Understanding the Different Sensations

People often use the term dizziness to describe several distinct physical feelings. You might experience vertigo, which creates a severe illusion that the room is spinning rapidly around you. Alternatively, you might feel a general unsteadiness, as though you are walking on uneven ground, or a sudden presyncopal feeling where you fear you might faint.

Pinpointing the exact nature of your symptoms is the crucial first step in your diagnosis. Neurological issues often present alongside these balance disturbances. You should arrange a clinical assessment if your symptoms occur alongside severe headaches, visual disturbances, numbness in your limbs or sudden difficulty speaking. These combined symptoms indicate that the problem lies within your central nervous system rather than just your inner ear.

Neurological Causes of Balance Issues

The human balance system relies on continuous communication between your eyes, your inner ear and your brain. When a neurological condition disrupts this complex network, the resulting symptoms are severe. Dr Paviour possesses extensive experience in diagnosing a wide range of conditions that trigger these disruptive episodes.

Vestibular migraines cause intense spinning sensations that last for hours, even without the presence of a traditional throbbing headache. Conditions affecting the brainstem or cerebellum can also cause a profound loss of coordination. Furthermore, sudden and severe balance failure requires urgent investigation to rule out transient ischaemic attacks or early signs of multiple sclerosis. Relying on guesswork delays your access to targeted therapies and allows the underlying condition to progress.

The Specialist Diagnostic Pathway

Neurology requires a meticulous, evidence-based approach. During your private consultation, Dr Paviour listens carefully to your exact experiences. He conducts a thorough physical and neurological examination, testing your reflexes, eye movements and coordination to isolate the source of your instability.

To confirm your diagnosis, he may arrange rapid access to advanced diagnostic imaging. High-resolution MRI or CT scans of your brain provide clear, detailed structural information. This thorough investigation rules out serious pathology and provides a definitive answer regarding your symptoms.

Creating a Targeted Treatment Strategy

Receiving an accurate diagnosis dictates the success of your recovery. Once Dr Paviour identifies the exact cause of your symptoms, he works with you to develop a personalised management plan.

If a vestibular migraine is the root cause, he can prescribe specific preventative medications to stop the attacks from occurring. For other central nervous system issues, your treatment might involve targeted vestibular rehabilitation therapy. This specialist physiotherapy trains your brain to compensate for balance deficits, reducing your symptoms and improving your daily mobility safely.

Book a Neurological Assessment

To discuss your symptoms and find out their cause, please get in touch today to book your private appointment with Dr Dominic Paviour.

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Distinguishing Standard Ageing from Cognitive Decline

Standard ageing affects processing speed rather than core intelligence. You might take longer to learn a new skill or struggle to recall a specific word during a conversation. A healthy older adult later recalls the forgotten information and retains the ability to retrace their steps to find lost items. These minor interruptions do not prevent you from managing your finances, driving a vehicle or living independently.

Recognising the Clinical Warning Signs

Pathological memory changes present differently from standard forgetfulness. The decline affects your ability to function and often becomes noticeable to family members before you recognise the issue yourself. You must seek a specialist neurological assessment if you or a relative experience:

• Getting lost while driving or walking in familiar neighbourhoods.
• Asking the exact same questions multiple times within a short timeframe.
• Struggling to follow instructions for tasks you previously completed with ease, such as following a recipe or using a familiar household appliance.
• Experiencing sudden confusion regarding the current date, time or your physical location.
• Showing unexplained changes in mood, judgement, financial decision-making or social behaviour.

The Value of a Specialist Neurological Assessment

Neurology relies on precise data. Assuming all cognitive decline is dementia prevents you from accessing the correct medical support. During your private consultation, Dr Paviour takes a detailed medical history and listens to your exact symptoms. He conducts structured cognitive tests to evaluate your current memory function, language skills, spatial awareness and problem-solving abilities.

To confirm a diagnosis, he arranges advanced diagnostic imaging. A high-resolution MRI scan of your brain identifies structural changes, tissue shrinkage or evidence of previous minor strokes. Specific blood tests rule out alternative systemic medical causes.

Treatable Causes of MEMORY CHANGES

A decline in mental sharpness does not automatically equal an Alzheimer’s diagnosis. Several treatable medical conditions mimic the exact symptoms of dementia. Severe vitamin B12 deficiency, underactive thyroid function, chronic depression, systemic infections and sleep apnoea all cause significant cognitive impairment. A thorough evaluation by Dr Paviour ensures these reversible conditions are identified and treated. Resolving these underlying issues often restores your mental clarity completely.

Ongoing Management and Medical Support

If your assessment confirms a progressive neurological condition, receiving an early diagnosis offers distinct advantages. It allows you to access specific medications designed to slow symptom progression and preserve your independence for as long as possible. A definitive diagnosis provides you and your family with the time required to plan for the future and establish a robust support network. Dr Paviour provides continuous medical supervision, adjusting your management strategy as your clinical requirements evolve.

Your Private Neurological Consultation

If you are concerned about cognitive health and wish to arrange a clinical evaluation, you can book a private consultation with Dr Paviour. Please contact the practice to schedule an appointment and discuss your symptoms.

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By choosing private care in the capital, you bypass the delays of standard healthcare routes and secure immediate answers.

The Advantage of London Clinics

Living or working in the city means you have direct access to some of the most advanced medical diagnostic technology available. Choosing a specialist who operates across central and south-west London ensures you can easily fit your medical appointments around your professional and personal commitments.

Dr Paviour consults at several hospitals, including The London Clinic in Marylebone, One Welbeck, HCA Sydney Street in Chelsea and Parkside Hospital in Wimbledon. This flexibility allows you to select a highly comfortable, modern clinical environment that requires minimal travel time.

Fast Answers for Worrying Symptoms

Neurological conditions often present with confusing or overlapping signs. You might notice persistent dizziness, uncharacteristic memory slips, muscle weakness or changes in your balance. Waiting weeks to discuss these issues only increases your anxiety.

Booking a private consultation ensures you receive immediate attention. During your appointment, Dr Paviour takes the time to listen closely to your history and understand exactly how your symptoms disrupt your daily routine. If you need further investigation, he arranges rapid access to essential tests, such as MRI scans or nerve conduction studies. Because these investigations take place privately, he can review your results promptly and provide a definitive diagnosis in days rather than months.

Targeted and Personalised Care

Every neurological issue demands a highly individualised approach. Dr Paviour treats a wide variety of conditions, ranging from complex migraines and epilepsy to movement disorders like Parkinson’s disease.

Once he confirms your diagnosis, he builds a treatment strategy focused entirely on your specific needs and lifestyle goals. He explains your condition clearly and avoids unnecessary medical jargon, ensuring you understand all your available options and feel completely confident in the steps ahead.

Appointments with your Neurologist based in London

Ignoring worrying physical changes often leads to worsening discomfort and prolonged stress. Acting early gives you the best chance of managing your symptoms successfully.

To discuss your concerns and arrange an assessment with a leading neurologist based in London, please contact us today. Our dedicated team will help you find a convenient time at your preferred clinic location, allowing you to start your recovery process immediately.

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If you are looking for a private consultant neurologist, Dr Dominic Paviour provides rapid access to expert diagnostic care across several premier London clinics. He offers the time and clinical expertise required to correctly identify your condition and help you manage it successfully.

Comprehensive Neurological Assessment

Neurology covers a vast array of conditions affecting the brain, spinal cord, nerves and muscles. Because symptoms often overlap, securing an accurate diagnosis requires a thorough, methodical approach. Dr Paviour assesses and manages a wide range of neurological disorders, including:

• Headaches and migraines
• Dizziness and balance issues
• Parkinson’s disease and other movement disorders
• Multiple sclerosis (MS) and inflammation of the nervous system
• Epilepsy and seizure disorders
• Peripheral nerve and muscle disorders
• Dementia and cognitive decline

While he maintains a broad diagnostic practice, Dr Paviour holds a specific clinical interest in Parkinson’s disease and movement disorders, currently serving as the clinical lead for this specialty within his NHS trust.

What to Expect From Your Consultation

When you book a private appointment, you receive dedicated, unhurried time to discuss your medical history and current concerns. Dr Paviour prioritises clear communication, ensuring you feel listened to and entirely involved in your care.

During your initial consultation, he will ask detailed questions about the nature of your symptoms and how they impact your daily life. Following this, he will conduct a physical examination focusing on your nervous system, testing your muscle strength, coordination, reflexes, sensation and vision.

If further investigation is necessary, Dr Paviour arranges rapid access to advanced diagnostic testing. This might include MRI or CT scans, electrical tests of the nervous system, or specific blood tests. Because these tests are coordinated privately, you usually receive your results within a few days, allowing your treatment to begin promptly.

Accessible Clinics Across London

You should not have to travel extensively to receive top-tier medical care. To make your appointments as convenient as possible, Dr Paviour consults at several easily accessible, modern hospital locations across London:

• Parkside Hospital in Wimbledon
• HCA Sydney Street in Chelsea
• The London Clinic in the Harley Street medical district
• One Welbeck in Marylebone

Each of these facilities provides a comfortable, highly professional setting equipped with state-of-the-art diagnostic technology. This ensures your entire journey, from initial assessment to ongoing management, takes place in a calm and supportive environment.

Book Your Appointment Today

Living with unresolved neurological symptoms affects your wellbeing and peace of mind. Taking proactive steps to identify the root cause allows you to take control of your health.

To arrange an initial assessment with a highly experienced private consultant neurologist, please contact the practice today. The team will help you find a suitable appointment time at the London clinic location most convenient for you.

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Dr Dominic Paviour is a private consultant neurologist London patients can choose. Practising at top private medical centres, including Welbeck in Marylebone, Dr Paviour focuses on accurate early diagnosis and individualised treatment plans.

Comprehensive Diagnostic Neurology in Central London

Neurological conditions can affect every part of the nervous system, from the brain and spinal cord to peripheral nerves and muscles. Many conditions share similar early symptoms. A accurate diagnosis requires deep clinical experience and meticulous investigation.

Dr Dominic Paviour is Clinical Lead for Movement Disorders at St George’s University Hospital NHS Foundation Trust. He brings decades of high-level NHS and private experience to his London consultations. Trained at top London teaching hospitals and awarded the prestigious Medical School Gold Medal, Dr Paviour holds a PhD from the Institute of Neurology.

His clinical focus centres on clear diagnostic reasoning. He investigates complex, overlapping symptoms to pinpoint the exact root cause of your discomfort.

Key Conditions and How Dr Paviour Can Help

Dr Paviour provides evaluation and evidence-based management for a broad spectrum of neurological issues.

Movement Disorders and Tremors

If you notice involuntary shaking, muscle stiffness, or changes in your walking pattern, early specialist assessment is essential. Dr Paviour manages Parkinson’s disease, essential tremor, dystonia, and restless legs syndrome. He creates targeted strategies to reduce physical strain and preserve your daily mobility.

Chronic Headaches and Migraines

Severe or frequent headaches can disrupt your daily routine. Dr Paviour offers advanced therapies for chronic migraine and complex headache syndromes. His treatments include targeted Botox injections for chronic migraine and greater occipital nerve blocks to deliver lasting relief.

Unexplained Blackouts, Seizures, and Epilepsy

Experiencing a blackout or unexpected loss of consciousness requires urgent medical investigation. Dr Paviour carries out thorough assessments to distinguish epileptic seizures from cardiac or faint-related events. He uses home video telemetry to monitor brain activity in your natural environment.

Peripheral Nerve Damage and Numbness

Tingling, numbness, or pins and needles in your hands and feet often point to nerve irritation or peripheral neuropathy. Dr Paviour carries out detailed nerve studies to identify damage early, preventing long-term nerve degeneration.

Neurological Health in Pregnancy

Managing neurological conditions during pregnancy requires specialised, careful oversight. Dr Paviour provides tailored clinical guidance to help expectantly managing pre-existing or new neurological symptoms safely.

What to Expect During Your Private Consultation

Booking a private appointment in London ensures a thorough, unhurried medical evaluation.

Your journey starts with an in-depth 30-minute consultation. Dr Paviour takes time to review your medical history, discuss your lifestyle, and analyse your exact symptoms. He conducts a thorough physical neurological examination to assess reflexes, coordination, and nerve function.

Should you require further testing, Dr Paviour arranges rapid access to advanced diagnostics. On-site high-resolution MRI scans, blood tests, and neuro-physiological studies are organized promptly. Once your results are complete, Dr Paviour explains the findings clearly and works with you to choose the best treatment path.

Appointments with your Private Consultant Neurologist London

Booking an appointment with Dr Paviour is straightforward and you can choose a time to suit your schedule. Whatever your symptoms, getting an expert opinion is helpful.

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Leading this specialised service in Marylebone is Dr Dominic Paviour, Consultant Neurologist at Welbeck. Dr Paviour brings exceptional clinical depth to his practice at Welbeck, offering patients immediate access to expert diagnostic neurology and compassionate care.

A Premier Centre for Neurological Care at Welbeck

Located at 1 Welbeck Street in Central London, Welbeck sets a modern standard in private healthcare. The clinic builds its approach around seamless, patient-centred efficiency. It combines cutting-edge diagnostics, bespoke consulting suites, and rapid testing facilities under one roof.

Visiting Welbeck for a neurological assessment connects you with an integrated healthcare setup designed to eliminate long waiting lists. Welbeck provides high-resolution MRI scanners and specialized outpatient procedure suites. Everything needed to evaluate complex conditions is available on site. You can move smoothly from your initial consultation to your diagnostic tests and tailored treatment plan without added stress.

Expert Neurological Care with Dr Dominic Paviour

Dr Dominic Paviour is a key clinical specialist within Welbeck’s neurology department. Trained in London, he graduated in 1998, winning the prestigious Medical School Gold Medal. He completed his MRCP examinations, earned a PhD from the Institute of Neurology, and finished higher specialist training across top London teaching hospitals. Alongside his private practice at Welbeck, he works as Clinical Lead for Movement Disorders at St George’s University Hospital NHS Foundation Trust.

Dr Paviour focuses on clinical diagnostic neurology. He tackles complex, overlapping symptoms to establish accurate, early diagnoses. His deep clinical knowledge covers a broad range of general and subspecialist conditions:

• Movement Disorders and Parkinson’s Disease: Dr Paviour evaluates Parkinson’s disease, essential tremor, dystonia, muscle spasms, and restless legs syndrome. He tailors treatments to help protect your mobility and independence.
• Chronic Headaches and Migraines: Dr Paviour offers advanced interventions for ongoing pain. These include Botox injections for chronic migraine and greater occipital nerve blocks for severe headache syndromes.
• Epilepsy, Blackouts, and Seizures: When investigating unexplained loss of consciousness or seizures, Dr Paviour uses advanced diagnostic tools. He uses home video telemetry to distinguish neurological events from other medical conditions.
• Peripheral Nerve and Sensory Disturbances: Addressing nerve damage, numbness, and tingling, he identifies underlying neuropathies to protect long-term nerve function.
• Neurological Conditions in Pregnancy: Dr Paviour offers specialized guidance for managing neurological conditions safely throughout pregnancy.

What to Expect During Your Patient Journey

Choosing private care with Dr Paviour at Welbeck means experiencing a structured medical evaluation built around your needs.

Your care begins with a comprehensive 30-minute initial appointment. Dr Paviour takes time to review your medical history, analyse your symptom patterns, and perform a clinical examination. He listens closely to understand how your symptoms affect your daily routine.

If you need further tests, Welbeck’s on-site diagnostic suite allows for rapid imaging, nerve studies, or blood tests. Once your results arrive, Dr Paviour works with you to create a clear management plan. Whether your treatment involves lifestyle changes, medication, nerve injections, or monitoring, you remain in complete control of your health choices.

Book Your Consultation at Welbeck

If you experience unexplained neurological symptoms, need a specialist opinion for movement disorders, or seek relief from chronic headaches, expert medical care is ready in Central London. Dr Paviour is your consultant neurologist at Welbeck, and you can arrange an appointment to suit your schedule.

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Why Early Specialist Assessment Matters

Parkinson’s symptoms are often subtle in the beginning. Many people first notice a slight tremor in one hand, stiffness in an arm, or a change in their handwriting. These early warning signs are easy to miss or dismiss as part of normal ageing.

Seeing a neurologist early is important. A specialist can distinguish Parkinson’s from other movement disorders that look similar. Getting an accurate diagnosis prevents unnecessary worry and allows you to start the right care path sooner. Treatment is not just about medication; it is about maintaining your independence and confidence.

Tailored Treatment Approaches

No two patients experience Parkinson’s the same way. Some people struggle most with tremors, while others find stiffness or fatigue to be their biggest challenge. This is why a “one-size-fits-all” approach to medication fails so often.

Effective management requires a constantly evolving plan. Dr Paviour works with you to balance your medication for the best effect. The goal is to keep you moving well, feeling stable, and enjoying your usual activities. He monitors your progress closely and adjusts your treatment as your needs evolve over time.

Living Well with Parkinson’s

The focus of your care should always be your quality of life. This means looking at the whole picture. It includes managing sleep issues, maintaining physical strength through targeted exercise, and addressing mood or energy changes.

You need a specialist who listens to how these symptoms affect your specific routine. When you feel heard, you can make better decisions about your health. Dr Paviour focuses on translating complex medical information into a language you can use, helping you feel in charge of your own journey.

Accessing Private Care

The main advantage of private neurological care is simplicity. You remove the layers of bureaucracy that often delay treatment. You get longer consultations, allowing time to discuss every concern you have. Diagnostics like specialised scans are booked quickly, ensuring you spend less time waiting for answers and more time focusing on your health.

Parkinson’s Disease Specialist London

You do not have to navigate this condition alone. Having a specialist by your side ensures you have a consistent, evidence-based plan for the future. If you or a loved one are concerned about movement symptoms, take the first step towards getting expert clarity.

Contact Dr Paviour’s clinic today to book a private consultation and start a conversation about your care.

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What Does a Consultant Neurologist Actually Do?

A neurologist is a highly trained medical doctor. They diagnose and manage conditions affecting the nervous system. This complex system includes your brain, spinal cord and peripheral nerves.

Patients often visit a neurologist for a wide variety of reasons. You might experience chronic migraines or sudden dizzy spells. Other common symptoms include unexplained numbness, muscle weakness or persistent tremors.

A consultant is the most senior doctor in this medical speciality. They use their extensive training to find the root cause of your symptoms. They then create an effective treatment plan to manage your condition.

The Clear Benefits of Private Neurological Care

Choosing the private healthcare route completely changes your patient experience. It removes the stress of uncertainty and puts your health first.

1. Rapid Access to Care: The biggest advantage is speed. You bypass lengthy waiting times completely. You can often secure an appointment within a few days. This quick access is vital for your peace of mind.
2. Unrushed Appointments: Private consultations allow for much more time. The doctor will listen carefully to your entire medical history. They will perform a thorough clinical examination. You will never feel rushed out of the door.
3. Fast Diagnostic Testing: Neurological conditions often require advanced imaging. Private clinics arrange MRI scans, CT scans or nerve conduction tests instantly. You receive your results quickly, allowing treatment to begin without delay.
4. Continuity of Treatment: You see the exact same specialist at every single appointment. This builds a strong doctor-patient relationship based on trust and clear communication.

Expert Care with Dr Dominic Paviour

Dr Dominic Paviour is a Consultant Neurologist based in London. He understands how worrying neurological symptoms can be. His practice puts your peace of mind first.

He holds senior roles at major teaching hospitals. When you book a private appointment, you get his undivided attention. He cuts through the medical jargon. He explains your condition clearly. Together, you can build a practical plan to manage your health.

His clinics offer direct access to advanced diagnostic tools. Scans happen quickly, and results come back fast.

Private Consultant Neurologist London

Neurological problems require swift, expert attention. Do not waste time and potentially deteriorate when you could be getting peace of mind and the treatment you need. Book a private consultation with Dr Paviour today.

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Dr Dominic Paviour is an experienced Consultant Neurologist in London. He provides expert, reassuring care to help you manage the motor and non-motor symptoms of Parkinson’s.

The Hidden Signs of Parkinson’s Disease

Because non-motor symptoms are invisible, they are frequently overlooked or misdiagnosed. If you have Parkinson’s, you might experience several of these early indicators:

1. Sleep Disturbances: Sleep issues are incredibly common. You might experience severe insomnia. You could also physically act out your dreams due to REM sleep behaviour disorder.
2. Loss of Smell (Anosmia): A significantly reduced ability to smell is a frequent early warning sign. This can occur a decade before any tremors start.
3. Mood Changes: Depression and anxiety are not simply reactions to a difficult diagnosis. They are driven by actual chemical changes in the brain caused by the condition itself.
4. Cognitive Challenges: Memory fog and slowed thinking can occur. You might occasionally struggle to find the right words or plan complex daily tasks.
5. Digestive Issues: Constipation is a very common early indicator. The condition slows down the digestive tract just as it slows down body movements.
6. Profound Fatigue: This is an overwhelming physical and mental exhaustion. It often does not improve even after a full night of rest.
7. Blood Pressure Drops: You might feel suddenly dizzy or lightheaded when standing up quickly. This happens because the autonomic nervous system struggles to regulate blood pressure.

Expert Care with Dr Dominic Paviour

Treating Parkinson’s requires looking past the physical tremor. It demands a complete understanding of how the condition affects your daily routine. Dr Dominic Paviour offers highly specialised care across leading London clinics.

He creates precise management plans that address both the physical and the hidden symptoms. By listening closely to your experiences and monitoring your progress, he ensures you receive the exact support you need. His goal is to protect your independence and keep you feeling comfortable.

Book a Consultation

If you have a diagnosis of Parkinson’s disease or are worried about motor or non-motor symptoms of Parkinson’s, you can book a consultation with Dr Paviour. Get in touch today to book your initial appointment.

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Dr Dominic Paviour is an experienced Consultant Neurologist practicing in London. He provides expert, reassuring guidance to help you navigate your neurological health throughout pregnancy. With individualised treatment strategies, Dr Paviour ensures you feel safe and supported.

Safely Navigating Migraines While Pregnant

Migraines cause severe, throbbing headaches, often with nausea and light sensitivity. For many women, changing hormone levels bring welcome relief during pregnancy. For others, symptoms persist or even intensify.

When you are pregnant, your choice of migraine medication changes significantly. Many standard treatments carry risks for your developing baby.

• Medication Restrictions: Drugs like Sodium Valproate must be avoided during pregnancy. They carry a high risk of causing foetal malformations and affecting brain development. Beta-blockers are also heavily restricted due to risks like slow newborn heart rates.
• Lifestyle Adjustments: Because prescription options are limited, managing personal triggers is vital. Dr Paviour works with you to build healthy routines. Simple changes like fixed sleep schedules, consistent hydration, and stress reduction can naturally lower attack frequency.

Managing Epilepsy: Protecting Mother and Baby

If you live with epilepsy, pregnancy can bring up understandable anxieties. The primary goal is maintaining total seizure control. Uncontrolled seizures pose a danger to both you and your baby.

• Never Stop Medication Alone: Altering your anti-epileptic drugs without supervision is highly dangerous. Sudden changes can trigger severe seizures. These can dangerously restrict your baby’s oxygen supply.
• Proactive Monitoring: Your body processes medication differently during pregnancy as your weight and metabolism change. Dr Paviour reviews your regimen to ensure you are on the safest drug at the lowest effective dose. Regular blood tests keep your medication at a safe, therapeutic level.
• Routine Safeguards: Sleep deprivation and high stress are common seizure triggers. Prioritising rest, eating regular meals, and taking your medication on time are essential.

Expert Specialised Care with Dr Dominic Paviour

Don’t navigate the complexities of neurological wellness during pregnancy on your own. Whether you are planning a family or are already pregnant, booking an appointment with your neurologist is an important step in your care.

Dr Dominic Paviour offers compassionate, evidence-based care across several private clinics in London. He looks past general advice to focus entirely on your unique medical history, building a secure management plan for you and your baby.

Book a Consultation

Protect your neurological wellbeing and enjoy your pregnancy journey with confidence. Get in touch today to find out more about how Dr Paviour can help you throughout your pregnancy.

Photo by Viktoria Matrosova

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