I'm thrilled with the results from HiPP Combiotic Stage 2! My daughter is happier and less irritable.
ALLSpecialty0-12 months
HiPP Anti-Reflux
- Specialty Formula
- 0-12 months
- HiPP · German Version
- 600g box
A gentle, easy-to-digest formula suitable from birth that helps manage reflux and regurgitation. The formula is thickened with natural locust bean gum to help reduce reflux and regurgitation, keeping feeds more comfortable.
In stock · ships within 24 h from Berlin
Order by 1:00 PM(Berlin time)
Get it by Fri, Oct 23 – Mon, Oct 26
Best before January 2028You will receive this date or a later one
No hidden fees Details $271.60You pay $40.74Duties on us $0At the door
HiPP Anti-Reflux × 8$271.60
FedEx Express shippingFREE
US import duties & taxes (15 %)$0.00
Parents on video · verified reviews
Product details
HiPP Anti-Reflux is specially formulated for the dietary management of reflux and regurgitation in infants. Suitable from birth, it can be used as a sole source of nutrition or alongside breastfeeding. The formula contains natural locust bean gum, which gently thickens the milk to help it stay down in your baby's tummy, supporting more comfortable feeds and reducing regurgitation.
It also includes natural probiotics to help support a healthy gut and digestion, as well as DHA and choline to support normal brain and visual development. Carefully developed to meet your baby's nutritional needs, HiPP Anti-Reflux provides complete nutrition with gentle support for little ones with reflux.
- Locust bean gum
- Metafolin® (natural folate)
- Probiotics
- DHA & choline
- Grass-fed cow milk
- 600g box
Allergens & ingredients
Allergens: Contains lactose, milk, milk products and fish oil.
Ingredients: Skimmed milk, whey product, vegetable oils (palm oil*, rapeseed oil, sunflower oil), lactose, thickener locust bean gum, fish oil, potassium chloride, choline, M. alpina oil, calcium carbonate, calcium chloride, sodium citrate, L-phenylalanine, sodium selenite, L-tyrosine, zinc sulfate, calcium orthophosphates, L-leucine, L-tryptophan, L-histidine, iron sulfate, stabilizer lactic acid, potassium iodate, vitamin C, natural lactic acid cultures (Limosilactobacillus fermentum hereditum®)¹, vitamin E, niacin, pantothenic acid, copper sulfate, vitamin B1, vitamin A, magnesium carbonate, inositol, vitamin B6, Metafolin® (calcium L-methylfolate), vitamin K, vitamin D, biotin, vitamin B12. *palm oil from sustainable cultivation, certified by independent control bodies, ¹Limosilactobacillus fermentum CECT5716
Shipping & Customs

From Germany to your door in 2–4 business days
Every order leaves our German warehouse within 24 h on business days and flies express — with full tracking from the first scan to your doorstep.
- Ships within 24h on business days
- Full door-to-door tracking
- Delivered in 2–4 business days

The price at checkout is the price you pay
All duties and tariffs are covered by us — your delivery never rings the doorbell with a surprise invoice, and there is no customs paperwork for you.
- All duties & tariffs covered
- No customs paperwork for you
- No hidden costs, ever

Fresh stock, never clearance
We buy directly in Germany and rotate stock continuously — every formula leaves with at least 6+ months until expiration, batch-checked before shipping.
- 6+ months shelf life guaranteed
- Sourced directly in Germany
- Batch-checked before shipping

Instructions you can actually read
A step-by-step feeding guide in US English is printed with every order — measurements already converted, stage-by-stage guidance, no guesswork.
- Printed with every order
- US measurements & water ratios
- Stage-by-stage guidance
For little ones with reflux
Is HiPP Anti-Reflux right for my little one?
For babies 0–12 months with reflux
HiPP Anti-Reflux is made for babies from birth who need a gentle, easy-to-digest formula to help manage reflux and regurgitation. Thickened with natural locust bean gum, it helps reduce spit-up and supports more comfortable feeds.
- Reflux & spit up
- Sensitive tummy
Thickened nutrition for more comfortable feeds
HiPP Anti-Reflux uses natural locust bean gum to gently thicken the formula, helping feeds stay down better and reducing spit-up and regurgitation. Added probiotics support a healthy gut balance and help promote comfortable digestion, providing gentle nutrition for babies with reflux and sensitive tummies.
Gentle reflux support with a thickened formula
HiPP Anti-Reflux combines carefully selected ingredients for gentle, nourishing nutrition. Natural locust bean gum helps create a thicker formula, probiotics support a healthy gut balance, and Metafolin® provides a naturally occurring form of folate that is easy for babies to use.
DHA and choline support healthy brain development.
- Locust bean gum
- Metafolin® (natural folate)
- Probiotics
- DHA & choline
- Grass-fed cow milk
Important tip for preparing HiPP Anti-Reflux
After mixing the bottle, let it rest for about 7 minutes before feeding. This allows the formula to thicken properly inside the bottle and helps create the right consistency for babies with reflux.
What’s not in the box
The right “no”s, because every bottle matters.
Parents are amazed by this product
HiPP Anti-Reflux – Specialty Formula 0-12 months, German Version (600g)
This formula was exactly what our baby needed! She loves the taste and it has really helped with her digestion.
HiPP Combiotik 2 has been great for our baby's growth. The organic ingredients give us peace of mind every single day.
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Ingredient glossary
Key ingredients, explained like a friend would
Tap any term from the label — two plain sentences each, no chemistry degree needed.
Lactose
Milk sugarThe sugar that is naturally in milk, and the main carbohydrate in breast milk. There is no starch and no maltodextrin in this formula.
Locust bean gum
Natural thickenerA natural thickener from the seeds of the carob tree. It thickens the milk in the bottle so it is more likely to stay down — which is why the bottle rests about 7 minutes before feeding.
Why it’s in there: it is what makes this an anti-reflux formula.
Vegetable oils
Fat blendSunflower, palm and canola oil, provide essential fatty acids alongside natural milk fat. Together, they create a fat profile that closely resembles breast milk.
Fish oil (DHA)
Source of DHAFish oil provides DHA, an omega-3 fatty acid important for your baby’s brain and eye development. Your baby can’t make enough DHA on their own.
Mortierella alpina oil
Source of ARAAn oil made by a naturally occurring fungus, used as a source of ARA (arachidonic acid) — an omega-6 fatty acid that breast milk contains too.
Limosilactobacillus fermentum hereditum®
Probiotic cultureA natural lactic acid culture, strain CECT5716, originally found in breast milk. Live cultures are why the water should not be hotter than about 50 °C.
Metafolin® (calcium L-methylfolate)
Folate · vitamin B9The active form of folate (vitamin B9), which the body can use directly without converting it first. Folate is needed for normal cell division.
Why it’s in there: no conversion step needed.
Choline
NutrientA vitamin-like nutrient the body uses to build cell membranes. Choline is an essential nutrient naturally found in breast milk.
Terms taken from the ingredient list on the pack.

Everything, at a glance
Nothing left up in the air.
Point at a chip — every one of them is one less thing to worry about.
Free from corn syrup and GMOs.
A natural thickener from carob seeds.
A natural lactic acid culture that helps support healthy digestion.
Natural folate the body can use directly, without converting it first.
DHA contributes to normal cognitive and visual development in early life.
All duties and tariffs are covered by us — no surprise invoice at the door, no customs paperwork for you.
From our German warehouse to your door in 2–4 business days, express and fully tracked.
Every formula leaves us with at least 6 months until its best-before date, batch-checked before shipping.
A step-by-step feeding guide in US English is printed with every order.
Freshness guarantee
At least 6 months of shelf life, or it doesn’t ship6+ months of shelf life, or it doesn’t ship
6+MO
Minimum 6 months shelf life on arrival — guaranteed.
Formula this fresh never sits in a US warehouse. Every box flies direct from Berlin, and the best-before date is checked and logged the moment we pack it.
No US warehouse. Every box flies direct from Berlin, best-before checked at packing.
This batch: best before January 2028
Answers, instantly
Every answer, one search away
Type what you're wondering about — the FAQ finds it before you finish.
Only showing general answers and answers about HiPP Anti-Reflux.Only showing answers about HiPP Anti-Reflux.
Which version of HiPP formula do you sell?
We only sell the German HiPP version of HiPP formulas.
Good to know: HiPP products are available in different country versions (such as German, Dutch, or UK versions), mainly due to different local labeling and packaging requirements. However, all HiPP formulas are made under the same strict EU organic standards and regulatory controls, ensuring consistent safety, ingredient quality, and organic certification across all markets.
Important: All HiPP formulas are produced in the same manufacturing sites in Germany, and all production follows the same high-quality EU organic certification system and controls, regardless of whether the product is sold as the German, Dutch, or UK version.
Why should the water for HiPP formula cool to 40–50 °C first?
At about 40 to 50 °C (104 to 122 °F), the powder dissolves well while heat-sensitive vitamins stay protected — and so do the natural lactic acid cultures in HiPP formulas with probiotics (Combiotik, HA, Comfort and Anti-Reflux). Water that is too hot would damage them.
To cool boiled water faster, stand the bottle or a measuring jug in a cold water bath for a few minutes.
How do I prepare HiPP Anti-Reflux?
After mixing the bottle, let it rest for about 7 minutes before feeding. This gives the locust bean gum time to thicken the formula properly in the bottle, so it reaches the right consistency for a baby with reflux.
Why is it important to measure HiPP formula exactly?
The right ratio of powder to water matters for both nutrition and digestion: too much or too little powder can make the formula harder to digest and may contribute to constipation. Always use the scoop from the pack, fill it loosely and level it off, for example with the back of a knife — don’t press the powder down.
Use exactly the amount of boiled water the feeding table gives for the number of scoops.
When can my baby switch from HiPP Comfort or Anti-Reflux to regular formula?
Talk to your pediatrician first — for example once your baby’s tummy troubles or spit-up have improved. Once you’ve agreed to switch, do it step by step: replace one bottle with the new formula on the first day, two on the second, and so on, without mixing the two formulas in one bottle.
Can I combine HiPP or Holle formula with breastfeeding?
Yes. These formulas can be used from birth as your baby's only source of nutrition or alongside breastfeeding.
Can heat during delivery or travel damage HiPP formula or porridge?
No. Formula powder and HiPP powdered porridges are not sensitive to heat in transit.
At home, store packs dry, out of the sun and below 25 °C (77 °F). In very hot weather you can keep unopened packs in the fridge — but never opened ones, as the powder can get damp there.
Do HiPP formulas contain corn syrup?
No, HiPP formulas do not contain corn syrup!
In fact, in the European Union, infant and toddler formulas are tightly regulated, and corn syrup (or corn syrup solids) is not permitted as a carbohydrate source in infant nutrition in the way it is commonly used in some US formulas.
What is Metafolin® and how can I find Metafolin® on the ingredient list?
Metafolin® is a natural form of folate and a patented ingredient in HiPP Combiotik formulas that is more easily absorbed than the synthetic folic acid commonly found in US formulas. Folate is vital for babies because it supports healthy cell growth and development, especially in the brain and nervous system, helping to ensure their strong start in life.
Look for "L-methylfolate" among the vitamins (on German HiPP packs: „L-Methylfolat“). That's Metafolin®, the active form of folate your baby's body can use right away. The brand name itself isn't used in ingredient lists.
Why is DHA important for babies?
DHA (docosahexaenoic acid) is an omega-3 fatty acid that plays an important role in a baby’s early development.
During the first months and years of life, a baby’s brain, eyes, and nervous system develop very rapidly. DHA is a key building block of the brain and the retina (the part of the eye responsible for vision). Because of this, it is especially important for normal brain and visual development.
Babies naturally receive DHA through breast milk, depending on the mother’s diet, or through infant formula that is enriched with DHA. Since babies cannot produce enough DHA on their own, they rely on these external sources.
In short: DHA supports healthy brain development and vision in early life, which is why it is required by law in all infant formula in the EU.
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Which HiPP and Holle formulas are made without palm oil?
HiPP PUR — PRE, Stage 1, Stage 2, Stage 3 and Toddler Milk — is made without palm oil: it uses whole milk and keeps its natural milk fats instead.
HiPP Combiotik, HiPP HA, HiPP Goat, HiPP Comfort, HiPP Anti-Reflux and the Holle formulas contain palm oil as part of their vegetable oil blend. The ingredient list on each product page shows the exact oils.
How does HiPP check the quality and safety of its formula?
Every raw material is strictly tested, and a new ingredient only goes into HiPP infant formula once its safety and benefit are scientifically proven, often in long-term clinical studies led by renowned pediatricians. For raw materials and finished formula alike, HiPP sets stricter limits than the law requires, and every pack is checked before it is sold.
How does the HiPP Anti-Reflux formula reduce regurgitation and spit-up?
Locust bean gum is a natural thickening agent derived from carob fruit, which makes HiPP Anti-Reflux formula denser. The thicker consistency makes it easier for babies with reflux to keep the formula down. Research has shown that this ingredient has a reflux-reducing effect in infant formula as it balances the esophageal pH levels, ensuring less stomach acid reaches the throat for added comfort.
Locust bean gum also contributes to softer, more frequent poops in babies. Plus, locust bean gum supports your baby's gut flora due to its prebiotic effect.
For what ages is HiPP Anti-Reflux suitable?
HiPP Anti Reflux is suitable for infants from birth and can be used for as long as your child is on formula milk. They are also suitable as toddler milk. HiPP specialty formulas provide all the essential nutrients your little one needs to grow healthy and strong.
Which HiPP and Holle formulas are soy-free?
HiPP Combiotik, HiPP HA, HiPP Goat, HiPP Comfort and HiPP Anti-Reflux are made without soy, and the Holle formulas list no soy among their allergens. Only HiPP PUR contains soy, as soy lecithin.
Do HiPP formulas contain fish oil?
Yes. All HiPP formulas contain fish oil: it is the source of their DHA, which EU law requires in infant formula, and it is listed among the allergens of every HiPP formula.
Holle formulas take their DHA from microalgae instead, if you are looking for a formula without fish oil.
Is spitting up normal, or does my baby need HiPP Anti-Reflux?
Many babies bring up a little milk with a burp after a feed. That’s normal and nothing to worry about as long as your baby is well and growing.
If your baby spits up often or in large gushes, talk to your pediatrician. They can tell whether a specialty formula such as HiPP Anti-Reflux makes sense; please use it only after that talk.
Is HiPP Anti-Reflux suitable for babies with a family history of allergies?
HiPP Anti-Reflux contains intact cow’s milk protein (from skimmed milk and whey), not hydrolyzed protein. HiPP HA and HiPP Comfort contain hydrolyzed protein, broken into smaller pieces, which babies with a family history of allergies often tolerate better.
If your baby has reflux and a higher allergy risk, please talk to your pediatrician about the best option.
Can I return the products?
Unfortunately not. Our Baby formula and foods are hygienic and perishable food products that can not be returned. If we were to accept a return, we would be unable to verify its authenticity, putting all other customers at risk. We only sell baby food products delivered directly from the manufacturer or designated wholesale distributor.
How do I cancel my order?
If you wish to cancel your order, please contact our customer service via our help desk (see the lower left corner where it says “Help”) within 30 minutes. We cannot guarantee a refund if you do not contact us within 30 minutes of your purchase. Our warehouse aims to pack and ship orders as quickly as possible to meet delivery deadlines.
Please note: A 5% cancellation fee applies to canceled orders, as the payment providers charge non-refundable payment processing fees that are not returned to us when a refund is issued. This fee simply helps cover those costs and is not a source of profit for us.
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What payment methods do you accept?
We offer several secure payment options for your convenience, including credit card, PayPal, Apple Pay, and Google Pay.
Is my payment information secure?
Yes. All payments are processed through secure, encrypted systems to ensure your personal and payment details are fully protected at every step.
Can I choose a fast and easy checkout option?
Yes. In addition to credit cards, you can use Apple Pay, Google Pay or Paypal express checkout for a quick and seamless checkout experience.
Please make sure to carefully check your shipping address before completing checkout, as many customers have saved or outdated addresses in express checkout options.
How do I redeem a coupon or store credit?
You can apply your coupon code directly at checkout in the designated “Add discount” field.
To use store credit, simply log in to your account or enter your email address at checkout. Your available store credit will then appear automatically, and you can apply it toward your order before completing payment.
Do I need to pay duties or tariffs?
No! All customs duties and tariffs are prepaid by us. You only pay the price you see at checkout. Enjoy smooth, worry-free shopping with no hidden costs.
What should I do if I receive a customs bill from FedEx?
If you receive a customs or duties bill from FedEx, don't worry. In the rare event that this happens, simply send a copy of the bill (including all pages) to our customer support team, and we'll take care of it as quickly as possible.
These situations are uncommon, and you can rest assured that we handle customs-related issues on your behalf.
Do I need to pay for express shipping?
We offer free express shipping on orders over $150. For orders under $150, express shipping costs $19.95.
How long does shipping take?
We aim to dispatch your order within 24 hours of it being placed. Once shipped, delivery from Germany to the USA takes 2–4 business days, depending on your location.
Please note that we don’t ship on weekends or German national holidays.
Where do you ship from?
All orders are shipped from our warehouses in Berlin, Germany. Our climate-controlled facility is regularly inspected and maintained to meet strict food safety and quality standards, ensuring your formula is stored under optimal conditions before shipment.
How do I track my order?
Once your order has been shipped, you will receive a shipping confirmation email and SMS containing your FedEx tracking number and direct tracking link to your order, so you can easily check the latest delivery updates anytime.
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Can I have my order delivered to a FedEx pickup location?
Yes. Once your order has shipped, you will receive a FedEx tracking link in your shipping confirmation email. Open the tracking link to manage your delivery preferences, including selecting a convenient FedEx pickup location. If you are away, you can also choose a vacation hold for your shipment.
Can I have my order delivered to a PO Box?
No, we do not deliver to PO boxes. Please provide a physical street address to ensure successful delivery of your order.
Why is German formula considered the gold standard in infant nutrition?
German formulas, like HiPP formulas, have decades of trust with parents worldwide. They are made under strict EU organic standards, which are stricter than USDA organic, and are known for rare or no recalls. German formulas are based on the latest scientific research and contain no harmful ingredients such as corn syrup, artificial flavors, pesticides, antibiotics, or GMOs.
This combination of safety, quality, and science is why many parents and pediatricians worldwide consider German formula the gold standard for babies.
Where do I find the English feeding guide?
Every order comes with a printed feeding guide in English! So you can be confident in feeding your baby the correct amount of formula!
Does the formula come with a scoop?
To ensure correct proportions, every one of our formulas comes with a manufacturer-provided scoop. Please only use the provided measuring spoon to dose in the proper quantities, ensuring your baby always receives the appropriate nutrients.
What kind of specialty formulas do you offer?
We offer two specialty formulas:
HiPP Comfort formula is for babies with digestive troubles, unregular bowel movements, gas, constipation, and colic issues.
HiPP Anti-Reflux formula is for babies with regurgitation issues and spit-up.
What's the differnce between HiPP Combiotik German and Hipp Combiotik Dutch?
The German and Dutch HiPP Combiotik ranges differ only in 1) packaging and 2) starch content:
Packaging: The Dutch version comes in 800g metal cans, while the German version is packaged in 600g sustainable cartons.
Starch content: The Dutch range is completely starch-free in every stage. The German range mostly contains starch, but some stages are also starch-free and are equivalent to the Dutch version:
HiPP Combiotik PRE German → starch-free (equivalent to Dutch Stage 1)
HiPP Combiotik Stage 1 German → contains starch
HiPP Combiotik Stage 2 German → contains starch
HiPP No Starch Combiotik Stage 2 German → starch-free (equivalent to Dutch Stage 2)
HiPP Combiotik Stage 3 German → contains starch
We only sell the German version. Please note that both the Dutch and German versions are produced at the same manufacturing facility in Germany.
If you need help choosing the right formula for your baby, please contact our customer service team for a personalized recommendation.
Can I prepare formula in advance, for nights or outings?
Prepare each bottle fresh, right before feeding. Mixed formula shouldn’t be stored in the fridge for later: bacteria can multiply even there.
What you can get ready ahead of time: boil water, let it cool to about 50 °C (122 °F) and fill it into a clean thermos, and measure the powder into a clean, dry container. When your baby is hungry, mix both in the bottle, shake well, check the temperature and feed.
How do I switch my baby from a US formula to HiPP or Holle?
Switch step by step, one bottle at a time: on the first day, replace one bottle with the new formula, on the second day two, and so on. Don’t mix two different formulas in one bottle, and prepare the new one exactly as its instructions say, with its own scoop.
Some babies hardly notice the change, others need a few days — sometimes up to two weeks. During that time, a sensitive tummy may react with a little more spit-up, gas or a change in stools. A new taste can take a few tries, so be patient.
How do I check that my baby’s bottle isn’t too hot?
Drip a little formula on the inside of your wrist: it should feel pleasantly warm, not hot. The right drinking temperature is about 37 °C (98.6 °F), body temperature — a thermometer helps if you’re unsure.
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What water should I use to prepare formula?
Use fresh drinking water and boil it before preparing infant formula; if it comes from the tap, let it run for a moment first. If you prefer bottled water, choose one that is low in sodium and minerals and suitable for babies — formula already contains all the minerals your baby needs.
How much formula does my baby need per feed?
In the first months, your baby can drink as often and as much as they want — every baby’s needs are different and can change from day to day. The amounts in the feeding table are averages for babies of that age, so a little left in the bottle simply means your baby is full.
Hunger signs: smacking or pursed lips, turning the head to search, restlessness, whimpering — crying comes last. Full signs: pushing the teat out, turning away, pushing the bottle away, yawning. Noting the amounts over 24 hours gives you a good overview.
Can I give my baby oat milk or another plant drink instead of formula?
Not in the first year. Plant drinks such as oat, soy or almond drinks can’t replace breast milk or formula: they don’t provide the nutrients a baby needs, and many contain added sugar. Before the first birthday, neither cow’s milk nor plant drinks should be given as a drink.
Which baby formulas does Little Formula sell?
Little Formula sells the German versions of HiPP and Holle formulas: HiPP Combiotik (cow milk), HiPP PUR (whole milk), HiPP HA (hypoallergenic), HiPP Goat, the specialty formulas HiPP Comfort and HiPP Anti-Reflux, and the Holle cow milk formulas — from PRE for newborns up to toddler milk.
Is the formula still OK to use if the carton package is dented?
If only the carton or outer packaging is dented or damaged, and the silver foil seal is intact and has not been punctured, the product is perfectly safe to use.
If your formula arrives so badly damaged that it is leaking or the contents are spilling out, please take clear photos of the damage immediately. Do not throw away the damaged product until you have submitted a refund request to our customer service team and received approval.
Please include sufficient photos showing the damage, the product, and the packaging with your claim. If you are unable to provide enough photos or cannot provide any photos at all, we will not be able to approve a refund or send a replacement.
How should I store formula and how long can it be used after opening?
Please store formula in a cool, dry place indoors, away from heat sources and sunlight. Please also do not store opened formula in the refrigerator, as the powder can become damp and spoil there. Never freeze formula. Properly storing formula can help ensure it remains fresh and safe until the expiration date on the packaging! Opened milk formula should be used within three weeks.
How do I check the batch number of my formula in case of a recall?
Every formula order comes with a batch report showing the batch number and expiration date. You don’t need to do anything — we archive all batch numbers and, in the unlikely event of a recall, we will contact affected customers directly. We provide this extra level of transparency for your peace of mind. To our knowledge, no other online formula shop offers this.
Where do I see the expiration date of the formula?
The expiration date is printed on the bottom of the formula container in German date format (DD/MM/YY, for example: 31/12/26 = 31st December 2026).
We guarantee a minimum of 6 months of shelf life on all formula you receive, although most products have a much longer expiration date. You can view the current batch expiration date on each formula product page.
Where are our products sourced from?
Our products are sourced directly from the manufacturers or official wholesalers, ensuring freshness and authenticity. Made with clean ingredients and fully following strict EU standards, you can feel confident in every purchase for your baby.
How long can a prepared bottle of formula be kept?
Feed a bottle of formula right after preparing it and use it within one feed — about 30 minutes, one hour at most. Short breaks for burping are fine, but after a longer break or a nap, pour the rest away.
Never keep leftovers for a later feed and don’t keep bottles warm: bacteria multiply quickly in lukewarm milk. If your baby drinks slowly, prepare smaller portions and mix a fresh one when needed.
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