Methodology

Demand for Bone Densitometers in Japan Forecast and Outlook 2025 to 2035

The demand for bone densitometers in Japan is valued at USD 17.6 million in 2025 and is projected to reach USD 23.9 million by 2035, reflecting a compound annual growth rate (CAGR) of 3.1%. This growth is driven by the increasing prevalence of osteoporosis and other bone-related conditions, particularly among the aging population in Japan. As the demand for early detection and preventive healthcare measures rises, bone densitometers are becoming more integral in both clinical and research settings. Additionally, advancements in technology and increased awareness of bone health are contributing to the growing adoption of these devices.

The market shows a steady and consistent growth trajectory over the forecast period. Starting at USD 15.2 million in earlier years, the demand increases gradually each year, reaching USD 17.6 million by 2025, and continuing to rise to USD 23.9 million by 2035. The annual growth is modest but stable, reflecting a consistent rise in demand for bone densitometers. This steady expansion pattern suggests the market is experiencing sustainable growth driven by both the aging population and growing health awareness, which will continue to fuel demand for these medical devices throughout the forecast period.

Quick Stats of the Demand for Bone Densitometers in Japan

  • Demand for Bone Densitometers in Japan Value (2025): USD 17.6 million
  • Demand for Bone Densitometers in Japan Forecast Value (2035): USD 23.9 million
  • Demand for Bone Densitometers in Japan Forecast CAGR (2025 to 2035): 3.1%
  • Leading Product Type by Demand: Axial Bone Densitometers (68%)
  • Key Growth Regions for Bone Densitometers: Kyushu & Okinawa, Kanto, Kinki, Chubu, Tohoku, Rest of Japan
  • Top Players in the Bone Densitometer Industry in Japan: GE Healthcare, Hologic, Inc., Swissray International, Inc., DMS Imaging, BeamMed Ltd.

Japan Bone Densitometers Market Market Value Analysis

What is the Growth Forecast for Bone Densitometers in Japan through 2035?

Demand for bone densitometers in Japan is expected to increase from USD 17.6 million in 2025 to USD 23.9 million by 2035, reflecting a compound annual growth rate (CAGR) of approximately 3.1%. Starting at USD 15.2 million in 2020, the demand gradually rises to USD 17.6 million by 2025. From 2025 to 2030, the demand increases steadily, reaching USD 19.9 million, driven by factors like the growing elderly population and the rising incidence of osteoporosis. By 2035, the demand will reach USD 23.9 million, supported by greater awareness, more screening programs, and the ongoing replacement of older equipment with advanced bone densitometers that offer improved accuracy and functionality. Technological advancements and regulatory support will further boost adoption during this period.

The growth contribution from volume and price will be significant over the next decade. Volume growth will account for approximately 65% of the overall demand increase, driven by the expansion of clinical adoption and rising awareness about osteoporosis prevention. By 2035, an estimated 65% of the demand increase will be attributed to more units being installed in hospitals, clinics, and diagnostic centers. The remaining 35% will come from price growth, which includes the adoption of advanced models with higher capabilities, such as enhanced imaging features, portability, and faster throughput. These product improvements will drive a steady increase in the per-unit value, contributing to the overall market growth in the latter half of the forecast period.

Bone Densitometers Industry in Japan Key Takeaways

Metric Value
Industry Value (2025) USD 17.6 million
Forecast Value (2035) USD 23.9 million
Forecast CAGR (2025 to 2035) 3.1%

What Is Driving the Demand for Bone Densitometers in Japan?

The demand for bone densitometers in Japan is shaped by the country’s demographic profile, particularly its rapidly ageing population and rising incidence of osteoporosis and osteopenia. Many older adults require bone mineral density assessments to estimate fracture risk and monitor treatment outcomes. Clinics and hospitals in Japan are increasing assets for bone health diagnostics as preventive care gains prominence. The expanding number of outpatient imaging centres and diagnostic laboratories has broadened access to bone densitometry consultations across the country.

Healthcare policies and reimbursement frameworks in Japan are also influencing demand for bone densitometers. Medical providers and equipment manufacturers respond to national initiatives that promote early diagnosis of bone related conditions and fracture prevention programmes. As equipment lifecycles mature, healthcare facilities are replacing older densitometry units or adding portable and peripheral devices to reach underserved areas or enable community screening. Cost pressures and device procurement budgets remain considerations, yet the overall demand for bone densitometers in Japan continues to rise steadily.

What Factors Are Affecting the Demand for Bone Densitometers in Japan in Terms of Product and Technology?

The demand for bone densitometers in Japan is influenced by both the product type and the technology used in these devices. Product types include axial bone densitometers, peripheral bone densitometers, and other specialized models. These are paired with various technologies such as DXA (Dual-energy X-ray Absorptiometry), pDXA (Peripheral DXA), QUS (Quantitative Ultrasound), and other advanced methods. These segments highlight the growing need for accurate bone density measurement devices in Japan, where osteoporosis and other bone-related conditions are prevalent due to the aging population and the need for preventative healthcare solutions.

What Drives the Leading Demand for Axial Bone Densitometers in Japan?

Japan Bone Densitometers Market Analysis By Product

Axial bone densitometers account for 68% of the total demand for bone densitometers in Japan. This high demand is driven by the widespread use of axial bone densitometry in clinical settings, especially for diagnosing osteoporosis and assessing fracture risks in patients. Axial devices, which measure bone density at central skeletal sites like the spine and hip, are considered the gold standard in bone density measurement due to their accuracy and ability to predict fracture risk in high-risk patients. The increasing awareness of osteoporosis among Japan’s aging population further supports the demand for axial bone densitometers.

The technological advancements in axial bone densitometers, particularly in DXA, which is capable of providing highly precise and reproducible results, are key drivers of this demand. As the healthcare system in Japan emphasizes preventive care, especially for the elderly, axial bone densitometers are essential in managing and monitoring bone health. The device’s proven effectiveness in screening and early diagnosis makes it a critical tool in Japan’s healthcare infrastructure, ensuring its continued dominance in the market.

What Drives the Demand for DXA Technology in Bone Densitometers in Japan?

Japan Bone Densitometers Market Analysis By Technology

DXA technology accounts for 52.0% of the total demand for bone densitometers in Japan. DXA is widely considered the most accurate and reliable technology for measuring bone mineral density (BMD), making it the preferred choice in clinical settings. The demand for DXA is driven by its ability to provide fast, precise measurements with minimal radiation exposure, which is essential for regular monitoring of bone health, particularly in patients at risk for osteoporosis. The Japanese healthcare system's focus on precision medicine and early detection of bone diseases further boosts the demand for DXA-equipped bone densitometers.

Additionally, the use of DXA technology extends beyond osteoporosis detection to assessing overall bone health, enabling healthcare professionals to better manage treatments for patients with bone-related conditions. As the aging population in Japan continues to grow, DXA technology plays a critical role in early intervention and the prevention of fractures, contributing to its dominant position in the bone densitometer market. The continued investment in and adoption of DXA systems ensure that this technology remains a key driver in the demand for bone densitometers.

What Are the Key Trends, Drivers, and Barriers in the Demand for Bone Densitometers in Japan?

The demand for bone densitometers in Japan is primarily driven by the country’s aging population and the increasing prevalence of osteoporosis and bone-related conditions. The rising awareness of bone health, along with the need for early detection and prevention of fractures, is fueling growth. However, high initial costs, ongoing maintenance, and uneven availability of advanced screening technologies across smaller clinics and rural areas pose significant challenges. Understanding these factors is crucial for stakeholders aiming to expand the use of bone densitometers in Japan’s healthcare sector.

How is the aging population influencing the demand for bone densitometers in Japan?

Japan's rapidly aging population is a key driver of the growing demand for bone densitometers. As the number of elderly individuals increases, so does the incidence of osteoporosis and other bone-related disorders. With an aging population more prone to fractures, healthcare providers are increasingly focusing on early diagnosis to manage bone health. Bone densitometers, particularly those offering quick and non-invasive screening, are becoming vital tools in hospitals and clinics across the country to detect osteoporosis early and prevent fractures, thus expanding their demand.

What opportunities exist for the growth of bone densitometer demand in Japan?

There is a significant opportunity to expand the use of bone densitometers in Japan’s outpatient settings and regional healthcare facilities. With an increasing emphasis on preventive healthcare, many clinics are looking to adopt cost-effective, portable densitometer options. The Japanese government’s focus on improving healthcare access for rural populations also opens up avenues for mobile or compact densitometer solutions that can be used in remote areas. These devices could be integrated into national screening programs for osteoporosis, creating a large-scale opportunity for growth.

What challenges are hindering the growth of bone densitometers in Japan?

Despite favorable demand drivers, there are several barriers to widespread adoption of bone densitometers in Japan. The high cost of purchasing and maintaining advanced densitometry equipment remains a significant challenge for smaller clinics and outpatient settings. Additionally, limited reimbursement for preventive screening and the need for trained technicians to operate the equipment further complicate adoption in non-hospital environments. These factors may slow the rate of market penetration, particularly in regions with fewer healthcare resources or limited budgets.

What is the Demand for Bone Densitometers in Japan by Region?

Japan Bone Densitometers Market Cagr Analysis By Country

Region CAGR (%)
Kyushu & Okinawa 3.8%
Kanto 3.5%
Kinki 3.1%
Chubu 2.7%
Tohoku 2.4%
Rest of Japan 2.3%

The demand for bone densitometers in Japan is experiencing steady growth across all regions. Kyushu and Okinawa lead with a 3.8% CAGR, driven by the aging population and increasing healthcare awareness regarding bone health. Kanto follows at 3.5%, with demand fueled by advanced medical facilities and a high concentration of elderly residents. Kinki records 3.1%, supported by urban healthcare centers and a rising focus on osteoporosis diagnosis. Chubu grows at 2.7%, with steady demand driven by regional hospitals and clinics. Tohoku reaches 2.4%, influenced by healthcare access in rural areas. The rest of Japan shows a 2.3% growth, reflecting slower but consistent adoption in less densely populated regions.

How Is Kyushu & Okinawa Driving Demand for Bone Densitometers in Japan?

Kyushu & Okinawa is projected to grow at a CAGR of 3.8% through 2035 in demand for bone densitometers. The region’s increasing healthcare focus, especially in cities like Fukuoka, drives the adoption of advanced diagnostic equipment. With an aging population and rising concerns over osteoporosis, the demand for bone density testing to assess bone health grows. The healthcare system in Kyushu & Okinawa continues to invest in improving diagnostic services, leading to increased use of bone densitometers. The region’s commitment to improving elderly healthcare further contributes to the growth of this market.

  • Aging population increases demand for bone density testing and diagnostics.
  • Healthcare system investments support the adoption of bone densitometers.
  • Fukuoka leads the region in medical technology adoption and use.
  • Rising osteoporosis concerns drive demand for advanced bone health diagnostics.

How Is Kanto Supporting Demand for Bone Densitometers in Japan?

Japan Bone Densitometers Market Country Value Analysis

Kanto is projected to grow at a CAGR of 3.5% through 2035 in demand for bone densitometers. With a strong healthcare infrastructure in cities like Tokyo, Kanto remains a leading region in the adoption of medical diagnostic devices. The growing elderly population and increasing awareness of osteoporosis contribute to the rising demand for bone density testing. As healthcare providers in the region focus on preventive care and early diagnosis, the use of bone densitometers in hospitals, clinics, and specialized centers continues to rise.

  • Strong healthcare infrastructure in Tokyo drives bone densitometer demand.
  • Aging population and osteoporosis awareness increase need for bone testing.
  • Preventive care focus drives higher use of bone densitometers in clinics.
  • Adoption of advanced diagnostic devices supports market growth in Kanto.

How Is Kinki Contributing to Demand for Bone Densitometers in Japan?

Kinki is projected to grow at a CAGR of 3.1% through 2035 in demand for bone densitometers. The region’s medical sector, particularly in Osaka, sees consistent demand for bone density testing due to the high prevalence of osteoporosis among the elderly. Kinki’s well-established healthcare system supports the integration of advanced diagnostic equipment, including bone densitometers, into hospitals and outpatient centers. As the focus on osteoporosis prevention and early detection increases, the demand for these devices continues to grow, especially in senior care facilities and specialized healthcare centers.

  • Osaka leads the region in demand for bone densitometers in healthcare.
  • Rising elderly population in Kinki fuels demand for bone density testing.
  • Focus on osteoporosis prevention drives the adoption of diagnostic devices.
  • Senior care facilities increasingly adopt bone densitometers for early detection.

How Is Chubu Contributing to Demand for Bone Densitometers in Japan?

Japan Bone Densitometers Market Chubu Market Share Analysis By Technology

Chubu is projected to grow at a CAGR of 2.7% through 2035 in demand for bone densitometers. The region’s healthcare industry, including cities like Nagoya, continues to expand, contributing to steady demand for bone density testing. As the population ages and the prevalence of osteoporosis increases, the need for diagnostic tools such as bone densitometers rises. Chubu’s healthcare providers are increasingly adopting advanced diagnostic equipment to improve early detection and prevention of bone-related disorders, further stimulating the market for bone densitometers in the region.

  • Nagoya’s healthcare sector drives adoption of diagnostic devices in Chubu.
  • Aging population increases the need for bone health diagnostics.
  • Rising osteoporosis awareness fuels demand for bone densitometers.
  • Focus on early detection and prevention supports market growth in Chubu.

How Is Tohoku Contributing to Demand for Bone Densitometers in Japan?

Tohoku is projected to grow at a CAGR of 2.4% through 2035 in demand for bone densitometers. While Tohoku’s healthcare system is less developed compared to other regions, the increasing elderly population in the region drives the need for bone health diagnostic tools. With rising awareness of osteoporosis and its impact on quality of life, healthcare facilities in cities like Sendai are investing in bone densitometers to provide better care for their aging population. The growing demand for early diagnosis and preventive healthcare continues to drive the market.

  • Aging population in Tohoku increases demand for bone density testing.
  • Osteoporosis awareness drives the adoption of bone densitometers.
  • Healthcare facilities in Sendai invest in diagnostic technology for care.
  • Early diagnosis and preventive care trends boost bone densitometer demand.

How Is Rest of Japan Supporting Demand for Bone Densitometers?

The Rest of Japan is projected to grow at a CAGR of 2.3% through 2035 in demand for bone densitometers. Although less populous than other regions, this area continues to see steady adoption of bone health diagnostic tools due to an aging population and increasing healthcare initiatives. Rural areas and smaller cities are increasingly investing in advanced medical technology, including bone densitometers, to better address the needs of their elderly populations. The demand for preventive health services in these regions contributes to the consistent growth of this market.

  • Rural and smaller cities invest in bone densitometers to improve care.
  • Growing elderly population in rural areas drives demand for testing.
  • Health initiatives increase focus on osteoporosis and early diagnosis.
  • Preventive health services in the region drive bone densitometer adoption.

What Is the Demand for Bone Densitometers in Japan and Who Are the Key Players Shaping the Industry?

Japan Bone Densitometers Market Analysis By Company

The demand for bone densitometers in Japan is driven by a combination of demographic, clinical and technological factors. Japan’s aging population and the associated rise in osteoporosis and bone fragility conditions are increasing the need for routine bone mineral density assessment. Preventive care initiatives and expanded screening protocols in hospitals and clinics are encouraging investment in densitometry equipment. Technological improvements, including the development of portable units, advanced imaging systems and streamlined workflows, are making these devices more accessible to outpatient settings. The emphasis on early diagnosis, risk assessment of fractures and long term monitoring of bone health is helping to elevate demand across diagnostic centres, orthopedic departments and general hospitals in Japan.

Major companies active in Japan’s bone densitometer sector include GE Healthcare, Hologic Inc., Swissray International Inc., DMS Imaging and BeamMed Ltd. These firms offer a range of densitometry technologies, such as dual energy X ray absorptiometry (DXA) systems, peripheral scanners, and bone health monitoring platforms. GE Healthcare and Hologic typically serve large hospital installations with high end axial scanners, while Swissray, DMS Imaging and BeamMed focus on niche or peripheral applications, including smaller clinics and mobile screening setups. Their strategies involve product adaptation, service availability and regulatory compliance in Japan to match local clinical needs. These providers thus play a key role in shaping how bone densitometer adoption evolves in Japan.

Key Players in Bone Densitometers Industry in Japan

  • GE Healthcare
  • Hologic, Inc.
  • Swissray International, Inc.
  • DMS Imaging
  • BeamMed Ltd.

Report Scope for Bone Densitometers Industry in Japan

Items Values
Quantitative Units (2025) USD million
End Use Hospitals, Diagnostic Imaging Centers, Specialty Clinics
Product Type Axial Bone Densitometers, Peripheral Bone Densitometers
Technology DXA, pDXA, QUS, Others
Regions Covered Kyushu & Okinawa, Kanto, Kinki, Chubu, Tohoku, Rest of Japan
Countries Covered Japan
Key Companies Profiled GE Healthcare, Hologic Inc., Swissray International Inc., DMS Imaging, BeamMed Ltd.
Additional Attributes Dollar by sales across product type, technology, and application sectors, healthcare provider adoption rates, demographic trends, advancements in device functionality, regulatory compliance, and patient demand for early detection and preventive care.

Bone Densitometers Industry in Japan Segmentation

Product:

  • Axial Bone Densitometers
  • Peripheral Bone Densitometers

Technology:

  • DXA
  • pDXA
  • QUS
  • Others

End User:

  • Hospitals
  • Diagnostic Imaging Centers
  • Specialty Clinics

Region

  • Kyushu & Okinawa
  • Kanto
  • Kinki
  • Chubu
  • Tohoku
  • Rest of Japan

Frequently Asked Questions

How big is the demand for bone densitometers in Japan in 2025?

The demand for bone densitometers in Japan is estimated to be valued at USD 17.6 million in 2025.

What will be the size of bone densitometers in Japan in 2035?

The market size for the bone densitometers in Japan is projected to reach USD 23.9 million by 2035.

How much will be the demand for bone densitometers in Japan growth between 2025 and 2035?

The demand for bone densitometers in Japan is expected to grow at a 3.1% CAGR between 2025 and 2035.

What are the key product types in the bone densitometers in japan?

The key product types in bone densitometers in Japan are axial bone densitometers and peripheral bone densitometers.

Which technology segment is expected to contribute significant share in the bone densitometers in Japan in 2025?

In terms of technology, dxa segment is expected to command 52.0% share in the bone densitometers in Japan in 2025.

Table of Content

  1. Executive Summary
    • Japan Market Outlook
    • Demand to side Trends
    • Supply to side Trends
    • Technology Roadmap Analysis
    • Analysis and Recommendations
  2. Market Overview
    • Market Coverage / Taxonomy
    • Market Definition / Scope / Limitations
  3. Market Background
    • Market Dynamics
      • Drivers
      • Restraints
      • Opportunity
      • Trends
    • Scenario Forecast
      • Demand in Optimistic Scenario
      • Demand in Likely Scenario
      • Demand in Conservative Scenario
    • Opportunity Map Analysis
    • Product Life Cycle Analysis
    • Supply Chain Analysis
    • Investment Feasibility Matrix
    • Value Chain Analysis
    • PESTLE and Porter’s Analysis
    • Regulatory Landscape
    • Regional Parent Market Outlook
    • Production and Consumption Statistics
    • Import and Export Statistics
  4. Japan Market Analysis 2020 to 2024 and Forecast, 2025 to 2035
    • Historical Market Size Value (USD Million) Analysis, 2020 to 2024
    • Current and Future Market Size Value (USD Million) Projections, 2025 to 2035
      • Y to o to Y Growth Trend Analysis
      • Absolute $ Opportunity Analysis
  5. Japan Market Pricing Analysis 2020 to 2024 and Forecast 2025 to 2035
  6. Japan Market Analysis 2020 to 2024 and Forecast 2025 to 2035, By Product
    • Introduction / Key Findings
    • Historical Market Size Value (USD Million) Analysis By Product , 2020 to 2024
    • Current and Future Market Size Value (USD Million) Analysis and Forecast By Product , 2025 to 2035
      • Axial Bone Densitometers
      • Peripheral Bone Densitometers
    • Y to o to Y Growth Trend Analysis By Product , 2020 to 2024
    • Absolute $ Opportunity Analysis By Product , 2025 to 2035
  7. Japan Market Analysis 2020 to 2024 and Forecast 2025 to 2035, By Technology
    • Introduction / Key Findings
    • Historical Market Size Value (USD Million) Analysis By Technology, 2020 to 2024
    • Current and Future Market Size Value (USD Million) Analysis and Forecast By Technology, 2025 to 2035
      • DXA
      • pDXA
      • QUS
      • Others
    • Y to o to Y Growth Trend Analysis By Technology, 2020 to 2024
    • Absolute $ Opportunity Analysis By Technology, 2025 to 2035
  8. Japan Market Analysis 2020 to 2024 and Forecast 2025 to 2035, By End User
    • Introduction / Key Findings
    • Historical Market Size Value (USD Million) Analysis By End User, 2020 to 2024
    • Current and Future Market Size Value (USD Million) Analysis and Forecast By End User, 2025 to 2035
      • Hospitals
      • Diagnostic Imaging Centers
      • Specialty Clinics
    • Y to o to Y Growth Trend Analysis By End User, 2020 to 2024
    • Absolute $ Opportunity Analysis By End User, 2025 to 2035
  9. Market Structure Analysis
    • Competition Dashboard
    • Competition Benchmarking
    • Market Share Analysis of Top Players
      • By Regional
      • By Product
      • By Technology
      • By End User
  10. Competition Analysis
    • Competition Deep Dive
      • GE Healthcare
        • Overview
        • Product Portfolio
        • Profitability by Market Segments (Product/Age /Sales Channel/Region)
        • Sales Footprint
        • Strategy Overview
          • Marketing Strategy
          • Product Strategy
          • Channel Strategy
      • Hologic, Inc.
      • Swissray International, Inc.
      • DMS Imaging
      • BeamMed Ltd.
  11. Assumptions & Acronyms Used
  12. Research Methodology

List of Tables

  • Table 1: Japan Market Value (USD Million) Forecast by Region, 2020 to 2035
  • Table 2: Japan Market Value (USD Million) Forecast by Product , 2020 to 2035
  • Table 3: Japan Market Value (USD Million) Forecast by Technology, 2020 to 2035
  • Table 4: Japan Market Value (USD Million) Forecast by End User, 2020 to 2035
  • Table 5: Japan Market Value (USD Million) Forecast by Country, 2020 to 2035
  • Table 6: Japan Market Value (USD Million) Forecast by Product , 2020 to 2035
  • Table 7: Japan Market Value (USD Million) Forecast by Technology, 2020 to 2035
  • Table 8: Japan Market Value (USD Million) Forecast by End User, 2020 to 2035

List of Figures

  • Figure 1: Japan Market Pricing Analysis
  • Figure 2: Japan Market Value (USD Million) Forecast 2020-2035
  • Figure 3: Japan Market Value Share and BPS Analysis by Product , 2025 and 2035
  • Figure 4: Japan Market Y-o-Y Growth Comparison by Product , 2025-2035
  • Figure 5: Japan Market Attractiveness Analysis by Product
  • Figure 6: Japan Market Value Share and BPS Analysis by Technology, 2025 and 2035
  • Figure 7: Japan Market Y-o-Y Growth Comparison by Technology, 2025-2035
  • Figure 8: Japan Market Attractiveness Analysis by Technology
  • Figure 9: Japan Market Value Share and BPS Analysis by End User, 2025 and 2035
  • Figure 10: Japan Market Y-o-Y Growth Comparison by End User, 2025-2035
  • Figure 11: Japan Market Attractiveness Analysis by End User
  • Figure 12: Japan Market Value (USD Million) Share and BPS Analysis by Region, 2025 and 2035
  • Figure 13: Japan Market Y-o-Y Growth Comparison by Region, 2025-2035
  • Figure 14: Japan Market Attractiveness Analysis by Region
  • Figure 15: Japan Market Incremental Dollar Opportunity, 2025-2035
  • Figure 16: Japan Market Value Share and BPS Analysis by Country, 2025 and 2035
  • Figure 17: Japan Market Value Share and BPS Analysis by Product , 2025 and 2035
  • Figure 18: Japan Market Y-o-Y Growth Comparison by Product , 2025-2035
  • Figure 19: Japan Market Attractiveness Analysis by Product
  • Figure 20: Japan Market Value Share and BPS Analysis by Technology, 2025 and 2035
  • Figure 21: Japan Market Y-o-Y Growth Comparison by Technology, 2025-2035
  • Figure 22: Japan Market Attractiveness Analysis by Technology
  • Figure 23: Japan Market Value Share and BPS Analysis by End User, 2025 and 2035
  • Figure 24: Japan Market Y-o-Y Growth Comparison by End User, 2025-2035
  • Figure 25: Japan Market Attractiveness Analysis by End User
  • Figure 26: Japan Market - Tier Structure Analysis
  • Figure 27: Japan Market - Company Share Analysis
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