Helping women with chronic illnesses

Medical Mystery: Could My Calf Pain Be Tied To My Menstrual Cycle?

Perhaps I should start a new series called “Medical Mystery”. Today is the first installment. If history repeats itself, I’m guessing there will be more medical mysteries in the future.

My pain level is very high now due to a combination of symptoms from various illnesses. So, today I won’t be taking the time to create hyperlinks for medical terms mentioned.

My purpose for writing this post is to get the term “calf pain” picked up by search engines in the hope that someone might have information that could help me solve the medical mystery that is my severe calf pain.

Several months ago, my primary care physician ordered a Doppler on my calf because there was a discolored area that she could see and I was experiencing severe, wicked pain. The Doppler was looking for deep vein thrombosis (DVT). It came back normal.

The discoloration vanished sometime after that. It has reappeared and disappeared many times. I hadn’t noticed a pattern.

A few nights ago, my husband was rubbing my calf (which is in severe, wicked pain again and is discolored in several spots). He asked me if endometriosis could be in my calf. My first instinct was to say, “I’ve never heard of endometriosis there”. (Yes, I know that in rare cases endometriosis has been found in the lungs and the brain). I have heard of endo in the femoral area (thigh) but not the calf.

While I think it is unlikely that I have endometriosis in my calf, my husband’s question did get the wheels turning in my brain. I started thinking that, gee, the calf pain does seem to be about as frequent as my periods. (Obviously, I will now have to pay closer attention to the timing of my calf pain in relation to my periods)! In any event, the calf pain could be tied to my cycles but that doesn’t necessarily mean I have endometriosis IN my calf.

Then I remembered back to having shown my discolored leg to my cardiologist. I remember him saying something about my vascular system not being in tip top shape but I don’t recall any epiphany moment when he looked at it.

One of my diagnoses is pelvic congestion syndrome. Now that I think of it, I had shown my discolored leg to my pelvic pain specialist at one point. From what I recall, he didn’t think there was any connection between my PCS and the veins in my leg looking strange. (It’s not varicose veins and it’s not a rash. It almost looks like a reddish bruise. It’s under the skin).

Anyway, it’s not the most dramatic-looking discoloration. When my husband was rubbing my calf this week, I asked him whether he thought it might show up in a photo. He didn’t think so. Yet, in person it is easy to see with the naked eye.

So, if anyone reading this gets very severe pain in her calf and thinks it may be tied to her menstrual cycle, I’d love to hear from her. I’m not suggesting that it is endometriosis. I am starting to suspect that my calf pain is tied to my menstrual cycle.

I asked my acupuncturist about it when I was in this past weekend. He mentioned something in Traditional Chinese Medicine called menstrual movement body pain. Honestly, I’m not certain whether he mentioned that in relation to this calf issue or some other menstrual issue I had brought up. (This month marks two years of cyclical rectal bleeding before and during every period. As I wrote about in a previous post, I have had a colonoscopy within this time period). I will need to search the Internet about the TCM.

Right now, I am wondering if anyone has severe calf pain that she associates with her menstrual cycle (whether or not she has endometriosis). In my case, the pain is on the outer side of the calf. It is smack dab in the middle of the calf. The discolored areas run above that painful area and form somewhat of a crescent shaped bunch of discolored areas down the front of my calf and then they cut back in (forming the “crescent”). It is blotchy. It’s not a solid discoloration the whole way. From top to bottom the “crescent area” – comprised of smaller discolorations – probably covers about 12 inches from top to bottom. The painful area itself it not discolored.


Endochick just sent me a message informing me that a woman she used to work with had endometriosis in her calf. Folks, I really do not want to have endometriosis in my calf. Seven surgeries is quite enough. I don’t even know what kind of surgeon would remove endo if it is in the calf. So, if any of you has any other logical explanations for what might be happening with my calf based on your own experiences, please let me know.

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Reading: Medical Mystery: Could My Calf Pain Be Tied To My Menstrual Cycle?


1 AdrienneNo Gravatar { 07.05.12 at 12:09 pm }

This confirms it for me. I’ve had vicious endometriosis since 19. I’m now 38. Several surgeries later but it always returns. This time I’m having ridiculous calf pain and couldn’t figure out why. It’s the first time I’m realizing it’s related.
So thanks for the post and wish me luck for the few days. 🙂

2 LaurenNo Gravatar { 07.05.12 at 9:17 pm }

Hello Again,
Sorry it’s taken me a while to reply. Well good news is that my calf/leg pain has been a lot better. During my time of menstruation, I have been performing back extension exercises which really seem to take away the symptoms. Also my doctor has me taking Naproxen only during these times. (Editor’s Note: this is an NSAID/nonsteroidal anti-inflammatory drug). I find these exercises very helpful. If anyone would like more information on the exercises that I have been doing I would love to share, just let me know. 🙂

3 JeanneNo Gravatar { 07.06.12 at 1:13 am }


Thanks for the update on your situation. I’m glad to hear you’ve had improvement. I’m sure there are people on this comment thread who would be interested in hearing about the exercises you mentioned. Feel free to post about them here – since those who have commented on this post (and subscribed to comments) will see what you post. It seems every time someone posts a comment on this thread, it triggers another comment or two. So, feel free to post about your exercises and I’m glad you’ve obtained some relief!

Welcome Adrienne!

I’m sorry you’ve struggled for so long with endometriosis. I know firsthand what it’s like for that struggle to turn into a multi-decade journey. I’m sorry about your calf pain. It can be difficult sometimes to sort out what’s linked to what. Obviously I’m not in a position to comment on what’s happening in your specific situation. Does your doctor know about the pain you’re having? I wish you luck and hope the pain subsides. It sure seems like there is an awful lot of traffic on this post for a situation doctors seem to deem as “rare”. My guess is that this is more common than the medical community as a whole realizes. The more people leave comments, the more ideas get bounced around. I think this can be empowering for patients who are trying to sort things out, spot patterns, and determine what questions to ask their doctors. Good luck and please keep us posted on your situation.



4 GeegeeNo Gravatar { 07.16.12 at 9:10 pm }

I have suddenly started experiencing calf (and a little into the knee) pain. It’s very painful and seems to line up exactly with the start of my menstrual cycle. I am used to cramps in my pelvic area and this is the same sort of pain, but in my calf.

5 JeanneNo Gravatar { 07.18.12 at 1:01 pm }

Welcome Geegee!

I’m really sorry to hear about your pain! Regardless of when it’s happening, there are a number of things that can cause calf pain. For reasons outlined above, I strongly suggest seeking medical attention to determine the specific cause of your pain. Best wishes to you and I hope you get relief for your pain – and answers – as soon as possible!


6 LaurieNo Gravatar { 09.06.12 at 9:31 pm }

I am wondering if anyone got a specific diagnosis that they had endometriosis in their calf… I get horrible calf pain every month, like clockwork, with my period. Just in my right calf. Seems like it is getting worse each month–but I am not sure. It’s been going on over 2 years now. I had endometriosis about 12 years ago, and had surgery for that. I am thinking it is back…but down in my calf now. I’m not sure how it would be removed…if it can be removed. It’s awful though. 🙁

7 JeanneNo Gravatar { 09.07.12 at 11:54 pm }

Welcome Laurie!

I don’t know anyone personally who had a biopsy that confirmed endometriosis in the calf. I do have a friend whose former co-worker had such a biopsy. I checked with my friend to see if she’s still in contact with that former co-worker – but she’s not. All I know about her case was that endometriosis was confirmed by biopsy to be in her calf. I wish I had more information for you about her. I asked my friend to post any additional info she might have regarding that woman. I’m sorry for your pain! I know how severe my calf pain was and it really was bad. I’m not sure what would be involved in removing endometriosis from the calf. (In other words, I’m not sure if multiple surgeons would need to work together – because the location is outside of where doctors who operate on endometriosis are accustomed to working – or what).

I would suggest discussing your concerns with your doctor to see what he/she thinks. If you aren’t satisfied with the response, you can always seek out another opinion (or more than one, if you deem it necessary). Please keep us posted on how you’re doing as there are many people on this thread who are interested in the topic of calf pain that seems to be tied to menstrual cycles. Please also take a look at the preceding blog comments (if you haven’t already) to get a sense of the importance of ruling out other factors such as DVT. Hopefully talking with your medical professional(s) will shed some light on things. Good luck and please keep in touch!


8 endochickNo Gravatar { 09.09.12 at 5:33 pm }

Laurie –
I just saw this and had to respond! A former co-worker of mine has endometriosis in a varicose vein in her leg. Unfortunately, I’m no longer in contact with her. But it was verified as endometrial tissue via a biopsy because her doctor suspected it was related to the condition when her calf would swell and cramp during her periods. She went through natural menopause and, while she still has the varicose vein, has reported (when I was in contact with her a few years ago) that the pain was practically gone and the leg no longer swelled. Of course, now it’s a regular varicose vein with its own issues. And she deals with those. But the endometriosis associated symptoms had subsided since menopause. At the time, she was also not on any hormone replacement therapy. But it is possible. She had verified by surgical biopsy endometrial tissue in the calf of her leg. It has been found in other parts of the body – abdomen, brain even. So, in the leg isn’t too far fetched.

I agree with Jeanne’s recommendations, too. Pain and discomfort in the calf could be a sign something more serious – a DVT. And that warrants prompt medical workup. Good luck!
endochick´s last [type] ..Ask Endochick – Online School

9 DustyNo Gravatar { 09.19.12 at 8:58 pm }

I just stumbled onto this page—- I have an unexplainable painful vascular tumor/lesion disorder- there isn’t a name for it because no one else seems to have it (according to the 40 or so doctors I’ve seen in the last 10 years). Anyways the lesions/tumors have been identified through pathology to be hemangiomas, birthmarks, Ha! But I get new ones and they are mostly internal blah blah blah—- I believe there is a strong connection between whatever endometriosis is and whatever my hemangiomas are. My sister has really bad endometriosis, I’ve never been told that I have it but honestly with all my pelvic vascular tumors/lesions I wonder how they would tell…?… My point? I don’t know—- I guess I’m wondering if you ever got a better diagnosis and if it’s possible that you have something similar to my mysterious disease. The pain is similar to injured gum tissue– like if I scratched my gums with a tortilla chip or stabbed myself with a drinking straw— or bit down on something mistakenly after having a tooth pulled— that super sensitive OMG kind of pain when pressure is applied to it. But then they usually go dormant for spans of time…. If I’m sick or stressed they flare up. It’s crazy. Cold hurts too. Any proper diagnosis for you yet? I’m unable to find any doctors who know what to do with me.

10 JeanneNo Gravatar { 09.19.12 at 9:12 pm }

Welcome Dusty!

I noticed your blog comment as it popped into my inbox and I wanted to get it posted onto the blog right away – so that anyone subscribed to this comment thread (such as previous commenters who took that option) will see it ASAP. I am a bit pressed for time at the moment but I’ll post a detailed reply as soon as I get a chance. While I don’t have any magic answers for you (a.k.a. I don’t want to give you false hope that some sort of magic answer is on the way), I can definitely relate to many of the things you mentioned in your comment. As I said, I’ll get a more detailed reply up ASAP but I wanted to at least get your comment up for now. I’m sorry for your pain. Please check back soon as I will try to post more here shortly.


11 JeanneNo Gravatar { 09.21.12 at 12:33 am }


I’m really sorry for your pain! I posted the link yo this blog post on Facebook last night just in case any of my Facebook friends have any information that be help you.

Too many times in my life I’ve been told that I have a “rare condition”… only to find quite a few people online experiencing similar issues. My personal belief is that doctors typically know/understand what they’ve personally seen, what they’ve read about (i.e. in medical journals and textbooks), and what they’ve been told (in lectures or conferences or back when they were in medical school). Anything they didn’t learn in these traditional settings seems to baffle them.

I understand that doctors are human and that no one can be expected to know everything. The human body is just too complex. However, I get incredibly frustrated when doctors tell me how “rare” or “mysterious” my symptoms are and then I spend a relatively short amount of time online before finding people with very similar issues to mine.

Don’t get me wrong… It’s nice to find people somewhere. It just frustrates me that so many doctors claim things are “rare” or “mysterious” when I don’t think they could be so – or I wouldn’t be able to find so many people online describing similar things!

This post on calf pain has gotten an unusually high amount of traffic! That makes me think that calf pain tied to the menstrual cycle is much more common than, at least, any of my doctors seem to think it is. Generally the newer the blog post, the more traffic it tends to get. However, this older post gets daily traffic and it continues to receive far more blog comments than other posts. My personal hunch is that calf pain associated with menses is far more common than the medical profession as a whole seems to believe.

I’m sorry you’ve had to see so many doctors in the last decade. I’m not sure what to make out of the internal hemangioma stuff. In a perfect world, one would think that if they were identified through pathology that someone would have then been able to provide you with ideas about what to do with that information. Of course, I suppose pathologists can make mistakes like anyone else. After all, they’re human too. However, it seems to me to be more likely that there could be some sort of co-existing conditions going on rather than a misdiagnosis with that – since I’m assuming they did biopsies and followed standard protocol before identifying them as hemangiomas.

Whatever name the lesions go by, it’s interesting that you believe there’s a strong connection between them and endometriosis. I say that because I have pelvic congestion syndrome and I’ve read stats on PCS and endometriosis. PCS is one of those conditions deemed to be “rare”. However, I’ve come across women online who have it and I think it’s more common than many doctors realize. (Mind you, most doctors in the gynecology field don’t seem to even be aware of what PCS is… but I digress!) I sometimes wonder if many of these conditions are on the same gene or something.

As I wrote about in an old post (on my 2009 colonoscopy), my gastroenterologist wasn’t able to rule endometriosis out as the cause for bleeding that shouldn’t have been present. He talked with me about my PCS and he theorized that a “pressure type phenomenon” was behind the bleeding he saw in my colon. Since endometriosis did not invade my intestinal wall, he couldn’t say, “yes, it’s because of endometriosis that you have this unexplained bleeding”. However, he didn’t discount my theory (that it was somehow linked to endo) either. Since I view my endo and PCS as related illnesses, it made sense to me that he was tying the bleeding in my colon to “pressure” (a.k.a. PCS causing engorgement of blood vessels).

Were your pelvic vascular tumors/lesions biopsied? Did they perform a venography procedure to look for PCS? (Lots and lots of doctors are clueless about PCS and this diagnostic tool). I had venography done while under anesthesia during one of my laparoscopies for endometriosis. The venography equipment was set up and ready to go because it had not been during a prior surgery. In the prior surgery, my doctor observed things that made him suspect PCS but without the venography machinery set up (or operating room time available), he was unable to do the venography to confirm his suspicions – until the following surgery. (That confirmed his PCS suspicions).

As far as whether I got a better diagnosis for my own calf pain since I wrote this post, I’m afraid not. I haven’t been having the calf pain with periods for quite some time now. This isn’t due to anything I did or didn’t do (that I know of, anyway). It just stopped happening on its own. I don’t know why. I know this may not be what you were hoping to hear when you’re still trying to sort out what’s happening in your case. All I can say is that if the pain is persisting, your body is trying to tell you something is wrong. So, I believe it’s worth persevering until you find the right health care professional(s) to help you get to the bottom of it so that you can some some relief.

I have a long history of dental issues and totally relate to the gum pain analogy. As a matter of fact, I once bit down on a tortilla chip and it weirdly got lodged between my gum and my tooth. I couldn’t get it out with brushing, flossing, or gargling. It hurt! I ended up having to get it removed my the dentist! So I can relate to that kind of pain and it’s not fun at all. I also currently have a spot where a tooth was extracted – but that does not yet have a bridge or implant. As careful as I try to be, I accidentally hurt that area about once a day. So I know what that feels like too. It’s the kind of creepy pain where instant nausea sets in. It’s a sickening feeling.

I’m not sure what would cause it to go dormant for spans of time. (I have to be honest with you that I’m hoping my own calves are done acting up. I hope they aren’t just temporarily dormant). I’m really sorry yours can be triggered by those things. When cold flares it up, does heat help it feel better… or not necessarily? I’m just curious.

As far as finding doctors who know “what to do with you”, I don’t have any magic answers. However, you might want to check out a link that I’ll post separately in just a moment. It’s a link to an organization of pelvic pain specialists found around the world. The doctor who diagnosed my PCS (and knew what PCS was!) belongs to this organization. That’s how I first heard of it. While I don’t ever endorse specific doctors (for a wide variety of reasons), I think checking out the link might be helpful for you in tracking down a doctor who – hopefully – has a clue about the issues with which you’re dealing.

I don’t think your sister’s endometriosis should be dismissed as irrelevant and I would be sure to mention it to any doctor you see. After all, having a first degree relative who has endometriosis does increase your chances of having it. Like you said too… the fact that she has endo could be linked to you having a “mystery disease” that may be something else altogether (yet related).

Please keep in touch. I truly believe the more people share their comments here, the better the odds that we can help one another find some answers.

Best of luck to you! Take care.


P.S. Please see my blog’s disclaimer.

12 JeanneNo Gravatar { 09.21.12 at 12:36 am }


Here’s that link to an organization of pelvic pain specialists found around the world:

International Pelvic Pain Society

Keep us posted on how you’re doing. Good luck!


13 jenniferNo Gravatar { 06.26.13 at 3:46 pm }

I am experiencing the exact same thing. My calf pain feels like horrible growing pains and happens a couple days out of each month around the same time my pelvic area is most congested. It is about 2 weeks before my period starts. Endo runs in my family and I have suspected I had it for a few years now. Doctors don’t believe it is related but doctors do not know everything either. I believe it is absolutely related and have been tracking it consistently for a year.

14 JeanneNo Gravatar { 07.01.13 at 11:26 pm }

Welcome Jennifer!

Sorry for the delay in responding to your message. I’ve barely been online lately. I’m sorry that you’ve had such pain. I hope you can get some relief for it. You’re right that doctors don’t know everything. Do you have pelvic congestion syndrome? It sounded from your comment like you might possibly have a PCS diagnosis? I have PCS myself. I hope you can get to the bottom of what’s happening. Thank you for your feedback and I hope you’ll stop back to my blog again in the future. Take care!


15 lulumdzNo Gravatar { 08.14.13 at 9:53 am }

Hi, I’m 33 and I been suffering for calf pain in both legs for the last 4 months . It is very frustrating, I notice that it get really bad 10 days before my period , after my period it just a discomfort. I don’t get the pelvic cramps but there had been times that my whole body ache , my arms, neck and back. My neurologist diagnosed me Fibromyalgia and Im really not sure if this is a real condition or he just diagnosed me with FB cause he couldn’t find what create my pain.. I don’t take any medication, just vitamins for now. I hope everyone here find the answer to their pain , it can be very stressful . Just wanted to share my situation..Thanks

16 JeanneNo Gravatar { 08.21.13 at 1:16 pm }

Welcome L!

I am sorry for your calf pain. I know how nasty it can be! I hope you get some relief. I’m also sorry for your all-body pain. I can relate to that as well. Typically a rheumatologist is the one to diagnose fibromyalgia. I’m not clear on whether you are unsure that fibromyalgia itself is real or whether you are simply questioning your own personal diagnosis with it and its accuracy. I can assure you that fibromyalgia is all too real. I have it myself. If you are unsure about whether you’ve been properly diagnosed, I would suggest seeking out a rheumatologist to either verify or rule out the diagnosis. There are criteria that should be used in diagnosing fibromyalgia. I hope you get some pain relief ASAP. It can be stressful. You’re right. Thank you for sharing about your situation. I’m sorry it took me about a week to post your comment. I haven’t been able to be online lately. Take care!


17 KathyNo Gravatar { 08.26.13 at 11:44 pm }

Hi Jeanne,
I just read your blog today and for the first time in years, someone has the SAME symptoms that I have!!!
For a few years now, I’ve had the pain and bruising in the back center of my calf. I never paid much attention as to when it began, as I think it was happening when I was pregnant too (12 years and chalked it up to that.
Then, I began to worry about the bruising as I had read about clots in legs and went to my primary care doctor. He checked it out and basically said it was varicose veins. I just let it go again.
Then, about two months ago, I had just started my period and was wearing shorts. I remember feeling the pressure in my calf again and while climbing the staircase, my husband yelled behind me, “what is that on your leg?” I asked my mother in law who was over to look at it. She said she’d never seen anything like that and couldn’t understand why it hurt me so much.
The pain gets to be too much after I’m on my legs for a certain amount of time. I actually have to sit down and raise my leg as the pain and discomfort get worse. I think now the reason for me discounting this each time, is the reason that it completely goes away!!! Then, this month, I just started my period and BAM, there’s the same pain in my calf again!!
Too ironic, so I checked google and found your blog.
What do we do from here???

18 JeanneNo Gravatar { 08.29.13 at 3:37 am }

Welcome Kathy!

I’m so sorry to hear about your calf pain. I know it can be very difficult to have pain in this area.

Honestly, I wish that I had a magic answer for you as to what’s causing the pain and what to do about it. The reality is that I am not in a position to give medical advice and, sadly, even those who are medical practitioners seem to be (often) baffled by this type of thing.

Needless to say, there can be a variety of causes for the symptoms you are experiencing. I’m not sure how thoroughly your PCP investigated things but as some of the commenters on this thread have mentioned… it’s important to rule certain things out. I’m not clear as to whether your PCP did that based on testing or simply based on observation and/or listening to your description. My personal belief is that pain is the body’s way of letting us know when something is amiss.

While it’s possible that a person can stop having this type of pain (as I have at this point in time without medical intervention to treat it), my personal belief is that persistent symptoms are worth follow-up. If that means seeking out another opinion/doctor… so be it. That’s just my personal opinion.

I understand that when symptoms disappear for awhile it’s natural to stop focusing on them. I think nearly anyone living with chronic illness/pain can relate to that. The trick, in my view, is knowing when to pursue clues and try to pinpoint the cause of symptoms that keep recurring.

As I said, I can’t give medical advice and I don’t have any magic answer for you. I can say that I would keep tracking the symptoms and seek out whatever medical care you need to get answers, if indeed that’s possible. It might be helpful to keep a journal to track when it happens and what, if anything, you think might be linked to the symptoms. For example, if you track how these symptoms correspond to your periods, it will give you something in black and white to show your doctor when you discuss it. Also, taking a photo of it when it happens may be useful if you can’t be seen by a doctor while it’s happening. Over the years, I have found that taking photos of transient, visual symptoms like that can be helpful for when I see my doctor.

If you have a smartphone, there are apps for tracking menstrual cycles that can make tracking symptoms easy. They allow for logging symptoms on the day they occur and marking which are menstruation days and which aren’t. I use this for tracking migraines since many of my migraines are affected by hormonal fluctuations. If you don’t have a smartphone, a good old composition notebook for journaling symptoms works great too.

I think it’s worth noting that that in 5 years of blogging this post has generated a much higher-than-average number of comments and visits (blog traffic). The number of people who visit this post is actually quite remarkable. While I don’t have any scientific proof about what this this increased blog traffic means, it does make me wonder if this set of symptoms is under-reported and/or under-diagnosed or misdiagnosed frequently. Many women seem to feel this symptom set was dismissed or chalked up (by doctors) to something that may not sound likely to them. I can’t help but wonder why so many women seem to have similar experiences but nearly always have their symptoms dismissed.

I hope that you get answers or at least some pain relief. I encourage you to visit this comment thread again in the future (and to read past comments, if you haven’t already). Who knows? Perhaps you’ll learn something in the future that could help others. Or perhaps by stopping back you may learn something that helps you. If you haven’t subscribed to this comment thread, I encourage you to do so. That way you’ll be notified anytime a new comment is posted on it. To subscribe to comments, just take the option to do so when you leave a blog comment. (In other words, if you didn’t already subscribe to comments, just leave another comment and the option should come up on the screen for you to be able to select it).

Best wishes to you. Thank you for sharing your situation. The more people share their situations with fellow patients, the greater the chance that helpful information may be shared with those who need it.


19 JeanneNo Gravatar { 09.07.13 at 12:21 am }

Message to all on this thread:

If anyone has any helpful information for the people on this thread, please consider submitting a comment.

Obviously everyone’s situation is unique. However, there may be someone who commented on this thread previously who has since found information that might help others. I’m not asking anyone to try to diagnose anyone else, obviously. With the sheer number of commenters on this thread, however, I just thought someone may have feedback that could help others in their search for answers, pain relief, or both.



20 TrishNo Gravatar { 09.22.13 at 9:19 pm }

The calf pain could very well have to do with hormones. I had horrible pain like that after my gyno put me on hormones. My PCP took me off and said some people can’t take hormones and I’m one of them. I have very large calf muscles, the hormones wasted away the muscle and took two inches from each calf. I still have problems with the pain sometimes, the left leg was always much worse and still is. I hope this info helps someone.

21 JeanneNo Gravatar { 09.24.13 at 2:22 am }

Welcome Trish!

I’m very sorry for your pain. Thank you for sharing your experiences! Take care!


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