Posts

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.

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/ 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 207 East Main Street just off Highway 169 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

 

Magnesium is responsible for helping regulate many systems in the body and can affect the muscles, including the heart.

Are You Magnesium Deficient?

Here is a Loooonger List (than prior post) of Signs/Symptoms of Magnesium Deficiency:

Allergies

Insomnia

Irritability

Thyroid Issues

Kidney Stones

Back pain

Uncoordinated

Extreme Fatigue

Excessive Cavities

Digestive Disorders

Low concentration

Low appetite

Muscle spasms

Low Progesterone

Cold Hands & Feet

Difficulty Handling Stress

Anxiety, Depression, Mental unrest

Palpitations (strong sensation of heart beat)

More on How Magnesium Affects the Body Here

 

Aleesha D Acupuncture treats Anxiety, Mild to Moderate Depression, Low Energy and Low Mood by helping your body to balance itself.

Thanks for Reading!

Feel free to leave a Question or Comment.

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!

Acupuncture is good at treating pain and inflammation. Aleesha treats digestion issues successfully by treating the root cause and by treating the whole individual.

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 close to Andover, MN with free 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

How Traditional Chinese Medicine (TCM) Acupuncture Treats Disease versus Western Medicine

Main differences between TCM Acupuncture and Western Medicine: 

TCM Acupuncture Treats More than Your Symptom

Treating the Branch (Symptom) vs the Root (Cause)

TCM acupuncture is known for treating chronic pain and issues that have been lingering for a long time. Often acupuncture is something we seek out after we have tried all other options. This is probably due to not really buying into the idea that acupuncture could actually work on something real, like severe pain or for hormonal imbalance, as with infertility. I thought the same way before I FINALLY tried it. (See My Story Here) TCM Acupuncture works to find out the root cause of disease and dis-ease in order to treat and resolve the pain or issue and – help prevent it from returning.

Western Medicine often only treats the branch of the disease, instead of also treating the root, where the disease started. Shining a dull leaf on a plant or tree will not resolve the problem long-term if there is disease within the root.  The root cause must be treated in order to treat the whole plant. It is the same with the human body.

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

Of course, there are times when the marvels of modern Western Medicine are necessary and appropriate to use over acupuncture or other medical treatments, i.e., Cancer, emergency surgery, life-saving medications and fixing major structural issues like broken bones and torn tendons, to name just a few.

Acupuncture does not treat such things as Cancer and should never claim to. However, acupuncture is good for many of these ailments, once the patient is in a healing stage. For instance, acupuncture is very good at helping relieve common issues in patients due to the effects of chemotherapy and radiation treatment for Cancer. Many patients come to Aleesha D Acupuncture for relief after chemotherapy/ radiation Cancer treatment appointments in order to feel better.

Acupuncture Relieves Nausea, Vomit and Low Energy after Chemotherapy Cancer Treatment

 

Treatment Aimed at Prevention vs the “Wait and See” until Symptoms Manifest into Disease:

TCM acupuncture aims for prevention. It is concerned with preventing the issue from recurring or worsening. TCM acupuncture treats specific TCM disease patterns (according to how an individual patient presents) with the aim of helping the body regain balance in order to stop the disease or dis-ease before it progresses into something worse, or before it progresses into an actual diagnosed disease (where there once was no diagnosis).

Western Medicine operates within a different medical paradigm. This is why Western Medicine often can only treat the individual after a disease has been diagnosed. Then medications, surgeries or other therapies can be recommended, taken and monitored-sometimes for life, i.e., thryoid medications!

This is common with patients who complain to doctors (sometimes for years) of chronic signs and symptoms such as low energy, fatigue, constipation, anxiety, depression, low libido, dry skin and cold hands and feet. At first these individuals are told there is nothing showing up in their labs in regard to imbalances (such as thyroid)…only to be told years later, once the labs finally show the imbalance as a thyroid deficiency or excess (once the imbalance progressed enough to show up on the tests). Unfortunately, by this time the signs and symptoms have been allowed to progress to the state of disease, i.e., Thyroid Disease such as Auto Immune Hashimoto’s Hypothyroidism and Auto Immune Grave’s Disease.

It is interesting that in ancient China, doctors were only paid for prevention of disease; they were not paid if they did not prevent disease in their patients because they did not do their job.

Thyroid, Auto Immune Issues and Acupuncture

Your licensed acupuncturist is trained in TCM Food Therapy and may go over your diet and other lifestyle factors, and may make recommendations in order to help with issues such as infertility, insomnia, anxiety and sub-clinical (symptoms of low thyroid not showing in labs) thyroid deficiency. Acupuncture aims to help your body balance itself, in order to avoid disease and dis-ease.

 

Acupuncture for Anxiety

TCM acupuncture treats the whole person. This is why acupuncturists ask so many seemingly un-related questions. Your acupuncturist is going to ask about your digestion, diet, exercise, mood, menstrual cycle (if you are female), etc. The answers to these questions are each like a puzzle piece. These puzzle pieces make up a picture of you, the individual. This information allows them to treat you according to fitting within TCM Disease patterns, which are different than Western Medicine disease.

This also explains how TCM acupuncture can treat an individual under a TCM disease pattern even without a Western diagnosis, when Western medicine is at a loss as to how to define or treat certain issues or Syndromes, i.e., Fertility, Fibromyalgia, SIBO, Thyroid issues, Endometriosis and Insomnia.

What Acupuncture is Good at Treating

Acupuncture is good at treating pain and promoting functional issues within the body; digestion issues, hormonal imbalances, range of motion issues and of course, pain due to almost any root cause. Acupuncture can help with Depression when it is mild to moderate and is good for Anxiety. This is because it helps move stuck “Qi” or energy that has turned into stagnation in the body, commonly referred to as “Liver Qi Stagnation” with depression-like issues.

When Western Medicine is Needed

Acupuncture is not suitable for fixing structural issues; broken bones, torn or severed nerves, ligaments or tendons. Obviously there is a time and place for everything, including appropriate medical care for each situation. Once the tendon, bone or ligament is repaired, however acupuncture can be a good modality to help the effected area of the body to heal more quickly. An example of this is after knee, hip or shoulder surgery. Acupuncture is so common after surgeries that many hospitals are providing this option to their post-op patients to help lower the pain and inflammation, especially as they taper from pain medications.

Many patients come to Aleesha D Acupuncture in Anoka after hip surgery, knee surgery, shoulder surgery and back surgery to help relieve inflammation, swelling and pain, as well as getting back on their feet more quickly.

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

 

Who Gets Thyroid Disease?

Thyroid imbalance and Thyroid Disease is common today.  The typical modern diet and lifestyle of highly stressed, over-scheduled lives makes us more prone to disease and dis-ease. Being in a constant or almost constant state of Fight-or-Flight, it is no wonder that our hormones end up imbalanced, especially if one is already prone to thyroid imbalances within their family genetics.

 

Hashimoto’s and Grave’s (Thyroid) Diseases

Most Thyroid Disease is Auto-Immune related.

90% of all Hypothyroidism is due to Hashimoto’s Auto-Immune Disease.

90% of all Hyperthyroidism is due to Grave’s Auto-Immune Disease.

 

Natural Alternative Treatments for Thyroid:

  • Acupuncture
  • Diet Therapy
  • Natural thyroid medications
  • Vitamins/ Supplements
  • Stress Relief Activities
    • Meditation
    • Relaxing-type Yoga
    • Rest and Sleep
    • Running (often helps Hyperthyroidism)
    • Walking at easy pace (often helps Hypothyroidism)

There is a connection with Hypothyroidism, Low Progesterone and Low Magnesium. Magnesium affects Progesterone.

Are You Deficient in Magnesium?

 

Symptoms of Low Magnesium Here

Western Medicine and Thyroid

Of course there are situations when stronger measures are needed in treating thyroid. In these individuals, acupuncture would serve as an adjunct therapy.

For instance, when thyroid hormone levels are not balanced enough using diet, supplements, vitamins, herbs and lifestyle, thyroid medication may be necessary.

Hyperthyroidism must be monitored; if thyroid hormone level becomes too high and is un-monitored, it could turn into a “Thyroid storm.”

“Thyroid Storm or thyrotoxic crisis is extremely dangerous and can involve symptoms such as extreme high blood pressure and can even lead to death.”

Acupuncture/ TCM for Thyroid

Hyper-thyroid and Hypo-thyroid can be explained using TCM disease patterns. Licensed Acupuncturists are often able to help balance the thyroid, whether caused by an over-active thyroid (Hyper-thyroid) or under-active thyroid (Hypothyroidism).

 

The World Health Organization reports that Acupuncture can be used to treat Thyroid diseases.

Several studies suggest Acupuncture can help with Hypothyroidism.

Acupuncture is under the umbrella of Traditional Chinese Medicine (TCM).

 

Why Acupuncture is Good for Your Thyroid

Acupuncture is good at balancing common complaints patients have with an imbalanced thyroid. 

This is because acupuncturists treat thyroid imbalance as a TCM pattern which involves “Kidney Qi.”

Acupuncture helps the body to balance itself; we say acupuncture is 20% responsible and the body is 80% responsible for restoring balance to the body.

 

Acupuncture Treats Hyperthyroidism Signs/ Symptoms:

Hyperthyroid Symptoms are “hyper” or excessive (Too High):

  • Hypertension (high blood pressure)
  • Rapid heartbeat
  • Excessive perspiration (sweating)
  • Clammy skin (excessive perspiration)
  • Increased appetite with weight loss
  • Nervousness/ Anxiety
  • Tremor (shaking, usually in one or both hands)

Acupuncture Lowers Blood Pressure!

 

Acupuncture Treats Hypothyroidism Signs/ Symptoms:

Hypothyroid Symptoms are “hypo” or deficient (Too Low):

Depression

  • Cold sensitivity
  • Weight gain
  • Dry hair and skin
  • Constipation

 

Acupuncture Treats the Root Cause of Thyroid imbalance:

  • Acupuncture treats according to TCM Disease Patterns
  • Acupuncture and TCM treats each patient as an individual
  • Acupuncture helps the body to balance itself
  • Your acupuncturist may also go over individual lifestyle changes, including diet and exercise

Weakened Adrenals, Thyroid Imbalance and Endometriosis often coincide in patients.

Aleesha D Acupuncture treats Endometriosis

 

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

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