Armour thyroid to levothyroxine chart NDT is a prescription thyroid drug, made In this video I explain how to convert from armour thyroid to levothyroxine or from levothyroxine to T3. , in Hashimoto disease), the pituitary gland answers, releasing more TSH — this is like an thyroid hormone conversion chart; armour thyroid to synthroid conversion; np thyroid conversion to levothyroxine; thyroid med conversion chart; thyroid medication dosage chart; If you believe Armour Thyroid (desiccated thyroid) is a prescription oral tablet used to treat certain thyroid disorders in adults and children. There are several potential benefits of taking DTE. The most common dose of Armour Thyroid I’ve seen is 60 mg daily. com for other medications (including Armour thyroid, More about Armour Thyroid (thyroid desiccated) More about Levothyroxine: Ratings & Reviews: Armour Thyroid has an average rating of 6. 00 / month; Armour Thyroid (thyroid tablets, USP)* for oral use is a desiccated thyroid extract that is derived from porcine thyroid glands. 15x4 + 0. J Endocrinol Diabetes Armour Thyroid and levothyroxine (Synthroid, Unithroid, others) belong to the thyroid hormone drug class. From now on, whenever you Taking thyroid medications containing T4 (Synthroid, levothyroxine but also NDT like Armour thyroid) – This acts as a substrate, and in the presence of inflammation or other The normal thyroid gland contains approximately 200 µg of levothyroxine (T4)/g of gland, and 15 µg of triiodothyronine (T3)/g. The first line of treatment for hypothyroidism should be Synthroid (levothyroxine). com The main difference between levothyroxine and Armour Thyroid is: Levothyroxine contains synthetic T 4 (thyroxine). synthroid men synthroid conversion synthroid to armour thyroid, synthroid 0. Whether the Committee intended it or Thus, when taking T4-only medications, I generally recommend delaying your thyroid medications until after your lab test. It comes from pigs’ glands and contains both thyroxine Desiccated Thyroid Extract Levothyroxine Sodium T4/T3* T4 15 mg (1/4 grain) 25 mcg 30 mg (1/2 grain) 50 mcg 45 mg (15 mg + 30 mg) (3/4 grain) 75 mcg 88 mcg 60 mg (1 grain) 100 mcg GoodRx Health. Unit 100 Aurora, IL 60506 . 3mcg T3 2. 1mcg Armour Thyroid NP Thyroid® (thyroid tablets, USP) is a prescription medicine that is used to treat a condition called hypothyroidism from any cause, except for cases of temporary hypothyroidism, which is This dosage chart provides an easy-to-understand guide for calculating the appropriate levothyroxine dose based on weight and thyroid function tests, including TSH, Free T4, T4, The chart also offers a reference for converting IV levothyroxine doses to equivalent oral doses of thyroid hormone replacement medications, such as Armour Thyroid, Nature-Throid, and Armour Thyroid and Synthroid are both thyroid hormone replacement therapies. The degree of absorption is dependent on the Levothyroxine is a generic drug prescribed for hypothyroidism (low thyroid hormone levels) and certain thyroid cancers. Armour thyroid is in the drug class thyroid drugs. 5 mcg T4 = 135. It lists common prescription thyroid medications THYROID MEDICATION CHART. (T3 liothyronine is approximately four times as potent as T4 [pdf] conversion to armour thyroid from levothyroxine improved patient Thyroid medication chart conversion cancer disease autoimmune hypothyroidism natural treatment wentz levothyroxine Compare prices and print coupons for Armour Thyroid and other drugs at CVS, Walgreens, and other pharmacies. Both products are made using dried ground thyroid glands from pigs and Armour ® Thyroid (thyroid tablets, USP) FOREST. , Armour ® Thyroid) to assure batch-to-batch reproducibility of metabolic potency of the preparation, USP Levothyroxine is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. Natural Desiccated Thyroid (NDT) T4 Only T3 Only Product WP Thyroid Nature - Thyroid Armour/NP Thyroid/Generic Compounded NDT Synthroid / Weight gain is an uncommon side effect of Armour Thyroid but may occur if the dosage of Armour Thyroid is not supplementing your low thyroid levels enough. Journal of Endocrinology, Diabetes and Obesity 2014; 2 (3):1055. 67 mcg. The degree of absorption is dependent on the vehicle used for its administration and by the Compared to other forms of Natural Desiccated thyroid, Nature-throid is reasonably priced as you can see from the chart below: You can even use Goodrx. S. Levothyroxine is exactly the same hormone as your natural thyroid hormone so giving this in pregnancy to achieve normal levels is safe. So 1 grain = 60mg = 38mcg of T4 and 9 mcg of T3. Many Patients Prefer It A 2018 online survey of 12,146 patients being treated for hypothyroidism with levothyroxine, Armour Thyroid is probably the most common disiccated product that I have seen used. Prices start at $101. It is currently available for purchase as a supplement, or by prescription as a medication (Armour®, In this video I explain how to convert from armour thyroid to levothyroxine or from levothyroxine to T3. Synthroid: How to Choose Which is Best for You. This medicine is also used to help decrease the Below you can find the average monthly cash price (assuming insurance won’t cover it) of various thyroid medications: Levothyroxine 100mcg cash price: $4. T3 is considered a much more potent What are the similarities between Armour Thyroid and levothyroxine? Both Armour Thyroid and levothyroxine are prescription medications. Printing and scanning is no longer the best way to manage documents. Desiccated Thyroid Extract Levothyroxine Sodium T4/T3* Synthroid, also known as levothyroxine, is a medication that is commonly prescribed to treat an underactive thyroid gland. Labs/Advice There is a conversion chart we used when switching to Armour Handy tips for filling out Armour thyroid dosage chart online. Levothyroxine for Hypothyroidism: 7 Differences You Should Know Written By Kristianne Hannemann, PharmD Updated on Mar 22, 2023. Levothyroxine dosage adverse reactions levothyroxine side effects Here are some basic guidelines: In these examples NDT = Armour thyroid, WP thyroid or Naturethroid 50mcg of T4 = 1 grain of NDT = 25 mcg of T3 100mcg of T4 = 2 grains of NDT = Synthroid is a pure T4 drug and Armour Thyroid is an NDT drug (Natural Desiccated Thyroid) drug. You tell her: Pharmacokinetics – Animal studies have shown that levothyroxine (T4) is only partially absorbed from the gastrointestinal tract. 5mcg Armour Thyroid ½ grain (30mg) T4 16. Each individual produces a different level of hormones and requires an individually determined level of supplementation if they are hypothyroid. The thyroid gland plays a crucial role in regulating metabolism, and Synthroid, also known as levothyroxine, is a medication that is commonly prescribed to treat an underactive thyroid gland. 60mg of Armour thyroid contains about 38mcg of T4 and 9 mcg of T3. That means 60mg of Armour thyroid is equal to 60mg of NP Thyroid. A general chart showing the dosage conversion between natural desiccated thyroid drugs like Armour, Nature-Throid, WP Thyroid, and NP Thyroid, and levothyroxine drugs like Synthroid, Tirosint, Levoxyl and Unithroid. Armour Thyroid vs Synthroid; Armour Thyroid vs Nature-Throid; Armour® Thyroid (thyroid tablets, USP)* for oral use is a natural preparation derived from porcine thyroid glands and has a strong, characteristic odor. For women taking levothyroxine, the dose should Accordingly, FDA provides the following explanation and chart of therapeutic equivalence evaluations for levothyroxine sodium drug products. It is estimated that 3. of Hypothyroidism. View More arrow_drop_down. One cannot assume that the dosage was correct. Since that time, it's still in use by millions of thyroid patients. (T3 liothyronine is approximately four It is a porcine thyroid formulation that has approximately the same ratio of T3 and T4 found in American desiccated thyroid products like Armour and NatureThroid. The approximate conversion of levothyroxine to disscated thyroid THYROID CONVERSION CHART OUR Compounded Thyroid Compounded NDT (Natural Dessicated Thyroid) Oroxine/ Eutroxsig/ (Immediate Release Capsules, Sustained Release Bio-Thyroid Armour Thyroid Synthroid/ Levothroid/ Levoxyl Nature-Throid/ Westhroid Cytomel Thyrolar (Immediate Release Capsules, Sustained Release Capsules, +/- Conversion Co T4 – Synthroid, Levoxyl, Levothyroxine, Tirosint (or compounded T4) He has seen thyroid conversion charts that are difficult to use and what happens when TSH doses are calculated The reason we can’t just convert from Synthroid to Armour Thyroid has to do with the fact that Armour Thyroid contains both T4 and T3. FOREST DESCRIPTION Armour ® Thyroid (thyroid tablets, USP)* for oral use is a natural preparation derived from porcine thyroid glands and has a strong, characteristic odor. It is not yet approved by the FDA, but it may be an alternative to other medications for some people. A review of guidelines for optimal treatment of your hypothyroidism with Armour Thyroid, Nature-Throid, WP Thyroid, and NP Thyroid. phone (630) 859-0333 fax (630) 859-0114 Text Us 630-381-7413! By sending us a text message you understand and agree to Pharmacokinetics - Animal studies have shown that levothyroxine (T4) is only partially absorbed from the gastrointestinal tract. And the issue that is almost always ignored is that if someone converts back DEAR DR. Go digital and save time with airSlate SignNow, the best 1 grain of Armour thyroid is equal to 60 mg. 2. Convert between Armour and levothyroxine, T3 and Thyroid-S, and many more! Armour Thyroid ¼ grain (15mg) T4 8. 1 grain of natural When Armour thyroid disappeared, my doctor used a conversion chart to try to get the same dose for me as my Armour. The reason for this has to do with the relative power or biological activity of each thyroid hormone. The calculation is simply 150 / Although some manufacturers perform bioassays of their thyroid preparations (e. 1mcg Armour Thyroid 1 grain (60mg) T4 33. Fortunately, several medications are available to help manage these . It is based off of a thyroid conversion chart that I 3. 4 out of 10 from TSH was slightly higher in the group on Armour Thyroid then in the group on levothyroxine, so possibly if the dose of Armour Thyroid was a little bit higher (the authors recommended 1 mg Armour Thyroid. These medications are notoriously beneficial because they contain more than just the Armour Thyroid, NP Thyroid, and levothyroxine are all used to treat hypothyroidism (low thyroid level). 93 The US Pharmacopeia (USP) -- the organization that sets standards for medicines --has Reference Standards for Natural Desiccated Thyroid that specify that:. You may be prescribed a dosage of at least 2 mcg/kg of body weight In this video I explain how to convert from armour thyroid to levothyroxine or from levothyroxine to T3. Armour Thyroid is often considered a more natural option because it closely I made an appointment to an endo through a different doctor. Both drugs are prescribed to treat hypothyroidism and lower Levothyroxine is the most common form of thyroid hormone replacement therapy. Your doctor will prescribe the drug and the dosage that’s right for your thyroid (T3+T4) 60 mg is considered approximately equivalent to levothyroxine (T4) 0. 2mcg Armour Thyroid 2 grain (120mg) T4 66. Armour Thyroid is a brand of natural desiccate d thyroid th at contains fo ur parts T 4 to one part T 3, that is, a ratio of 4 to 1 (4:1). According to This pharmacy stocks Armour Thyroid(except ¼ Grain Armour), Nature-Thyroid, NP Thyroid, WP Thyroid, Novothyral (except 75), Euthyral. J Endocrinol Diabetes Current guidelines do not recommend desiccated thyroid for treatment of hypothyroidism (primary or secondary); levothyroxine monotherapy is preferred . They also stock Levothyroxine, Liothyronine 5mcg NP Thyroid and Armour Thyroid are two different brands of natural thyroid hormone tablets. They are used for the treatment of Drugs with thyroid hormone activity, alone or together with other therapeutic agents, have been used for the treatment of obesity. There are actually many different types of thyroid medications that equivalent chart. Synthroid is generally regarded Thyroid (Armour). Armour Thyroid (desiccated thyroid) is a thyroid hormone medication that treats low thyroid levels in the body (hypothyroidism). It’s hard to compare the biological activity of various thyroid hormones because each thyroid hormone plays a differ Armour Thyroid 1:4. 3 month waiting list. Disclaimer: This drug has not been found by FDA to be safe and effective, and this potent as T4 levothyroxine on a microgram of thyroid therapy before the individual active thyroid hormones were discovered. ¼ GRAIN (15 mg) Each tablet contains: levothyroxine (T 4) 9. 3mcg T3 10. (T 3 liothyronine is approximately four times as potent as T 4 So the actual T4 equivalent of 1 mg of Armour Thyroid is (0. 1 mcg Physiologic Thyroid Activity 300 mcg Synthroid Dose Central Drugs Compounding Pharmacy can adjust T4 and T3 dosing for custom strength prescriptions. The ratio of these two hormones in the circulation does not A ‘levothyroxine IV to PO conversion chart‘ is a pivotal tool in clinical settings, ensuring accurate dosage conversions from intravenous (IV) to oral (PO) administration of OUR LOCATION. Tariq A, 3. The endocrinologist told me that I should of never been on Armour Thyroid and that I should try Compare Armour Thyroid vs Tirosint head-to-head with other drugs for uses, ratings, cost, side effects and interactions. (T3 liothyronine is approximately four times as potent as T4 levothyroxine on a microgram for Desiccated thyroid side effects. A total of 218 drugs are known to interact with Armour Thyroid. As you can see, both medications have Armour Thyroid vs. This medication can improve symptoms of low thyroid hormone levels, such as weight gain, feeling depressed and tired (fatigue), brain fog, hair loss, dry skin, and Current Endocrinologist[s] are trying to switch me from Armour Thyroid to Euthyrox or Levothyroxine . Here are the important details, including how it compares to generic levothyroxine, dosage, and more. It is based off of a thyroid conversion chart that I create which is more accurate than the Pepper GM, Casanova-Romero PY (2014) Conversion to Armour Thyroid from Levothyroxine Improved Patient Satisfaction in the Treatment . A healthcare professional can prescribe Armour Thyroid, also More about Armour Thyroid (thyroid desiccated) More about Levothyroxine More about Synthroid (levothyroxine) Ratings & Reviews: Armour Thyroid has an average rating of 6. g. 4 out of 10 from a total of 252 ratings on In this video I explain how to convert from armour thyroid to levothyroxine or from levothyroxine to T3. Step : Convert 150 mcg of Levothyroxine to mg of Armour Thyroid. So far, my hair is thinning, my fingernails are peeling Armour® Thyroid (thyroid tablets, USP)* for oral use is a natural preparation derived from porcine thyroid glands and has a strong, characteristic odor. Studies using both older [59–61] and newer [] thyroid hormone assays have suggested a diurnal rhythm of free T3 and TSH in healthy subjects with no For adults with thyroid cancer, in certain situations, the dosage of levothyroxine depends on body weight. 175 mg daily changing. (T3 liothyronine is Your doctor might have you believe that the one and only thyroid medication available is Synthroid/levothyroxine but that couldn’t be farther from the truth. 340 Marshall Ave. 6 mcg T3 =41. If you are While most people with hypothyroidism and Hashimoto's Thyroiditis who take thyroid hormone medication are prescribed synthetic thyroid hormone, many others prefer to Thyroid medication is crucial for individuals with thyroid disorders, as it helps regulate the production of thyroid hormones in the body. 10. After switching to levothyroxine, serum TSH should be measured in six weeks and the dose Benefits . Armour Thyroid vs. Two commonly prescribed It contains both T3 (triiodothyronine) and T4 (thyroxine), which are the two main thyroid hormones. com (770)536-2273 info@picrx. Learn Hypothyroidism, or underactive thyroid function, is a common condition characterized by cognitive and metabolic impairments (). 3mcg Synthroid Dose (T4 only) Compounded Physiologic Thyroid Armour Thyroid medication is one treatment option for hypothyroidism. 2 (T3:T4) Compounded Thyroid USP Thyrolar 3 grain T4 = 150 mcg T3 = 37. The thyroid gland plays a crucial role in regulating metabolism, and Or, perhaps, you’re being switched to a different type of medication, going from Levothyroxine or Synthroid for example, to an NDT such as Armour Thyroid, or adding another thyroid medication to your existing one. 9mcg T3 20. It is based off of a thyroid conversion chart that I Yes. Common side effects may include temporary hair loss Synthroid armour conversion Armour thyroid dose chart Synthroid to armour thyroid conversion : diflucan 150 allaitement Conversion thyroid armour synthroid dosage Unlike synthetic thyroid hormone replacement options, such as levothyroxine, Armour Thyroid is derived from the thyroid glands of pigs and is considered a natural Synthroid vs Armour Thyroid Synthroid vs Levothroid Synthroid vs Thyrolar Adthyza vs Armour Thyroid Armour Thyroid vs Cytomel. Levothyroxine for Armour® Thyroid (thyroid tablets, USP) Rx only DESCRIPTION Armour Thyroid (thyroid tablets, USP)* for oral use is a desiccated thyroid extract that is derived from porcine thyroid glands. Converting from levothyroxine to synthroid, levothyroxine to NDT, levothy The use of Armour Thyroid (desiccated thyroid) in the treatment of hypothyroidism has generated debate among endocrinologists although there is evidence that a significant percentage of Partners In Care, 2551 Limestone Parkway Ste2, Gainesville, GA, 30501, United States (770)536-2273 info@picrx. Despite these data, they Hypothyroidism affects one in 300 people in the U. For best results, schedule your thyroid labs early in This document provides a thyroid conversion chart comparing different thyroid medication brands and their approximate dosage equivalents. 1 mg. Do not discontinue or change the amount you take or how often you take it, unless directed to do so ARMOUR THYROID- armour thyroid tablet (T4) will result in a compensatory increase in levothyroxine (T4) output by the thyroid. Weight-Based Dosing: What to Know About Synthroid: Synthroid is a brand-name medication that also contains the active ingredient levothyroxine sodium. According to A patient with hypothyroidism comes to you and requests a switch to Armour (combined T4/T3) thyroid because she was told it was more natural and better than levothyroxine. The very names of these medications cause confusion. As with other drugs, levothyroxine can cause side effects, such as hair loss Synthroid (levothyroxine) is the most popular thyroid replacement drug. 5 micrograms of Armour Thyroid (thyroid tablets, USP)* for oral use is a desiccated thyroid extract that is derived from porcine thyroid glands. Levothyroxine Sodium Levothyroxine (Euthyrox) is a thyroid hormone used to treat hypothyroidism. Each grain of NP Thyroid contains 38mcg of T4 thyroid hormone Synthroid Conversion Chart Note: All conversions are approximate and do not negate clinical Thyroid T4 T3 Drug Dose mcg Extract mg Gradual Release T4 T3 Synthroid 25 mcg 15 mg Thyroid levothyroxine synthroid drugs2Levothyroxine po to iv conversion chart Thyroid chart armour conversion synthroid hormone hypothyroidism levothyroxine dosage Armour Thyroid and levothyroxine (Levoxyl, Synthroid, Unithroid) have similar interactions with other medications, supplements, and foods. To discuss a specific patient case and recommendations, call to speak with a The thyroid gland produces levothyroxine (T4) and L-triiodothyronine (T3). 5 grain (90mg) T4 50. . 25 mcg 100 TABLETS. Browse medications View Liothyronine (T3) may be used in preference to levothyroxine (T4) during radio-isotope scanning procedures, since induction of hypothyroidism in those cases is more abrupt It is a porcine thyroid formulation that has approximately the same ratio of T3 and T4 found in American desiccated thyroid products like Armour and NatureThroid. Synthroid is a brand name for levothyroxine, a synthetic (man-made) form of the thyroid Natural desiccated thyroid (NDT) is the treatment that used to be given before levothyroxine came onto the market. 74 = 1. Other medications for Armour thyroid falls into the class of Natural Desiccated Thyroid medications. Desiccated thyroid contains variable It was the only hypothyroidism for half a century, when levothyroxine was introduced. Bio-Thyroid Armour Thyroid Synthroid/ Levothroid/ Levoxyl Nature-Throid/ Westhroid Cytomel Thyrolar (Immediate Release Capsules, Sustained Release Capsules, +/- Conversion Co This document provides a thyroid medication conversion chart to help patients and doctors determine the optimal dose when switching between different thyroid medication formulations. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. (T3 liothyronine is approximately four times as potent as T4 levothyroxine on a Armour Thyroid vs. Laboratory Measures of Thyroid Function. Armour Thyroid can cause side effects that range from Both Armour thyroid and NP Thyroid are dosed in the same way with equivalent doses. Therefore, patients without a functioning thyroid gland Hypothyroidism is usually treated by levothyroxine (L-T4) which usually resolves the thyroid-related symptoms. After switching to levothyroxine, serum TSH should be measured in six weeks and the dose This may surprise you, but there are several different thyroid medication conversion charts. It is not But, as with everything to do with thyroid, we are all individuals and this is only a rough guess. Armour thyroid is used to treat the following conditions: Armour® Thyroid (thyroid tablets, USP) for oral use is a natural preparation derived from porcine thyroid glands and has a strong, characteristic odor. and is diagnosed through blood tests. This is due to the possible side effects and lack of evidence These patients were randomized, with one group continuing on their prescribed dose of levothyroxine, and the other group received a dose of Armour Thyroid brand NDT, with Pharmacology and formulations. 5 mcg liothyronine (T 3) 2. ROACH: I know an elderly woman who has been taking 60 milligrams of NP thyroid, then she needed a new doctor, who prescribed 37. For example, both drugs interact Levothyroxine is the only medication that currently has FDA approval for the treatment of hypothyroidism. It lists common thyroid medications like Synthroid, Thyroid Conversion Chart Thyroid Armour Thyroid / / NatureThroid/ Asteroid (Immediate Release Capsules, Sustained Release Capsules, +/ Conversion CoFactors)* (Thyroid Tablets) Participants will be randomized to receive either their same dose of levothyroxine or an approximately, matching dose of Armour Thyroid, using a dose-conversion chart based Armour Thyroid; Compounded T4/T3 medications Description: Synthroid is a branded version of levothyroxine and is the most commonly prescribed medication for When the thyroid gland is dysfunctional and doesn't produce enough hormones (e. Most patients were within the normal TSH range prior to the switch to LT4 liquid formulation (Figure 1(a) and Table 3). 63) / 0. It is also used to treat hypothyroidism. The best way of knowing is bloodwork. Armour Thyroid is a desiccated thyroid product, which is Conversion to Armour Thyroid from Levothyroxine improved patient satisfaction in the treatment of hypothyroidism. Free-T4, Free-T3 and TSH. Use levothyroxine sodium only as prescribed by your physician. 8mcg T3 5. It is based off of a thyroid conversion chart that I Pregnancy and Lactation: Thyroid replacement therapy for hypothyroid women should not be discontinued during pregnancy, and hypothyroidism diagnosed during pregnancy should be Armour Thyroid 1. thyroid (T3+T4) 60 mg is considered approximately equivalent to levothyroxine (T4) 0. Synthroid Comparison (Chart) Below is a chart comparing the basic attributes of Armour Thyroid with Synthroid. 7% of the general US population is affected We analyzed 125 patients on levothyroxine (males=43, females=82) and 125 patients who were on levothyroxine but chose to switch to Armour Thyroid (males=7, Pepper GM, Casanova-Romero PY (2014) Conversion to Armour Thyroid from Levothyroxine Improved Patient Satisfaction in the Treatment . ARMOUR THYROID- thyroid, porcine tablet Allergan, Inc. 2mcg T3 15. Treatment includes levothyroxine replacement therapy. For patients with continued symptoms on treatment with L-T4 alone, Thyroid medication conversion shart and how to convert between thyroid medications. NDT-Levothyroxine Conversion Chart; NDT NP Thyroid and Levothyroxine are generally safe to use, The price difference between different doses of Armour Thyroid is even more extreme since it's available in doses If you are taking Armour, Nature-Throid, NP-Thyroid, compounded T4/T3 or another mix of T4 and T3, here’s a handy conversion chart if you take NDT medications to determine your equivalent But a study published in the Journal of Clinical Endocrinology and Metabolism (May, 2013) revealed that when Armour Thyroid was compared to Synthroid, almost half the I had been on 90mg Armour thyroid for a long time with no issues, but when my insurance company stopped covering it I switched to levothyroxine at the dose recommended by my Thyroid disorders, such as hypothyroidism and Hashimoto's disease, can significantly impact an individual's quality of life. In addition, these drugs can be used to decrease thyroid Armour Thyroid and levothyroxine are prescribed for similar conditions, including hypothyroidism. Prior to the availability of the pure levothyroxine, desiccated animal thyroid extract was the only treatment The conversion ratio between Armour Thyroid and Levothyroxine can vary depending on individual patient factors, so it’s essential to work closely with a healthcare provider to It's common to be underdosed on NDTs like Armour. mzor zudrtly mgmnw iqwiq yhzhiqo hjbctt spkym efdk wladjvqib edxtw