Introduction to Heart Tests in Delhi
Importance of Heart Health Screening
Living in a fast-paced city like Delhi comes with its perks—and its health risks. One of the most pressing concerns today is heart health. With pollution levels soaring, stress being a constant companion, and sedentary lifestyles on the rise, heart-related issues are more prevalent than ever. That’s why regular heart checkups have become a necessity, not a luxury.
Heart screenings can detect abnormalities early—even before symptoms start showing. They act as preventive shields, offering a sneak peek into what’s really going on inside your cardiovascular system. A simple test like an ECG can reveal arrhythmias, while more advanced procedures like an echocardiogram or a cardiac MRI can provide detailed insights into your heart’s structure and functioning.
What many people don’t realize is that heart problems are often silent killers. They creep in quietly and strike without warning. A proactive approach through regular testing can literally save your life. Especially if you have a family history of heart disease, diabetes, high blood pressure, or you’re above 40—getting screened isn’t optional. It’s essential.
Delhi offers a wide variety of heart tests, ranging from basic to high-end diagnostics. The city caters to all economic classes, so whether you’re budget-conscious or looking for advanced cardiac imaging, there are options galore. But how much will it cost you? Let’s find out.
Common Reasons for Getting a Heart Test in Delhi
There are several triggers that prompt people in Delhi to seek heart testing. One major reason is the growing prevalence of lifestyle diseases. Diabetes, hypertension, high cholesterol—all of these are major contributors to heart disease, and most patients undergo routine heart evaluations to monitor the impact of these conditions.
Another major factor is age. As you get older, your risk of heart disease increases. Many Delhiites over the age of 40 are advised to undergo annual heart checkups as a preventive measure. Add to this the stress of urban living, lack of physical activity, and air pollution—it’s a cocktail that significantly increases cardiac risk.
People also seek heart tests after experiencing symptoms like chest pain, shortness of breath, dizziness, or palpitations. Sometimes, even if the symptoms turn out to be harmless, it’s better to be safe than sorry. A quick test can rule out serious issues and offer peace of mind.
Delhi is also home to some of India’s top medical colleges and cardiology centers, which makes access to testing relatively easy. The only catch? Knowing what tests are available and how much they’ll cost.
Types of Heart Tests Available in Delhi
ECG (Electrocardiogram) Cost in Delhi
An ECG is often the first test prescribed when you visit a doctor for heart-related complaints. It’s quick, painless, and incredibly informative. The test records the electrical signals in your heart and can detect irregularities like arrhythmias, previous heart attacks, or even signs of future heart disease.
In Delhi, the cost of an ECG ranges from ₹200 to ₹1,000 depending on the facility. In government hospitals or smaller diagnostic centers, you can get it done for as low as ₹200–₹400. However, in premium healthcare setups, the charges can shoot up to ₹800–₹1,000, mainly due to advanced equipment and consultation fees included.
Despite its low cost, an ECG is one of the most powerful tools in diagnosing cardiac issues. And the best part? It doesn’t require much preparation. You can get it done during a routine checkup, and results are often available immediately.
This test is also a go-to for health insurance documentation, pre-employment checkups, and annual wellness screenings. So, if you’re looking to monitor your heart without spending a bomb, an ECG is the way to go.
Echocardiogram (2D Echo) Test Price in Delhi
A 2D Echo, also known as an echocardiogram, uses ultrasound waves to create a live image of the heart. It gives a clear view of the heart’s chambers, valves, and blood flow, helping doctors assess the structure and pumping efficiency of the heart.
In Delhi, the cost for a 2D Echo typically falls between ₹1,200 and ₹3,000. Government hospitals and budget clinics might offer it for around ₹1,000–₹1,500, whereas private diagnostics or super-specialty hospitals can charge up to ₹3,000 or more.
The 2D Echo is often recommended if an ECG shows abnormalities, or if a patient reports persistent symptoms like breathlessness, fatigue, or chest discomfort. It’s also a routine test before major surgeries or procedures, especially for those with existing cardiovascular conditions.
The affordability of this test, combined with its diagnostic strength, makes it one of the most requested heart tests in Delhi. Even if you’re not showing any signs of illness, a 2D Echo once a year can be a smart move if you fall in the high-risk category.
TMT (Treadmill Test) Charges in Delhi
The Treadmill Test, or TMT, is a stress test that measures how your heart performs under physical exertion. Patients walk or run on a treadmill while connected to an ECG machine, and doctors observe how the heart reacts to increasing activity levels.
TMT is especially useful for detecting blockages or reduced blood flow in the coronary arteries. It can also help determine your fitness levels and risk of heart attack.
In Delhi, a TMT test can cost between ₹1,500 and ₹4,000. Affordable diagnostic labs usually charge ₹1,500–₹2,000, while top-tier hospitals may ask for ₹3,500–₹4,000. Some packages also include both ECG and TMT for a bundled rate.
People with sedentary lifestyles, obesity, or known heart disease risks are usually advised to undergo a TMT to assess their cardiac endurance. The test is non-invasive but requires you to fast and wear comfortable clothing.
So, if you’re planning to start a workout regime or just want to ensure your heart is up for it, a TMT test in Delhi is worth every rupee.
Holter Monitoring Cost in Delhi
Holter monitoring is essentially a 24 to 48-hour ECG that tracks your heart’s rhythm over time. It’s like wearing a portable ECG machine. This test is often prescribed when your regular ECG doesn’t catch the issue, but symptoms like palpitations or irregular heartbeat persist.
In Delhi, the cost of Holter monitoring can vary from ₹2,500 to ₹6,000. Basic setups without real-time monitoring are on the cheaper side, usually around ₹2,500–₹3,000. Advanced facilities that offer detailed analysis and faster reporting might charge ₹5,000 or more. Some centers even offer wireless Holter monitors for better convenience, which could cost a bit extra.
Holter tests are invaluable if you’re experiencing unexplained dizziness, fainting, or intermittent palpitations. They help catch problems like arrhythmias or silent ischemia that wouldn’t show up in a short ECG. It also aids in evaluating the effectiveness of heart medications or pacemakers.
Wearing the device is easy—you just carry on with your daily routine while the monitor records data. It’s non-invasive, painless, and delivers tons of useful information to your cardiologist.
CT Coronary Angiography Price in Delhi
When doctors suspect blockages in your heart arteries, CT Coronary Angiography is the go-to test. This is a high-tech imaging scan that uses contrast dye and CT technology to provide detailed images of your coronary arteries. It helps detect plaque build-up or narrowing, offering an early diagnosis of coronary artery disease.
In Delhi, the cost for CT Coronary Angiography typically ranges from ₹6,000 to ₹18,000. In basic diagnostic labs, you might find it around ₹6,000–₹10,000. But in hospitals equipped with 128-slice or 256-slice CT scanners, the price goes up to ₹15,000–₹18,000 because of higher imaging quality and interpretation by expert radiologists.
Though it sounds pricey, this test is highly recommended if you have strong symptoms of heart disease or inconclusive results from ECG or Echo. It’s also useful for patients with diabetes or chronic kidney issues, where traditional angiography could pose more risks.
This test requires fasting, and patients may also receive medications to slow down the heart rate for better imaging. Despite its higher cost, it’s one of the most accurate non-invasive tests available today in Delhi.
Cardiac MRI Cost in Delhi
Cardiac MRI is another high-end imaging test that gives a detailed view of your heart’s structure, tissues, and function. It’s often used for diagnosing congenital heart defects, heart muscle diseases (like cardiomyopathy), and scarring from previous heart attacks.
In Delhi, Cardiac MRI pricing ranges from ₹10,000 to ₹25,000 depending on the facility and the complexity of the test. Government-affiliated hospitals or teaching institutions may offer it for around ₹10,000–₹12,000, while premium private diagnostic centers may charge upwards of ₹20,000.
Cardiac MRI is safe, non-invasive, and doesn’t use ionizing radiation like a CT scan does. However, it’s not recommended for everyone—especially if you have metal implants or claustrophobia. The test takes around 45 minutes to 1 hour and usually requires a radiologist and a cardiologist to interpret the results.
Despite the high price tag, Cardiac MRI is considered a gold standard for diagnosing complex heart issues without the need for surgery or invasive procedures. If you’re looking for the most comprehensive heart imaging available in Delhi, this test is your best bet.
Blood Tests for Heart Disease and Their Pricing
Blood tests are an essential part of cardiac evaluation. They help detect risk factors such as cholesterol levels, inflammation, enzyme markers (like Troponin), and even signs of heart failure. These tests are typically combined with imaging tests to provide a full picture of your heart’s health.
In Delhi, here’s what some common heart-related blood tests cost:
- Lipid Profile: ₹300 to ₹800
- Troponin Test (T/I): ₹600 to ₹1,500
- BNP/NT-proBNP Test: ₹1,200 to ₹2,500
- HS-CRP (C-reactive protein): ₹500 to ₹1,200
- Homocysteine: ₹800 to ₹1,500
While these prices may vary slightly depending on the lab and location, most blood tests are relatively affordable compared to imaging diagnostics. You can even get some of these tests included in health packages, bringing down the overall cost significantly.
These tests are particularly useful in the early detection of heart disease. For instance, an elevated Troponin level could indicate a heart attack, even if your ECG appears normal. The lipid profile helps in assessing cholesterol levels, which are major contributors to artery blockages.
A small blood sample can reveal so much about your cardiovascular risks. It’s highly recommended to get these tests done annually, especially if you have a family history of heart problems or are above 40.
Factors That Influence the Cost of Heart Tests in Delhi
Type of Test and Technology Used
One of the biggest influencers of cost is the type of heart test you’re undergoing. Basic tests like ECGs and blood work are far more affordable than complex procedures like a CT Angiography or Cardiac MRI. The more advanced the technology and precision involved, the more expensive the test gets.
For instance, a standard 2D Echo and a 3D Echo are priced differently because of the imaging quality. Similarly, a Holter monitor with real-time data tracking will cost more than a basic model. The kind of equipment, software, and personnel involved can drastically shift pricing—even for the same test.
Then there’s the aspect of how recent or sophisticated the machine is. Centers that use older equipment often charge less, but newer machines offer better accuracy, which can be worth the added cost.
Finally, the test duration matters too. A quick 10-minute ECG won’t cost the same as a 1-hour long MRI scan. More time, more resources, and more analysis generally mean more money.
Hospital or Diagnostic Centre Location and Reputation
Delhi is a sprawling city with massive price variation depending on the area. Diagnostic centers in South Delhi, Central Delhi, or upscale localities generally charge more than those in East or North Delhi. Prime locations come with overhead costs—rent, high-tech equipment, experienced staff—which gets reflected in the final bill.
Reputation also plays a major role. Diagnostic labs with a long-standing record or international accreditation tend to charge a premium. This is partly due to their skilled professionals, advanced tools, and meticulous reporting, all of which contribute to trust and quality.
If you’re cost-sensitive, it’s always a good idea to check diagnostic centers in suburban areas or near metro stations, which might offer the same quality for less. Just make sure the center is NABL accredited or recommended by your doctor.
Whether It’s an Emergency or Scheduled Test
Another factor that significantly influences the cost of heart tests in Delhi is whether the test is conducted as a scheduled appointment or during an emergency. When you book a test in advance, clinics and hospitals often offer standard rates or discounts, especially if it’s part of a package. However, in emergency situations, you may end up paying more due to rush charges or urgent diagnostic processing.
For example, a CT Angiography that costs ₹8,000 during a scheduled visit may cost ₹10,000–₹12,000 if done on an emergency basis at midnight. That’s because round-the-clock availability requires more staff, faster reporting, and immediate consultations with specialists—all of which come at a cost.
Moreover, some diagnostic centers offer discounted rates for morning slots or weekday bookings. Emergency testing, on the other hand, often bypasses insurance pre-approval steps, forcing you to pay out-of-pocket initially. So, if your condition allows it, scheduling the test in advance can be both convenient and cost-effective.
Emergencies, by nature, are unpredictable, but being aware of these costs can help you stay financially prepared. Always ask for the emergency charges upfront and keep a medical emergency fund if you or someone in your family is at high cardiac risk.
Presence of Insurance or Health Package
Health insurance can be a major cost-cutter when it comes to heart tests in Delhi. Depending on your policy, you may be eligible for free or discounted tests, especially if prescribed by a certified cardiologist. Some insurance plans even cover annual checkups that include heart-related investigations like ECG, Echo, and Lipid Profile.
Health packages from hospitals or diagnostic chains are also a smart way to save. These packages often bundle several heart tests—including blood work, ECG, Echo, and consultation—at a price much lower than paying for each test separately. A package that costs ₹2,999 could easily include tests worth ₹5,000 or more if billed individually.
Before booking any test, ask the diagnostic center if they offer health packages or accept your insurance. Always check if cashless service is available, as that can further reduce your out-of-pocket expenses. Some credit cards and corporate wellness programs also provide discounted diagnostics as part of their perks, so it’s worth exploring all options.
Average Cost Range of Heart Tests in Delhi
Low-Cost vs. High-End Testing Facilities
Delhi caters to every budget when it comes to healthcare. On one end of the spectrum, you have local diagnostic centers that offer basic tests at a fraction of the cost. On the other end, there are high-end hospitals and multi-specialty clinics that charge a premium but offer advanced diagnostics, same-day reports, and consultations with leading cardiologists.
Let’s break it down:
| Test Type | Low-Cost Facility | Mid-Range Facility | High-End Facility |
| ECG | ₹200–₹400 | ₹500–₹700 | ₹800–₹1,000 |
| 2D Echo | ₹1,200–₹1,500 | ₹1,600–₹2,200 | ₹2,500–₹3,000 |
| TMT | ₹1,500–₹2,000 | ₹2,200–₹3,000 | ₹3,500–₹4,000 |
| Holter Monitor | ₹2,500–₹3,500 | ₹3,600–₹4,500 | ₹5,000–₹6,000 |
| CT Angiography | ₹6,000–₹9,000 | ₹10,000–₹13,000 | ₹14,000–₹18,000 |
Low-cost centers usually use older machines and might lack advanced reporting. However, they are often NABL certified and reliable. High-end facilities justify their higher rates with better hygiene, faster reporting, and personalized care.
Choosing between them depends on your health needs, budget, and urgency. If it’s a routine checkup, a low-cost facility is fine. But for complex or high-risk conditions, go for the premium experience.
Government vs. Private Clinics – A Price Comparison
Government hospitals in Delhi offer several cardiac tests either free of cost or at nominal rates. Tests like ECG, lipid profile, and even 2D Echo may cost next to nothing if you’re willing to wait and manage the crowd. Some hospitals also organize heart health camps with free or subsidized diagnostics.
Private clinics and diagnostic labs, on the other hand, charge more for quicker appointments, shorter wait times, and cleaner facilities. Here’s a basic comparison:
- ECG: ₹50–₹150 (Govt) vs. ₹500–₹1,000 (Private)
- 2D Echo: ₹500–₹800 (Govt) vs. ₹1,200–₹3,000 (Private)
- TMT: ₹1,000–₹1,500 (Govt) vs. ₹2,000–₹4,000 (Private)
While government hospitals are a great option for the economically weaker sections, private centers appeal to those who want speed and convenience. Some people even choose to do tests in government hospitals and consult private doctors later—a budget-friendly approach that still offers high-quality care.
Discounts, Offers, and Health Packages Available
Discounts and promotional offers are common in Delhi’s competitive healthcare landscape. Diagnostic centers frequently run promotional campaigns, especially during heart health awareness months or festive seasons. These offers can slash prices by 20–50%, making even high-end tests more affordable.
Health packages are another cost-effective way to get comprehensive diagnostics. These packages often combine blood tests, ECG, Echo, and doctor consultation at a significantly reduced price. Prices for such packages range from ₹1,999 to ₹6,000 depending on the tests included.
Some health apps and aggregator websites also offer online booking discounts. Booking through these platforms can save you anywhere from ₹300 to ₹1,000 on average. Membership cards, corporate tie-ups, and senior citizen discounts are also worth exploring.
If you’re going for multiple tests, ask the center for a combo deal. Many are willing to negotiate or customize a package for you. A little bit of inquiry can go a long way in cutting down your heart test costs in Delhi.
How to Choose the Right Heart Test for Your Condition
Doctor’s Prescription and Recommendations
The best way to decide which heart test you need is to follow a doctor’s advice. Self-diagnosing or ordering random tests online might lead to unnecessary expenses and anxiety. A qualified cardiologist will recommend the right test based on your symptoms, history, and risk factors.
For instance, if you have mild chest discomfort, an ECG might be enough. If the ECG shows anomalies, the doctor might follow it up with an Echo or a TMT. In high-risk cases, advanced imaging like CT Angiography or Cardiac MRI may be suggested.
Moreover, some tests complement each other. An Echo shows the structure of the heart, while a TMT shows its performance under stress. A combination of both gives a holistic view. That’s why expert guidance is essential.
Doctors also know where to refer you for cost-effective diagnostics without compromising on quality. So always start with a consultation—it might cost you ₹500–₹1,000, but it could save you thousands in unnecessary tests.
Symptoms and Risk Factors That Determine the Test
Your symptoms and personal risk profile largely determine which heart tests you need. Here’s a quick guide:
- Palpitations, Dizziness: ECG or Holter Monitor
- Chest Pain on Exercise: TMT or CT Angiography
- Persistent Fatigue, Swelling: 2D Echo or BNP Blood Test
- Family History, Smoking, Diabetes: Lipid Profile + ECG
- Previous Heart Attack or Surgery: Echo + Cardiac MRI
Knowing what to expect based on your symptoms can help you budget better. Don’t ignore minor symptoms like shortness of breath or fatigue. These could be early signs of serious cardiac issues and should not be overlooked.
If you’re unsure which test to take, consult a general physician or a cardiologist. It’s better to spend a little on consultation than a lot on incorrect or unnecessary tests.
Tips to Save Money on Heart Tests in Delhi
Opting for Preventive Health Packages
One of the smartest ways to cut costs on heart testing in Delhi is by choosing preventive health packages. These bundled services often include ECG, 2D Echo, lipid profile, blood pressure monitoring, and doctor consultations—all in one economical package. You’ll often find that the price of a package is far less than the combined individual costs of each test.
For example, a standalone 2D Echo might cost ₹2,500, but a package that includes ECG, lipid profile, and Echo could be priced at ₹2,999—effectively saving you hundreds of rupees. These packages are widely offered by private diagnostic chains and hospitals throughout Delhi, and they’re available for all age groups, particularly people above 40.
The best time to buy these packages is during promotional months like World Heart Day, New Year, or festive seasons when prices drop further. Always review what’s included and make sure the package aligns with your health needs. If not, ask if it can be customized—many providers are open to tweaking the tests to suit your risk profile.
Preventive packages aren’t just cost-effective; they also encourage regular screenings, which can catch diseases early and reduce long-term healthcare expenses.
Utilizing Government Health Schemes and Camps
Delhi’s government health system offers various schemes and free heart screening camps for residents, particularly senior citizens, economically weaker sections, and people with chronic diseases. You can avail services like ECG, blood pressure monitoring, lipid profile, and even echocardiography at minimal or zero cost through public hospitals or mobile health vans.
Some schemes also tie in with insurance programs like Ayushman Bharat or state-level initiatives, covering tests as part of routine checkups. You’ll need proper documentation such as ID proof, ration card, or income certificate to access these benefits.
Government-run hospitals like AIIMS, Safdarjung, and GTB often conduct health check-up days that include free heart testing for walk-in patients. NGOs and community groups also organize monthly or quarterly health camps where experienced doctors volunteer their services and basic tests are done free or for a token amount.
The quality of care may vary, and wait times can be long, but for many residents, this is a lifeline that makes heart health screening accessible and affordable.
Comparing Diagnostic Centers Before Booking
Just like booking a flight or ordering food online, comparing options before scheduling a heart test can save you money. Prices for the same test can differ significantly across labs and hospitals in Delhi—even within the same neighborhood.
Use health aggregator apps or websites to compare test costs, available slots, user ratings, and turnaround times. Many of these platforms offer exclusive online discounts or cashback offers that aren’t available if you walk into the center directly.
Don’t hesitate to call up diagnostic centers and ask about pricing, doctor availability, and report delivery time. Make sure to confirm if the price includes consultation, if required. Some labs appear cheaper at first but may add hidden charges later for doctor interpretation or report printing.
Always ensure the center is accredited (like NABL or NABH), especially if you’re relying on the test results for critical decisions like surgery or long-term medication.
What to Expect During a Heart Test in Delhi
Procedure Duration and Patient Preparation
Heart tests vary significantly in their duration and preparation requirements. A simple ECG takes just 5–10 minutes and needs no special prep. In contrast, tests like TMT and Holter monitoring require more time and some preparation.
Here’s a quick breakdown of what to expect:
- ECG: Quick, painless, no fasting needed.
- 2D Echo: Takes 15–30 minutes; sometimes requires fasting.
- TMT: Takes 30–45 minutes; avoid heavy meals 2 hours before.
- CT Angiography: Requires 4–6 hours including observation; fasting mandatory.
- Cardiac MRI: Takes 45–60 minutes; may require contrast dye and prior screening for metal implants.
During most heart tests, you’ll be asked to remove jewelry or metal objects, wear a hospital gown, and lie still for clear imaging. Some tests like CT Angiography and MRI may cause mild discomfort due to positioning or contrast injections, but they’re generally safe.
Always follow your doctor’s instructions and inform the technician if you’re pregnant, diabetic, or allergic to any medications. After the test, you’ll usually receive your reports in 24 to 48 hours, depending on the complexity.
Risks and Aftercare for Various Tests
Most non-invasive heart tests are low-risk. ECGs, Echo, and blood tests are completely safe. TMT may trigger mild chest pain or breathlessness if your heart is under strain, but trained professionals are always present to manage it.
CT scans and MRIs may involve contrast dyes, which rarely cause allergic reactions or kidney strain in vulnerable patients. Always inform the radiologist of any prior allergies or kidney issues. Holter monitors might cause mild skin irritation due to electrode stickers, but nothing serious.
Once your test is done, take rest if advised—especially after stress tests. Avoid caffeine, alcohol, or strenuous activity until your doctor reviews the results. And remember, getting the test is only half the journey. Follow-up is just as important to interpret results and plan next steps.
Why Timely Heart Tests Can Be Life-Saving
Early Diagnosis Prevents Complications
Heart diseases rarely announce their arrival with fireworks. They build up silently, and when symptoms appear, the condition may already be advanced. That’s where timely heart testing comes in—by catching issues like arterial blockages, valve disorders, or arrhythmias early, you can prevent life-threatening complications like heart attacks or strokes.
Even basic tests like an ECG or lipid profile can reveal major warning signs. With early diagnosis, interventions are less invasive, treatment is more effective, and recovery is faster. It’s like fixing a leaky pipe before it floods your entire house.
Many lives in Delhi have been saved by routine screenings during health camps or preventive packages. These timely tests lead to early angioplasty, lifestyle changes, or medications that halt the progression of disease.
The cost of a test may feel burdensome now, but the cost of a bypass surgery or prolonged hospitalization is much higher—financially and emotionally.
Impact on Long-Term Treatment Costs
Prevention is always cheaper than cure. A ₹2,000 test that catches a blockage early could save you ₹3–5 lakhs in surgery and hospitalization. Heart tests also help fine-tune treatment, reducing the need for unnecessary medications or second opinions.
Regular screenings ensure that your treatment is on track and let doctors adjust dosage or therapy before things get worse. This leads to fewer ER visits, fewer hospital stays, and a better quality of life.
For people with chronic issues like hypertension or diabetes, routine heart monitoring helps avoid complications and long-term costs. Think of heart tests as an investment—not an expense.
Conclusion: Your Heart Deserves Attention—And Smart Spending
Living in Delhi, it’s easy to overlook your heart health in the daily hustle. But with rising heart disease rates, skipping routine heart checkups can be dangerous. Thankfully, Delhi offers a wide range of heart tests for every budget—from ₹200 ECGs to ₹25,000 MRIs—making heart care accessible if you plan wisely.
By understanding what each test offers, comparing prices, using health packages, and seeking timely doctor advice, you can protect your heart without breaking the bank. Don’t wait for symptoms to strike. Act now, get screened, and stay informed.
Your heart doesn’t take a break. Why should your care?
Frequently Asked Questions
- What is the cheapest heart test available in Delhi?
The cheapest is usually an ECG, starting at ₹200–₹400 in most basic diagnostic centers. - Are government hospitals in Delhi reliable for heart tests?
Yes, many offer reliable heart diagnostics at low or no cost, though wait times can be longer than in private facilities. - Can I get a heart test without a doctor’s prescription?
You can book many basic tests directly, but for more accurate results and follow-ups, a prescription is recommended. - Do heart test packages include doctor consultations?
Many do, especially in private hospitals. Always confirm when booking.
5. Are there any risks with heart imaging tests like CT or MRI?
These are generally safe but may involve contrast dye, which could cause allergies or kidney issues in rare cases. Always consult your doctor beforehand.
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