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	<title>Comments on: Fingerstick A1C?</title>
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		<title>By: admin</title>
		<link>http://www.healthdiabetes.info/fingerstick-a1c/comment-page-1#comment-5241</link>
		<dc:creator>admin</dc:creator>
		<pubDate>Sat, 27 Feb 2010 19:15:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthdiabetes.info/fingerstick-a1c#comment-5241</guid>
		<description>
  In article &lt;49ak69$...@ixnews7.ix.netcom.com&gt;, carri...@ix.netcom.com (Carrie ) writes: &lt;br /&gt; &lt;br /&gt;=Based on his symptoms, how soon/long until this DKA happens? &#160;Is he in &lt;br /&gt; =immediate danger of a coma? &#160;Are we talking days? &#160;weeks? &#160;months?? &#160; &lt;br /&gt; &lt;p&gt;There&#039;s no way to tell, based on his symptoms. &#160;He could be a Type-II diabetic, &lt;br /&gt; in which case he might never reach the state of DKA. &#160;He might be experincing &lt;br /&gt; the onset of Type I, in which case, it could be a matter of days, or of years, &lt;br /&gt; depending on how rapid the onset is. &#160;Or he might not be diabetic at all. &lt;br /&gt; --------------------------------------------------------------------------- &lt;br /&gt; I &#160;try &#160;very &#160;hard &#160;to say exactly what I mean. &#160;I&#039;d appreciate it if you&#039;d &lt;br /&gt; bear that in mind and not try to &quot;interpret&quot; &#160;my &#160;posts &#160;to &#160;fit &#160;your &#160;own &lt;br /&gt; preconceived notions if I&#039;m posting in a serious thread. &#160;Remember: &#160;If you &lt;br /&gt; throw a strawman into a heated debate, flames are likely to be the result. &lt;br /&gt;
  
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		<content:encoded><![CDATA[<p>In article &lt;49ak69$&#8230;@ixnews7.ix.netcom.com&gt;, <a href="mailto:carri...@ix.netcom.com">carri&#8230;@ix.netcom.com</a> (Carrie ) writes: </p>
<p>=Based on his symptoms, how soon/long until this DKA happens? &nbsp;Is he in <br /> =immediate danger of a coma? &nbsp;Are we talking days? &nbsp;weeks? &nbsp;months?? &nbsp; <br /> 
<p>There&#8217;s no way to tell, based on his symptoms. &nbsp;He could be a Type-II diabetic, <br /> in which case he might never reach the state of DKA. &nbsp;He might be experincing <br /> the onset of Type I, in which case, it could be a matter of days, or of years, <br /> depending on how rapid the onset is. &nbsp;Or he might not be diabetic at all. <br /> &#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212; <br /> I &nbsp;try &nbsp;very &nbsp;hard &nbsp;to say exactly what I mean. &nbsp;I&#8217;d appreciate it if you&#8217;d <br /> bear that in mind and not try to &quot;interpret&quot; &nbsp;my &nbsp;posts &nbsp;to &nbsp;fit &nbsp;your &nbsp;own <br /> preconceived notions if I&#8217;m posting in a serious thread. &nbsp;Remember: &nbsp;If you <br /> throw a strawman into a heated debate, flames are likely to be the result. </p>
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		<title>By: admin</title>
		<link>http://www.healthdiabetes.info/fingerstick-a1c/comment-page-1#comment-5239</link>
		<dc:creator>admin</dc:creator>
		<pubDate>Sat, 27 Feb 2010 19:14:47 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthdiabetes.info/fingerstick-a1c#comment-5239</guid>
		<description>
  &lt;p&gt;dee...@aol.com (Dee927) wrote: &lt;br /&gt; &gt;I was just wondering why the A1c is so important. &#160;If you are doing &lt;br /&gt; &gt;fingersticks each day, wouldn&#039;t you know how you are doing? :-) &lt;br /&gt; &lt;br /&gt;The theoretical minimum number of fingersticks/day to give a reasonable &lt;br /&gt; estimate of average bg is 8. &#160;In practice, it is somewhat higher say &lt;br /&gt; 10 or 12. &#160;Blood glucose values vary significantly during the day and &lt;br /&gt; it takes many tests to capture the variability. &#160;As an extreme example, &lt;br /&gt; if you take only a fasting blood sugar every day, you would be only &lt;br /&gt; measuring the at the time when your bg was likely to be at its lowest. &#160; &lt;br /&gt; This would produce a very bad estimate of average bg levels. &lt;br /&gt; &lt;/p&gt;&lt;p&gt;The A1c, and the other similar tests, produce an average value for &lt;br /&gt; a reasonably long period of time, a couple months. &lt;br /&gt; &lt;/p&gt;&lt;p&gt;-- &lt;br /&gt; Charles Coughran &lt;br /&gt; ccough...@ucsd.edu &lt;br /&gt;
  
  &lt;/p&gt;</description>
		<content:encoded><![CDATA[<p><a href="mailto:dee...@aol.com">dee&#8230;@aol.com</a> (Dee927) wrote: <br /> &gt;I was just wondering why the A1c is so important. &nbsp;If you are doing <br /> &gt;fingersticks each day, wouldn&#8217;t you know how you are doing? <img src='http://www.healthdiabetes.info/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' />  </p>
<p>The theoretical minimum number of fingersticks/day to give a reasonable <br /> estimate of average bg is 8. &nbsp;In practice, it is somewhat higher say <br /> 10 or 12. &nbsp;Blood glucose values vary significantly during the day and <br /> it takes many tests to capture the variability. &nbsp;As an extreme example, <br /> if you take only a fasting blood sugar every day, you would be only <br /> measuring the at the time when your bg was likely to be at its lowest. &nbsp; <br /> This would produce a very bad estimate of average bg levels.  </p>
<p>The A1c, and the other similar tests, produce an average value for <br /> a reasonably long period of time, a couple months.  </p>
<p>&#8211; <br /> Charles Coughran <br /> <a href="mailto:ccough...@ucsd.edu">ccough&#8230;@ucsd.edu</a> </p>
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		<title>By: admin</title>
		<link>http://www.healthdiabetes.info/fingerstick-a1c/comment-page-1#comment-5240</link>
		<dc:creator>admin</dc:creator>
		<pubDate>Sat, 27 Feb 2010 19:14:47 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthdiabetes.info/fingerstick-a1c#comment-5240</guid>
		<description>
  &lt;p&gt;In a previous article, LAVW...@prodigy.com (Jeffry Ullman) says: &lt;br /&gt; &lt;/p&gt;&lt;p&gt;&gt;Price: &#160;$24.95 U.S. &#160;plus $4 shipping and handling. &lt;br /&gt; &lt;br /&gt;Is that a &quot;one shot&quot; test or is that a &#039;Refillable&#039; test? &lt;br /&gt; (and if so how much are the refills) &lt;br /&gt; -- &lt;br /&gt; &#160; &#160;John F Davis In Delightful Detroit, Mi. &#160; &#160;aa...@detroit.freenet.org &lt;br /&gt; &#160; &#160; &#160; &#160; &#160;&quot;Nothing adds excitement to your life like something &lt;br /&gt; &#160; &#160; &#160; &#160; &#160;that is clearly none of your business!&quot; &#160; &#160; Battista &lt;br /&gt;
  
  &lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>In a previous article, <a href="mailto:LAVW...@prodigy.com">LAVW&#8230;@prodigy.com</a> (Jeffry Ullman) says:  </p>
<p>&gt;Price: &nbsp;$24.95 U.S. &nbsp;plus $4 shipping and handling. </p>
<p>Is that a &quot;one shot&quot; test or is that a &#8216;Refillable&#8217; test? <br /> (and if so how much are the refills) <br /> &#8212; <br /> &nbsp; &nbsp;John F Davis In Delightful Detroit, Mi. &nbsp; &nbsp;aa&#8230;@detroit.freenet.org <br /> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&quot;Nothing adds excitement to your life like something <br /> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;that is clearly none of your business!&quot; &nbsp; &nbsp; Battista </p>
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		<title>By: admin</title>
		<link>http://www.healthdiabetes.info/fingerstick-a1c/comment-page-1#comment-5237</link>
		<dc:creator>admin</dc:creator>
		<pubDate>Sat, 27 Feb 2010 19:14:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthdiabetes.info/fingerstick-a1c#comment-5237</guid>
		<description>
  On 3 Dec 1995 06:46:17 -0500, dee...@aol.com (Dee927) wrote: &lt;br /&gt; &lt;p&gt;&gt;I was just wondering why the A1c is so important. &#160;If you are doing &lt;br /&gt; &gt;fingersticks each day, wouldn&#039;t you know how you are doing? :-) &lt;br /&gt; &lt;br /&gt;However, when you test yourself all you know is how you are at one &lt;br /&gt; single point in time. You have no way of knowing whether your bgs are in &lt;br /&gt; the process of going up, down or staying stable. The A1c (as I &lt;br /&gt; understand it) is supposed to give you an over all average over a period &lt;br /&gt; of many weeks. &lt;br /&gt; &lt;/p&gt;&lt;p&gt;As an example: you can test yourself before breakfast and have a perfect &lt;br /&gt; reading &#160;Your bgs may then do a major spike right after eating and only &lt;br /&gt; drop just before lunch when you get another good reading. So, based on &lt;br /&gt; the two tests you may think everything is OK, although in reality you &lt;br /&gt; weren&#039;t doing so well. Unless you want to test every hour (or more), &lt;br /&gt; all day long, you won&#039;t have the complete picture. &lt;br /&gt; &lt;/p&gt;&lt;p&gt;I&#039;ve had A1c&#039;s come back that were at odds with my before-meal testing. &lt;br /&gt; (My doctor has compared my meter readings with his, so I know my meter &lt;br /&gt; is OK). &#160;Based on that, I&#039;ve adjusted the ratio of Regular to NPH to &lt;br /&gt; keep the spikes down. &lt;br /&gt; &lt;/p&gt;&lt;p&gt;==Sam== &lt;br /&gt;
  
  &lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>On 3 Dec 1995 06:46:17 -0500, <a href="mailto:dee...@aol.com">dee&#8230;@aol.com</a> (Dee927) wrote: <br /> 
<p>&gt;I was just wondering why the A1c is so important. &nbsp;If you are doing <br /> &gt;fingersticks each day, wouldn&#8217;t you know how you are doing? <img src='http://www.healthdiabetes.info/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' />  </p>
<p>However, when you test yourself all you know is how you are at one <br /> single point in time. You have no way of knowing whether your bgs are in <br /> the process of going up, down or staying stable. The A1c (as I <br /> understand it) is supposed to give you an over all average over a period <br /> of many weeks.  </p>
<p>As an example: you can test yourself before breakfast and have a perfect <br /> reading &nbsp;Your bgs may then do a major spike right after eating and only <br /> drop just before lunch when you get another good reading. So, based on <br /> the two tests you may think everything is OK, although in reality you <br /> weren&#8217;t doing so well. Unless you want to test every hour (or more), <br /> all day long, you won&#8217;t have the complete picture.  </p>
<p>I&#8217;ve had A1c&#8217;s come back that were at odds with my before-meal testing. <br /> (My doctor has compared my meter readings with his, so I know my meter <br /> is OK). &nbsp;Based on that, I&#8217;ve adjusted the ratio of Regular to NPH to <br /> keep the spikes down.  </p>
<p>==Sam== </p>
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		<title>By: admin</title>
		<link>http://www.healthdiabetes.info/fingerstick-a1c/comment-page-1#comment-5238</link>
		<dc:creator>admin</dc:creator>
		<pubDate>Sat, 27 Feb 2010 19:14:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthdiabetes.info/fingerstick-a1c#comment-5238</guid>
		<description>
  there is supposed to be something called &quot;self-assure&quot; (by evalulab) - &lt;br /&gt; mentioned in one of the Barbara and June books. &#160;They claim that it is as &lt;br /&gt; accurate as the lab results. &#160;Apparently you take the sample and send it to &lt;br /&gt; the evalulab lab. &#160;Does anyone know anything about this test? cost? &lt;br /&gt; availability? &lt;br /&gt; &lt;p&gt;Thanks, &lt;br /&gt; &lt;/p&gt;&lt;p&gt;Warren &lt;br /&gt;
  
  &lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>there is supposed to be something called &quot;self-assure&quot; (by evalulab) &#8211; <br /> mentioned in one of the Barbara and June books. &nbsp;They claim that it is as <br /> accurate as the lab results. &nbsp;Apparently you take the sample and send it to <br /> the evalulab lab. &nbsp;Does anyone know anything about this test? cost? <br /> availability? <br /> 
<p>Thanks,  </p>
<p>Warren </p>
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		<title>By: admin</title>
		<link>http://www.healthdiabetes.info/fingerstick-a1c/comment-page-1#comment-5236</link>
		<dc:creator>admin</dc:creator>
		<pubDate>Sat, 27 Feb 2010 19:14:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthdiabetes.info/fingerstick-a1c#comment-5236</guid>
		<description>
  In article &lt;49ir17$...@usenetp1.news.prodigy.com&gt;, LAVW...@prodigy.com &lt;br /&gt; says... &lt;br /&gt; &lt;p&gt;&lt;/p&gt;&lt;p&gt;&gt;DSS A1C Home Collection Kit is available &lt;br /&gt; &lt;/p&gt;&lt;p&gt;&gt;1-800-252-0207 Diabetes Support Systems. &lt;br /&gt; &gt;No more unecessary venipunctures for my 8 year old. &lt;br /&gt; &lt;/p&gt;&lt;p&gt;&gt;&quot;Mom&quot; &lt;br /&gt; &lt;br /&gt;Dear &quot;Mom&quot;, I know you&#039;re not trying to sell it, so can you tell us &lt;br /&gt; how much it cost? Ballpark is fine. No more unnecessary venipunctures for &lt;br /&gt; anyone! (Not that fingersticks don&#039;t get old after a while.) &lt;br /&gt; -- &lt;br /&gt; Esther A. Paris, CTM &#160; Esther_A_Pa...@ccmail.res.ray.com &lt;br /&gt; &quot;Ask me about Toastmasters International.&quot; &lt;br /&gt; Software Design &amp; Development Engineer - Raytheon Electronic Systems &lt;br /&gt; &#039;night elf&#039; &lt;br /&gt;
  
  &lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>In article &lt;49ir17$&#8230;@usenetp1.news.prodigy.com&gt;, <a href="mailto:LAVW...@prodigy.com">LAVW&#8230;@prodigy.com</a> <br /> says&#8230; <br /> 
</p>
<p>&gt;DSS A1C Home Collection Kit is available  </p>
<p>&gt;1-800-252-0207 Diabetes Support Systems. <br /> &gt;No more unecessary venipunctures for my 8 year old.  </p>
<p>&gt;&quot;Mom&quot; </p>
<p>Dear &quot;Mom&quot;, I know you&#8217;re not trying to sell it, so can you tell us <br /> how much it cost? Ballpark is fine. No more unnecessary venipunctures for <br /> anyone! (Not that fingersticks don&#8217;t get old after a while.) <br /> &#8212; <br /> Esther A. Paris, CTM &nbsp; <a href="mailto:Esther_A_Pa...@ccmail.res.ray.com">Esther_A_Pa&#8230;@ccmail.res.ray.com</a> <br /> &quot;Ask me about Toastmasters International.&quot; <br /> Software Design &amp; Development Engineer &#8211; Raytheon Electronic Systems <br /> &#8216;night elf&#8217; </p>
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		<title>By: admin</title>
		<link>http://www.healthdiabetes.info/fingerstick-a1c/comment-page-1#comment-5234</link>
		<dc:creator>admin</dc:creator>
		<pubDate>Sat, 27 Feb 2010 19:14:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthdiabetes.info/fingerstick-a1c#comment-5234</guid>
		<description>
  mha...@infohwy.com (Michael W. Haley) wrote: &lt;br /&gt; &lt;p&gt;&lt;/p&gt;&lt;p&gt;&gt; LAVW...@prodigy.com (Jeffry Ullman) wrote: &lt;br /&gt; &lt;/p&gt;&lt;p&gt;&gt; We have been doing HA1c&#039;s on the finger stick machines for about 3 &lt;br /&gt; &gt; years--first at the UTMB clinic in Galveston, Texas and, after our &lt;br /&gt; &gt; doctor left, then at the UT/Hermann Clinic in Houston. &#160; &lt;br /&gt; &lt;br /&gt;Judy, &lt;br /&gt; &#160; I was a patient of Dr. Edward Bastyr at UTMB before he moved to IN &lt;br /&gt; and am now looking for a new endo. &#160;Can you recommend any in the &lt;br /&gt; Houston-Galveston, Dallas, or San Antonio-Austin areas? &lt;br /&gt; &#160; Regarding the post: &#160;the finger stick A1C tests are great! &#160;The &lt;br /&gt; labs use an HPLC machine with a column made specifically for these &lt;br /&gt; tests. &#160;Therefore, I would be very wary of any at-home type tests. &lt;br /&gt; Also of importance is that different methods of A1C tests give different &lt;br /&gt; results, so it is best that one be consistent with the type of test &lt;br /&gt; as well as with the laboratory administering it. &lt;br /&gt; &lt;/p&gt;&lt;p&gt;Thanks in advance for any info Judy! &lt;br /&gt; Kimberly Greer, kgr...@vetmed.tamu.edu &lt;br /&gt;
  
  &lt;/p&gt;</description>
		<content:encoded><![CDATA[<p><a href="mailto:mha...@infohwy.com">mha&#8230;@infohwy.com</a> (Michael W. Haley) wrote: <br /> 
</p>
<p>&gt; <a href="mailto:LAVW...@prodigy.com">LAVW&#8230;@prodigy.com</a> (Jeffry Ullman) wrote:  </p>
<p>&gt; We have been doing HA1c&#8217;s on the finger stick machines for about 3 <br /> &gt; years&#8211;first at the UTMB clinic in Galveston, Texas and, after our <br /> &gt; doctor left, then at the UT/Hermann Clinic in Houston. &nbsp; </p>
<p>Judy, <br /> &nbsp; I was a patient of Dr. Edward Bastyr at UTMB before he moved to IN <br /> and am now looking for a new endo. &nbsp;Can you recommend any in the <br /> Houston-Galveston, Dallas, or San Antonio-Austin areas? <br /> &nbsp; Regarding the post: &nbsp;the finger stick A1C tests are great! &nbsp;The <br /> labs use an HPLC machine with a column made specifically for these <br /> tests. &nbsp;Therefore, I would be very wary of any at-home type tests. <br /> Also of importance is that different methods of A1C tests give different <br /> results, so it is best that one be consistent with the type of test <br /> as well as with the laboratory administering it.  </p>
<p>Thanks in advance for any info Judy! <br /> Kimberly Greer, <a href="mailto:kgr...@vetmed.tamu.edu">kgr&#8230;@vetmed.tamu.edu</a> </p>
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		<title>By: admin</title>
		<link>http://www.healthdiabetes.info/fingerstick-a1c/comment-page-1#comment-5235</link>
		<dc:creator>admin</dc:creator>
		<pubDate>Sat, 27 Feb 2010 19:14:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthdiabetes.info/fingerstick-a1c#comment-5235</guid>
		<description>
  I forgot to post the cost. &#160;$24.95 U.S. &#160;plus $4.00 shipping and handling. &lt;br /&gt;
  
  </description>
		<content:encoded><![CDATA[<p>I forgot to post the cost. &nbsp;$24.95 U.S. &nbsp;plus $4.00 shipping and handling. </p>
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		<title>By: admin</title>
		<link>http://www.healthdiabetes.info/fingerstick-a1c/comment-page-1#comment-5232</link>
		<dc:creator>admin</dc:creator>
		<pubDate>Sat, 27 Feb 2010 19:14:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthdiabetes.info/fingerstick-a1c#comment-5232</guid>
		<description>
  &lt;p&gt;In a previous article, LAVW...@prodigy.com (Jeffry Ullman) says: &lt;br /&gt; &lt;/p&gt;&lt;p&gt;&gt;How many of you have physicians with a fingerstick A1C machine in their &lt;br /&gt; &gt;office? &lt;br /&gt; &lt;br /&gt;I know of only one medical type person who has such a machine...... &lt;br /&gt; He is a banker however (And moderator of a Diabetes forum elsewhere) &lt;br /&gt; &lt;/p&gt;&lt;p&gt;Which machine did you buy? &#160;His is the DCA--2000 (I Think) &lt;br /&gt; -- &lt;br /&gt; &#160; &#160;John F Davis In Delightful Detroit, Mi. &#160; &#160;aa...@detroit.freenet.org &lt;br /&gt; &#160; &#160; &#160; &#160; &#160;&quot;Nothing adds excitement to your life like something &lt;br /&gt; &#160; &#160; &#160; &#160; &#160;that is clearly none of your business!&quot; &#160; &#160; Battista &lt;br /&gt;
  
  &lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>In a previous article, <a href="mailto:LAVW...@prodigy.com">LAVW&#8230;@prodigy.com</a> (Jeffry Ullman) says:  </p>
<p>&gt;How many of you have physicians with a fingerstick A1C machine in their <br /> &gt;office? </p>
<p>I know of only one medical type person who has such a machine&#8230;&#8230; <br /> He is a banker however (And moderator of a Diabetes forum elsewhere)  </p>
<p>Which machine did you buy? &nbsp;His is the DCA&#8211;2000 (I Think) <br /> &#8212; <br /> &nbsp; &nbsp;John F Davis In Delightful Detroit, Mi. &nbsp; &nbsp;aa&#8230;@detroit.freenet.org <br /> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&quot;Nothing adds excitement to your life like something <br /> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;that is clearly none of your business!&quot; &nbsp; &nbsp; Battista </p>
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		<title>By: admin</title>
		<link>http://www.healthdiabetes.info/fingerstick-a1c/comment-page-1#comment-5233</link>
		<dc:creator>admin</dc:creator>
		<pubDate>Sat, 27 Feb 2010 19:14:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.healthdiabetes.info/fingerstick-a1c#comment-5233</guid>
		<description>
  Price: &#160;$24.95 U.S. &#160;plus $4 shipping and handling. &lt;br /&gt;
  
  </description>
		<content:encoded><![CDATA[<p>Price: &nbsp;$24.95 U.S. &nbsp;plus $4 shipping and handling. </p>
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