,
>
> I've been on Lexapro(10mg)(10mg 5 in the morning and 5 with dinner)for about two and a half weeks now. Problem is that for about a 4 or 5 hour period in the middle of the day my brain is so foggy. My eyes feel super heavy and I don't feel with it. Is my dosage to high on the Lex, my doctor started me at 10, not the usual 5? Should I just take it at night? I've also been weening myself off of Paxil (15mg). I'm currently at 5mg. I know this could all be withdrawal, but have any of you had this s/e starting Lexapro?
> -markmn*** 10mg is the starting dose (why are you splitting am/pm?)...try 10mg in morning...i have heard of the "foggy" feeling from drs who have patients that are switching ssri's and are still taking the old one....once your are done with paxil...wait a couple weeks to see what lexapro can really do for you, then you can make an more objective/informed decision
Posted by iomasters on November 26, 2002, at 20:44:36
In reply to Re: 5 Days on Lexepro = Rich B » iomasters, posted by wharfrat on November 26, 2002, at 16:07:45
> iomasters,
> the other wierd side effect I remember early on was a kind of metallic taste in my mouth and a feeling that I was starting a psychedelic trip. Have you felt that way?
> Wharf
>
Wharf,
I haven't had the metallic taste, but it does feel very surreal, and like the beginning of a 'psychedelic trip'.
Day 3 has been better than the other two. I didn't grind my teeth near as much, and no nausea. But, I have had a headache most of the day, and my shoulders are tense unless I make a conscious effort to relax them.
Thank goodness I have convinced my husband to rub out the tension ;) I will keep you posted. Thanks for your support - it is driving me to keep taking the pill (10mg in the AM).
iomasters
Posted by dragonfly on November 26, 2002, at 21:07:54
In reply to Re: 5 Days on Lexepro = Rich B » iomasters, posted by wharfrat on November 26, 2002, at 16:07:45
I have been on lexapro for almost 2 weeks. My doctor told me to expect "flushing" It has been very mild,like I was really emmbarrassed about something. I have been experiencing the tightness in my upper back and neck but being a cabinet builder I tend to use those muscles alot. My anxiety attacks are getting milder. I wake up once a night instead every 3 hours. I have also been talking alot more than usual. The crying spells have stopped. I do have a dry mouth all the time with a slight metalic taste but nothing I can't deal with. I don't feel as down about things as I did. This is the first time I have ever been treated for clinical deppression.
Posted by iomasters on November 27, 2002, at 3:49:06
In reply to Re: 5 Days on Lexepro = Rich B, posted by dragonfly on November 26, 2002, at 21:07:54
> I have been on lexapro for almost 2 weeks. My doctor told me to expect "flushing" It has been very mild,like I was really emmbarrassed about something. I have been experiencing the tightness in my upper back and neck but being a cabinet builder I tend to use those muscles alot. My anxiety attacks are getting milder. I wake up once a night instead every 3 hours. I have also been talking alot more than usual. The crying spells have stopped. I do have a dry mouth all the time with a slight metalic taste but nothing I can't deal with. I don't feel as down about things as I did. This is the first time I have ever been treated for clinical deppression.
Rich,
This is also my first time to be treated for depression. Mine is actually for post-partum depression. I have a 4 month old daughter, who is the most wonderful thing in the world - but, I was feeling so blue that it was hard to see that at times.
I do feel better - already. I have so much energy that it is hard not to. But, here I am at almost 4 in the morning - wide awake.
Thanks for the encouragement. I plan to ride this out.
Did you have any 'mind racing'? Sometimes I get a theme song, or a thought in my mind, and it plays over and over again. It drives me nuts! It may be part of the anxiety. I hope it fades soon.
The tightness in my jaw is fading, and my nausea is very mild.
iomasters
Posted by iomasters on November 27, 2002, at 3:55:12
In reply to Re: Taking pill in morning » Phyl, posted by pharmrep on November 26, 2002, at 20:16:13
> > It seems that if I take Lexapro in the morning, I can sleep pretty well at night. But if I take it in the late afternoon,I have difficulty falling asleep and need to take a Lorezepam to help me. Does it really make a difference what time you take the med? When I remember to take it in the morning, my energy level is fine. Could it be that taking it at the end of the day, the energy thing kicks in and that is what is keeping me awake? Or is it just some odd coincidence?
>
> *** yes...i am hearing the same with my dr's...taking it in the morning is better for some (especially if you switched from celexa, or a med that might have helped you "relax" and probably took it at night)__________
I too think that taking the pill in the morning works best for me. It has some sort of 'uper' in it that makes it hard to relax at night - if taken too late in the day.
I take it around 8:30 AM, and feel good until early evening. Then, I start to wind down for the night. But here I am at almost 4 - wide awake. I'm hearing from others that this will pass with time. I am only on day 3 (technically 4).
Hang in there...
iomasters
Posted by iomasters on November 27, 2002, at 4:04:12
In reply to Re: Light sensitivity » new user2, posted by wharfrat on November 26, 2002, at 15:14:45
> > Just wondering if anyone experienced sensitivity to bright lights during the first week of taking lexapro. Any info would be helpful.
> >
> > Thank you!
>
> Newuser2
> I don't really remember light sensitivity because I've always been light sensitive, but about the first 2 weeks on lexapro, colors really seemed vivid and at times my vision was just really screwed up, could'nt focus my eyes etc. But that has pretty much gone away.
> Good luck and hang in there.
> Wharf___________
I haven't noticed light sensitivity, but I have noticed that my vision is more blurry than usual.
I wear glasses to drive at night - basically for distance. Lately, I have been needing them to see the TV. It is odd. I'm hoping it goes away with time. Hang in there, as I am...
iomasters
Posted by Rich B on November 27, 2002, at 8:12:37
In reply to Re: 5 Days on Lexepro = Rich B » wharfrat, posted by iomasters on November 26, 2002, at 20:44:36
> > iomasters,
> > the other wierd side effect I remember early on was a kind of metallic taste in my mouth and a feeling that I was starting a psychedelic trip. Have you felt that way?
> > Wharf
> >
> Wharf,
> I haven't had the metallic taste, but it does feel very surreal, and like the beginning of a 'psychedelic trip'.
> Day 3 has been better than the other two. I didn't grind my teeth near as much, and no nausea. But, I have had a headache most of the day, and my shoulders are tense unless I make a conscious effort to relax them.
> Thank goodness I have convinced my husband to rub out the tension ;) I will keep you posted. Thanks for your support - it is driving me to keep taking the pill (10mg in the AM).
> iomasters
>
>Hey iomasters, You asked me to keep you up to date on my progress because I am a few days ahead of you. I am now on day 7 and I think the headache situation is just about gone, which is a sign that the tension may be finally letting up. I did not take anything for a headache yesterday. I will know in a few days if I feel less anxious. I'll keep you informed.
Rich
Posted by markmn on November 27, 2002, at 8:51:32
In reply to Re: Anyone else foggy ? » markmn, posted by pharmrep on November 26, 2002, at 20:39:16
> > Hi all,
> >
> > I've been on Lexapro(10mg)(10mg 5 in the morning and 5 with dinner)for about two and a half weeks now. Problem is that for about a 4 or 5 hour period in the middle of the day my brain is so foggy. My eyes feel super heavy and I don't feel with it. Is my dosage to high on the Lex, my doctor started me at 10, not the usual 5? Should I just take it at night? I've also been weening myself off of Paxil (15mg). I'm currently at 5mg. I know this could all be withdrawal, but have any of you had this s/e starting Lexapro?
> > -markmn
>
> *** 10mg is the starting dose (why are you splitting am/pm?)...try 10mg in morning...i have heard of the "foggy" feeling from drs who have patients that are switching ssri's and are still taking the old one....once your are done with paxil...wait a couple weeks to see what lexapro can really do for you, then you can make an more objective/informed decisionHi Pharmrep,
Thanks for the advice, I do plan on sticking with Lexapro, I just didn't know where the fogginess was coming from. Hopefully I can get off this Paxil and let Lex do it's work.
markmn
Posted by Phyl on November 27, 2002, at 8:57:19
In reply to Re: Taking pill in morning » Phyl, posted by pharmrep on November 26, 2002, at 20:16:13
Thanks for your replies. I have never taken any oher meds other than something to help me sleep at night. I have found that if I take Lex first thing in the morning, I can barely stay awake at 6 p.m. If I take it closer to 10:00 a.m. I can make it to 9:00 and sleep pretty well (for me). But if I take it at 4 o 5:00, then I need the Lorazepam. So, for me, late morning seems to do the trick and that will be my routine.
Thanks again.
EVERYONE, HAVE A HAPPY THANKSGIVING!
Posted by ANXIETY ANN on November 27, 2002, at 9:34:09
In reply to Re: 5 Days on Lexepro = Efficacy side effects » Rich B, posted by Alan on November 26, 2002, at 14:45:37
> > OK, When I started this thread, somebody got off the subject right away and it turned into some heated debate. So, I am going to repost my previous message to see if I actually get responces that are relevant.
> >
> >
> > I have been on Lexapro for 5 days (including today) for Anxiety. So far, it has done nothing for the anxiety. If anything, it has made it worse. I grind my teeth allot and when I am working on something, I do it very intensely and the anxiety is even worse than it was before. When I am not doing much, am often tired. The tiredness is on and off and I get very tired early in the evening. I have not had insomnia, but when I get up at night to go to the bathroom, I have a hard time getting back to sleep. I have dry mouth and this very light constant headache in the back of my head. This is caused by a tightness in my neck and the back of my head that I believe Lexepro is causing. Can anyone shed some light on my situation? I know I need to give it more time, and I plan on it, but so far, it doesn’t look to good. I am trying to work on my anxiety problem (GAD) through therapy and I was hoping this medication would help bring me down a little and relax. Its hard to work on when the physical systems act as this counterproductive force holding me back.
> > Thanks in advance.
> > Rich
> ===========================================
> I think I responded directly after you posted:
>
> Many docs include a "start - up" benzo like ativan or xanax to counteract the start-up side effects of AD's - increased anxiety, etc....especially when you are doing this very important "head" work with a psychologist or other type of therapy.
>
> Has your doctor offered you bzd monotherapy on an equal footing with the AD - considering your DX?
>
> If not, why not?
>
> Alan
>
> Hi Rich,I too had the same s/e that your talking about when I first started taking Lexapro. I've been on it now for about two months and feel MUCH better! Hang in there, the s/e should go away soon. Ann
>
>
Posted by bluestem on November 27, 2002, at 10:21:53
In reply to Anyone switched to Lexapro? « ggrrl, posted by Dr. Bob on June 11, 2002, at 7:52:48
My doctor added Lexapro to my "cocktail" mix and I cannot tolerate it. I started out with the 10mg tab. My memory was impaired (couldn't recognize my friends' name when said to me) and I could sit and daydream for hours. The worst part on top of it all was the nausea. I self-prescribed myself down to 5mg. The fog cleared; but the nausea turned my stomach inside out. Then I self-prescirbed down to 1/4 of a tablet. I'm still okay; but the nausea is still really bad. I called my psychiatrist and let him know what I was doing. At that time he said he wanted me back up to 5 mg. There isn't any way..I have been seeing my psychiatrist every 3 weeks and fortunately I see him next week. I just can't handle the nausea.
Posted by pharmrep on November 27, 2002, at 10:25:07
In reply to Re: Taking pill in morning iomasters » pharmrep, posted by Phyl on November 27, 2002, at 8:57:19
> Thanks for your replies. I have never taken any oher meds other than something to help me sleep at night. I have found that if I take Lex first thing in the morning, I can barely stay awake at 6 p.m. If I take it closer to 10:00 a.m. I can make it to 9:00 and sleep pretty well (for me). But if I take it at 4 o 5:00, then I need the Lorazepam. So, for me, late morning seems to do the trick and that will be my routine.
> Thanks again.
> EVERYONE, HAVE A HAPPY THANKSGIVING!_____________________
********** Great job...Im glad you found out what time works best for you...and thats what its all about, getting past the early quirks, and learning how YOU adjust and how the med works best for you. Many people react many diff ways and no dr is going to know YOU absolutely, even I have to speak in generalites, using %'s and referring to majorities. Just know that if you give it time, and try to learn your own nuances, you can share this info with your dr and get the most effective treatment....hopefully lexapro will be it for you......Everyone have a Happy Thanksgiving.
Posted by pharmrep on November 27, 2002, at 10:30:39
In reply to Re: Anyone switched to Lexapro? « ggrrl, posted by bluestem on November 27, 2002, at 10:21:53
> My doctor added Lexapro to my "cocktail" mix and I cannot tolerate it. I started out with the 10mg tab. My memory was impaired (couldn't recognize my friends' name when said to me) and I could sit and daydream for hours. The worst part on top of it all was the nausea. I self-prescribed myself down to 5mg. The fog cleared; but the nausea turned my stomach inside out. Then I self-prescirbed down to 1/4 of a tablet. I'm still okay; but the nausea is still really bad. I called my psychiatrist and let him know what I was doing. At that time he said he wanted me back up to 5 mg. There isn't any way..I have been seeing my psychiatrist every 3 weeks and fortunately I see him next week. I just can't handle the nausea.
** what is the rest of the cocktail...the nausea in the 1st wk or so isnt uncommon, but it usually goes away in the 2nd wk or so...it is possible the other meds or the "switch" may be the culprit...cutting down less than the 5mg often prolongs the s/e....stick with it, it will get better
Posted by wharfrat on November 27, 2002, at 11:20:24
In reply to Re: Anyone else foggy on Lexapro? » wharfrat, posted by oldhand on November 26, 2002, at 16:37:31
> Wharf,
> Thanks for the encouragement on the insomnia end of Lexapro. I LOVE to sleep and like you am only getting about 4-6 hours, if any, a night now. Feel so wakeful but so tired at the same time. Trazodone at 100mg does not help, so I am hoping that the insomnia fades for me as it did for you.To sleep: perchance to dream: ay, there's the rub.
Good luck,
Wharf
Posted by ANXIETY ANN on November 27, 2002, at 12:51:59
In reply to Re: early s/e » bluestem, posted by pharmrep on November 27, 2002, at 10:30:39
> > My doctor added Lexapro to my "cocktail" mix and I cannot tolerate it. I started out with the 10mg tab. My memory was impaired (couldn't recognize my friends' name when said to me) and I could sit and daydream for hours. The worst part on top of it all was the nausea. I self-prescribed myself down to 5mg. The fog cleared; but the nausea turned my stomach inside out. Then I self-prescirbed down to 1/4 of a tablet. I'm still okay; but the nausea is still really bad. I called my psychiatrist and let him know what I was doing. At that time he said he wanted me back up to 5 mg. There isn't any way..I have been seeing my psychiatrist every 3 weeks and fortunately I see him next week. I just can't handle the nausea.
>
> ** what is the rest of the cocktail...the nausea in the 1st wk or so isnt uncommon, but it usually goes away in the 2nd wk or so...it is possible the other meds or the "switch" may be the culprit...cutting down less than the 5mg often prolongs the s/e....stick with it, it will get betterHi,
I too felt very sick when i first started Lexapro, headaches, jaw clenching, stomach upset, counld't sleep. Hang in there it gets alot better. Pharmreps right, cutting your dose will just make it take longer for your system to get used to it. The Lexapro has really made a difference in my anxiety and panic. JUST HANG IN THERE!!!
Good luck, Ann
Posted by bridgette on November 27, 2002, at 18:39:50
In reply to Re: Another question and statement, posted by Phil on August 1, 2002, at 11:21:26
and Lexapra and Celexaand Adderal. My question has to do w/Wellbutrin (I'm on 300mg Wellbutrin SRand 10mg Lexapro) but I'm wondering how much you feel the wellbutrinSR has helped you---I think it helps me alot and really boosts the Lexapro. I just had the Wellbutrin increased and am trying to figure out how to space it.8 hours 10 hrs 12 hours---what???
Posted by iomasters on November 27, 2002, at 19:14:18
In reply to Re: 5 Days on Lexepro = Rich B, posted by Rich B on November 27, 2002, at 8:12:37
> > > iomasters,
> > > the other wierd side effect I remember early on was a kind of metallic taste in my mouth and a feeling that I was starting a psychedelic trip. Have you felt that way?
> > > Wharf
> > >
> > Wharf,
> > I haven't had the metallic taste, but it does feel very surreal, and like the beginning of a 'psychedelic trip'.
> > Day 3 has been better than the other two. I didn't grind my teeth near as much, and no nausea. But, I have had a headache most of the day, and my shoulders are tense unless I make a conscious effort to relax them.
> > Thank goodness I have convinced my husband to rub out the tension ;) I will keep you posted. Thanks for your support - it is driving me to keep taking the pill (10mg in the AM).
> > iomasters
> >
> >
>
> Hey iomasters, You asked me to keep you up to date on my progress because I am a few days ahead of you. I am now on day 7 and I think the headache situation is just about gone, which is a sign that the tension may be finally letting up. I did not take anything for a headache yesterday. I will know in a few days if I feel less anxious. I'll keep you informed.
> Rich_________
Rich,
Thanks for the update. Day 4 has been pretty good for me. No headache to speak of, but I have had problems getting back to sleep after waking in the night.
Also, I have had a bit of "mind racing". When I get a theme song, or something catchy STUCK in my head. And I just can't shake it!
Do you do that? How do you cope? I think it is part of the anxiety I've been feeling for 4 days now. I so hope it will pass soon.
The nausea has subsided for the most part, I just have to keep something in my stomach at all times (small meals work for me).
The tension in my neck and back is still there, but it seems to be lightening up some.
It's nice to know there are others out there going through this transition with me...
Thanks.
iomasters
Posted by Cearbhal on November 28, 2002, at 13:15:06
In reply to Day 4, posted by iomasters on November 27, 2002, at 19:14:18
I am on day one of Lexapro (10mg). I haven't noticed any differences or side effects today. I have been on 40 mg of Celexa and Ambien 10 mg. for sleep-prn, for 6 months prior. I have slight O.C. disorders (according to folks around me), and a problem with anxiety attacks and anger management(full blown temper tantrums). Celexa has really helped the symptoms, no side effects to speak of except WEIGHT GAIN - 30# in the 6 month time frame. If I sit still I eat-My doctor said "Don't sit still"(He actually joked)- He thinks Lexapro will help. I started looking for info. on the net and found you all today.
Posted by pharmrep on November 28, 2002, at 15:34:50
In reply to Re: Day 4, posted by Cearbhal on November 28, 2002, at 13:15:06
> I am on day one of Lexapro (10mg). I haven't noticed any differences or side effects today. I have been on 40 mg of Celexa and Ambien 10 mg. for sleep-prn, for 6 months prior. I have slight O.C. disorders (according to folks around me), and a problem with anxiety attacks and anger management(full blown temper tantrums). Celexa has really helped the symptoms, no side effects to speak of except WEIGHT GAIN - 30# in the 6 month time frame. If I sit still I eat-My doctor said "Don't sit still"(He actually joked)- He thinks Lexapro will help. I started looking for info. on the net and found you all today.
** welcome aboard...hopefully the Lexapro will have a diff weight effect for you...keep us posted
Posted by dragonfly on November 28, 2002, at 15:42:28
In reply to Light sensitivity, posted by new user2 on November 26, 2002, at 11:33:22
My first week it did seem like someone" had put a brighter light bulb in the lamp" but I wasn't what you called sensitive to it.Colors did seem more vivid and foods had more taste. This is almost the end of the second week for me. No more head aches or tummy problems. But I do get things stuck in my mind, like a name, phrase or SONGS over and over. Today hasn't been too bad. I did notice a blurring of my vision a couple days but it has gone away for me. So far the last few days I feel more up than down.
Posted by iomasters on November 28, 2002, at 18:48:48
In reply to Re: Day 4, posted by Cearbhal on November 28, 2002, at 13:15:06
> I am on day one of Lexapro (10mg). I haven't noticed any differences or side effects today. I have been on 40 mg of Celexa and Ambien 10 mg. for sleep-prn, for 6 months prior. I have slight O.C. disorders (according to folks around me), and a problem with anxiety attacks and anger management(full blown temper tantrums). Celexa has really helped the symptoms, no side effects to speak of except WEIGHT GAIN - 30# in the 6 month time frame. If I sit still I eat-My doctor said "Don't sit still"(He actually joked)- He thinks Lexapro will help. I started looking for info. on the net and found you all today.
_____
Cearbhal,
The side effects (s/e) hit me hard! That's why I was out there looking for this site a few days ago. I was hoping to find some others going through what I was experiencing - and I did, thankgoodness.
Be grateful for not having any s/e. I think I have lost weight in the last 4 days. I'm not very hungry, and I have had some nausea. On day 1, I felt like I was on speed all day and I have been slowly adjusting each day. I was practically bouncing off the walls. My husband wasn't sure what to think... ;)
Day 5 seems to be better though. I actually took a nap this afternoon. I hope I can sleep through the night tonight. My husband has baby duty (we have a 4 month old, which = postpartum depression for me).
I am hoping to feel GREAT in the next couple of weeks - Wharf - has been encouraging.
Happy Thanksgiving to you. Let me know how you are feeling as the days go by.
iomasters
Posted by iomasters on November 28, 2002, at 19:04:36
In reply to Re: Light sensitivity, posted by dragonfly on November 28, 2002, at 15:42:28
Hello all. I wanted to see if you guys are having any 'mind racing'. This is how I describe when you get a song, or a phrase stuck in your head and you just can't shake it.
I read that dragonfly has this problem, and I have too. It is most annoying at 3 in the morning, when I wake up with the baby (for 45 minutes or so) and can't get back to sleep until 5 because of my mind racing away.
I think this is part of the anxiety I have been experiencing. I am writing to see how you guys cope. It only seems to be bad when I am not thinking about any one thing in particualar, and when I lie down to sleep. When I am talking or working on a project I don't notice it.
Today has been a good one. No headache or nausea. I have had some tension, but I was able to nap - probably too long today after our Thanksgiving dinner.
Hope you all had a good one with your family and friends.
iomasters
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