Sweet wormwood dosage for cancer. A much larger Clinical Trial is now being set up.
Sweet wormwood dosage for cancer David Hoskin and his team are studying whether the herb, sweet wormwood can eliminate breast cancer cells. Artemisinin delivered as dried leaf Artemisia (DLA) showed efficacy against malaria in rodents and humans. Beats Malaria. Let’s take a closer look at using artemisinin for dogs with cancer Artemisia Annua (Sweet Wormwood) We recommend that patients who use either of these therapies for cancer seek guidance about usage, dose, and formulation from an integrative cancer care clinician or traditional Chinese medicine practitioner This article provides a detailed look at wormwood, reviewing its benefits and uses, dosage information, and potential downsides. Originally used as an anti-malarial drug, artemisinin is now being explored for Artemesia annua L. Anti-Inflammatory Effects: Some The side-effects of artemisinin, or sweet wormwood, with cancer patients. A much larger Clinical Trial is now being set up. Shake well before using. In TCM : Sweet Wormwood Seed : Qing Hao Zi Meridians associated : Kidney, Liver and Gallblader. Studies have shown this herb can help chemotherapy do its job, and may also target cancer directly!. then received 30 mg/kg doxorubicin q. It grows in a temperate climate. Other Uses of Artemisinin. Wormwood, as it is aptly named, is extremely effective for intestinal parasites. Sweet Wormwood: Long-term high doses could cause liver damage. 3 Alschuler LN, Gazella KA. It is an annual. Eliminates Parasites. This could help to reduce the side-effects associated with chemotherapy and could also enable much higher doses of the drug to be safely tolerated. Artemisia annua (family Asteraceae) also known as ‘Sweet wormwood’ (English) or ‘Qinghao’ (Chinese), is an annual medicinal herb naturally grown in China, Dose response curve of the cytotoxic activity of A. English: Sweet Wormwood Dosage . The Definitive Guide to Cancer, 3rd Edition: An Integrative Approach to Prevention, Treatment, and Healing. com/notes/curt-michael-artemi Artemisinin, also known as Qinghaosu, is derived from the herb Artemisia annua, or sweet wormwood. 1. In 15 years of CANCERactive, we have had only one ‘complaint’ about liver toxicity - in this case jaundice The ‘preventative’ dose seems to be 100 Artemisinin Cancer Protocol - (Sweet Wormwood / Artemisia annua) by Dr Len Saputo | "Curt Graydon Michael"https://www. In addition to cancer and malaria, artemisinin is used to treat: Parasites; Fungal infections like candida; Appetite Artemisinin is a compound extracted from the sweet wormwood plant, _Artemisia annua_, which has been used in Chinese medicine for over 2,000 years. cancertreatmentsresearch. Depending on the form of “Chemical Composition, Insecticidal and Physiological Effect of Methanol Extract of Sweet Wormwood (Artemisia annuaL. Data sources include Micromedex (updated 10 Mar 2025), Cerner Multum™ (updated 16 Mar 2025), ASHP Artemisinin is an extract from the plant Artemisia annua. Singh thinks Artemix is the better option for fighting cancer, and dosing is based on the artemether. It is sometimes observed that the body becomes ‘used to’ artemisinin and the You may know it better as sweet wormwood. Wikipedia – Artemisia annua. Artemisia annua, also known as sweet wormwood, sweet annie, sweet sagewort and annual wormwood (Chinese: qīnghāo), is a common type of wormwood that is native to temperate Asia but naturalized throughout the world (Bhakuni 2001). Artemisinin: The key compound, artemisinin, revolutionized malaria treatment with its potent antimalarial properties. Artemesinin is selectively more toxic to cancer cells than normal cells because cancer cells contain significantly more intracellular Continued Artemisinin, or sweet wormwood the anti-malarial herb, has shown anti-cancer benefits in three more studies: 1. It Sweet wormwood (qinghao) has been used in traditional Chinese medicine for two millenia to treat fevers and a variety of inflammatory conditions. Effective cancer treatment requires 600 mg of 100% artemisinin twice daily, along with iron supplementation. With its semi-synthetic derivatives, they form a group of well-known and efficacious antimalarial drugs. This plant, also known as qinghao in traditional Chinese medicine, has been used for centuries for its medicinal properties. Artemisinin (Wormwood) Artemisinin is an herb that has been used by the Chinese culture for thousands of years. For example, it has been shown in a small randomised, placebo-controlled preliminary clinical study, to improve the survival time of colorectal cancer patients. Research indicates that sweet wormwood benefits those suffering from arthritis. It can be made into decoctions, pills, The anti-malarial remedy artemisinin may be beneficial for dogs with osteosarcoma (the most common bone cancer). Published Wednesday, November 28, 2001 At $2 a dose, it’s very cheap. Medieval as it sounds, scientists are testing a recipe of wormwood and iron on breast cancer cells, and so far the results are encouraging. In the present experiment, we studied the potential of artemisinin to prevent breast cancer development in rats treated with a single oral dose (50mg/kg) of 7,12-dimethylbenz[a]anthracene (DMBA), known Artemisinin (AN), produced naturally in Artemisia annua L. To assess the possibility of using the antimalarial drug artemisinin and its synthetic derivatives as antineoplastic drugs. In fact, artemisinin-type drugs have been found to induce tumor cell death and shown The efficacy of artemisinin in preventing breast cancer development was examined for 40 weeks in rats treated with a single oral dose of 7,12-dimethylbenz[a]anthracene 50 Artemisinin, a Chinese herbal compound from the plant Artemisia annua or sweet wormwood, has been shown to have significant action against cancers from brain cancer to breast cancer, especially when bound to iron. “From what we’ve found with its effectiveness in test tubes, it should be achievable to arrest the cancer cell cycle of dogs with osteosarcomas,” Coutou says. Other names include sweet wormwood and, in traditional Chinese medicine, Qinghao or Qinghaosu. [9] Artemisia annua extracts are also used for hair care and in skin care as an emollient, SWEET WORMWOOD AN ANTI-CANCER PLANT. 6 Artemisinin (ART) is a sesquiterpene lactone isolated from the Chinese plant Artemisia annua (commonly known as qinghaosu or sweet wormwood) and has been used since 1970. The extract is primarily known for its active compound, artemisinin, which has been Introduction to the Sweet Wormwood as an Herbal Cure for Cancer including information about cancer, annua, artemisinin, artemisia, cure, cells, here, peroxide HAO QIN QING DAN TANG - 蒿芩清膽湯 - SWEET WORMWOOD AND SCUTELLARIA DECOCTION TO CLEAR THE GALLBLADDER . No strong clinical trials in humans su In this article, we look at the evidence behind artemisinin as a potential cancer treatment, how people use it, and its possible side effects. Artesunate has traditionally been used as a frontline treatment for severe malaria but has also demonstrated antineoplastic activity against various malignancies, including ovarian cancer. 4. However, this research has typically used animal models. Despite a very low dose of artemisinin and only 10 days of treatment Cancer case history: Gus Abstract. Background Cancer is one of the leading causes of death worldwide. Artemisinin, a compound derived from the sweet wormwood plant (Artemisia annua), has gained attention for its potential benefits in treating cancer. , may be effective against breast cancer, leukemia, and bone cancer, this according to researchers, Lai and Singh, from the University of Washington who followed the lead of materials found in an archaeological dig in China in the 1970s that unearthed recipes for ancient medical remedies. Cancer is a leading cause of death globally and the majority of cancer related deaths profile as well as being affordable for deployment in Low and Middle Class Income Countries at around USD1 per daily dose. It works especially well on intestinal worms like the common pinworm and roundworms. This review summarizes results of preclinical studies, documenting mechanisms of anticancer actions of ARTs and Sweet wormwood is a plant that has been used for centuries as a natural anti against malaria. 7 The sweet wormwood plant is also used to make teas, juices and extracts, which is used traditionally to treat malaria and reduce inflammation. If combining the determined dosage of Sweet Wormwood with a 1/4 teaspoon of non-aluminum baking soda along with a sugar, then mix the following; US scientists have developed a new compound based on a chemical in the sweet wormwood plant, which appears to be effective at killing certain kinds of cancer cells in laboratory tests. And with the millions of people who have already taken artemisinin for malaria, (Sweet wormwood) – from sowing to harvest a life-saving plant. Pharmacokinetic study of artemisinin after However, standard wormwood extracts (containing only 0. , 2008). Learn more about the benefits, side effects, and preparation of this drink. Seattle scientists have shown that a compound extracted from the wormwood plant seeks out and destroys many types of cancer cells, while leaving healthy cells unscathed. Wormwood Tea: Benefits, Dosage, and Brewing Method. Lung cancer remains the leading cause of cancer-related deaths worldwide because of its high incidence and mortality [1, 2]. PhD student Anna Greenshields Artemisinin, a naturally occurring component of Artemisia annua, or sweet wormwood, is a potent anti-malaria compound that has recently been shown to have anti-proliferative effects on a number of human cancer cell types, although little is know about the molecular mechanisms of this response. Wormwood tea is effective against gastrointestinal complaints. It has also gained acceptance for the clinical treatment of drug resistant falciparum malaria, and more recently, it Dr. The therapeutic dose ranges from 200mg a day upto 1,000mg a day depending on cancer type and the source of herb. Sweet wormwood should not be used by pregnant and Cancer is one of the leading causes of death worldwide. The researchers tested doses of 150mg twice per day and 300mg twice per day. This herb is best known for its efficacy against malaria. Sweet Wormwood is a plant. It's the basis for a malaria drug called artesunate that doctors prescribe today. By Chantal Gilbrich Categories: Health Forum on Artemisinin and Artemisia Annua (Sweet Wormwood) use in Cancer, the application Protocol, the Dose & the Science behind why it may be effective. Artemisinin is a chemical compound in a traditional Chinese herb called Artemisia annua, or sw Research indicates that the compound could inhibit the growth of tumors and metastasis. Fresh Herb is best. We investigated whether the antimalarial drug artemisinin, which is a sesquiterpene lactone isolated from the sweet wormwo The new compound puts a novel twist on the common anti-malarial drug artemisinin, which is derived from the sweet wormwood plant (Artemisia annua L). Cancer cells require and uptake a large amount of iron to proliferate. including malaria and cancer. In this article you will learn how Artemisia Annua can provide a modern solution to health problems. If you buy an x:1 extract, divide the dry herb powder dosage by x. The People’s Republic of China lists the daily dose of Artemisia annua for fever Scientific research also shows that wormwood can even kill certain cancer cells. Artemisinin, a extract from wormwood, Artemesia annua L. The formula comprises 30g of sweet wormwood herb, 15g of turtle shell, 15g of unprepared rehmannia root, 15g of Rhizoma Anemarrhenae, 15g of Cortex Moutan, 15g of . Calculate the dose based on 1 to 2mg of artemether/lb of body 6 Wormwood Benefits. If you supplement with sweet wormwood, the sweet-spot dose typically ranges anywhere between 500-2000 mg of dry herb powder daily. Cautions & Interactions: Do not take during pregnancy. Discover Plant-Based Solutions for Combating Malaria Naturally. Dose is 100 mg of artemisinin supplement per 10 kg of body weight. Flavonoids: Quercetin and kaempferol are Trials show that artemisinin selectively attacks cancer cells without affecting Wormwood Dosage and How To Use. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Thereafter, lymph node measurement, CBC, Bleach kills cancer cells in a test tube too, but it is hardly a safe cancer treatment. facebook. A human clinical pilot study found that sweet wormwood extract was effective in improving joint mobility and reducing joint stiffness and pain scores. Until recently, a Chinese medicinal herb traditionally called qing hao or sweet wormwood, which has artemisinin, a lactone component of the Artemisia annua plant, as its active ingredient has The sweet-spot dose typically ranges anywhere between 500-2000 mg of dry herb powder daily. , has anti-cancer activity. Buy Artemisinin (Sweet Wormwood Cleanse)(Artemisia Annua) 200mg Per Serving, 120 Capsules (Two Month Supply) Vegan Safe, Non-GMO, Gluten Free (Immune Support) by Double Wood on Amazon. Couto is clinically evaluating the effects of artemisinin, also known as sweet wormwood, an herb that has killed human and canine cancer cells in the laboratory. 3 weeks for three doses with study drug. Note. Wormwood is toxic to the kidneys and can lead to kidney failure, particularly in people with chronic kidney Researchers are studying artemisinin, a malaria treatment, as a cancer treatment. Artemisiae Annuae : Qing Hao : 4. Liver cancer with jaundice, ascites and fever; Epstein-Barr virus syndrome; There are different varieties of wormwood. Recommended Dosage The invention discloses a formula of a modified sweet wormwood herb and turtle shell soup for treating lung cancer bone metastasis, and a method using the soup to treat the lung cancer bone metastasis. Artemisinin is an extract isolated from the plant Artemisia annua, or sweet wormwood. Antiparasitic Properties: Apart from its antimalarial effects, artemisinin and other compounds in sweet wormwood have demonstrated activity against various other parasitic infections. We ha We review complementary in cancer care, complementary care involves the use of therapies intended to enhance or add to standard conventional treatments; examples include supplements, mind-body approaches such as yoga or psychosocial therapy, and acupuncture therapies and self-care lifestyle actions and behaviors that may impact cancer outcomes; examples include Qing Hao is also known as Sweet Wormwood, Sweet Sagewort, Sweet Annie, Annual Wormwood, Inducing apoptosis of prostate cancer PC-3 cells, human colon cancer drug-resistant cells, The dosage of Qing Hao should be controlled at 6-12g. As an annual, this herb only has one growing season throughout the year and is typically planted after the last frost of Spring and harvested around the end of the Summer. . Drugs. In a new study, researchers report that artemesinin--a derivative of the wormwood plant--kills iron-enriched breast cancer cells but doesn't harm many healthy ones. In laboratory experiments, the compound called Artemisinin killed virtually all human breast cancer cells in the test tube, reports Dr Henry Lai, a bioengineering researcher at the University of Description and background. Modern medicine has derived the anti-malarial drug known as artemisinin from the Artemisia plants. The highest concentration of active ingredient is found in the leaves and flowers. Sweet Wormwood Wormwood is the Basis for a Cancer-fighting Pill. Share on Pinterest Compounds and chemical properties A unique class of antimalarial drugs known as artemisinins, or just artemisinin, shows promise as a novel anti-cancer therapy. The special super concentrated compound of wormwood and iron can target cancer cells while leaving healthy cells alone. Apr 2008;61(4):639-645. In modern medicine, the compound artemisinin, found in sweet wormwood, is widely used in the production of anti-malaria drugs. Although initial results of research are encouraging, experts insist that more thorough studies must be conducted before conclusive conclusions can be drawn. Keep out of reach of children. It was originally used in Traditional Chinese Medicine where it was called Qing Hao. is known as Qinghao in China and as sweet wormwood, annual wormwood, or sweet Annie in the West. It is currently on its way to being mass-produced—and in the future, the French drugmaker Sanofi is expected to make 50 to 60 tons of artemisinin each year. And more good news: it may also help several other cancers. The plant contains a compound called artemisinin. Artemisinin, a compound isolated from the sweet wormwood Artemisia annua L. There are 14 other Artemisia species. We have observed that artemisinin treatment triggers a stringent G 1 cell cycle Dosing. The Chemical Composition of Sweet Wormwood. Recent studies have documented the potential anticancer effect of artemisinin and its derivatives (ARTs). May Help With Arthritis. Artesunate belongs to a class of medications derived from the sweet wormwood plant (Artemisia annua) known as artemisinins. Finally, several nations have recently begun substantial studies to see whether Artemisia Annua may be utilized to treat COVID symptoms. Experts say the sweet wormwood extract has been difficult to obtain at a reasonable price. www. Exact dosage of the herb Artemisia annua in cancer has not been determined in clinical trials. annua extract on healthy cells (Vero E6) (a), Limited research suggests that Artemisia annua might improve symptoms of osteoarthritis [6] and rheumatoid arthritis. Sweet Wormwood: How to Increase the dose slowly, Bringing this Treatment to the Public. Non-small-cell lung cancer (NSCLC), which accounts for approximately 85% of all lung cancer cases, is composed of various histological subtypes, among which adenocarcinomas are responsible for almost 40% diagnoses [3, 4]. It reacts with iron and forms cytotoxic free radicals which accumulate inside cancer cells and help to destroy them. Hb. Some practitioners believe it should be taken with 1000 mg of cod liver oil, and 3 gm of Conjugated Linoleic Acid. As per an estimate by the World Health Organisation, 570,000 women died from breast cancer in 2015 alone. Artemisinin is a chemical compound that reacts with iron to form free radicals which can kill cells. Cancer Chemother Pharmacol. It’s unclear why the higher dose seemed less effective. Artemisinins are a family of sesquiterpene trioxane anti-malarial agents derived from Sweet wormwood (Artemisia annua L). com FREE SHIPPING on qualified orders Artemisia annua, or Sweet Wormwood, is a herb found from Pakistan to China, and is the current treatment of choice for malaria. Data suggest that artesunate exacerbates Many natural cancer protocols include curcumin, and if cancer is a parasitic disease, as many think it is, then this combination of two powerful anti-parasitics can be expected to take its toll on a variety of damaging parasites. Artesunate, artemether and arteether are derivatives of artemisinin that are wholly or partially converted into the active metabolite dihydroartemisinin (DHA) (Krishna et al. Sweet wormwood (qinghao) has been used in traditional Chinese The sweet spot dose for artemisinin is about 100-200 mg. A derivative of the sweet wormwood variety, Artemisia annua, is artemisinin. What Is Sweet Wormwood? Sweet wormwood, scientifically known as Artemisia annua, is a flowering plant native to Asia and is now grown worldwide. ) onHelicoverpa Armigera(Hübner) (Lepidoptera: Noctuidae A number of compounds have been identified in the plan known most commonly as Sweet Wormwood. It has also been shown to inhibit the proliferation of various Breast cancer is the second leading cause of cancer-related deaths in women across the world. Sweet wormwood has been used in herbal Chinese medicine for at least 2,000 years, and is eaten in salads in some Asian countries. Rath K, et al. We have observed that artemisinin treatment triggers a stringent G1 cell cycle Common names: Wormwood, Sweet Annie, Green Ginger, Annual Wormwood, Sweet Sagewort Dosage: 15-60 drops in water or juice, 2-3 times daily or as needed. There is a big difference between two different most common types of wormwood. Memorial Sloan Kettering Cancer Center – Artemisia annua Purported Benefits, Side Effects & More Sweet Wormwood (botanically, Artemisia Annua and also called Sweet Annie Herb) is commonly used for malaria treatment in Chinese Medicine. The species Artemesia has a Androgen receptor (AR) expression and activity is highly linked to the development and progression of prostate cancer and is a target of therapeutic strategies for this disease. 3. Some veterinarians are starting to use artemisinin for dogs with cancer due to some interesting research. It belongs to the family of Asteraceae and has fern-like leaves, bright yellow flowers and a camphor-like scent. , has previously been shown to have selective toxicity towards cancer cells in vitro. ) also known as Sweet sagewort, Sweet annie, Qing Hao, Bylica jednoroczna. Kidney disease. Hypothesis/purpose: DLA is posited as being at least as efficacious as artesunate (AS) in its ability to induce cytotoxicity in NSCLC cells and also inhibit tumor growth in a NSCLC Artemisinin for Dogs: Its Uses and Anti-Cancer Effects. Best used for Malaria Fever. REF#1148 The aerial (above-ground) parts of this Artemisia annua is the scientific name for sweet wormwood. A. com Jan 15, 2023 Sweet Wormwood (Artemisia Annua), also known as Annual Wormwood, or more commonly as Sweet Annie, is an annual herb native to Asia. Case reports and original research articles, review articles, and clinical trials in both humans and animals were African Medicinal Plants Advancing Cancer Treatment and Management Strategies. To make it three times more effective against Cancer, combine it with Iron. Recent studies have shown that artemisinin has anti-angiogenic and growth inhibition effects, as The role of calcium, P38 MAPK in dihydroartemisinin-induced apoptosis of lung cancer PC-14 cells. The two bushes or plants called white wormwood and artemisia absinthium contain Thujone which is neurotoxic and can cause irreversible nerve damage. 5-24g: Clears Summerheat or Damp-Heat. It grows up to 2 M. What Is Sweet Wormwood Extract? Sweet Wormwood Extract, derived from the Artemisia annua plant, is a herbal remedy that has gained significant attention in recent years. If you buy an x:1 extract, divide the dry herb Wormwood may increase the risk of seizures and reduce the effects of some anti-seizure drugs. Artemisinin, a naturally occurring component of Artemisia annua, or sweet wormwood, is a potent anti-malaria compound that has recently been shown to have anti-proliferative effects on a number of human cancer cell types, although little is know about the molecular mechanisms of this response. Some plant sources are neurotoxic. Sweet Annie occurs naturally as part of a steppe vegetation in the northern parts of Chahar and Suiyuan provinces in China, at 1000 to 1500 m above sea level. A Pubmed and Google Scholar (1983–2018) search was performed using the terms artemisinin, cancer, artesunate and Artemisia annua. (These two sources are not considered to be sweet wormwood) On the other hand, Sweet Wormwood which is Sweet Annie or artemisia annua seems to be a Artemisinin is a compound isolated from a species of wormwood, Artemisia annua L. Actions. ⠀ Sweet Wormwood for Infection Protection. Malaria is a serious disease caused by a parasite that is transmitted by the bite of infected mosquitoes and invades human red blood cells. Recently, it was shown that many natural extracts have positive effects against cancer, compared with chemotherapy or recent hormonal treatments. Research published in the journal Pharmacology & Therapeutics explains that repurposing drugs for other purposes, such as artemisinin for cancer, “can significantly shorten new therapeutic discovery pathways, ensuring greater accessibility A previous study suggests that the overall survival rate in cancer patients can be improved using broadly effective phytochemicals that inhibit metastasis and invasion with tolerable side effects. Enhanced anti-cancer effect of artemisinin- and curcumin-loaded niosomal nanoparticles against human colon cancer cells Artemisia Annua (also known as Sweet Annie or Sweet Wormwood) has always been valued in traditional Chinese medicine (TCM) for its medicinal properties. Concentrations of the active ingredients vary among products. DIY Herbs When using wormwood for therapeutic uses, it contains little if any, thujone, so is not toxic, but only take as directed, and in smaller doses. It’s been used for hundreds of years in China to fight Dr. Case reports and original research articles, review articles, and clinical trials in both humans and animals were Sweet Wormwood – Arthemisia annua (L. Experts warn that further human trials will be needed to understand its efficacy, safety, and anti-cancer potential. Artemisinin is extracted from the plant Artemisia annua. QEII researcher, Dr. com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. They are more susceptible to the cytotoxic effect of artemisinin than normal cells. Artemisia annua is a annual, growing to up to 3 Common names: Wormwood, Sweet Annie, Green Ginger, Annual Wormwood, Sweet Sagewort Dosage: 15-60 drops in water or juice, 2-3 times daily or as needed. Artemisinin appears quite safe at cancer-fighting doses, with gastric upset being the most common side effect. 3-0. Learn about the potential benefits of Sweet Wormwood including Perazzo 2003, Ulchenko 2005) Other reported pharmacological activity includes cytotoxic activity against cancer cells, inhibition of the growth of Animal studies in rats and dogs using 5 to 7 times the usual dose of artemether or arteether showed a high Artemisinin is a herb derived from Artemesia annua (also known as sweet wormwood) and is known for its use as effective antimalarial pharmacotherapy. Cancer cells express a large concentration o Sweet wormwood is a potential cancer fighter, but opinions on this are cautiously positive. 2. If you purchase an extract standardized for artemisinin, the sweet spot dose Forum on Artemisinin and Artemisia Annua (Sweet Wormwood) use in Cancer, the application Protocol, the Dose & the Science behind why it may be effective. It Clears heat. Artemisinin is used in research due to its bioactivity, It is known that high doses of vitamin C have an anti-cancer effect for their Other benefits of this plant extract include treating infections, fungus, inflammation, arthritic symptoms, and some types of cancer, whether taken orally or topically. annua is an annual medicinal herb used in the traditional Chinese medicine. Meanwhile, wormwood tea can be Sweet wormwood (Artemisia annua a double-blind study examined the effectiveness of an Author: Daniel S, PhD; Last update: January 31st, 2021 Background: Artemisinin is a natural extract, coming out of a plant called Artemisia annua (sweet wormwood) used as a drug to treat malaria. Artemisinins are a family of sesquiterpene trioxane anti-malarial agents derived from Sweet wormwood (Artemisia Abstract. This makes wormwood a potential anti-cancer therapy and a promising plant for the treatment of cancer, according to researchers. Read about research findings and side effects of this alternative treatment. The active ingredient that makes sweet wormwood such a cancer healer is artemisinin. 5% artemisinin) are insufficient. romkhvqwlyjdwtgpavrrvrkzxhtjgbbiiqcufdwibdnmcgcohgoxgmsbwejovqsehkdyzvttwhjqwxsifvoia