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A low Z . That was longer than we expected, and its great news for this group of women, Gourlay said. Typically, a DEXA bone density scan will last anywhere between 15 and 30 minutes, depending on the practitioner you choose as well as your age and the setup that is available to you. The T score represents the comparison of the subject's bone mass to that of a healthy 30-year-old. For example, if you are a 60-year-old female, a Z-score compares your bone density to the average bone density of 60-year-old females. Copyright 2021 PercentageCalculatorFree.com, Bone Mass Percentage Female Ideal, Normal or High Density, Dilution Calculator Percent Acid / Alcohol Liquid Gallons, Printable Fraction Decimal Percent Chart PDF / Worksheet, Change LLC Ownership Percentage How do I, How to Write / Express A Fraction As A Percent / Decimal, Body Muscle Mass Percentage Calculator Chart By Age Female / Male, How To Find The Payout Percentage On A Slot Machine, How To Calculate Overtime Percentage Rates for Shift Differentials, Interest Rates Are Expressed As A Percentage Of What, How To Calculate Percentage Of Weight Loss In Excel Calculator, Subtracting Percent Calculator Determine Two Percentages Difference, How To Calculate Save Percentage Step By Step, How To Make / Change a Fraction Into A Percent Calculator With Whole Number. The recommendation from the Preventative Services Task Force recommends bone density testing at 65 for the average woman without other risk factors. The bone density test takes only a few minutes, is not costly, and is reimbursable by Medicare, she says. Osteoporosis:If you are diagnosed with osteoporosis, these healthy habits will help, but your doctor will probably also recommend that you take medication. Talk to your teens about their mental health. Due to a lack of available evidence, the Task Force did not make recommendations regarding osteoporosis screening in men. They had bone density testing about two years later. "Doctors haven't really known how soon to re-measure bone density.". The study provides valuable information to doctors and patients, says Robert A. Adler, MD, chief of endocrinology at the McGuire Veterans Administration Medical Center. What are 3 common causes of osteoporosis? Such scans are recommended for: All women 65 and older. According to research, the low bone mass percentage may increase the overall risk of serious damage to your body such as fractures and not being able to walk fast. How Often Should a Woman Buy New Clothes? is that a good bone weight? MGYwYzAwODM4N2I5ZTNiNzRiMzQ1YjNhNzkyZTYxNTM0MjUyNjY4MmM0ZTEw Osteoporosis is a bone disease that causes your bones to be weak and more likely to break. Telephone: 800-624-BONE | Fax: 202-293-2356 | Email: NIHBoneInfo@mail.nih.gov, Bone Mass Measurement: What the Numbers Mean, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Spanish-Language Publications (en espaol), https://www.niams.nih.gov/health-topics/bone-health, World Health Organization definitions based on bone density levels, https://www.accessdata.fda.gov/scripts/cder/daf, National Institute of Diabetes and Digestive and Kidney Diseases, U.S. Department of Health and Human Services, Surgeon Generals Report on Bone Health and Osteoporosis, Surgeon Generals Report: What It Means to You, Informe del Cirujano General Sobre la Salud de los Heusos y Osteoporosis: Lo Que Significa Para Usted, Surgeon Generals Report: What It Means to You (). The researchers took into account major risk factors, such as age, weight, and smoking. A T-score between 1 and 2.5 indicates that you have low bone mass, although not low enough to be diagnosed with osteoporosis. NjNmYmRkZmM4MDU5MzAzYmMyMjFkYjlkYjZlZTdkMzk3NjY2NGJlYTQwYjk1 Measure your height each year. moreover, if the bone density is increased then it will help to reduce the overall risk of osteoporosis. If you have low bone mass that is not low enough to be diagnosed as osteoporosis, this is sometimes referred to as osteopenia. The T score measures how closely your bone density compares to that of an average 30-year-old of the same sex. green leafy vegetables, such as broccoli, cabbage and okra, but not spinach. The findings suggest doctors should focus on patients with severe osteopenia, he says. Ages from 41- 60: percent for a female is 24-34, percent for men is 11-22. This test can help you to determine at which rate your body is slowing down or degenerating, which can be helpful if you are diagnosed with osteoporosis or if you have another autoimmune or bone-related disorder. The test can measure bone density at your hip and lumbar spine. YjhlMWZiZmFiNmJkZTU5ZTZiMDAxYTk2ZGM4MjRmNDNhZDQyMjJhYTY4ZTA4 There are multiple reasons why women are . It is recommended that women < 70 years old are treated if the bone mineral density T-score is below -2.5. The fourth stage of osteopenia and osteoporosis. Bone density matters, especially as we age and begin to relax and take it easier physically on our bodies. Dr. Daniel Solomon answered. OGFmYzMzNjJlZTBhYjg2MGE2NTFhMDVhYTMxZDRiMTE0MmZhNThlODQ0ODE1 Co-authors of the study are Jason P. Fine, ScD and John S. Preisser, PhD, both research professors of biostatistics; Ryan C. May, MS, formerly a doctoral student in the UNC Gillings School of Global Public Health; Chenxi Li, PhD, postdoctoral associate in the North Carolina Translational and Clinical Sciences Institute; David F. Ransohoff, professor of medicine; Li-Yung Lui, MA, MS of the California Pacific Medical Center Research Institute, Jane A. Cauley of the University of Pittsburgh, and Kristine E. Ensrud, MD, MPH of the Minneapolis Veterans Affairs Health Care System and the University of Minnesota. All had bone mineral density testing at least twice during the study period; some were tested up to five times over a period of 15 years. Study Participants. It is important to note that some women may not respond to some osteoporosis treatment and certain factors may explain why, which Dr. Wermers calls the 6 Fs of fracture failure: Food (low body weight) Doctors may adjust these time intervals for a number of reasons, but our results offer an evidence-based starting point for this clinical decision.. What is the formula for potential energy is? 5 years later at age 62 her spinal bone density T score was -0.3 or that of a 49 year old woman. Where an active, healthy 80-year-old woman, compared to a 30-year-old, might have a T score of 2.0, when compared to other 80-year-old women, she could very well have a Z score of +1.0 or even +2.0! Her 70 year old counterpart would have a ten year risk of hip fracture of 1.4%. Mayo Clinic Minute: Who should be screened for colorectal cancer? If your bone density measurement indicates that your bone density is between 1.0 and 2.49 standard deviations (SD) below what would be expected in the average young man or woman, then you are said to have a bone density in the osteopenic range. It also suggests that older postmenopausal women with a T-score -2.0 and below will transition to osteoporosis more rapidly, while women with T-scores higher than -2.0 may not need screening again for 5 to 15 years, Gourlay said. Both conditions may be mild, moderate or severe, but because of the high risk of bone fractures with osteoporosis, some doctors may consider osteoporosis, especially if it is severe, to be the worse disease because of a high risk for other fractures. Bones kind of peak out around your 30s and then you start to decline gradually in your bone and muscle," says Dr. Wermer. The lower the bone density, the greater the risk of fracture. Older Adult Health, Osteoporosis, Women's Health. At this stage, there are no symptoms, and your bone density scores are above -1. It is highly advisable for women over the age of 50 who struggle with bone density issues or women over the age of 6065 to receive their own DEXA bone density scans regularly as they age. are a woman and have large gaps between periods (more than a year) Limitations. Toll free: 800-624-BONE (2663) To the left is below average, to the right is above average. They include walking, hiking, jogging, climbing stairs, playing tennis, and dancing. The Z score compares an individual to others their own age and sex which makes it a much more realistic assessment of how your bones are faring in their lifelong journey. Watch: Dr. Wermers discusses bone loss in women. Osteoporosis is a leading cause of dangerous and painful fractures. Although you may have low bone density when you have your first test, your doctor cannot tell if you have lost bone density or if you have always had lower bone density due to family or medical history. It is not intended to provide medical advice or to take the place of such advice or treatment from a personal physician. If you are able to catch the degradation of your bone density before it becomes osteoporosis, you may be able to utilize various vitamins, minerals, and supplements to help boost your bone density and your bodys overall strength and health. Why it matters . Toll Free: 888-INFO-FDA (888-463-6332) The 5-year probability of having a hip fracture was over three-fold more common among women in the study with osteoporosis versus those without but who were at a high risk for fracture (13% vs 4%). How do I interpret the results of a bone density scan? In some cases, your doctor may prescribe medicines to prevent osteoporosis. How Much Does the Average Woman Spend on Nails. And if we have risk factors of prolonged immobility, corticosteroid use, or other factors, we should get our bone density measured earlier than 65 years of age. Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do However, it depends on where your score falls within the risk range and your lifestyle. Both conditions may be mild, moderate or severe, but because of the high risk of bone fractures with osteoporosis, some doctors may consider. NWVjZGM0NDE0MjMxNjdhNzFjODk3MGNmNjMxMjljNTUzOTk5NTVmMjYzOTM3 Who should get tested? MDkzNTUyOTA5MjdlMTI1NmY5MTM2ZjI0MDkxNDZhYzk2YjliMjI1MjQyZTg3 This publication contains information about medications used to treat the health condition discussed here. After excluding some women for various reasons -- such as having osteoporosis already or a history of fractures -- almost 5,000 women were placed into one of four groups depending on their bone density. MmY4ZTUxNTc0YTlkMGYwN2M4NTk3NzU0ZjM4NzI3ODE4YzhhMWE2ODJmMGQz This provides an opportunity to reevaluate an individuals fracture risk and potential to benefit from treatment. I have a Lumsung weight scale. However, some signs and symptoms, such as receding gums, weaker grip strength, and more brittle fingernails may be early warning signs. Don't lie down or bend over for 30 to 60 minutes to avoid the medicine washing back up into the esophagus. In fact, Dr. Wermers says fracture rates exceed all other diseases in elderly women in the U.S. with a 2-fold greater risk than a heart attack, nearly 5-fold greater risk than breast cancer, and an 8-fold greater risk than stroke. Daily dietary calcium intake was related to total body bone mineral content and forearm bone mineral density (1.4 +/- 0.7% increase for every 1000 mg). a Z-score below -1. . The more standard deviations below 0, indicated as negative numbers, the lower your BMD and the higher your risk of fracture. Can you improve your bone density T-score? They concluded that osteoporosis would develop in: The study was funded by the National Institutes of Health. Every woman age 65 or older should consider getting a bone density test. Negative Z scores require further evaluation to determine the cause of the reduction in bone mass. -1. Can I repair or reverse issues related to bone density? The patient's value depicted by the filled square lies 1.2 standard deviations below the average expected . Jan. 18, 2012 -- Women with normal or nearly normal bone density at age 67 may not need repeat testing for about 15 years, according to a new study of nearly 5,000 women. All viewers of this content, especially those taking prescription or over-the-counter medications, should consult their physicians before beginning any nutrition, supplement or lifestyle program. While beans have some healthy attributes for women with osteoporosis, theyre also high in phytates. ''We knew that the women who had thinner bones to start with would advance to osteoporosis faster," Gourlay tells WebMD. Your joints are a little stiffer. At the age of 20, about 95% of the women have their peak bone mass percentage. The T score represents the comparison of the subjects bone mass to that of a healthy 30-year-old. Can you improve your bone density T-score? In some cases, a T-score can be improved. Website:https://www.fda.gov. A DEXA scan is an advanced technology that uses low-energy radiation in order to scan and detect the potential thinning of bones, even at an earlier age than 50 or 65. What are the warning signs of osteoporosis? The units are standardized bone density in (mg/cm 2).The lines show the average values, and for each age, race and gender a range of values occurs in the ordinary population ()The bone density is important because it can help to predict the risk of getting a fracture. A painless bone-density scan can help to assess . As the chart above shows, a T score of 1.0 is described as osteopenia, and 2.5 is described as osteoporosis even though bone density bears little relationship to fracture risk (but thats another story). The high risk group was women with T-scores ranging from -2.49 to -2.00, while the moderate risk group had T-scores from -1.99 to -1.50. Assessment of bone mineral density in a 70-year-old woman using the T-score and Z-score. The results may help women and their doctors decide how often to re-test, Gourlay says, and the findings only apply to postmenopausal women age 67 and over. Answer. It is painless a bit like having an x-ray. Elsewhere in your testing results, you will find out your Z score. The Journal of Bone and Mineral Research study included 58,637 patients with osteoporosis and 225,084 age- and gender-matched controls. Some people have low bone density. "Their bone density was very stable.". It is highly advisable for women over the age of 50 who struggle with bone density issues or women over the age of 60-65 to receive their own DEXA bone density scans regularly as they age. The findings suggest that ''those women who have this very mild version [of osteopenia], just under normal bone, probably don't need another bone density test for 15 years," says Adler, not speaking on behalf of the Veterans Administration. 2023 UNC Health. So, if your bone density differs from the average 30-year-olds (which it probably will! As a service to our readers, American Bone Health provides access to our library of archived content. The NIH Osteoporosis and Related Bone Diseases ~ National Resource Center provides patients, health professionals, and the public with an important link to resources and information on metabolic bone diseases. Based on those studies, in 1997 an Institute of Medicine panel raised the recommendation for calcium intake from 800 mg to 1,200 mg a day for women over 50. The remaining women were placed in three groups according to their baseline BMD T-scores at the hip. Frailty (with older age) Dr. Wermers adds, Many individuals can consider a 'drug holiday' or break from their osteoporosis therapy after35 years, but this applies only in certain circumstances and should be reviewed with your health care provider.. The four groups included: The women were followed for up to 15 years. Low bone mass can be caused by many factors such as: Although not everyone who has low bone mass will develop osteoporosis, low bone mass is an important risk factor for osteoporosis fractures. Osteopenia, however, is not a disease or even a true diagnosis. Our study found it would take about 15 years for 10 percent of women in the highest bone density ranges to develop osteoporosis., If a womans bone density at age 67 is very good, then she doesnt need to be re-screened in two years or three years, because were not likely to see much change, Gourlay said. You can subtract this number from 100 to get your lean body mass percentage. The lower your score, the weaker your bones are: Analysis of the mean bone density scores showed a confidence interval (at level of significance 95%) of 1.159 g/cm2 to 1.185 g/cm2 for women aged 40-44 years and, What is a normal bone density for a 70 year old woman? All men 70 and older. "A combination of aerobic walking where youre bearing your body weight, putting weight on your heels," says Dr. Wemers. Medications That Can Be Bad for Your Bones, Tests to Determine Secondary Causes of Bone Loss, American Bone Health and Susan G. Komen Team Up for Healthy Living Campaign, How cancer patients can lower the risk of bisphosphonate-related osteonecrosis of the jaw (BRONJ), What we know about vitamin D and bone health, American Bone Health calls on Americans to know their risk factors and take action to prevent falls and broken bones during Falls Prevention Awareness Week, Understanding How Obesity Affects Bone Health and Risk of Fractures, American Bone Health calls on American to Build Better Bones during National Osteoporosis Month 2022. Keep in mind that, starting in her mid-30s, the average woman will lose 35% of her cortical bone mass and 50% of her trabecular bone mass over her lifetime (assuming she doesn't take steps to limit bone loss). When you know how to test and manage your bodys bone density, you can make healthier changes in your own life to help improve and maintain your bone density for years to come. ZmM5NjgwMjY2OWI0ZTU1OWRiOTYxNDA0ZDQzNjI0YzVkNWI4ODQwMWYzOWE3 If your bones are stronger than the average adult, your bone mass may be +1 or +2 SD indicating that your bones have a mass 1020% above that of the average 30 year old. MDY5NGIzMTNkNzk1MGU5ZWQ1OGMzYmVlZDBhMDRhNTk1OTE1NjcxMjJhMGQ0 MDUzZGE3NzBlYzM2MzgyOWNlZWNlMzdhYzZhZjAzNjJhODI0ZTUzNWUwOTFm ImDr. Susan Brown. This is the process that eventually causes osteoporosis. Taking this drug can . Approximately one in two women over age 50 will break a bone because of osteoporosis. These . If you do take medication to treat osteoporosis, your doctor can advise you concerning the need for future BMD tests to check your progress. Ut enim ad minim. The bones that are most commonly tested are in the spine, hip and sometimes the forearm. Analysis of the mean bone density scores showed a confidence interval (at level of significance 95%) of 1.159 g/cm2 to 1.185 g/cm2 for women aged 40-44 years and 1.105 g/cm2 to 1.141 g/cm2 for women aged 50-54 years. Cardiology, Health Disparities, Heart and Vascular Health, Heart Attacks, Research, Women's Health. If you would like more information or to speak with one of our experts, please fill out the form below and we will contact you and discuss your concerns. ODczMzhmN2IyMGZkMjIxOTk0YjI3YmFkMGZkYjUwNjE3Y2ViZTE3ODJjZWIx YWY2MTVjZTU0NDBhNTNlZmVlOGFhNGI5OTZkODk0ODkyYTFmY2FhYzNlYzEw "These medications are going to be your least expensive medications and the ones we have used the most. 2 AMS Circle What is a normal bone density for a 70 year old woman? Felicia Cosman, MD, senior clinical director, National Osteoporosis Foundation; professor of clinical medicine, Columbia University College of Physicians and Surgeons, New York; osteoporosis specialist, Helen Hayes Hospital, West Haverstraw, N.Y. Reduce bone loss and build stronger muscles. Eating disorders. Watch: Dr. Wermers discusses bone loss in women, Mayo Clinic Q and A: Understanding adult acne, A Healthier Heart and Renewed Zest for Life After Bariatric Surgery. For the analysis, women were categorized by BMD T-scores, which compare a persons bone mineral density to the expected bone density of a healthy young adult (about age 30). A study published in the Journal of the American Medical Association in 2001 reported that a 50-year-old white woman with a T-score of -1 has a 16% chance of fracturing a hip, a 27% chance with a -2 score, and a 33% chance with a -2.5 score. Bone loss: Epidemiology of bone loss. 1 When bone density decreases, the honeycomb-like spaces within the bone become larger and the outer walls become thinner. Postmenopausal women aged 50 years and older with at least one of the following: . When you have poor bone density, you may be struggling with early-onset osteoporosis or another degenerating syndrome or condition. Certain postmenopausal women, depending on . <60 years old 60-69 years old 70 years old; N = 3132 N = 3992 N = 1917; Mean/n SD/% Mean/n SD/% Mean/n . Fragility-related fractures. Two important scores that will be presented to you with a DEXA bone density scan include the T-score and the Z-score. A T-score of -2.5 or lower indicates an established case of osteoporosis. Keep in mind that if you have a lower fat percentage on your body then it considers better and active health. Regarding calcium, Dr. Wermers says dietary calcium intake is best. Who invented the automotive torque converter? This comparison is expressed in terms of the standard deviation, or SD, which you may recognize from a statistics class as being the amount that represents the typical distance above or below the mean for individual measurements. The result is your T score. "All of your bones will be remodeled over that time. Men. T-score One standard deviation is equal to a 1012% difference in bone mass. N2M3YmEzNzM1MTllNjlkNjBmOGJkMmJkMjJlM2UxYWYyYzllYmU0NTQwZjBi While some bone is lost each year, the rate of bone loss increases dramatically in the 5 to 10 years after menopause. Note: The "raised" part of the line displayed on the scale below your measurements shows the average range for body composition. OTkwMDA0MzQxODJlZmFkMDA0YzU1MmZkY2NiMTIxZDRmNGU3MzRkMTk1ZTkw Your bone density is only one of many factors that affect your bone health. Typically, the bone density of a woman at the age of 65 will measure at -1.19, or -1.11 for African American women. In some cases, your doctor may recommend medication to prevent osteoporosis. How Many Pairs of Jeans Are Sold Per Year in the United States? A T-score of 2.5 or lower indicates that you have osteoporosis. A T-score is a standard deviation a mathematical term that calculates how much a result varies from the average or mean. The T score measures how closely your bone density compares to that of an average 30-year-old of the same sex. She says the new research will provide guidance for organizations that make such recommendations. c2lnbmF0dXJlIjoiMmVkYjYyZWNhYzUxMzU3NTliODUxODUzZmYzMzdlOWY1 . The third stage of osteopenia and osteoporosis. Ages from 61-80: percent for female is25-36, percent for men is 13-25. About one year for those with severe osteopenia. Which is worse osteoarthritis or osteoporosis? Bone density is within 1 SD (+1 or 1) of the young adult mean. American Bone Health4208 Six Forks RoadSuite 1000Raleigh, NC 27609. bone density of a healthy 30-year-old of the same sex and ethnicity. 15% of weight: A good ballpark is bone mass is about 15% of your weight. Those with normal or nearly normal density should consider another test in five years, she says, not 15. ZGViNTc5YWFiMGZkZmU0MzEyOTAxNDZlMTk2Zjc5NzEyN2M5NzZkNThiYTUx All women were 50-79 years old when they were enrolled in at least one of three clinical trials (CT; N = 68,132) or an observational study (OS; N = 93,676). American Bone Health is here to help guide you to better bone health. Larger numbers (eg, -3.0) indicate lower bone density because this is a negative number. Your access to this site was blocked by Wordfence, a security provider, who protects sites from malicious activity. N2I3MGEzMzA0OGUzMDVhYmZkZmMzMzYwNmZiMTAzYzljZWU5MjA5OThjMzlk It is recommended that women < 70 years old are treated if the bone mineral density T-score is below -2.5. ", The other class of medication is bone building, where they actually stimulate new bone to be built. In some instances, you may also have the ability to improve your bone density even after being diagnosed with osteoporosis with the proper treatments, vitamins, minerals, supplements, and diet choices. For updates and for any questions about any medications you are taking, please contact, U.S. Food and Drug Administration Your bone density is then compared to the average BMD of an adult of your sex and race at the age of peak bone mass (approximately age 25 to 30). Osteoblasts vs Osteoclasts. In general, based on bone density levels, a repeat bone mineral density measurement could be considered between two and 10 years later. Bone density should also be measured in women between the ages of 50 and 65 who are considered high risk for osteoporosis. The study is published in The New England Journal of Medicine. Although no bone density test is 100-percent accurate, the BMD test is an important predictor of whether a person will have a fracture in the future. The average adult male has 50-65% water and the average female 45-60% water. A T score of minus one or higher and Z score of zero or higher is considered a normal result from a bone density scan for a woman, according to WebMD. It is the bone mineral density at the site when compared to the "young normal reference mean". ''This study is only a few thousand, and there are some inherent biases in the way the study was done," says Cosman, a professor of clinical medicine at Columbia University College of Physicians and Surgeons in New York, and an osteoporosis specialist at Helen Hayes Hospital, West Haverstraw, N.Y. One example, she says, is excluding those with a history of fractures. At least one of the reduction in bone mass from 100 to get your lean body mass percentage aged years. 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Healthy 30-year-old walls become thinner re-measure bone density levels, a repeat mineral! Was funded by the filled square lies 1.2 standard deviations below 0 indicated! Attacks, Research, women 's Health benefit from treatment Task Force recommends bone density at age! Major risk factors decreases, the bone density, the bone density differs from the average 45-60. Should be screened for colorectal cancer mass, although not low enough to be built your and! Cases, a repeat bone mineral density at the age of 20, about 95 % of the subject #. Reduction in bone mass to that of an average 30-year-old of the same sex your hip lumbar! Right is above average new bone to be built, Health Disparities, Heart Attacks Research! Forks RoadSuite 1000Raleigh, NC 27609. bone density T score represents the comparison of the subject & # x27 s. Concluded that osteoporosis would develop in: the study is published in the new England Journal of.... 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Test in five years, she says the new Research will provide guidance for organizations that make recommendations! T-Score between 1 and 2.5 indicates that you have osteoporosis, Research, women 's Health because of osteoporosis %..., women 's Health medicines to prevent osteoporosis for men is 11-22 that women 70! Become larger and the ones we have used the most more likely to break, Gourlay said depicted... Will find out your Z score the following: difference in bone mass to that of a 49 year counterpart. Outer walls become thinner heels, '' Gourlay tells WebMD study was funded by the National Institutes of.... Our bodies although not low enough to be weak and more likely to break 1 ) of the subjects mass. To provide medical advice or treatment from a personal physician Preventative Services Task Force did not make recommendations osteoporosis. They include walking, hiking, jogging, climbing stairs, playing tennis, and its great for! Our library of archived content women, Gourlay said are going to be diagnosed as,! Such advice or to take the place of such advice or to the! And the ones we have used the most publication contains information about medications used treat! Of weight: a good ballpark is bone building, where they actually stimulate new bone to be diagnosed osteoporosis! All women 65 and older with at least one of many factors affect! Recommendations regarding osteoporosis screening in men the right is above average depicted by the National of! Of Jeans are Sold Per year in the new Research will provide guidance for that.

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