Tag Archive for: mood

Why Your Anxiety Worsens in Spring… Liver Yang is Rising!

According to Traditional Chinese Medicine (TCM) theory, 

Your Qi (Energy) in the body (and other creatures & plants) is affected by Spring time.

Spring time is the start of increased “Yang” Energy.

Yang Energy (versus the opposite, Yin) brings upward, sometimes a quick, rushing movement.

 

The Liver is the organ in TCM of Spring time.

The Liver is easily “Angered.”

The Liver can easily “attack” other organs.

Example: Liver attacks Stomach (Acid Reflux or Vertigo)

 

What this Means?…

Increased:

  • Anxiety
  • Irritability
  • Anger
  • Headaches
  • Dizziness
  • Insomnia
  • Digestive Upset

 

What You Can Do to Ground Yourself…

  • Stand barefooted on the ground outside (when conditions permit)
  • Breathing exercises
  • Qi Gong exercises
  • Acupuncture
  • Yoga Poses

Yoga poses: Tree Pose & Warrior II 

-Get in for Acupuncture to treat Spring time Insomnia, Anxiety, Acid Reflux and Headaches.

Thanks for Reading!

Written by Aleesha Ackerman, LAc

Aleesha Ackerman is a certified and state licensed acupuncturist with a Master’s degree in acupuncture. She also holds a Bachelor’s degree from Hamline University. Aleesha owns and operates Aleesha D Acupuncture clinic for Pain and Women’s Health in Anoka, MN.

She became interested in acupuncture and holistic medicine when acupuncture cured her of debilitating migraine pain after an auto collision with a semi-truck.

Aleesha specializes in treating pain and Women’s Health. Women come to her everyday with issues such as stress, hot flashes, mood imbalance, low energy and for Cosmetic Acupuncture for wrinkles, crow’s feet, laugh lines and improvement in overall skin tone . Read more about Aleesha and what she specializes in Here.

 

Patients at Aleesha D Acupuncture say they feel listened to and taken care of.

They are happy to get the much-needed pain and stress relief from their treatments!

 

Aleesha D Acupuncture is located in historic downtown Anoka at 229 Jackson Street just off Highway 10 with free parking.

Get in and Feel Better, Move Forward!

 

DISCLAIMER

This article is not intended to replace any health care. No information on this site should be relied on to determine medical diagnosis or treatment for a medical condition. As with any health concerns, always be sure to consult your health care provider with any health concerns.

Licensed Acupuncturist in Anoka Serving Andover, Anoka, Big Lake, Champlin, Circle Pines, Columbus, Coon Rapids, Dayton, East Bethel, Elk River, Forest Lake, Fridley, Ham Lake, Isanti, Lino Lakes, Maple Grove, Minneapolis, Now Then, Oak Grove, Osseo, Ostego, Ramsey, Saint Francis, Saint Paul, Shoreview, Spring Lake Park, Vadnais Heights and White Bear Lake.

Zip codes we treat: 55304, 55303, 55309, 55014, 55316, 55433, 55448, 55327, 55330, 55432, 55040, 55401, 55402, 55403, 55404, 55406, 55407, 55408, 55409, 55410, 55411, 55412, 55413, 55416, 55418, 55419, 55421, 55422, 55011, 55311, 55369, 55102, 55103, 55104, 55105, 55106, 55107, 55108, 55101, 55109, 55110, 55111, 55113, 55114, 55116, 55117, 55120, 55124, 55125, 55115, 55118, 55119, 55121, 55122, 55123, 55126, 55129, 55130, 55146, 55127, 55128, 55133, 55144, 55145, 55155, 55164, 55165, 55166, 55166, 55168, 55170, 55175, 55187, 55188, 55171, 55172, 55014, 55025, 55371, 55398, 55308, 55960

Vitamin D Deficiency and COVID-19

 

What’s the deal with vitamin D and COVID?…

 

Countries have found their sickest people with COVID-19 also have tested deficient in vitamin d.

Countries with the highest death rates from COVID-19 also reported highest rates of vitamin d Deficiency.

Low Vitamin “D” Often Stands for Depression

This is no surprise, as Vitamin D is crucial for a healthy immune system. More vitamin D usually means less colds and flu in general.

Am I Prone to Vitamin D Deficiency?

 

This should be a good enough reason to keep up on your vitamin d supplementation or to ask your doctor to order labs for a blood draw to check that your vitamin d level is not deficient, especially during COVID-19!

…Especially if you have Signs/ Symptoms of Vitamin D Deficiency.

 

Do You Have any of these Signs/ Symptoms of Vitamin D Deficiency?

 

 

 

Ask Your Doctor 

Only Take Vitamin D after Your Doctor orders a lab test that determines deficiency. As always, follow your doctor’s recommendation for how much to take.

Many take 1,000 I.U.-5,000 I.U. Some take even more. Your doctor will let you know what range to start with. You will know within a few months from the next lab test if you are within a healthy range.

 

Be Your Own Health Advocate

You may have to prod your doctor to order the test. I am always advocating for my own health by nudging my doctor to run tests and it has served me very well! You get an intuition about things once you start to really pay attention to your body and what is normal for it.

Get curious. Speak up for Yourself-and Your Body! It is the only one you get.

 

When Should You Take Vitamin D?

Some need to supplement all year, while some only need to take during Fall/ Winter months depending on sun exposure and other individual factors. I get my vitamin D checked in labs twice per year to see if I need to supplement during the summer months as well as during the winter. Many of us across the world are needing to take it year-round. 

 

Can You Take Food with Vitamin D?

It is a fat-soluble vitamin which means it absorbs better with fat. So, I try to take mine in the morning with chia seeds or my black cumin seed oil, flax seed/flax seed oil or nut butters.

I like to take it in the morning around coffee time just because that is when I remember to take it. Setting it in front of the coffee machine as a hoop to jump through before my ritual cup of love helps me to remember.

Don’t get caught-up on the taking it with fat thing too much, though. I found some were not compliant in taking it daily if they had to skip breakfast due to thinking they needed fat with it at the same time. You should get enough fat eventually in your day to absorb it.

Just do what works for you in order to be compliant. If taking it at night works better, then of course do that. 

 

 

Summary of Vitamin D Deficiency

  • Many are Deficient Worldwide
  • Many long-term Health effects 
  • Calcium needs D for Absorption (Bone health/ Heart health)
  • COVID-19 & Low Vitamin D
  • Diagnosed with Blood test 
  • Easy to Supplement

So, look out for Low Mood and Low Energy-it Could be Low Vitamin D!

 

See other Signs/ Symptoms of Low Vitamin D Here

Ask your doctor to order a blood test to screen for vitamin d deficiency if you have low mood and/or low energy. If it is not low, then you have ruled out one possible cause to your low energy and mood. Note: many doctors in private practice (like my primary care doc) actually like to see vitamin d level higher than what conventional family medicine doctors deem as “healthy range” levels of vitamin d.

Why? …because vitamin d can be high enough to keep you alive, though may not be “optimal” for your health as an individual. Just like with vitamin C; you may have enough to not get scurvy. However you want enough for “optimal” health to avoid illness in general.

 

Licensed Acupuncturists, Naturopathic doctors and Functional Medicine Doctors look at this way as well. Providing medicine from a prevention perspective strives to keep the body in balance to avoid disease or dis-ease. It is a different medical paradigm than the Western one which is focused on treating only once there is a state of disease. Both types of medicine are needed and each has its time and place, for sure. I sure do appreciate the Emergency Room and antibiotics (when necessary).

 

The two main symptoms or main complaints that walk into my practice are low mood and fatigue.

The body needs to remain in balance to stay in optimal health.

Aleesha D Acupuncture carries vitamin D in liquid form for better absorption.

This liquid form comes with added vitamin k2 to help your body absorb the vitamin d even better!-Watch out if you take blood thinners like Coumadin®/ warfarin as vitamin k is contra-indicated for use with blood thinners as it can lower the effect of the drug. This is why you always check with your doctor first before adding supplements like vitamins.

 

Low Mood or Energy? Low Libido or Imbalanced Hormones? Aleesha Treats Mood, Energy, Hot flashes and Fertility, too.

Go online to Schedule at: AnokaAcupuncture.com

 

Thanks for Reading!

Written by Aleesha D Ackerman, LAc

Aleesha Ackerman is a certified and state licensed acupuncturist with a Master’s degree in acupuncture. She also holds a Bachelor’s degree from Hamline University. Aleesha owns and operates Aleesha D Acupuncture clinic for Pain and Women’s Health in Anoka, MN.

She became interested in acupuncture and holistic medicine when acupuncture cured her of debilitating migraine pain after an auto collision with a semi-truck. Aleesha specializes in treating acute and chronic pain and Women’s Health. Women come to her everyday with issues such as hot flashes, mood imbalance, low energy and for Cosmetic Acupuncture for wrinkles, crow’s feet, laugh lines and improvement in overall skin tone . Read more about Aleesha and what she specializes in Here.

 

Patients at Aleesha D Acupuncture say they feel cared for and listened to. They are happy to get the much-needed pain and stress relief from their treatments!

 

Aleesha D Acupuncture is located in historic downtown Anoka at 229 Jackson Street just off Highway 10 with free parking.

Get in and Feel Better, Move Forward!

 

DISCLAIMER

This article is not intended to replace any health care. No information on this site should be relied on to determine medical diagnosis or treatment for a medical condition. As with any health concerns, always be sure to consult your health care provider with any health concerns.

Licensed Acupuncturist in Anoka Serving Andover, Anoka, Big Lake, Champlin, Circle Pines, Columbus, Coon Rapids, Dayton, East Bethel, Elk River, Forest Lake, Fridley, Ham Lake, Isanti, Lino Lakes, Maple Grove, Minneapolis, Now Then, Oak Grove, Osseo, Ostego, Ramsey, Saint Francis, Saint Paul, Shoreview, Spring Lake Park, Vadnais Heights and White Bear Lake.

Zip codes we treat: 55304, 55303, 55309, 55014, 55316, 55433, 55448, 55327, 55330, 55432, 55040, 55401, 55402, 55403, 55404, 55406, 55407, 55408, 55409, 55410, 55411, 55412, 55413, 55416, 55418, 55419, 55421, 55422, 55011, 55311, 55369, 55102, 55103, 55104, 55105, 55106, 55107, 55108, 55101, 55109, 55110, 55111, 55113, 55114, 55116, 55117, 55120, 55124, 55125, 55115, 55118, 55119, 55121, 55122, 55123, 55126, 55129, 55130, 55146, 55127, 55128, 55133, 55144, 55145, 55155, 55164, 55165, 55166, 55166, 55168, 55170, 55175, 55187, 55188, 55171, 55172, 55014, 55025, 55371, 55398, 55308, 55960

 

 

Low Thyroid? Hashimoto’s?…Not sure? …

Did you know that 90% of the time Low Thyroid is Hashimoto’s?

Did you know Hashimoto’s is considered an Auto-Immune Thyroid Disease?

Before you give up on ever having enough energy again, losing weight, not feeling cold all the time, growing back your now thinning hair, or thinking you are stuck with this “Brain fog” that keeps you from being on top of your game, ask yourself…

 

–What Can I Do?– 

As overwhelming as it seems, there is actually a lot you can do!

With some lifestyle changes and healing modalities like Acupuncture, your body will slowly heal itself.

You may or may not have to take Thyroid medication.

Either way, cleaning up your lifestyle will give your body and brain the correct “soil” to start to heal

–and you will slowly start to feel better.

 

–Signs/ Symptoms …..How can I Feel Better?–

  • Energy starts to improve and you start feeling like getting out of bed more easily (Better Motivation)
  • Brain fog starts to clear away like parting clouds (Better Mental focus)
  • Mood Lifts (Less Anxiety & Depression)!
  • Weight Loss/ Maintenance (Balanced Metabolism)
  • Libido (healthy sex life)
  • Joint pain improves(Pain Relief)
  • Cold Intolerance (Improve Circulation)
  • Digestion cleans up (Less constipation or diarrhea)
  • Skin rashes & Dry skin Improves (Clearer skin/ Dry Skin Relief)
  • Hair/scalp become healthier again (No more thinning hair) and eyebrows can start to fill-in again-slowly!

 

–What Can I Work on (Lifestyle)?–

Diet / Acupuncture and other healing modalities/ Movement/ Meditation/ Supplements/ Sleep…

 

ACUPUNCTURE: When Acupuncture is Good for Your Thyroid

The World Health Organization (WHO) reports that acupuncture can be used to treat thyroid disease.

 

DIET: How can we choose to eat healthy foods that support a low thyroid when the information out there is always changing and there are so many telling us to eat Paleo! or Eat Vegetarian! or Eat Vegan! or Eat Keto!…

Well, I find it easier to think of foods in terms of…

LOW INFLAMMATION DIET. 

So, why eat a Low Inflammation Diet?… Well, as you know Disease is caused by Inflammation.

So what is Inflammation, really?…Well, think of it as a fire. The fire does not go away. It continues to burn…

It becomes chronic…

This chronic,burning inflammation or fire can manifest as skin irritations or with joint pain…Especially if you have been diagnosed with Thyroid Disease or really, any disease. Even when the fire is kept low by good lifestyle, it can continue to smolder. It is our job to keep it down and not add fuel to the fire with high inflammation foods or other stressors which can trigger stress responses in the body, and affect the thyroid. 

Low Inflammation Foods include good, quality fats and proteins, green leafy vegetables and non-processed, non-packaged foods. Good Low Inflammation Fat Examples include: Quality fats like Raw nuts, seeds, extra virgin olive oil, unrefined coconut oil, ghee/ clarified butter/ grass-fed butter, rendered fats like rendered duck fat. Be sure to check first with your doctor before starting a new diet.

High Inflammation Foods include things like gluten, refined sugars, simple carbs (think bread products). Even eating a small bite of glutinous food will create inflammation in the body that lasts months. Once we stop eating it and find we can cook and bake other delicious alternatives and avoid all the pain and suffering, avoiding these inflammatory foods becomes easier. I liken it to returning to an abusive relationship and use this example with my patients: we think this time will be different-this time I can handle it-I am stronger somehow this time-last time wasn’t so bad-this time I won’t get burned or hurt-and yet we always do-and it gets worse each time until some of us become very broken and unhealthy. It is our job to look out for our bodies and minds so that we can stay healthy.

Supplements: More than likely You are Low in Magnesium (especially with low thyroid)… 

Read the 7 Signs of Magnesium Deficiency

Often Progesterone is Low with Low Thyroid. (Interestingly enough, Magnesium helps the body with Progesterone balance). So, supplementing with Magnesium is usually a good thing. Read Here Why You Probably Don’t get Enough Magnesium

 

MOVEMENT: Moving the body improves both mind and body, whatever ails you. Specifically for thyroid, good forms of exercise include: Yoga, Qi Gong, Walking and perhaps Jogging or Running. Be sure to check first with your doctor before starting any exercise routine.

 

SLEEP: Sleep is crucial to our health and well-being and can help stave off disease. We now know the effects poor sleep can have on the brain…

According to the National Institute of Health (NIH), Sleep deprivation increases Alzheimer’s protein in the brain.

Basically, the protein plaques which are cleaned up during sleep, are not cleaned up due to lack of quality sleep.

 

I think of the little yellow Pac-Man (gobbling up all the bad plaque in my brain at night when I sleep) and this usually gets my butt to bed in time for 8 hours of sleep. What can I say?- I am a very visual learner.

If visual is one of your more dominant learning styles, you may choose to adopt this method of getting yourself to bed earlier, too!

I am all about doing what works for us as individuals to make ourselves compliant on the big stuff.

 

–Hey, sometimes we have to convince the little kid in us that it really is time for bed!

 

Thanks for Reading!

Check back for more.

 

Written by Aleesha D Ackerman, LAc

 

Aleesha Ackerman is a certified and state licensed acupuncturist with a Master’s degree in acupuncture. She also holds a Bachelor’s degree from Hamline University. Aleesha owns and operates Aleesha D Acupuncture clinic for Pain and Women’s Health in Anoka, MN.

She became interested in acupuncture and holistic medicine when acupuncture cured her of debilitating migraine pain after an auto collision with a semi-truck. Aleesha specializes in treating acute and chronic pain and Women’s Health. Women come to her everyday with issues such as hot flashes, mood imbalance and low energy. Read more about Aleesha and what she specializes in Here.

Patients at Aleesha D Acupuncture report feeling cared for, listened to and are happy to get the much-needed pain and stress relief from their treatments!

Why wait? Start Your Relief Today- contact Aleesha D Acupuncture in Anoka today to schedule your acupuncture appointment!

Aleesha D Acupuncture is located in historic downtown Anoka at 229 Jackson Street,  with free parking.

Anoka Acupuncture with Aleesha D Ackerman

DISCLAIMER

This article is not intended to replace any health care. No information on this site should be relied on to determine medical diagnosis or treatment for a medical condition. As with any health concerns, always be sure to consult your health care provider with any health concerns.

Licensed Acupuncturist in Anoka Serving Andover, Anoka, Big Lake, Champlin, Circle Pines, Columbus, Coon Rapids, Dayton, East Bethel, Elk River, Forest Lake, Fridley, Ham Lake, Isanti, Lino Lakes, Maple Grove, Minneapolis, Now Then, Oak Grove, Osseo, Ostego, Ramsey, Saint Francis, Saint Paul, Shoreview, Spring Lake Park, Vadnais Heights and White Bear Lake.

Zip codes we treat: 55304, 55303, 55309, 55014, 55316, 55433, 55448, 55327, 55330, 55432, 55040, 55401, 55402, 55403, 55404, 55406, 55407, 55408, 55409, 55410, 55411, 55412, 55413, 55416, 55418, 55419, 55421, 55422, 55011, 55311, 55369, 55102, 55103, 55104, 55105, 55106, 55107, 55108, 55101, 55109, 55110, 55111, 55113, 55114, 55116, 55117, 55120, 55124, 55125, 55115, 55118, 55119, 55121, 55122, 55123, 55126, 55129, 55130, 55146, 55127, 55128, 55133, 55144, 55145, 55155, 55164, 55165, 55166, 55166, 55168, 55170, 55175, 55187, 55188, 55171, 55172, 55014, 55025, 55371, 55398, 55308, 55960

 

Why Try Acupuncture for Poor Mood and Low Energy?

Acupuncture Helps Ease Mild to Moderate Depression, Chronic Fatigue Syndrome and Seasonal Affective Disorder (S.A.D.).

 

Is Your Depression Chronic Fatigue Syndrome?

 

How Acupuncture Helps Depression

Acupuncture works under the umbrella of Traditional Chinese Medicine (TCM) and looks at and treats Depression differently than Western Medicine does. Acupuncture is good at helping patients with mild to moderate depression.

 

What is the Science behind How Acupuncture Helps Pain and Depression?-

Acupuncture decreases pain by inciting the body to release specific endorphins which relieve pain, acupuncture increases Qi and blood (circulation) to the affected area and decreases inflammation in the body (inflammation causes pain and chronic inflammation causes disease).

Acupuncture helps with depression by:

  • Acupuncture releases endorphins (feel-good hormones)
  • Acupuncture increases circulation
  • Acupuncture lowers inflammation

 

Research on Acupuncture for Depression:

In 2010 The Journal of Affective Disorders published on 207 clinical studies on the effectiveness of acupuncture treating depressive disorders. The efficacy of acupuncture was found to be comparable to antidepressants alone in the improvement of clinical response and with alleviating symptom severity of Major Depressive Disorder. 

Adverse reactions to acupuncture treatment was also significantly lower than that of antidepressants!

 

COVID-19 and Vitamin D Deficiency

 

What YOU Can do for Depression:

Have Your Doctor Check Your Labs for:

  • Get Your Vitamin D3 level screened in Labs!!
  • Get Your Thyroid screened
  • Get Your Vitamin B level screened
  • Get Your Iron level screened
  • Support Group
  • Breathe
  • Exercise (30 minutes daily)
  • Sleep (bad sleep may increase risk of Dementia)

(Think of vitamin “D” as the “D” in “DEPRESSION)!

90% of us- Especially in the northern area of MN, where we do not get enough sun for enough vitamin D…I tell my patients that even if they were to lie outside in the sun naked all day long, they would still not get enough vitamin D without supplementing during the winter!

You can buy your vitamin d here, too.

–Ask your doctor to check your blood level in your labs for vitamin d deficiency every year when you get your annual physical.

 

Thyroid/ Iron/ B vitamin Deficiency…

Low thyroid level, Iron or deficient B vitamin can cause fatigue and low mood. Ask your doctor to check this if you feel low mood and energy.

 

Stay Social!…

Get a support group of friends, family and care providers you can trust to have your best interest in mind.

We do not have to go it alone.

Many 0f us keep trying to do everything ourselves without asking for help. This does not work. Reach out to your peeps.

We are social creatures.

 

Breathe. Take your time. Try not to change too many major things in life at once when you are feeling overwhelmed.

Sleep. Be sure to get enough. Ramifications of not enough sleep over a long period of time can really affect your health in a negative way. Sleep is when the plaque that causes dementia is cleaned from our brain. I think of it as Pacman going in to keep us healthy. Get some sleep!

Exercise every day. 20-30 minutes, especially in nature can do wonders for the body and mind.

Low Impact Exercises:

  • Brisk Walking
  • Restorative Yoga
  • Chi Gong (Qi gong)

Chi gong (Qi gong) is a form of Tai Chi (Tai Qi), under the umbrella of Traditional Chinese Medicine (TCM).

Did You Know that YIN YOGA is great for Your Joints?

 

How Acupuncture Helps Joint Pain

 

Meditate Daily. Carve out a Special time and Place every day for this to help get out of Fight or Flight…

 

Mindfulness Meditation Can Help Ease Depression and other Dis-ease! (read on to start your Meditation journey)…

Start your Mindfulness Meditation Journey to help heal Your Body and Mind.

Resources for Mindfulness Meditation Here 

 

 

Does Your Depression include Anxiety?

Acupuncture is also good at treating Anxiety.

Resources for Anti-Anxiety

 

TCM Acupuncture Treats More than Your Symptoms

TCM acupuncture works to find out the root cause of disease and dis-ease in order to treat and relieve the pain or issue and help prevent it from returning. Acupuncture helps your body to balance itself and remain in balance.

Western Medicine often only treats the branch of the disease, leaving the root to further disease. Shining a dull leaf will not resolve the problem long-term if there is disease within the root.

Another words, TCM treats more than just the symptoms, it also treats the cause.

 

 

Thanks for Reading!

Written by Aleesha Ackerman, LAc

Aleesha Ackerman is a certified and state licensed acupuncturist with a Master’s degree in acupuncture. She also holds a Bachelor’s degree from Hamline University. Aleesha owns and operates Aleesha D Acupuncture clinic for Pain and Women’s Health in Anoka, MN.

She became interested in acupuncture and holistic medicine when acupuncture cured her of debilitating migraine pain after an auto collision with a semi-truck. Aleesha specializes in treating acute and chronic pain and Women’s Health. Women come to her everyday with issues such as hot flashes, mood imbalance and low energy. Read more about Aleesha and what she specializes in Here.

Patients at Aleesha D Acupuncture report feeling cared for, listened to and are happy to get the much-needed pain and stress relief from their treatments!

Why wait? Start Your Relief Today- contact Aleesha D Acupuncture in Anoka today to schedule your acupuncture appointment!

Feel Better, Move Forward

Aleesha D Acupuncture is located in historic downtown Anoka at 207 East Main Street just off Highway 10 with free lots, ramps and street parking.

 

DISCLAIMER

This article is not intended to replace any health care. No information on this site should be relied on to determine medical diagnosis or treatment for a medical condition. As with any health concerns, always be sure to consult your health care provider with any health concerns.

Licensed Acupuncturist in Anoka Serving Andover, Anoka, Big Lake, Champlin, Circle Pines, Columbus, Coon Rapids, Dayton, East Bethel, Elk River, Forest Lake, Fridley, Ham Lake, Isanti, Lino Lakes, Maple Grove, Minneapolis, Now Then, Oak Grove, Osseo, Ostego, Ramsey, Saint Francis, Saint Paul, Shoreview, Spring Lake Park, Vadnais Heights and White Bear Lake.

Zip codes we treat: 55304, 55303, 55309, 55014, 55316, 55433, 55448, 55327, 55330, 55432, 55040, 55401, 55402, 55403, 55404, 55406, 55407, 55408, 55409, 55410, 55411, 55412, 55413, 55416, 55418, 55419, 55421, 55422, 55011, 55311, 55369, 55102, 55103, 55104, 55105, 55106, 55107, 55108, 55101, 55109, 55110, 55111, 55113, 55114, 55116, 55117, 55120, 55124, 55125, 55115, 55118, 55119, 55121, 55122, 55123, 55126, 55129, 55130, 55146, 55127, 55128, 55133, 55144, 55145, 55155, 55164, 55165, 55166, 55166, 55168, 55170, 55175, 55187, 55188, 55171, 55172, 55014, 55025, 55371, 55398, 55308, 55960