best compression socks

Best Compression Socks: What the Research Actually Supports (and What It Doesn’t)

Introduction: Best Compression Socks

Compression socks are sold for almost everything: long flights, nursing shifts, marathon recovery, varicose veins, faster running and life after surgery. The research behind those uses is not equally strong. For some, randomized trials and systematic reviews show a real, if sometimes modest, benefit. For others, the trials found nothing, or the evidence is too thin to support buying anything.

Compression socks are not only for older people. In my clinical experience, young adults can have varicose veins too; this is something I come across from time to time. Some people who stand all day at work notice that their legs swell during the shift, and they too may wear compression socks. A stocking does not always need a doctor’s indication, but from a clinical perspective, if you have varicose veins or leg swelling, it is worth having them assessed by a doctor once.

So this guide to the best compression socks is organized by use case, not by a single “best overall” ranking. Each section starts by stating how strong the evidence is for that specific purpose. The tiers are this guide’s own editorial scale, not a formal GRADE rating. Three use cases have enough support to include a product example, although none of the specific products was tested in the cited trials, and the pressure ratings are the manufacturers’ labels, not independent measurements of the pressure delivered during wear. Three use cases do not, and those sections explain why instead of forcing a pick. Which are the best compression socks therefore depends on what you are using them for.

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Best Compression Socks at a Glance

Physix Gear Compression Socks 20-30 mmHgCHARMKING Compression Socks 15-20 mmHgFITRELL Compression Socks 20-30 mmHg
Best for: long flightsBest for: long workdaysBest for: post-marathon recovery
✅ Firm, real compression
✅ Stays up all day
✅ Comfortable all day
✅ Easy to put on
✅ Easy to slip on
✅ Stays up well
⚠️ Hard to pull on
⚠️ Sizing runs snug
⚠️ Feels light for some
⚠️ Durability varies
⚠️ Pressure level questioned
⚠️ Snug on larger calves
Evidence: high-certainty, fewer symptomless clotsEvidence: consistent but modest benefitEvidence: thin and conflicting

No pick for varicose vein treatment, running performance, or clot prevention after elective surgery when already receiving heparin injections (sections 4–6).

1. Best Compression Socks for Long Flights: Physix Gear Compression Socks 20-30 mmHg

Evidence: Tier 1 — high-certainty evidence for fewer symptomless (ultrasound-detected) leg clots on flights of more than five hours; low-certainty evidence for less leg swelling.

ProsCons
Buyers describe firm, noticeable compression rather than a “fashion sock” feelMany buyers find them difficult to pull on
Reported to stay up without rolling down over a full day or shiftSome find them too tight and say they should have sized up
Reported to hold their shape and compression after repeated washingLong cut that can reach the back of the knee on some wearers
Study: 20–30 mmHg below-knee stockings were one of the two pressure ranges used in the flight trialsStudy: trials measured symptomless clots on ultrasound, not symptomatic clots or pulmonary embolism

Physix Gear Compression Socks 20-30 mmHg is a knee-high graduated compression sock in the 20–30 mmHg range, sold for both men and women. It is here as the flight pick among the best compression socks because below-knee graduated stockings at 20–30 mmHg were used in four of the flight trials summarized below. It is a class match, not the stocking used in any of those trials.

What buyers say about the Physix Gear Compression Socks 20-30 mmHg: Sentiment across retailer listings and review aggregators is strongly positive, and the listing has a large review base on Amazon. Buyers who wear them for travel, long shifts or doctor-advised compression often say the pressure feels genuine and that the socks stay in place all day without rolling down. Some mention that they keep their shape and compression after repeated machine washing, and some compare them favorably with more expensive compression socks they have used. The complaint that comes up most in buyer feedback is the flip side of the firm fit: they take effort to get on, and some buyers found them too tight or wished they had chosen the next size up. Some note that the long cut reaches the bend of the knee. At least one long-time buyer felt a recent pair differed from earlier ones, which is worth knowing if you reorder.

What the research shows. The main evidence comes from a 2021 Cochrane review of randomized trials in airline passengers on flights lasting at least four hours [1]. It included 12 trials with 2,918 participants, and every flight lasted more than five hours. In the nine trials that tested for symptomless deep vein thrombosis (DVT), 50 of 2,637 passengers with follow-up developed one: three wore stockings and 47 did not. That corresponds to an odds ratio of 0.10 (95% CI 0.04 to 0.25), which the reviewers graded as high-certainty evidence [1]. In absolute terms, they estimated a drop from roughly 10 to 1 per 1,000 passengers in lower-risk travelers and from 30 to 3 per 1,000 in higher-risk travelers [1].

That result needs careful reading. These were clots found on ultrasound or blood tests in people who had no symptoms. Across 2,821 participants, none were reported to develop a symptomatic DVT or a pulmonary embolism, or to die, so the review could not say whether stockings prevent those outcomes [1]. Less leg swelling was also reported, but the reviewers rated that evidence low-certainty because swelling was scored with an unvalidated, unblinded scale by the same group of investigators [1].

Two other limitations matter. Eight of the trials came from one research group (the LONFLIT studies), and the review records concerns that were raised about the lead investigator’s authorship practices; the journal that published many of those reports told the review authors it had no concerns about the reliability of the articles [1]. None of the trials could blind passengers to whether they wore stockings. Two smaller trials that did not test for DVT were funded by compression-garment companies [1].

Pressure-wise, the stockings in the pooled trials were all below the knee, at 20–30 mmHg at the ankle in four trials and 10–20 mmHg in five. The reviewers found no robust evidence that one type outperformed another [1].

Fit also matters. In one trial, all four cases of superficial vein thrombosis in the stocking group occurred in varicose veins at the knee, where the stocking’s upper edge pressed on them [1]. Professional fitting may be particularly advisable if the stocking could press on existing varicose veins.

Who actually needs them? The American Society of Hematology’s 2018 guideline conditionally recommends compression stockings or low-molecular-weight heparin for long-distance travelers only when they are at high risk of venous thromboembolism, not as routine prophylaxis for everyone [2]. For a healthy traveler without contraindications, the socks are an optional choice, not a requirement.

In my occupational health work I see airline pilots and cabin crew, and many of them wear compression stockings regularly because they spend so much time flying, even though they walk a good deal on duty. In my own family, I tend to encourage relatives who are about to travel by air to wear them. That is a personal habit, not a rule: the guideline reserves its recommendation for travelers at higher risk, and for a healthy traveler the socks remain optional [2]. In practice, someone who flies only now and then may not need a custom-measured stocking; an ordinary over-the-counter pair of the kind described in this guide may well be enough.

2. Best Compression Socks for Long Days on Your Feet: CHARMKING Compression Socks 15-20 mmHg

Evidence: Tier 1 — consistent randomized trial evidence that light compression reduces evening leg swelling and leg discomfort in people who stand for long periods. Average effects in these trials were modest.

ProsCons
Buyers describe them as comfortable enough for all-day wearSome experienced compression wearers feel the pressure is lighter than labeled
Easier to put on than firmer compression socks, according to many reviewsDurability varies between pairs, according to some buyers
Top band reported to keep them upStudy: average symptom and swelling reductions in trials were modest
Multi-pair pack makes daily rotation practical
Study: no clear advantage of 20–30 mmHg over 15–20 mmHg in a small workplace trial

CHARMKING Compression Socks 15-20 mmHg is a knee-high graduated sock sold in multi-pair packs at a mild 15–20 mmHg. It is here as the everyday pick among the best compression socks because 15–20 mmHg stockings are the pressure class tested in the occupational trials below, and lighter pressure may be easier for some people to tolerate every day. It is a class match, not the product used in any study.

What buyers say about the CHARMKING Compression Socks 15-20 mmHg: This listing has a large review base on Amazon, and sentiment is positive overall. Buyers on their feet or at a desk all day describe less leg tiredness by the end of the day, and many mention that the socks are easier to get on than they expected from compression wear. The top band, the variety of colors and patterns, and the value of a multi-pair pack are among the points buyers mention. The main criticism comes from people who already wear compression regularly: some feel the squeeze is lighter than the label suggests, and a few report that durability differs from one pair to the next.

What the research shows. A meta-analysis of 11 randomized trials with 1,453 participants (healthy people exposed to various forms of leg stress, people with chronic venous disease, and people after varicose vein surgery) found that stockings at 10–20 mmHg reduced swelling and symptoms compared with weaker stockings, placebo stockings, or nothing (p < 0.0001) [3]. None of the included trials showed an extra benefit from going above 20 mmHg. The authors noted important differences in methods between trials and sometimes weak reporting.

Two newer workplace trials point the same way. In a randomized crossover trial of 108 hairdressers, 15–20 mmHg medical stockings lowered a 0-to-4 score for pain and feeling of swelling by an average of 0.22 points (12%, P < 0.001) and reduced lower-leg volume by an average of 19 mL (P < 0.001); older hairdressers also preferred the stockings more often (P < 0.001) [4].

In 40 male security guards randomized to regular socks, 15–20 mmHg or 20–30 mmHg stockings during a 12-hour standing shift, those in regular socks showed measurable lower-leg muscle fatigue, swelling and discomfort afterward, while neither compression group showed significant changes [5]. Because both pressures appeared to work similarly in this small trial, the authors suggested the lighter level may be enough.

The honest summary: the benefit is consistent across studies, but the average changes are small. The workplace trials involved people standing at work; evidence specific to long desk sitting is less direct. Symptoms were self-reported, and it is hard to hide from people whether they are wearing compression, so part of the symptom effect may be expectation. For someone whose legs feel heavy and swollen by evening, a light sock is a cheap, low-risk thing to try.

In my clinical experience, some of my patients have genuine heart failure, and without their stockings their ankles can swell considerably, typically with pitting edema, the kind of swelling that leaves a dent when pressed with a finger. In the patients I see with this kind of swelling, the ankles are often tidy in the morning and tend to swell more as the day goes on. From a clinical perspective, a real swelling problem in the ankles deserves a medical assessment once before a pair of stockings is simply bought, and if a doctor has judged stockings to be indicated, they are worth getting. Whether stockings are appropriate in heart failure is itself a medical decision; the FAQ below on who should not wear compression socks explains why.

3. Best Compression Socks for Recovery After a Marathon or Long Run: FITRELL Compression Socks 20-30 mmHg

Evidence: Tier 2 — thin and conflicting. One small randomized trial of socks worn after a marathon found better functional recovery, but larger reviews of compression garments in general disagree on whether they speed recovery, and a 2026 review rated the evidence very uncertain.

ProsCons
Buyers say they slip on easily, which helps on tired legsSome buyers doubt they reach 20–30 mmHg because they go on so easily
Reported to stay up and feel supportiveSizing can feel tight on larger calves, according to some reviewers
Three-pair pack, budget-friendlyStudy: the supportive trial analyzed only 33 runners and had one main outcome
Study: socks worn 48 hours after a marathon improved a treadmill test two weeks laterStudy: a 19-trial meta-analysis found no strength-recovery benefit from compression garments

FITRELL Compression Socks 20-30 mmHg is a knee-high graduated sock in the 20–30 mmHg range, sold in three-pair packs and marketed for running, travel and work. It is here as the recovery pick among the best compression socks, a real example of a below-knee compression sock. The trial below used a sock with a higher pressure rating (see the research section), so this product is a class example, not an equivalent.

What buyers say about the FITRELL Compression Socks 20-30 mmHg: This listing has a large review base on Amazon and positive sentiment overall. Buyers mention comfort, ease of putting them on, the fact that they stay up during the day, and the value of getting three pairs at a modest price. Some people using them for daily ankle swelling or long workdays say they noticed a difference. Two criticisms appear in buyer feedback: because they slip on so easily, some experienced wearers question whether the compression is really in the 20–30 mmHg range, and some reviewers found the sizing ambiguous or tight on larger calves.

What the research shows. The most direct trial analyzed 33 marathon runners who wore below-knee compression socks or placebo socks for 48 hours immediately after the race [6]. Two weeks after the marathon, treadmill time to exhaustion had improved by 2.6% (52 ± 103 seconds) in the compression group and fallen by 3.4% (−62 ± 130 seconds) in the placebo group, a statistically significant difference (P = 0.009). The authors declared no conflicts of interest.

Other evidence is less encouraging. In a separate trial of 24 marathon runners, full-leg compression tights worn for 72 hours afterward lowered perceived soreness at 24 hours, but did not improve strength or markers of muscle damage and inflammation compared with a sham ultrasound treatment [7]. Across compression garments in general, a 2017 meta-analysis of 23 studies found a small overall recovery benefit (effect size 0.38), with the greatest recovery after resistance exercise and a larger benefit for strength recovery than for other outcomes [8]. A 2022 meta-analysis of 19 randomized trials with 350 participants, using a different statistical model, found no strength-sparing effect at any time point after exercise, with only a weak effect after plyometric work [9]. A 2026 meta-analysis of post-exercise compression garments in endurance athletes (9 studies, 158 participants) found uncertain soreness benefits at about 24 hours (4 studies; Hedges g 0.62, 95% CI −0.57 to 1.82), did not pool effects on later endurance performance, and rated the overall certainty of evidence very low [10]. The same review describes the Armstrong trial as randomizing 59 runners but analyzing only 33, with compression socks rated 30–40 mmHg at the ankle and 21–28 mmHg at the calf (a higher rating than the 20–30 mmHg labeled on the FITRELL socks), and it flags the high attrition as limiting how far the result can be trusted [10].

So the case for the best compression socks for recovery after a long race rests on a single small positive trial, set against garment-level reviews that disagree or rate the evidence very uncertain. That is why this is a Tier 2 pick. If you already own compression socks and like how they feel after a long run, the evidence does not argue against wearing them. It does not yet justify expecting a large recovery advantage.

The possibility of a recovery benefit may come as a surprise to marathon runners, and it is probably not widely known among athletes. As the research above shows, that benefit remains uncertain. In my view, athletes may often assume that being in good shape means their circulation is also good. In my experience, few runners come to an appointment after a race, and a visit is not necessarily indicated as a routine. If you suspect exceptionally severe muscle pain, though, I think it is a good idea to be seen once.

4. Compression Socks as a Treatment for Varicose Veins

Evidence: Tier 3 — no high-certainty evidence that compression stockings work as the main or first treatment for varicose veins. No product recommendation.

Why there is no pick: varicose veins need an assessment, and the best available evidence cannot show that off-the-shelf stockings treat them. Socks are not a substitute for the assessment that decides what will actually help.

A 2021 Cochrane review of 13 studies with 1,021 people who had varicose veins without leg ulcers concluded that there was not enough high-certainty evidence to decide whether compression stockings work as the sole and initial treatment, or whether any type of stocking is better than another [11]. UK national guidance from NICE goes further and advises against offering compression hosiery to treat varicose veins unless interventional treatment is unsuitable [12].

That is different from symptom relief. Light compression did reduce leg symptoms and swelling in the meta-analysis behind section 2, which included people with chronic venous disease [3]. Relieving heaviness is not the same as treating the vein, though. The sensible order is assessment first, then a fitted stocking if your clinician recommends one.

Many of my patients use compression stockings, and the indications vary. Perhaps the typical patient at my appointments is someone with varicose veins who hopes the veins will not progress, whose veins are symptomatic, or whose ankles swell. From a clinical perspective, the evidence above cannot show that stockings treat the veins themselves [11], so it helps to be clear about which of these goals a stocking can realistically address. In my clinical experience, when a patient comes in with calf pain, I may quite readily consider ruling out a deep vein thrombosis. Calf pain with no clear explanation in the background cannot simply be read as venous insufficiency. In our public healthcare sector, custom-measured stockings are often available, but in my view they are not always necessary.

5. Best Compression Socks for Running Faster: No Pick

Evidence: Tier 4 — a 2025 meta-analysis found no meaningful difference in performance, heart rate or perceived effort from wearing compression socks while running. Not recommended for performance based on current evidence.

Why there is no pick: the research specifically tested this use and found no advantage over regular socks.

A 2025 systematic review focused only on compression socks worn during running included 28 trials with 600 runners, 16 of which (284 runners) could be pooled [13]. Compared with regular socks, compression socks made no meaningful difference to heart rate (mean difference 0.82 beats per minute, 95% CI −0.39 to 2.03; moderate certainty), total running time (SMD 0.06, 95% CI −0.27 to 0.38; moderate certainty), time to exhaustion (SMD −0.26, 95% CI −0.65 to 0.13; low certainty) or perceived exertion (SMD 0.06, 95% CI −0.17 to 0.29; moderate certainty).

Two caveats cut both ways. Most included trials were at high risk of bias, used crossover designs and tested a single run, so effects of long-term use are unknown. On the other hand, the authors also found no sign that compression socks hurt performance. If you like running in them, there is no evidence that you need to stop. There is simply no evidence-based reason to buy them to run faster.

6. Compression Socks After Elective Surgery When You Already Receive Heparin Injections

Evidence: Tier 4 — a large randomized trial found no meaningful added protection against clots when stockings were added to blood-thinning injections after elective surgery. Not recommended for this purpose based on current evidence.

Why there is no pick: in this setting, the decision belongs to your surgical team, and the best trial found no added benefit.

The GAPS trial randomized 1,905 adults having elective surgery at moderate or high risk of venous thromboembolism in seven UK hospitals [14]. All were assigned low-molecular-weight heparin injections; half were also assigned stockings with about 18 mmHg of pressure at the ankle. Within 90 days, clots occurred in 16 of 937 patients (1.7%) on heparin alone and 13 of 921 (1.4%) on heparin plus stockings. The risk difference of 0.30% (95% CI −0.65% to 1.26%) stayed well within the trial’s pre-set non-inferiority margin of 3.5%, so heparin alone was judged non-inferior. The authors concluded that stockings may be unnecessary for most elective surgery patients, and the funders had no role in planning, running or reporting the trial.

The authors list one limitation worth knowing: about 13% of patients did not receive a duplex ultrasound scan that could have detected further symptomless clots, though the missing scans were balanced between the two groups [14]. This finding is narrow. It applies to hospital inpatients already receiving drug prophylaxis. It does not cover people who cannot take blood thinners, and it does not tell you what to do on a long flight a few weeks after surgery. Those are questions for the team that operated on you, not for a shopping list.

Some patients need compression stockings only now and then, for example before or after surgery. In my view, a custom-measured pair is not necessarily worth obtaining for such occasional use, and an ordinary over-the-counter stocking may be enough. Whether stockings are needed around an operation at all is a question for the surgical team, particularly as the trial above found heparin alone non-inferior in the setting it studied [14].

Compression Socks Compared by Use Case

This table is a navigation aid, not a ranking. Each row reflects the evidence for one specific use, and the best compression socks for one use say nothing about how a product would compare with the others in a different row.

SectionUse caseEvidencePick
1Long flights (more than 5 hours)Tier 1: high-certainty for fewer symptomless clots; low-certainty for swellingPhysix Gear Compression Socks 20-30 mmHg
2Long days on your feetTier 1: consistent but modest reduction in swelling and leg symptomsCHARMKING Compression Socks 15-20 mmHg
3Recovery after a marathon or long runTier 2: one small positive sock trial; overall evidence very uncertainFITRELL Compression Socks 20-30 mmHg
4Treating varicose veinsTier 3: insufficient high-certainty evidenceNo pick
5Running fasterTier 4: no benefit in a 2025 meta-analysisNo pick
6After elective surgery, already receiving heparin injectionsTier 4: no meaningful added benefit in a large RCTNo pick

Frequently Asked Questions

What compression level should the best compression socks have? For everyday leg heaviness, the workplace trials suggest 15–20 mmHg is enough, and one found no extra benefit from 20–30 mmHg [5]. The flight trials used either 10–20 or 20–30 mmHg without a clear difference between them [1]. That is why the CHARMKING Compression Socks 15-20 mmHg are the everyday pick and the Physix Gear Compression Socks 20-30 mmHg the flight pick. None of the trials summarized here tested stronger compression for these everyday uses, so higher pressure is best chosen with a clinician’s advice.

Do I need compression socks on every flight? Not necessarily. They reduce symptomless clots on long flights [1], but the American Society of Hematology reserves its recommendation for travelers at high risk of clots [2]. If you are healthy, they are optional. If you have had a clot before, recently had surgery, or have another major risk factor, ask your doctor before a long flight.

Who should not wear compression socks? An international consensus on the risks of medical compression names severe peripheral arterial disease, severe heart failure, severe diabetic nerve damage with loss of sensation, and allergy to the material among the conditions that rule out compression or call for particular caution, depending on severity [15]. The most frequently reported problems were discomfort, dry skin and itching, while severe adverse events were very rarely encountered if compression was used correctly and contraindications were considered. This is an expert consensus statement, not an independent trial: at least one of its authors is affiliated with a compression manufacturer (SIGVARIS), which also funded the editorial support and medical writing [15].

Should I wear compression socks during pregnancy? The evidence is thin. A Cochrane review of treatments for varicose veins and leg swelling in pregnancy concluded that there is not enough evidence on treatments overall, and its summary states that compression stockings “do not appear to have any advantages”. The one small trial on leg swelling (35 women) found no significant difference in lower-leg volume compared with rest, but the review lists it under external pneumatic compression, so what it says about stockings is unclear [16]. NICE nonetheless suggests considering compression hosiery for symptom relief of leg swelling linked to varicose veins in pregnancy [12]. Pregnancy is also one of the recognized clot risk factors for travelers, so discuss compression with your midwife or doctor, especially before long travel [1].

Will compression socks make me run faster or recover faster? Faster during a run: the 2025 meta-analysis found no meaningful difference [13]. Faster recovery afterward: possibly, based on one small marathon trial [6], but larger reviews of compression garments disagree [8][9]. A below-knee sock such as the FITRELL Compression Socks 20-30 mmHg is a commercial example only: the trial used a different, higher-rated sock, and its findings cannot be assumed to apply to it.

How do I get the size right? Sizing comes up in buyer feedback on these best compression socks picks, usually a sock that felt too tight or a wish to have sized up. Measuring your calf (and ankle, if the chart asks) is a sensible start, rather than relying on shoe size alone. If you have varicose veins, consider professional fitting, since a poorly fitting upper edge pressing on varicose veins was linked to superficial clots in one flight trial [1].

In my clinical experience, many patients find compression stockings unpleasant, often because they do not sit properly. In practice, they are easiest to put on in the morning, before the ankles have had time to swell. In my experience, many people simply buy strong compression stockings from a pharmacy without any comparison. That is why I wrote this guide: to look at which kind of stocking suits which purpose and to show what the research actually supports. The research does not support every use, so the sections above separate what helps from what has been shown.

What This Means for Buyers

The best compression socks are the ones matched to a use that has real evidence behind it.

  • Long flights: The strongest evidence in this guide. Stockings reduce symptomless leg clots on flights of more than five hours, though no trial could show an effect on symptomatic clots. Guidelines reserve them for higher-risk travelers. Pick: Physix Gear Compression Socks 20-30 mmHg.
  • Long days on your feet: Consistent trial evidence that light compression reduces evening swelling and leg discomfort, with modest average effects. Pick: CHARMKING Compression Socks 15-20 mmHg.
  • Recovery after a marathon or long run: One small positive trial, conflicting reviews. Any recovery advantage remains uncertain. Pick: FITRELL Compression Socks 20-30 mmHg.
  • Varicose veins: Not enough evidence that stockings treat them. Get assessed first, and use fitted stockings only if recommended. No pick.
  • Running faster: No benefit found. Not recommended for performance. No pick.
  • After elective surgery, already receiving heparin injections: A large trial of hospital patients on heparin injections after elective surgery found no meaningful added benefit from stockings. Follow your surgical team. No pick.

References

  1. https://pmc.ncbi.nlm.nih.gov/articles/PMC8092568/
  2. https://pubmed.ncbi.nlm.nih.gov/30482763/
  3. https://pubmed.ncbi.nlm.nih.gov/18063393/
  4. https://boris.unibe.ch/6482
  5. https://pmc.ncbi.nlm.nih.gov/articles/PMC10210207/
  6. https://doi.org/10.1519/JSC.0000000000000649
  7. https://pubmed.ncbi.nlm.nih.gov/24714530/
  8. https://doi.org/10.1007/s40279-017-0728-9
  9. https://pmc.ncbi.nlm.nih.gov/articles/PMC9388468/
  10. https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2026.1908148/full
  11. https://doi.org/10.1002/14651858.CD008819.pub4
  12. https://www.nice.org.uk/guidance/cg168/chapter/recommendations
  13. https://doi.org/10.1123/jsr.2024-0410
  14. https://doi.org/10.1136/bmj.m1309
  15. https://pmc.ncbi.nlm.nih.gov/articles/PMC7383414/
  16. https://www.cochrane.org/evidence/CD001066_interventions-varicose-veins-and-leg-oedema-pregnancy

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