How to fill emptiness

SAMHSA’s National Helpline | SAMHSA

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  • SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

    Also visit the online treatment locator.

SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.

The service is open 24/7, 365 days a year.

English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.

In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.

The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.

The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.

No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.

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    For additional resources, please visit the SAMHSA Store.

Last Updated: 08/30/2022

Alcohol, Tobacco, and Other Drugs

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Misusing alcohol, tobacco, and other drugs can have both immediate and long-term health effects.

The misuse and abuse of alcohol, tobacco, illicit drugs, and prescription medications affect the health and well-being of millions of Americans. NSDUH estimates allow researchers, clinicians, policymakers, and the general public to better understand and improve the nation’s behavioral health. These reports and detailed tables present estimates from the 2021 National Survey on Drug Use and Health (NSDUH).



  • Among the 133.1 million current alcohol users aged 12 or older in 2021, 60.0 million people (or 45.1%) were past month binge drinkers. The percentage of people who were past month binge drinkers was highest among young adults aged 18 to 25 (29.2% or 9.8 million people), followed by adults aged 26 or older (22.4% or 49.3 million people), then by adolescents aged 12 to 17 (3.8% or 995,000 people). (2021 NSDUH)
  • Among people aged 12 to 20 in 2021, 15.1% (or 5.9 million people) were past month alcohol users. Estimates of binge alcohol use and heavy alcohol use in the past month among underage people were 8.3% (or 3.2 million people) and 1.6% (or 613,000 people), respectively. (2021 NSDUH)
  • In 2020, 50.0% of people aged 12 or older (or 138.5 million people) used alcohol in the past month (i.e., current alcohol users) (2020 NSDUH)
  • Among the 138.5 million people who were current alcohol users, 61.6 million people (or 44.4%) were classified as binge drinkers and 17.7 million people (28.8% of current binge drinkers and 12.8% of current alcohol users) were classified as heavy drinkers (2020 NSDUH)
  • The percentage of people who were past month binge alcohol users was highest among young adults aged 18 to 25 (31. 4%) compared with 22.9% of adults aged 26 or older and 4.1% of adolescents aged 12 to 17 (2020 NSDUH)
  • Excessive alcohol use can increase a person’s risk of stroke, liver cirrhosis, alcoholic hepatitis, cancer, and other serious health conditions
  • Excessive alcohol use can also lead to risk-taking behavior, including driving while impaired. The Centers for Disease Control and Prevention reports that 29 people in the United States die in motor vehicle crashes that involve an alcohol-impaired driver daily


  • STOP Underage Drinking interagency portal - Interagency Coordinating Committee on the Prevention of Underage Drinking
  • Interagency Coordinating Committee on the Prevention of Underage Drinking
  • Talk. They Hear You.
  • Underage Drinking: Myths vs. Facts
  • Talking with your College-Bound Young Adult About Alcohol

Relevant links:

  • National Association of State Alcohol and Drug Abuse Directors
  • Department of Transportation Office of Drug & Alcohol Policy & Compliance
  • Alcohol Policy Information Systems Database (APIS)
  • National Institute on Alcohol Abuse and Alcoholism



  • In 2020, 20. 7% of people aged 12 or older (or 57.3 million people) used nicotine products (i.e., used tobacco products or vaped nicotine) in the past month (2020 NSDUH)
  • Among past month users of nicotine products, nearly two thirds of adolescents aged 12 to 17 (63.1%) vaped nicotine but did not use tobacco products. In contrast, 88.9% of past month nicotine product users aged 26 or older used only tobacco products (2020 NSDUH)
  • Tobacco use is the leading cause of preventable death, often leading to lung cancer, respiratory disorders, heart disease, stroke, and other serious illnesses. The CDC reports that cigarette smoking causes more than 480,000 deaths each year in the United States
  • The CDC’s Office on Smoking and Health reports that more than 16 million Americans are living with a disease caused by smoking cigarettes

Electronic cigarette (e-cigarette) use data:

  • In 2021, 13.2 million people aged 12 or older (or 4.7%) used an e-cigarette or other vaping device to vape nicotine in the past month. The percentage of people who vaped nicotine was highest among young adults aged 18 to 25 (14.1% or 4.7 million people), followed by adolescents aged 12 to 17 (5.2% or 1.4 million people), then by adults aged 26 or older (3.2% or 7.1 million people).
  • Among people aged 12 to 20 in 2021, 11.0% (or 4.3 million people) used tobacco products or used an e-cigarette or other vaping device to vape nicotine in the past month. Among people in this age group, 8.1% (or 3.1 million people) vaped nicotine, 5.4% (or 2.1 million people) used tobacco products, and 3.4% (or 1.3 million people) smoked cigarettes in the past month. (2021 NSDUH)
  • Data from the Centers for Disease Control and Prevention’s 2020 National Youth Tobacco Survey. Among both middle and high school students, current use of e-cigarettes declined from 2019 to 2020, reversing previous trends and returning current e-cigarette use to levels similar to those observed in 2018
  • E-cigarettes are not safe for youth, young adults, or pregnant women, especially because they contain nicotine and other chemicals


  • Tips for Teens: Tobacco
  • Tips for Teens: E-cigarettes
  • Implementing Tobacco Cessation Programs in Substance Use Disorder Treatment Settings
  • Synar Amendment Program


  • Truth Initiative
  • FDA Center for Tobacco Products
  • CDC Office on Smoking and Health
  • National Institute on Drug Abuse: Tobacco, Nicotine, and E-Cigarettes
  • National Institute on Drug Abuse: E-Cigarettes



  • Among people aged 12 or older in 2021, 3. 3% (or 9.2 million people) misused opioids (heroin or prescription pain relievers) in the past year. Among the 9.2 million people who misused opioids in the past year, 8.7 million people misused prescription pain relievers compared with 1.1 million people who used heroin. These numbers include 574,000 people who both misused prescription pain relievers and used heroin in the past year. (2021 NSDUH)
  • Among people aged 12 or older in 2020, 3.4% (or 9.5 million people) misused opioids in the past year. Among the 9.5 million people who misused opioids in the past year, 9.3 million people misused prescription pain relievers and 902,000 people used heroin (2020 NSDUH)
  • According to the Centers for Disease Control and Prevention’s Understanding the Epidemic, an average of 128 Americans die every day from an opioid overdose


  • Medication-Assisted Treatment
  • Opioid Overdose Prevention Toolkit
  • TIP 63: Medications for Opioid Use Disorder
  • Use of Medication-Assisted Treatment for Opioid Use Disorder in Criminal Justice Settings
  • Opioid Use Disorder and Pregnancy
  • Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants
  • The Facts about Buprenorphine for Treatment of Opioid Addiction
  • Pregnancy Planning for Women Being Treated for Opioid Use Disorder
  • Tips for Teens: Opioids
  • Rural Opioid Technical Assistance Grants
  • Tribal Opioid Response Grants
  • Provider’s Clinical Support System - Medication Assisted Treatment Grant Program


  • National Institute on Drug Abuse: Opioids
  • National Institute on Drug Abuse: Heroin
  • HHS Prevent Opioid Abuse
  • Community Anti-Drug Coalitions of America
  • Addiction Technology Transfer Center (ATTC) Network
  • Prevention Technology Transfer Center (PTTC) Network



  • In 2021, marijuana was the most commonly used illicit drug, with 18. 7% of people aged 12 or older (or 52.5 million people) using it in the past year. The percentage was highest among young adults aged 18 to 25 (35.4% or 11.8 million people), followed by adults aged 26 or older (17.2% or 37.9 million people), then by adolescents aged 12 to 17 (10.5% or 2.7 million people).
  • The percentage of people who used marijuana in the past year was highest among young adults aged 18 to 25 (34.5%) compared with 16.3% of adults aged 26 or older and 10.1% of adolescents aged 12 to 17 (2020 NSDUH)
  • Marijuana can impair judgment and distort perception in the short term and can lead to memory impairment in the long term
  • Marijuana can have significant health effects on youth and pregnant women.


  • Know the Risks of Marijuana
  • Marijuana and Pregnancy
  • Tips for Teens: Marijuana

Relevant links:

  • National Institute on Drug Abuse: Marijuana
  • Addiction Technology Transfer Centers on Marijuana
  • CDC Marijuana and Public Health

Emerging Trends in Substance Misuse:

  • Methamphetamine—In 2019, NSDUH data show that approximately 2 million people used methamphetamine in the past year. Approximately 1 million people had a methamphetamine use disorder, which was higher than the percentage in 2016, but similar to the percentages in 2015 and 2018. The National Institute on Drug Abuse Data shows that overdose death rates involving methamphetamine have quadrupled from 2011 to 2017. Frequent meth use is associated with mood disturbances, hallucinations, and paranoia.
  • Cocaine—In 2019, NSDUH data show an estimated 5.5 million people aged 12 or older were past users of cocaine, including about 778,000 users of crack. The CDC reports that overdose deaths involving have increased by one-third from 2016 to 2017. In the short term, cocaine use can result in increased blood pressure, restlessness, and irritability. In the long term, severe medical complications of cocaine use include heart attacks, seizures, and abdominal pain.
  • Kratom—In 2019, NSDUH data show that about 825,000 people had used Kratom in the past month. Kratom is a tropical plant that grows naturally in Southeast Asia with leaves that can have psychotropic effects by affecting opioid brain receptors. It is currently unregulated and has risk of abuse and dependence. The National Institute on Drug Abuse reports that health effects of Kratom can include nausea, itching, seizures, and hallucinations.


  • Tips for Teens: Methamphetamine
  • Tips for Teens: Cocaine
  • National Institute on Drug Abuse

More SAMHSA publications on substance use prevention and treatment.

Last Updated: 01/05/2023

8 ways to fill the inner void

My client Nina's first husband, when they divorced, took more than fifty pairs of his sneakers out of the apartment. Fifty couples. This was a very average husband, not a hip-hop star, not a millionaire fashionista. Yes, he played basketball in the evenings and called himself a "sneakerhead", but it was clear that for him these sneakers played some role that was not directly related to shoes, and, by the way, occupied most of the only room of the young spouses. They lived with their parents, apparently to save money on another sneaker rarity. nine0003

Let me guess (with a high degree of certainty) that he tried to drown out some feelings with sneakers. The guy was clearly missing something. And he spent all his money on sneakers, hunted for the rarest models, and his eyes shone feverishly every time the postal service courier came. Nina says that, while trying on another Nike or Adik, he, standing in front of the mirror, made faces and even acted out scenes, anticipating the reaction of imaginary “rivals” to his new outfit. He maniacally tracked the status of the order on the marketplace sites, called the postal services and cursed with them if the delivery was delayed even for a day. And every time he was sure that these sneakers would become the highlight of the program, the diamond of his collection. But then, of course, he found new "coolest" ones and again spent on them the funds set aside for other purposes. Sometimes Nina added new sneakers to him from her salary in the hope that this time he would calm down and be happy with what he had, but in vain - each time the phase of the "gracious silence" of the shoe gestalt became shorter and shorter. The obsession of her husband was gaining momentum. nine0003

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Posted by Lizzie Darden (@lizzie_darden)

Any psychologist knows that it is common to plug "emotional holes" with something material. We compensate for anxiety, fears, self-doubt with food, relationships, clothes, work, sex, money, power, communication ... And I mean the excessive use of all of the above.

But the commercial that our own imagination shows us, painting an ideal picture of the process of filling the void, will surely turn into an unjustified expectation. Compulsive overeating, workaholism, and an overstuffed wardrobe will not make life better. It will become more difficult. Any obsession is costly. And in the financial, and in the emotional, and in the energy sense. nine0003

So how not to waste all your time, energy, nerves and money on the pursuit of satisfaction? Here are some proven ways.


Creative method: creativity and creation


Find a healthy way to express yourself. Instead of a shopping center, you can turn into a floriculture shop. Buy seeds, pots, fertilizers, raw earth - and plant a garden on the balcony. You look, and tomatoes, and cucumbers, and greens all year round. Okay, let's leave this idea until retirement. nine0003

How about drawing? Art therapy is good because it awakens the creativity of the inner child who is in contact with himself, who always knows what he really wants. Painting can suddenly expose some healthy need, the true purpose of the psyche, which you are trying to patch up with some substitutes like excessive drinking, incense and early harrowing hangovers.

Come up with the plot of a novel, a script, stir up a project, a start-up, finally make your own website on Tilda, cook a napoleon like a grandmother’s, sew a dress that is not for sale, make hydrophilic oil with your own hands or repair in a bedroom - all this sounds terrible stupid, but something will hook you. And the brain will start working to achieve the goal, plan, calculate, estimate, anticipate. nine0003

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Posted by Lizzie Darden (@lizzie_darden)


The logical method: let your emotions run wild


Powerful thing. After forty minutes on the nails, you don’t feel like anything at all, and just because the torture has stopped, the inner emptiness disappears, and satisfaction and serenity come to replace it. As Schopenhauer believed, “happiness is the feeling of freedom from pain,” and he was damn right. nine0003

It must be said that these very nails unpack repressed emotions quite wonderfully. Before class, I seemed to myself an incredibly strong and optimistic person, and after 15 minutes on the nails, when the words of the presenter sounded: “Now remember your childhood,” I burst into tears of burning tears - self-pity covered me from the head. My breath caught, and my diaphragm moved in rhythmic spasms, as if in a fit of acute grief. And when all this poured out, the long-awaited inner silence came. I was completely satisfied with what I had. nine0003

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Publication from Lizzie Darden (@lizzie_darden)

A psychologist will help someone reveal hidden emotions, someone needs the final scene from the cartoon "The Lion King", someone needs to shoot at targets in the shooting gallery. My choice is nails.


Extracorporeal method: going outside your body


Focus your attention on something else, on something that is outside your body. For example, my client Ira feels a vague anxiety in the evenings, a vague feeling that she is missing something. She is uncomfortable. She listens to herself, to her feelings, and sinks deeper into them, and understands less and less what is happening. It even seems to her that she should go, open the refrigerator and just to see what is there. Do you feel what I'm getting at? So, when Ira does not listen to herself, but listens to the implicit fuss behind the wall, where the neighbors are either moving furniture, or making children, or killing a cockroach, and when she tries to guess by barely perceptible sounds what exactly they are doing there , after a while she discovers that her state has changed. But if she again begins to listen to herself, then she will not escape the refrigerator.

nine0002 View this post on Instagram

Posted by Lizzie Darden (@lizzie_darden)


Radical method: altruism


Distracting yourself and switching to someone else is a great way to expand the boundaries of your egoism painfully tight. Do someone good. To improve the life of your neighbor. It's difficult, but it works. Sometimes even the search for an object on which to direct rays of goodness replaces a ten-hour search for those very wide straight trousers with tucks, which are so lacking in the wardrobe of basic things. nine0003

Oh, trousers... One of my acquaintances, a lady who is lonely, independent and unsociable, during the lockdown, in order to slow down online purchases (and she simply could not stop), she often put on a mask and gloves, went out the door with a bucket, a rag and with a mop and washed the entrance with bleach. Anxiety was taken away, not to mention the fact that her relations with her neighbors reached a new, hitherto unknown level of good-heartedness.

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Posted by Jessica Walsh (@jessicawwalsh)

You can take care of anyone. Yes, even for homeless kittens - go and feed them, for example. True, you can also get hooked on kittens, but that's a completely different story.


Charitable method: giving


Give a gift, repay a debt, reward, compliment, treat. This method works especially well if it caused internal discomfort and rejection while reading - then this is exactly what you need. The ban on "give away", the state of "capture" - all this is reflected in the body, in tension, muscle clamps. And it results in psychosomatic illnesses. The exchange of positive emotions is guaranteed to fill and create high spirits. Well, and most importantly, such actions will help you establish contact with yourself, see your positive sides and, perhaps, even love yourself. nine0003

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Posted by Sweet Sneak Studio (@sweetsneak_cph)


Extreme measures: spiritual growth and self-development


From a spiritual point of view, inner emptiness is a spiritual problem. The problem of selfishness and procrastination. Believing that the outside can fill me is an illusion, and living in an illusion means running like a squirrel on a wheel trying to satisfy your desires, but never reaching the desired peace. Because our desires are actually different - we want to be loved, we want the safety and admiration of others. And not that's all. nine0003

Shifting the focus to philosophy, energy practices, personal growth trainings, second higher education, courses of anything - this is also filling the void, but constructive. Solid benefit.

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Posted by Lizzie Darden (@lizzie_darden)


A method that no one will use


If you sit down, calm down and honestly look your emptiness in the eye, it turns out not to be dangerous at all. But our consciousness resists this honesty because it likes to exaggerate and dramatize. A great way to destroy your illusions about inner emptiness is meditation. But you most likely won't meditate, so I won't write much about it. If, however, one in a thousand readers decides to try, yoga nidra is ideal. Everything, not a word more. nine0003

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Posted by Jessica Walsh (@jessicavwalsh)


The unthinkable method: live offline


, stronger, more beautiful, more successful and happier. Get off social media and stop comparing yourself to others. Live at least one day without the Internet, and falling in love with yourself will not be such an overwhelming task. After all, emptiness is the lack of self-love or even its complete absence. And this shortcoming, alas, cannot be filled by anything external. So, by and large, self-love is the solution to all psychological problems. nine0003

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Publication from Jessica Walsh (@jessicavwalsh)

Psychologists' recommendations on how to fill the void in the soul

There are times when you realize that life has ceased to bring joy, emotions and feelings lose their sharpness and the future seems gray and unpromising. In a similar way, emptiness in the soul manifests itself and is often accompanied by apathy, depression and a sense of hopelessness. Such a state can occur once or twice, and sometimes it becomes almost a constant companion of a person. The reasons for the appearance of emptiness in the soul can be different, but you need to get rid of it without a doubt, otherwise it will swallow a person without a trace. nine0003


What is the soul

Before understanding the causes of spiritual emptiness, it is necessary to understand what the soul is. An attempt to find an answer to this question has been exciting the minds of both scientists and philosophers for centuries, and there is still no unanimous opinion on this matter.

Often, when it comes to the definition of the concept of the soul, it means an incorporeal essence enclosed within the human body. Psychologists say that the soul is the mind, emotions, character, perception, thinking and human memory. If one of these components is missing, then it is considered that emptiness occurs in life. nine0003

Philosophers most often accept or deny the immortality of the soul. Some religions claim that the soul is an immortal entity and only a person can possess it. Others claim that all organisms are endowed with a soul, without exception. Therefore, the state of spiritual emptiness can manifest itself in any creature, up to non-biological objects.

If we consider the soul from the point of view of science, scientists have come to the conclusion that it is a kind of construct denoting a certain substance located directly in the human brain. Unfortunately, scientists still have not been able to find evidence or refutation of the existence of the soul as a higher entity. nine0003

Causes of spiritual emptiness

What to do if you feel inner emptiness? The simplest answer to such a difficult question would be an offer to fill your heart with love, because most often the emptiness in the soul occurs precisely when a person has no interests and there is no one whom he would love.


Do not forget to love yourself. As soon as a person can love himself, begin to appreciate himself as a person, he will feel that spiritual emptiness and meaninglessness will disappear. nine0003

Can one always feel happiness and be in harmony with oneself? The answer is clear - of course. Take it for granted that life can be filled with positive energy and dispose of it at your discretion.

The main reason for the feeling of spiritual emptiness is by right the far-fetchedness and false beliefs that provoke its formation. Such false reasons include:

  • lack of attention and affection from a loved one;
  • there is no reliable life partner; nine0218
  • inflated ambitions that cannot be realized;
  • presence of financial plan problems;
  • lack of hobbies and boredom in everyday life;
  • lack of rest and physical exhaustion.


Lack of romantic relationships can not only cause the development of inner emptiness, but also negatively affects the attitude towards oneself and the worldview in general.

Symptoms of emptiness in the soul

A person is a full member of society, forced to constantly contact with others. Sometimes one glance is enough to understand that your interlocutor is in a lost state.

Psychologists, as a result of lengthy research, were able to formulate the symptoms of spiritual emptiness:

  • A person is convinced that he is not able to justify the hopes of others and is generally not good enough to evoke pleasant emotions. nine0218
  • Constant striving to be useful, to please others. Such people most often experience a false sense of guilt in front of almost any person.
  • An acute desire to be perfect in everything and always.
  • Lack of desire to keep up a conversation and do something in general. A sort of "you have fun, but I'll sit in a corner and rest."
  • The development of obsessive fears and phobias, which can force the formation of panic attacks.
  • Constant feeling of anxiety due to inconsistency with the expectations of society, which leads to the appearance of apathy. nine0218
  • Feeling of hopelessness, perception of oneself as a victim.


A person who feels spiritual emptiness constantly experiences helplessness and confusion, exclusively pessimistic thoughts predominate in his mind.

How to fill the spiritual emptiness

It is possible to get rid of the feeling of inner emptiness, although it is rather difficult. You should not let everything take its course and wait until it “dissolves” itself. Understand that spiritual emptiness is essentially the same disorder as depression or a phobia, so it must be fought without doubts and excuses. nine0003


Internal emptiness can turn into a prolonged depression that can cause irreparable harm to the body, so you can't hesitate.

In order to understand how to fill the spiritual void, pay attention to the recommendations of psychologists:

  • Interests and hobbies . Try to find time for your own interests. If earlier it seemed silly to you to spend the evening doing a crossword puzzle or putting together a puzzle, then why not do it now? Too much free time always leads to thinking, which will not always be positive. Forget about your problems already, if you constantly worry that there is no way out of a difficult situation, then first of all, worsen your mental state. It’s better to read an interesting book, and there you look at a fresh mind and there is a way to overcome another difficulty. nine0218
  • Plans for the future . Start thinking about the future, don't be afraid to dream about what you would like to achieve. Set realistic goals for yourself and achieve them, and be sure to remember that only you are the master of your destiny and your happiness is in your hands! Don't know where to start? A small repair in the apartment or a rearrangement of furniture will bring you noticeable satisfaction.
  • Support for family and friends . Remember that there is nothing more valuable in difficult times than the support of family and loved ones. Try to limit your interactions with people who cause you a feeling of rejection, and spend more time with truly like-minded people. They will be able to give you much-needed self-confidence, listen to your experiences and give good advice. nine0218
  • Attachment object . The reason for your spiritual emptiness is the absence of a loved one? Do not despair and give up on yourself. If at the moment there is no way to improve your personal life, then give the accumulated care and affection to your pet.
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