{"slug":"semax-ssri-emotional-blunting","verification":{"valid":true,"entries":26,"head":"e0b18f0397fcecdf5de66237ee5a0bd3460d831bde4da390c8188500604824d9"},"count":26,"sources":[{"id":"s1","type":"pubmed","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8650205/","title":"Emotional Blunting, Cognitive Impairment, Bone Fractures...","quote":"The “blunting of emotions” is frequently mentioned by patients taking SSRIs for long periods","summary":"Review of SSRI side effects including emotional blunting","claim_ids":["c1"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T09:15:07.295Z","link_status":"ok","quote_status":"verified","prev":"genesis","hash":"ac22530d77d35f9126c177e2413938af1b979b0eeb2951d5142b48e89e05d303","source_role":"adjacent_context"},{"id":"s2","type":"news","url":"https://www.cam.ac.uk/research/news/scientists-explain-emotional-blunting-caused-by-common-antidepressants","title":"Scientists explain emotional 'blunting' caused by common antidepressants","quote":"the drugs affect reinforcement learning... reduced reinforcement sensitivity","summary":"Cambridge study on escitalopram in healthy volunteers","claim_ids":["c1"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T09:15:07.295Z","link_status":"ok","quote_status":"unverified","prev":"ac22530d77d35f9126c177e2413938af1b979b0eeb2951d5142b48e89e05d303","hash":"0fe0c783e3f1907802404315025ff773b356cb95c99c0a415284d2490328618c","source_role":"adjacent_context"},{"id":"s3","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/16996037/","title":"Semax... regulates BDNF and trkB expression in the rat hippocampus","quote":"a single application of Semax (50 microg/kg body weight) results in a maximal 1.4-fold increase of BDNF protein levels... 3-fold... exon III BDNF","summary":"Rat study on Semax BDNF effects","claim_ids":["c2"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T09:15:07.295Z","link_status":"ok","quote_status":"unverified","prev":"0fe0c783e3f1907802404315025ff773b356cb95c99c0a415284d2490328618c","hash":"7d3ffb765b06a7b6048aeee2eb58c33883a214d2b7b20c8c68bd1d6697605423","source_role":"core_stack_evidence"},{"id":"s4","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/16635254/","title":"Semax... increases levels of brain-derived neurotrophic factor protein in rat basal forebrain","quote":"Semax applied intranasally... resulted in a rapid increase in BDNF levels after 3 h in the basal forebrain","summary":"Rat basal forebrain BDNF data","claim_ids":["c2"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T09:15:07.295Z","link_status":"ok","quote_status":"unverified","prev":"7d3ffb765b06a7b6048aeee2eb58c33883a214d2b7b20c8c68bd1d6697605423","hash":"84519453eb62998697f2933bac99bbea4f297bcd728f825f84e0e932851374e7","source_role":"core_stack_evidence"},{"id":"s5","type":"pubmed","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12755871/","title":"The Potential of the Peptide Drug Semax...","quote":"A preliminary trial of Semax in a limited cohort of AD patients...","summary":"Human Semax data limited to neurological contexts, no SSRI/blunting focus","claim_ids":["c3","c20"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T09:15:07.295Z","link_status":"ok","quote_status":"unverified","prev":"84519453eb62998697f2933bac99bbea4f297bcd728f825f84e0e932851374e7","hash":"a50072cf95e30237f0ebb5f460112f35a714202e5168bdcc9af4e07d42b595a9","source_role":"core_stack_evidence"},{"id":"s6","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/39442746/","title":"Antidepressant-like and antistress effects of the ACTH(4-10) synthetic analogs Semax and Melanotan II on male rats in a model of chronic unpredictable stress","quote":"We found that chronic treatment with Semax and MTII reversed or substantially attenuated CUS-induced anhedonia, BW gain suppression, adrenal hypertrophy and a decrease in the hippocampal levels of BDNF.","summary":"2024 rat study showing Semax reverses anhedonia (emotional blunting-like symptom) and increases BDNF in chronic stress model; supports potential antidepressant effects without traditional SSRI drawbacks.","author":"","publisher":"","date":"","claim_ids":["c4"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:08:14.331Z","link_status":"ok","quote_status":"verified","prev":"a50072cf95e30237f0ebb5f460112f35a714202e5168bdcc9af4e07d42b595a9","hash":"9b93de91464d4a56cd7dad066461bd6bc2ea0d84d245e7740a5d60db67eac3d2","source_role":"core_stack_evidence"},{"id":"s7","type":"reddit","url":"https://www.reddit.com/r/Semax/comments/1nvdxxj/has_anyone_used_semax_for_anhedoniaemotional/","title":"Has anyone used Semax for Anhedonia/emotional blunting","quote":"Has anyone used Semax for Anhedonia/emotional blunting ...","summary":"Reddit thread in r/Semax subreddit directly inquiring about personal experiences using Semax specifically to address anhedonia or emotional blunting (often post-SSRI context implied in community).","author":"","publisher":"","date":"","claim_ids":["c5","c31"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:08:14.331Z","link_status":"ok","quote_status":"unverified","prev":"9b93de91464d4a56cd7dad066461bd6bc2ea0d84d245e7740a5d60db67eac3d2","hash":"793c528e1920ee3edac6247966cdcc46591652ffa13d94e7c59dd2a5430df070","source_role":"anecdotal_report"},{"id":"s8","type":"reddit","url":"https://www.reddit.com/r/Nootropics/comments/1rbq1zg/selank_semax_observed_effects_focus_anxiety_sleep/","title":"Selank + Semax – Observed Effects","quote":"Mood & Emotional Tone • Emotional stabilization • Positive baseline mood • No extreme emotional blunting","summary":"User report on combined Semax/Selank noting emotional stabilization without the blunting associated with SSRIs.","author":"","publisher":"","date":"","claim_ids":["c6","c31"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:08:14.331Z","link_status":"ok","quote_status":"unverified","prev":"793c528e1920ee3edac6247966cdcc46591652ffa13d94e7c59dd2a5430df070","hash":"38e41ced38e8ab2c1f5816e6da652cd3a99ef6060db6cf205db5d3ac50ef8b63","source_role":"anecdotal_report"},{"id":"s9","type":"medical","url":"https://thebh.us/blog/semax-selank-anxiety-depression-ptsd-cognition/","title":"Semax and Selank Together: Side Effects & SSRI Safety","quote":"Semax addresses the underperforming systems: BDNF deficiency, impaired neuroplasticity, reduced dopaminergic drive (anhedonia, low motivation), and cognitive decline associated with chronic stress.","summary":"Psychiatrist discusses Semax mechanisms including addressing anhedonia/dopaminergic issues and use in patients intolerant to SSRI side effects like emotional blunting; notes dual neurotransmitter effects complement SSRIs.","author":"","publisher":"","date":"","claim_ids":["c7"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:08:33.424Z","link_status":"ok","quote_status":"unverified","prev":"38e41ced38e8ab2c1f5816e6da652cd3a99ef6060db6cf205db5d3ac50ef8b63","hash":"32fe0707a899e795e89f6958be2fd08bf9774b2e9adb15197c5e2af4dff72e96","source_role":"core_stack_evidence"},{"id":"s10","type":"reddit","url":"https://www.reddit.com/r/Nootropics/comments/bmywm4/i_took_semax_for_a_week_to_treat_my_anhedonia/","title":"I took Semax for a week to treat my anhedonia, anxiety and dysthymia. It's changing my life. Here's my log of each day's experiences.","quote":"I have lots of trouble enjoying things I used to enjoy before entered recovery (art, music, movies, writing, volunteering). ... definitely ANHEDONIC. ... I think I felt joy for the first time in recovery ... No feelings of anhedonia or depression or anxiety like I was feeling.","summary":"Detailed user log of Semax use leading to rapid improvement in anhedonia, mood, joy, anxiety, and productivity scores.","author":"","publisher":"","date":"","claim_ids":["c8","c31"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:08:33.424Z","link_status":"ok","quote_status":"unverified","prev":"32fe0707a899e795e89f6958be2fd08bf9774b2e9adb15197c5e2af4dff72e96","hash":"1c86baf365303b78dd72600ddcb55fc1a5387968a49023327970f05a9102433d","source_role":"anecdotal_report"},{"id":"s11","type":"reddit","url":"https://www.reddit.com/r/anhedonia/comments/16oppj8/what_have_you_actually_tried_for_ssri_induced/","title":"What have you actually tried for SSRI induced anhedonia?","quote":"I know Semax can help with Anhedonia when it comes to exercise and maybe general Anhedonia too.","summary":"User reports Semax may help with exercise-related and possibly general anhedonia in context of SSRI-induced issues; cautious about recommending due to risks.","author":"","publisher":"","date":"","claim_ids":["c9","c31"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:08:59.534Z","link_status":"ok","quote_status":"unverified","prev":"1c86baf365303b78dd72600ddcb55fc1a5387968a49023327970f05a9102433d","hash":"bdd68d41eba8891c5a043f4f177f50c1370a9f6386e79586c12aca2235ef2be0","source_role":"anecdotal_report"},{"id":"s12","type":"reddit","url":"https://www.reddit.com/r/Nootropics/comments/3wu6eb/semax_and_selank_as_powerful/","title":"Semax and Selank as powerful anti-depressants/anxiety agents","quote":"I still get this strange super-stressed-out and anhedonic effect from SEMAX , in doses as low as 200mcg sub-q.","summary":"User reports negative outcome: Semax causes stressed-out and anhedonic effects even at low doses.","author":"","publisher":"","date":"","claim_ids":["c10"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:08:59.534Z","link_status":"ok","quote_status":"unverified","prev":"bdd68d41eba8891c5a043f4f177f50c1370a9f6386e79586c12aca2235ef2be0","hash":"72b573dc48ce4f0c3eaf816959d08ffe3fe07d20d54a461927484664fb080ba9","source_role":"anecdotal_report"},{"id":"s13","type":"reddit","url":"https://www.reddit.com/r/anhedonia/comments/ncazpx/a_list_of_whats_worked_for_me/","title":"A list of what's worked for me","quote":"Stacks very well with neurogenics (e.g. NSI-189, Semax, Selank, 4-DMA-7,8-DHF) and antioxidants","summary":"In thread about SSRI emotional blunting and anhedonia, user suggests stacking Semax with other neurogenics as potentially helpful.","author":"","publisher":"","date":"","claim_ids":["c11","c31"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:08:59.534Z","link_status":"ok","quote_status":"unverified","prev":"72b573dc48ce4f0c3eaf816959d08ffe3fe07d20d54a461927484664fb080ba9","hash":"ce9aec913cbe4c5d1400670b117ef63480158068f28e7a23548effad86bd2f4b","source_role":"anecdotal_report"},{"id":"s14","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/33418449/","title":"Semax, synthetic ACTH(4-10) analogue, attenuates behavioural and neurochemical alterations following early-life fluvoxamine exposure in white rats","quote":"Semax exerts a favourable effect on behaviour and biogenic amine system of rats exposed to the antidepressant. Thus, peptide Semax can prevent behavioural deficits caused by altered 5-HT levels during development.","summary":"2021 study showing Semax prevents long-term behavioral (anxiety-like, learning) and monoamine alterations in rats from neonatal SSRI (fluvoxamine) exposure.","author":"","publisher":"","date":"","claim_ids":["c12"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:09:22.368Z","link_status":"ok","quote_status":"verified","prev":"ce9aec913cbe4c5d1400670b117ef63480158068f28e7a23548effad86bd2f4b","hash":"1225ee82639ddd8d96e9e681a76ec563f56d622cbdda36b2d0696d50cb0efba3","source_role":"core_stack_evidence"},{"id":"s15","type":"medical","url":"https://www.seekpeptides.com/blog/articles/peptides-for-depression-and-anxiety","title":"Peptides for depression and anxiety: what the research shows","quote":"This tuning mechanism may explain why Semax improves mood without the emotional blunting that SSRIs sometimes produce.","summary":"2026 article discusses Semax mechanisms for mood improvement contrasting with SSRI emotional blunting side effects.","author":"","publisher":"","date":"","claim_ids":["c13"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:09:22.368Z","link_status":"ok","quote_status":"verified","prev":"1225ee82639ddd8d96e9e681a76ec563f56d622cbdda36b2d0696d50cb0efba3","hash":"2bbe47d2fd060dc3b618109215fda91d8f3be5a414e336798ffaff0fb9f13a73","source_role":"core_stack_evidence"},{"id":"s16","type":"reddit","url":"https://www.reddit.com/r/depressionregimens/comments/b6honp/extreme_emotional_blunting_following_long_term/","title":"Extreme emotional blunting following long term SSRI use. Am I fucked","quote":"I took SSRIs for about 5 years. If I could go back in time I would never ever take these things.","summary":"Reddit anecdote on long-term SSRI emotional blunting; mentions Semax in comments as potential option.","author":"","publisher":"","date":"","claim_ids":["c14"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:09:22.368Z","link_status":"ok","quote_status":"unverified","prev":"2bbe47d2fd060dc3b618109215fda91d8f3be5a414e336798ffaff0fb9f13a73","hash":"de4e31812004a08c0174e445563b1e48d62159d8af7882a40fa73af170c091ad","source_role":"anecdotal_report"},{"id":"s17","type":"reddit","url":"https://www.reddit.com/r/Nootropics/comments/7ci6oy/selank_or_semax_experiences_for/","title":"Selank or Semax experiences for anhedonia/emotional blunting","quote":"Anybody find this useful for their emotional blunting or anhedonia? \n \n I am reading that it is anti anhedonic","summary":"User seeks experiences with Semax or Selank for drug-induced emotional blunting/anhedonia; comments discuss Semax potentially helping with motivation and anhedonia when combined with dopamine agents, mixed results.","author":"","publisher":"","date":"","claim_ids":["c15"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:10:17.891Z","link_status":"ok","quote_status":"unverified","prev":"de4e31812004a08c0174e445563b1e48d62159d8af7882a40fa73af170c091ad","hash":"9458064470f0922ae713eaf5048befb55c3b8cffe90101492eecc72632be5e16","source_role":"anecdotal_report"},{"id":"s18","type":"pubmed","url":"https://www.sciencedirect.com/science/article/abs/pii/S0014299924007581","title":"Antidepressant-like and antistress effects of the ACTH(4–10) synthetic analogs Semax and Melanotan II on male rats in a model of chronic unpredictable stress","quote":"We found that chronic treatment with Semax and MTII reversed or substantially attenuated CUS-induced anhedonia, BW gain suppression, adrenal hypertrophy and a decrease in the hippocampal levels of BDNF.","summary":"2024 rat study shows Semax exerts antidepressant-like effects, reversing chronic stress-induced anhedonia and normalizing hippocampal BDNF levels.","author":"","publisher":"","date":"","claim_ids":["c16"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:10:17.891Z","link_status":"http_403","quote_status":"unverified","prev":"9458064470f0922ae713eaf5048befb55c3b8cffe90101492eecc72632be5e16","hash":"d07125544e75f3042ca839561481c0f4f266486e691788d084c58fd2828bd5a4","source_role":"core_stack_evidence"},{"id":"s19","type":"reddit","url":"https://www.reddit.com/r/PSSD/comments/1o6f2lh/semax_a_peptide_of_potential_promise/","title":"Semax : A peptide of potential promise","quote":"Semax shows protective and restorative effects , suggesting its potential to counteract SSRI-induced developmental disruptions.","summary":"Reddit user discusses Semax as potentially helpful for SSRI-related issues including emotional/sexual side effects, citing protective effects against disruptions.","author":"","publisher":"","date":"","claim_ids":["c17"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:10:36.832Z","link_status":"ok","quote_status":"unverified","prev":"d07125544e75f3042ca839561481c0f4f266486e691788d084c58fd2828bd5a4","hash":"72566662204293df1d9f5407bd4168cd9e4ba7fad870c7cf8d38ed12f0b353d3","source_role":"anecdotal_report"},{"id":"s20","type":"reddit","url":"https://www.reddit.com/r/Nootropics/comments/1q1hw28/help_with_anxiety_already_on_ssri/","title":"Help with anxiety? Already on SSRI","quote":"Selank/Semax are a killer depending on case, cause, and personal biology... I attempted to take it along with Trintellix several times and always ran into symptoms heavily tied to SS within 3-5 days, tried Semax instead, and it worked very well.","summary":"User reports using Semax successfully alongside SSRI (Trintellix) for anxiety without serotonin syndrome issues that occurred with Selank.","author":"","publisher":"","date":"","claim_ids":["c18"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:10:36.832Z","link_status":"ok","quote_status":"unverified","prev":"72566662204293df1d9f5407bd4168cd9e4ba7fad870c7cf8d38ed12f0b353d3","hash":"82e3843683e05481bc153de8e1b9190510d99d60d92d9c9f9b5863f6c29528cc","source_role":"anecdotal_report"},{"id":"s21","type":"reddit","url":"https://www.reddit.com/r/Nootropics/comments/1klzoj7/selank_life_changing_so_far/","title":"Selank. Life changing so far.","quote":"They took me on an incredible trip of emotions and “non” emotions the week after and pretty seriously changed my brain chemistry for the better long term... I misread the labels on the nasal spray bottles of Semax and Selynk","summary":"Anecdotal report of Semax/Selank combination altering emotional sensitivity positively, reducing extremes of anxiety/depression while preserving ability to feel emotions.","author":"","publisher":"","date":"","claim_ids":["c19"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:10:36.832Z","link_status":"ok","quote_status":"unverified","prev":"82e3843683e05481bc153de8e1b9190510d99d60d92d9c9f9b5863f6c29528cc","hash":"4d876b129a4ab706c51ba28eacd4aef2c5e4e535abae56796365e769a5158f5a","source_role":"anecdotal_report"},{"id":"s22","type":"other","url":"https://peptify.app/guides/semax","title":"Semax. The Reddit Community's Comprehensive Guide to Uses, Protocols, and Real-World Experiences","quote":"While not explicitly contraindicated, users report caution around combining Semax with SSRIs or other serotonergic compounds, though specific interactions aren't well-documented in Reddit discussions.","summary":"Community guide compiling Reddit experiences on Semax, noting caution with SSRIs and its use for mood/cognition.","author":"","publisher":"","date":"","claim_ids":["c20"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:10:36.832Z","link_status":"ok","quote_status":"verified","prev":"4d876b129a4ab706c51ba28eacd4aef2c5e4e535abae56796365e769a5158f5a","hash":"accd10e89241925743c591f29210d8f60d3fdb29e56af24d369c7fb5e7b40bf1","source_role":"core_stack_evidence"},{"id":"s23","type":"medical","url":"https://drlewis.com/semax-for-focus-mood/","title":"Semax for Focus and Mood: Evidence and What to Expect","quote":"Semax enhances the release and balance of dopamine and serotonin, promoting motivation, mood stability, and mental drive... The evidence is stronger for cognitive effects than for mood effects specifically.","summary":"Psychiatrist review of Semax, highlighting potential for cognitive/mood issues in depression context via BDNF and neurotransmitter modulation, suitable alongside SSRIs for some symptoms.","author":"","publisher":"","date":"","claim_ids":["c21"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:10:36.832Z","link_status":"ok","quote_status":"unverified","prev":"accd10e89241925743c591f29210d8f60d3fdb29e56af24d369c7fb5e7b40bf1","hash":"9ee5be40cadfd27df386e8a89cfb3a0e168d7db8697d3a688254a2e63e56e287","source_role":"core_stack_evidence"},{"id":"s24","type":"reddit","url":"https://www.reddit.com/r/Nootropics/comments/3q9h7a/semax_effects_on_emotions/","title":"Semax effects on emotions","quote":"Word-for-word, yes. I experienced this to the point where it started to affect my relationship. ... After a while (not sure how long), I started to get emotionally blunted. For example, my boyfriend got some bad news and I immediate replied with an inconvenient but viable short-term solution. Having skipped the empathy portion of my reply and jumping straight to the problem solving came off very cold and callous. ... I took a 4-5 month break from SEMAX and in the first week o","summary":"User reports Semax (and especially NA-Semax-amidate) caused emotional blunting/ reduced empathy after prolonged use, negatively impacting relationships and work; resolved after break. Another user reports opposite positive effect of increased empathy and emotional expression.","author":"","publisher":"","date":"","claim_ids":["c22"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:11:06.143Z","link_status":"ok","quote_status":"unverified","prev":"9ee5be40cadfd27df386e8a89cfb3a0e168d7db8697d3a688254a2e63e56e287","hash":"50255e777b2197f4ac39ad1e1f5177742ef2d110eec61c7d2cb71697a36f092f","source_role":"anecdotal_report"},{"id":"s25","type":"reddit","url":"https://www.reddit.com/r/Nootropics/comments/3q9h7a/semax_effects_on_emotions/","title":"Semax effects on emotions","quote":"I had the opposite effect. One of the first times I took semax I had a 10 minute long emotional event which began with profusely crying from happiness ... Overall semax lowers my own emotional intelligence while allowing me to express my emotions more. I see this as a negative side effect.","summary":"Different user reports intense positive emotional release from Semax but overall reduced emotional intelligence as a downside.","author":"","publisher":"","date":"","claim_ids":["c23"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:11:06.143Z","link_status":"ok","quote_status":"unverified","prev":"50255e777b2197f4ac39ad1e1f5177742ef2d110eec61c7d2cb71697a36f092f","hash":"9509d1c29c71a82e4112865f5bc7cac85fcf1edc30428fa1bd80bbb515c27c82","source_role":"anecdotal_report"},{"id":"s26","type":"anecdotal","url":"https://www.longecity.org/forum/topic/65254-review-semax-pramiracetam-piracetam-some-others/","title":"Review (Semax, Pramiracetam, Piracetam, some others)","quote":"After prolonged use it seems to be mostly anxiolytic and emotionally blunting - though you can still tell a difference in speed of thought and ...","summary":"Forum user notes prolonged Semax use leads to emotional blunting alongside anxiolytic effects.","author":"","publisher":"","date":"","claim_ids":["c24"],"found_by":"grok/grok-4.3","extra":{},"accessed_at":"2026-06-29T11:11:06.143Z","link_status":"ok","quote_status":"unverified","prev":"9509d1c29c71a82e4112865f5bc7cac85fcf1edc30428fa1bd80bbb515c27c82","hash":"e0b18f0397fcecdf5de66237ee5a0bd3460d831bde4da390c8188500604824d9","source_role":"anecdotal_report"}]}