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How Xanax Can Affect Your Sleep

Clinically Reviewed by: Charee Marquez, LMFT

Xanax, scientifically known as alprazolam, stands as a cornerstone medication in managing various mental health conditions, including anxiety disorders, panic disorders, and, in some cases, insomnia. Classified under the benzodiazepine family, Xanax exerts its influence by modulating neurotransmitters within the central nervous system, ultimately inducing a sense of calmness and relaxation. While it’s widely recognized for its efficacy in alleviating symptoms of anxiety, delving deeper into its impact on sleep patterns and overall well-being is imperative. Throughout this article, we’ll explore the multifaceted effects of Xanax on sleep architecture, its potential for addiction, and avenues for seeking assistance. If you or someone you know is struggling with Xanax use or related sleep issues, reach out to California Prime Recovery for guidance and support. For confidential assistance and support, call us today at 866-208-2390.

What is Xanax?

Xanax is a brand name for alprazolam, which is a prescription medication belonging to the class of drugs known as benzodiazepines. Benzodiazepines are central nervous system depressants that work by enhancing the effects of a neurotransmitter called gamma-aminobutyric acid (GABA). GABA helps to calm the brain and reduce abnormal excitement or overactivity.

Why is Xanax Prescribed?

Xanax (alprazolam) is a medication commonly prescribed for the treatment of various anxiety and panic disorders. It belongs to the benzodiazepine class of drugs, which act on the central nervous system to produce a calming effect. Here are some common uses of Xanax:

  1. Generalized Anxiety Disorder (GAD):

    • Xanax is often prescribed to manage symptoms of generalized anxiety disorder, which is characterized by excessive and uncontrollable worry about various aspects of life.
  2. Panic Disorder:

    • Xanax is used to treat panic disorder, a condition marked by sudden and recurrent episodes of intense fear or discomfort known as panic attacks.
  3. Social Anxiety Disorder:

    • In some cases, Xanax may be prescribed to help alleviate symptoms of social anxiety disorder, which involves an intense fear of social situations and scrutiny by others.
  4. Specific Phobias:

    • Xanax may be used to manage symptoms associated with specific phobias, such as fear of flying or fear of certain animals.
  5. Insomnia and Sleep Disturbances:

    • Occasionally, healthcare providers may prescribe Xanax on a short-term basis to help with insomnia or sleep disturbances. However, benzodiazepines are generally not recommended as first-line treatments for sleep disorders due to their potential for dependence.
  6. Adjunctive Treatment for Depression:

    • In some cases, Xanax may be used as an adjunctive treatment for depression when anxiety symptoms coexist with depressive symptoms.

Xanax Street Names

  1. Bars: Referring to the bar-shaped 2mg tablets.
  2. Zannies or Xannies: Derived from the brand name Xanax.
  3. Handlebars: Another term for the 2mg Xanax bars.
  4. Blue Footballs: Describing the oval-shaped blue Xanax tablets.
  5. Benzos: Short for benzodiazepines, the drug class to which Xanax belongs.
  6. School Bus: Referring to the yellow color of some Xanax tablets.
  7. Yellow Boys: Describing the yellow Xanax pills.
  8. White Boys: Referring to the white Xanax tablets.
  9. Upjohn: A reference to the original manufacturer of Xanax, Upjohn Pharmaceuticals.

Xanax Types and Dosages

Xanax (alprazolam) is a medication belonging to the benzodiazepine class, primarily used for the treatment of anxiety and panic disorders. It is available in various types and dosages, and the appropriate type and dosage depend on the individual’s condition and response to treatment. Here are some common types and dosages of Xanax:

  1. Immediate-Release Tablets:

    • These are the most common form of Xanax. They come in various strengths, including 0.25 mg, 0.5 mg, 1 mg, and 2 mg tablets. The immediate-release tablets are typically taken two to three times a day, as prescribed.
  2. Extended-Release Tablets:

    • Xanax XR (extended-release) tablets are formulated to provide a more gradual release of the medication, allowing for once-daily dosing. Common strengths include 0.5 mg, 1 mg, 2 mg, and 3 mg.
  3. Orally Disintegrating Tablets (ODT):

    • Xanax ODT is a type of tablet that dissolves quickly in the mouth without the need for water. It is available in strengths such as 0.25 mg, 0.5 mg, 1 mg, and 2 mg.

Xanax Controlled Substance Classification

Xanax (alprazolam) is classified as a Schedule IV controlled substance in the United States. This classification indicates that Xanax has a lower potential for abuse compared to substances in Schedule I, II, and III, and it has an accepted medical use. However, it still carries a risk of abuse and dependence, requiring regulation to ensure proper prescribing and dispensing.

Xanax and Alcohol Use

Combining Xanax (alprazolam) and alcohol is highly discouraged due to the potential for dangerous interactions and adverse effects. Both Xanax and alcohol depress the central nervous system, and their combined use can lead to enhanced sedation, respiratory depression, and an increased risk of overdose. Here are some key points regarding the dangers of combining Xanax and alcohol:

  1. Central Nervous System Depression:

    • Xanax is a benzodiazepine that enhances the effect of a neurotransmitter called gamma-aminobutyric acid (GABA) in the brain, leading to a calming effect. Alcohol also has a depressant effect on the central nervous system. Combining these substances intensifies their sedative properties, resulting in increased drowsiness, impaired coordination, and slowed reaction times.
  2. Respiratory Depression:

    • Both Xanax and alcohol can suppress respiratory function. When taken together, there is an increased risk of severe respiratory depression, which can lead to difficulty breathing or, in extreme cases, respiratory failure.
  3. Increased Intoxication:

    • Combining Xanax and alcohol can lead to a higher level of intoxication than when either substance is used alone. This heightened state of intoxication can impair judgment and increase the risk of accidents, falls, or other harmful incidents.
  4. Memory Impairment:

    • Both Xanax and alcohol can cause memory impairment. Combining these substances may intensify memory deficits and lead to blackouts or gaps in memory.
  5. Additive Effects:

    • The effects of Xanax and alcohol are additive, meaning that the combined impact is more significant than the sum of their individual effects. This increases the risk of adverse reactions.
  6. Increased Risk of Overdose:

    • Combining Xanax and alcohol significantly increases the risk of overdose. Overdose symptoms may include extreme drowsiness, confusion, respiratory distress, and, in severe cases, coma or death.
  7. Withdrawal Complications:

    • If an individual is dependent on either Xanax or alcohol, abrupt cessation or reduction of either substance can lead to withdrawal symptoms. The simultaneous withdrawal from both substances can be complex and potentially dangerous.
  8. Impaired Judgment:

    • The combination of Xanax and alcohol can impair judgment and decision-making, leading to risky behaviors or poor choices.

Given the potential dangers associated with combining Xanax and alcohol, it is crucial to avoid simultaneous use of these substances.

Xanax and Pregnancy

The use of Xanax during pregnancy is generally not recommended due to potential risks to the developing fetus.

Here are some considerations regarding Xanax use during pregnancy:

  1. Birth Defects: There is some evidence to suggest that benzodiazepines, including Xanax, may be associated with an increased risk of certain birth defects when taken during pregnancy, particularly during the first trimester. These birth defects may include cleft lip or palate, heart defects, and neural tube defects.

  2. Withdrawal Symptoms: Babies born to mothers who used benzodiazepines, including Xanax, during pregnancy may be at risk of experiencing withdrawal symptoms after birth. These symptoms can include irritability, feeding difficulties, tremors, and respiratory problems.

  3. Neonatal Effects: Benzodiazepines, including Xanax, can cross the placenta and reach the fetus, potentially affecting fetal development and functioning. There may also be an increased risk of low birth weight and preterm birth associated with maternal benzodiazepine use.

  4. Long-Term Effects: The long-term effects of prenatal exposure to benzodiazepines, including Xanax, on the developing child are not well understood. Research suggests that exposure to these medications during critical periods of brain development may have lasting effects on cognitive and behavioral outcomes.

Due to these potential risks, it is generally recommended that pregnant individuals avoid using Xanax and other benzodiazepines during pregnancy, especially during the first trimester when organ formation is occurring. If you are pregnant or planning to become pregnant and have been prescribed Xanax, it is important to discuss your medication regimen with your healthcare provider. They can provide guidance on the potential risks and benefits of continuing or discontinuing Xanax during pregnancy and may recommend alternative treatments or strategies for managing anxiety or other conditions.

In some cases, if a pregnant individual is already taking Xanax for a medical condition, their healthcare provider may carefully weigh the risks and benefits of continuing the medication and may adjust the dosage or prescribe alternative treatments if necessary. It is essential to follow your healthcare provider’s guidance and attend regular prenatal appointments to monitor both your health and the health of your baby during pregnancy.

Xanax Storage and Disposal

Storage and Disposal of Medications:


  1. Cool and Dry: Store medications in a cool, dry place to maintain their effectiveness.
  2. Away from Sunlight: Keep medications away from direct sunlight, as exposure can impact their stability.
  3. Secure Location: Store medications in a secure location, out of reach of children and pets.
  4. Original Containers: Keep medications in their original containers with labels intact.
  5. Temperature Consideration: Some medications may require refrigeration; check the label for specific instructions.


  1. Follow Guidelines: Follow specific disposal instructions provided on the medication label or by healthcare providers.
  2. Drug Take-Back Programs: Utilize drug take-back programs or events in your community for safe disposal.
  3. Pharmacy Drop-Off: Some pharmacies have medication disposal kiosks; inquire about local options.
  4. Dispose in Household Trash: If no other options are available, mix medications with undesirable substances (e.g., coffee grounds) and place them in a sealed bag before disposal in the household trash.
  5. Remove Personal Information: Before disposal, remove personal information from prescription labels to protect privacy.

How Long Does Xanax Stay in Your System?

The half-life of a medication refers to the time it takes for half of the drug to be metabolized and eliminated from the body. For Xanax (alprazolam), the half-life can vary depending on individual factors such as age, liver function, and other medications being taken concurrently. However, the average half-life of Xanax ranges from 6 to 26 hours in healthy adults.

Xanax is a short-acting benzodiazepine, meaning it has a relatively short duration of action compared to some other benzodiazepines. This short half-life contributes to its rapid onset of action and its effectiveness in quickly relieving symptoms of anxiety or panic. However, it also means that Xanax may need to be taken multiple times per day to maintain therapeutic levels in the bloodstream.

Xanax Onset and Duration

The onset of action and duration of effects of Xanax can vary depending on factors such as dosage, individual metabolism, and whether it’s taken with or without food. Here are some general guidelines:

  1. Onset of Action:

    • Xanax typically begins to take effect relatively quickly, with peak plasma concentrations reached within 1 to 2 hours after oral administration. However, individuals may begin to feel the calming effects of Xanax within 20 to 60 minutes after taking the medication.
  2. Duration of Effects:

    • The duration of action of Xanax can vary depending on factors such as dosage and individual metabolism. Generally, the effects of a single dose of Xanax last for about 4 to 6 hours in most individuals. However, some individuals may experience effects lasting longer or shorter than this range.

How Long is Xanax Detectable in Your System?

The detection window for Xanax (alprazolam) in standard drug tests can vary depending on factors such as the type of test used, the sensitivity of the test, the dosage and frequency of Xanax use, individual metabolism, and other factors. Here are some general guidelines for the detection of Xanax in different types of drug tests:

  1. Urine Test:

    • Xanax can typically be detected in urine for up to 1 to 6 days after the last dose. However, in some cases, particularly with chronic or heavy use, Xanax may be detectable for longer periods, up to a week or more.
  2. Blood Test:

    • Xanax can usually be detected in blood for a shorter duration compared to urine. In general, Xanax is detectable in blood for up to 1 to 2 days after the last dose.
  3. Saliva Test:

    • Xanax can be detected in saliva for a similar duration as blood, typically up to 1 to 2 days after the last dose.
  4. Hair Test:

    • Xanax may be detectable in hair follicle tests for a longer period compared to other types of drug tests. Xanax can potentially be detected in hair follicles for several months to years after last use, depending on the length of the hair sample taken and the growth rate of the individual’s hair.

It’s important to note that these are general estimates, and the actual detection window for Xanax can vary widely based on individual factors. Additionally, specialized tests with higher sensitivity may be able to detect Xanax for longer periods than standard drug tests.

How Does Xanax Work in the Brain and Body?

Xanax (alprazolam) is a benzodiazepine medication that works primarily by enhancing the activity of gamma-aminobutyric acid (GABA), a neurotransmitter in the brain that helps regulate anxiety, stress, and excitability. Here’s how Xanax works in the brain and body:

  1. Enhancement of GABA Activity:

    • Xanax acts as a positive allosteric modulator of GABA receptors in the brain. This means that it binds to specific sites on GABA receptors and enhances the inhibitory effects of GABA, leading to increased inhibition of neuronal activity. By enhancing GABA activity, Xanax helps reduce excessive brain activity and excitability, resulting in calming effects.
  2. Anxiolytic Effects:

    • By increasing GABAergic inhibition, Xanax produces anxiolytic (anti-anxiety) effects, reducing feelings of anxiety and promoting relaxation. This is why Xanax and other benzodiazepines are commonly prescribed for the treatment of anxiety disorders, panic disorders, and certain other conditions characterized by excessive anxiety or stress.
  3. Sedative-Hypnotic Effects:

    • In addition to its anxiolytic effects, Xanax also has sedative and hypnotic properties. By enhancing GABAergic inhibition, Xanax can induce sedation and promote sleep in individuals with insomnia or sleep disturbances.
  4. Muscle Relaxant Effects:

    • Xanax may also have muscle relaxant effects due to its ability to enhance GABAergic inhibition in the central nervous system. This can help reduce muscle tension and stiffness in individuals with certain muscle-related conditions or symptoms.
  5. Rapid Onset of Action:

    • Xanax is known for its rapid onset of action, with effects typically felt within 20 to 60 minutes after ingestion. This rapid onset makes Xanax particularly effective for providing quick relief of acute symptoms of anxiety or panic.
  6. Short Duration of Action:

    • Xanax is considered a short-acting benzodiazepine, meaning its effects wear off relatively quickly compared to some other benzodiazepines. The short duration of action of Xanax contributes to its potential for abuse, dependence, and withdrawal symptoms, particularly with long-term or high-dose use.

How Addictive is Xanax?

  • High Potential for Addiction: Xanax possesses a high potential for addiction and dependence, particularly when used for an extended period or at higher doses than prescribed. The addictive nature of Xanax stems from its ability to modulate neurotransmitter activity in the brain, resulting in feelings of euphoria and relaxation. Individuals may develop a psychological dependence on Xanax to cope with stressors or manage anxiety symptoms.
  • Rapid Tolerance Development: Tolerance to Xanax can develop rapidly, necessitating higher doses over time to achieve the desired effects. As the body adapts to the presence of Xanax, individuals may find that their initial dose becomes less effective, prompting them to escalate their dosage to maintain the desired level of symptom relief. This cycle of escalating dosage can contribute to the development of dependence and addiction.
  • Withdrawal Symptoms: Abrupt cessation of Xanax can precipitate withdrawal symptoms, which may include rebound anxiety, insomnia, tremors, and seizures. Withdrawal symptoms can be distressing and challenging to manage, often necessitating medical intervention to ensure safe and comfortable detoxification. It’s essential for individuals to taper off Xanax under the guidance of a healthcare professional to minimize the risk of withdrawal complications.

Can Xanax Be Prescribed for Sleep?

Xanax (alprazolam) is a medication primarily indicated for the treatment of anxiety disorders, panic disorders, and certain other conditions related to anxiety and stress. While Xanax is not specifically approved by regulatory agencies such as the U.S. Food and Drug Administration (FDA) for the treatment of sleep disorders, including insomnia, it is sometimes prescribed off-label to help individuals with sleep disturbances.

Off-label prescribing refers to the practice of prescribing a medication for a use that has not been approved by regulatory agencies but is based on the healthcare provider’s clinical judgment and knowledge of the medication’s effects. In the case of Xanax, its sedative properties and ability to induce relaxation and drowsiness make it potentially useful for promoting sleep initiation and reducing anxiety-related insomnia.

How Does Xanax Affect Your Sleep?

Xanax (alprazolam), like other benzodiazepines, can have effects on sleep, both positive and negative, depending on various factors such as dosage, timing of administration, individual response, and underlying sleep disturbances. Here’s how Xanax may affect sleep:

  1. Sedative-Hypnotic Effects:

    • Xanax has sedative-hypnotic properties, meaning it can induce drowsiness and promote sleepiness. For individuals with insomnia or difficulty falling asleep due to anxiety or stress, Xanax may help initiate sleep by calming the central nervous system and reducing arousal.
  2. Reduction of Sleep Onset Latency:

    • Xanax can reduce the time it takes to fall asleep, also known as sleep onset latency. By enhancing the activity of gamma-aminobutyric acid (GABA), a neurotransmitter that promotes relaxation and sleep, Xanax may facilitate the transition from wakefulness to sleep.
  3. Increased Total Sleep Time:

    • In addition to reducing sleep onset latency, Xanax may also increase total sleep time by prolonging the duration of sleep. Individuals taking Xanax may experience deeper and more restful sleep, leading to improvements in overall sleep quality.
  4. Reduction of Nighttime Awakenings:

    • Xanax may help reduce the frequency of nighttime awakenings or disturbances by promoting deeper and more continuous sleep. This can be beneficial for individuals who experience frequent awakenings or disruptions during the night.
  5. Potential for Hangover Effect:

    • Despite its sedative properties, Xanax may have a residual hangover effect, particularly at higher doses or in individuals who are not accustomed to the medication. This can manifest as grogginess, drowsiness, or impaired cognitive function upon waking, which may persist into the morning.
  6. Negative Impact on Sleep Architecture:

    • While Xanax may improve sleep initiation and duration, it can also disrupt the normal architecture of sleep, including the balance between rapid eye movement (REM) sleep and non-REM sleep stages. Prolonged use of Xanax may lead to alterations in sleep patterns and decreased REM sleep, which is important for cognitive function and emotional processing.
  7. Risk of Dependence and Withdrawal:

    • Long-term use of Xanax, particularly at higher doses or in individuals with a history of substance abuse, can lead to tolerance, dependence, and withdrawal symptoms. Abrupt discontinuation of Xanax can cause rebound insomnia and other withdrawal effects, making it important to taper off the medication gradually under medical supervision.

Overall, while Xanax may have short-term benefits for sleep initiation and duration, its long-term use for the management of sleep disturbances is generally not recommended due to the risk of dependence, tolerance, and other adverse effects. It’s important to use Xanax cautiously and only as prescribed by a healthcare provider, and to explore alternative treatments for chronic sleep disturbances, such as cognitive-behavioral therapy for insomnia (CBT-I) or lifestyle modifications. If you have concerns about Xanax and its effects on sleep, it’s best to discuss them with your healthcare provider for personalized guidance.

Xanax Mechanism of Action for Sleep

Xanax belongs to a class of medications known as benzodiazepines, which act on the central nervous system to produce calming and sedative effects. Xanax works by enhancing the activity of gamma-aminobutyric acid (GABA), a neurotransmitter that helps regulate anxiety, stress, and sleep. By increasing GABAergic inhibition, Xanax promotes relaxation, reduces anxiety, and can induce drowsiness, making it useful for managing sleep disturbances.

Xanax Positive Affects on Sleep

  1. Sleep Initiation: Xanax can reduce the time it takes to fall asleep, helping individuals with insomnia or difficulty initiating sleep to achieve sleep more quickly.
  2. Increased Total Sleep Time: Xanax may prolong the duration of sleep, leading to longer periods of uninterrupted rest and improved overall sleep quality.
  3. Reduction of Nighttime Awakenings: Xanax may help reduce the frequency of nighttime awakenings or disturbances, promoting deeper and more continuous sleep.

Xanax Negative Affects on Sleep

  1. Sleep Architecture Disruption: Prolonged use of Xanax can disrupt the normal architecture of sleep, including the balance between rapid eye movement (REM) sleep and non-REM sleep stages. This may lead to alterations in sleep patterns and decreased REM sleep, which is important for cognitive function and emotional processing.
  2. Hangover Effect: Despite its sedative properties, Xanax may cause residual grogginess or impaired cognitive function upon waking, known as the hangover effect. This can persist into the morning and affect daytime functioning.
  3. Risk of Dependence and Withdrawal: Long-term use of Xanax can lead to tolerance, dependence, and withdrawal symptoms, including rebound insomnia and other withdrawal effects upon discontinuation of the medication.

Disruption of Sleep Architecture:

  • Suppression of REM Sleep: Xanax suppresses rapid eye movement (REM) sleep, which is crucial for cognitive function, memory consolidation, and emotional regulation. Prolonged use of Xanax can lead to REM rebound upon discontinuation, resulting in vivid dreams, nightmares, and sleep disturbances.
  • Fragmented Sleep: Chronic use of Xanax can lead to fragmented sleep patterns, characterized by frequent awakenings throughout the night and difficulty maintaining continuous sleep. Fragmented sleep can result in feelings of unrest and daytime fatigue.
  • Daytime Sleepiness: Despite its sedative effects, Xanax can cause daytime sleepiness and impair daytime functioning due to disrupted sleep architecture. Individuals may feel groggy or lethargic during the day, which can impact productivity and quality of life.

Rebound Insomnia

  • Withdrawal Effects: Abrupt discontinuation of Xanax can trigger rebound insomnia, characterized by worsening sleep problems, increased anxiety, and restlessness. Withdrawal symptoms may occur within hours to days after stopping Xanax and can persist for several weeks or longer.
  • Tolerance Development: With prolonged use, individuals may develop tolerance to the sedative effects of Xanax, necessitating higher doses to achieve the same sleep-inducing effects. Tolerance can contribute to a cycle of escalating doses and worsening sleep disturbances.

Risk of Dependence and Addiction:

  • Psychological Dependence: Individuals may become psychologically dependent on Xanax to aid sleep, leading to compulsive use and difficulty tapering off the medication. The perceived need for Xanax to sleep can contribute to a cycle of dependence and addiction.
  • Risk of Addiction: Chronic use of Xanax for sleep can increase the risk of addiction and substance use disorder, as individuals may escalate their dosage or seek alternative sources to maintain sleep. Addiction to Xanax can have serious consequences for physical and mental health, as well as social and occupational functioning.

Interaction with Other Medications:

  • Potentiation of Effects: Xanax can potentiate the sedative effects of other medications, including opioids, alcohol, and other central nervous system depressants. Combining Xanax with these substances can increase the risk of respiratory depression, overdose, and death. It’s essential to use caution when combining Xanax with other medications and to consult with a healthcare provider.
  • Medication Interactions: Certain medications may interact with Xanax, altering its metabolism and increasing the risk of adverse effects. It’s essential to inform healthcare providers about all medications and supplements being taken to avoid potential interactions. Individuals taking Xanax should be monitored closely for signs of drug interactions and adverse effects.

Consideration of Xanax Use for Sleep

  1. Short-Term Use: Xanax should be used cautiously and only for short-term relief of sleep disturbances, as long-term use can lead to dependence and other adverse effects.
  2. Dosage and Timing: Xanax should be taken at the lowest effective dose and only as prescribed by a healthcare provider. It’s important to follow dosing instructions and avoid taking Xanax for extended periods or at higher doses than recommended.
  3. Alternative Treatments: Individuals experiencing chronic sleep disturbances should explore alternative treatments for insomnia, such as cognitive-behavioral therapy for insomnia (CBT-I), relaxation techniques, or lifestyle modifications.

Call California Prime Recovery Today!

If you’re struggling with sleep disturbances or addiction related to Xanax use, it’s crucial to seek professional help. At California Prime Recovery, we offer comprehensive treatment programs for substance use disorders, including benzodiazepine addiction and co-occurring mental health issues. Our experienced team of medical professionals and therapists provides personalized care to help individuals achieve lasting recovery and improve their sleep quality. Call us today at 866-208-2390 for confidential assistance and support. Also, check out our blogs posted weekly on Medium.


Long-term use of Xanax for sleep is generally not recommended due to the risk of tolerance, dependence, and addiction. Alternative therapies and medications may be explored for sustainable sleep management.

Signs of Xanax dependence may include cravings for the drug, difficulty controlling use, withdrawal symptoms upon cessation, and continued use despite negative consequences.

Xanax withdrawal can lead to rebound insomnia, characterized by worsened sleep problems, heightened anxiety, and restlessness. Gradual tapering under medical supervision is recommended to minimize withdrawal symptoms.

Yes, several natural alternatives to Xanax for sleep management include cognitive-behavioral therapy (CBT), relaxation techniques, herbal supplements (e.g., valerian root, chamomile), and lifestyle modifications (e.g., regular exercise, healthy sleep hygiene practices).

Xanax and other benzodiazepines can exacerbate sleep apnea by causing muscle relaxation and respiratory depression. Individuals with sleep apnea should use caution when taking Xanax and consult with a healthcare provider.

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