Children and teens who have overweight or obesity are much more likely to be deficient in vitamin D than children who are considered to be at a healthy weight (19). It's possible to accidentally overdose infants with liquid vitamin D by simply using the wrong-sized dropper. What if a breastfeeding mom takes vitamin D? 1alpha(OH)D3 One-alpha-hydroxy-cholecalciferol--an active vitamin D analog. Two months later, the babys levels are still high, but shes back on the growth charts and eating a calcium-free, store-bought, prepared formula. Learn about how vitamin D and depression may be connected, plus ways to get more vitamin D. Vitamin D is essential for health, but it can be hard to get enough of it from your diet. I just need to know he'll be okay. 2021 Jul 30;2021:3286274. doi: 10.1155/2021/3286274. We used reviews from BabyCenter's community of 4 millions caregivers to find a consensus on the best vitamin D drops. sharing sensitive information, make sure youre on a federal While breast milk is the best source of nutrients for babies, it likely won't provide enough vitamin D. Babies need vitamin D to absorb calcium and phosphorus. I feel like an awesome mum right now. Sign-up to get Mayo Clinics trusted health content sent to your email. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. Child Neurol Open. So, parents and caregivers should never give a child high dose vitamin D supplements unless prescribed by a healthcare professional (24). For example, infants require lower doses of the vitamin compared with older children and teens. Would you like email updates of new search results? Weakened bones in infants and young children can result in bowed legs, soft skulls, and delays in crawling and walking. For partially breastfed infants or formula-fed infants who do not drink 1 liter of formula each day, the doctor may prescribe a much smaller dose. Elizabeth was losing weight and was listless.They labeled her as failure to thrive, said Jackson, a term used to describe babies who are headed toward malnourishment.I was scared. If you do not understand, ask your pharmacist to show you. Share on LinkedIn. If a dropperful (1 mL) instead of 1 drop of these highly concentrated supplements is given, an infant would receive about 40 times more vitamin D than needed with each dose. Most infant vitamin D supplements contain this amount in one dose. Treatment for vitamin D deficiency differs by age. Your doctor might also prescribe intravenous fluids and medications, such as corticosteroids or bisphosphonates. All rights reserved. So she decided to feed the breast milk to her son, Joe, who had a fussy tummy. 2020-2025 Dietary Guidelines for Americans. Too much vitamin D can cause nausea and vomiting, loss of appetite, abdominal pain, muscle weakness, joint pain, confusion, and fatigue. Symptmes de grossesse ne jamais ignorer, Moyens naturels pour dclencher l'accouchement. Place the dose directly in her mouth when shes relaxed, such as during her bath or while holding her. I just add it to her milk in the mornings and no biggie. Always read the label of the vitamin D supplement carefully to determine how much liquid is needed to give your infant the correct dose of vitamin D. Remember, some supplements require just 1 drop for each 400 unit dose; others require 1 mL for each 400 units. According to the American Association of Poison Control Centers, in 2002 there were 2.4 million toxic ingestions, and more than half of these occurred in children younger than 6. Jackson was told to take the baby to the hospital immediately.It can cause kidneys to have calcium deposits and kidney failure and it can cause irregular heartbeat, said Dr. Monina Cabrera, a pediatric endocrinologist at Omahas Childrens Hospital and Medical Center.Cabrera hospitalized Elizabeth for 10 days, putting her on IV fluids and working on feedings to help the infant stabilize. https://www.sciencedirect.com/topics/biochemistry-genetics-and-molecular-biology/medium-chain-triglyceride [Accessed April 2023], AAP. I was adding too much Vitamin D. I wasnt following the recipe as it said. It's also clear, so it won't stain bottle nipples or your skin. Formula-fed babies need a vitamin D supplement until they are taking 32 ounces of formula every day, says Dr. Liermann. "I put it right on my nipple and [my son] didn't even seem to notice," says Sarah Darby, BabyCenter Senior SEO Content Strategist. You will be fine. What Do Polish Parents and Caregivers Think ofDietary Supplements for Children Aged 3-12? Always worked like a charm!". Although the prevalence of vitamin D deficiency in children and teens varies by geographic region, studies estimate a prevalence rate of about 15% in children ages 1 through 11 and 14% in children and teens ages 12 through 19 (19). The nutrient, which aids in the absorption of calcium and phosphorus,Opens a new window is a must for building strong, sturdy bones. Parents say that their babies didn't object to taking their drops: "No taste, just dropped them in [my daughter's] milk bottle and there were absolutely no issues," says Olivia DeLong, BabyCenter Senior Health Editor. So, if you take more than the serving size (usually 1 vitamin), you can overdose on all the vitamins in the multivitamin. And if you have any concerns about your babys health, talk to your pediatrician.. This mistake happened just a few weeks ago. Vitamin D toxicity in a pediatric toxicological referral center; a cross-sectional study from Iran. The RDA is the average daily intake sufficient to meet the nutrient requirements of nearly all healthy people. And her parents, grateful for no lingering health issues, are sharing their story, hoping that others learn from it. Certain children are more at risk for developing low vitamin D levels due to factors like (7): Children and teens who have higher levels of body fat are at higher risk of developing a vitamin D deficiency than kids who have standard body fat levels (8). Treatment for vitamin D deficiency depends on factors like age, the severity of the deficiency, underlying medical conditions, and more. Vitamin D deficiency impacts more than 1 billion people worldwide. After I figured out it was the ear drops I got Eye Relief/Eye Wash probably 2-3 drops in both eyes. To make up the shortfall, liquid vitamin D supplements are a straightforward and typically inexpensive purchase. Too little vitamin D can cause rickets, a softening and weakening of the bones. It's easiest to aim for the inner corner of the eye and let the water wash across the eye. Use the less concentrated liquid vitamin D. For infants and young infants, errors are less likely if you purchase a vitamin D supplement that contains 400 units per mL, not 400 units per drop. Because vitamin D deficiency can also present with vague symptoms like pain, lethargy, and irritability, teens who have it could be misdiagnosed with conditions like depression or fibromyalgia (20, 21). From my experieince, it's easier on parents to get drops that dont need to be refrigerated so you can keep them at a convenient spot, like by the changing table or your nursing chair. American Academy of Pediatrics. And if you have a question about a vitamin D (or any) supplement, check with your pediatrician. Because vitamin D deficiency is common especially in kids who have more body fat, certain medical conditions, and darker skin tones its important to have your childs vitamin D levels tested regularly. For breastfed infants, the usual dose is 400 units. The vitamin d council . Does that change levels in her breast milk? She encouraged parents to always share an infant formula recipe with a pediatrician and a dietitian before feeding it to a child. Slaton lives in San Francisco with her husband and daughter. A healthcare professional can diagnose vitamin D deficiency through a blood test. 31 yrs old Male asked about Otrivin goes into baby's eye.., 1 doctor answered this and 728 people found it useful. A daily dose of vitamin D is important for your babys health for several reasons. Meet other parents of May 2017 babies and share the joys and challenges as your children grow. Vitamin D: On the Double. Its no big deal, Jackson said. It also has a role in preventing cancer and autoimmune diseases (conditions in which the body is tricked into thinking your cells are not your own so it attacks them). Despite the Hype, You Shouldnt Give Your Baby Goat Milk. should discuss with their pediatrician to determine if this is the right option for them. Vitamin D is crucial for bone, immune system and brain health. When the drop went into the eye, you could have tried putting a little water in the eye to dilute the vitamin and thus reduce the irritation. And fatigue and muscle pain, symptoms of vitamin D deficiency, are common symptoms of several other conditions. You may opt-out of email communications at any time by clicking on the unsubscribe link in the e-mail. Copy link. If you are a Mayo Clinic patient, this could include protected health information. All rights reserved. How to Tell if Your Baby is Ready to Stop Drinking Formula. Cabrera said Vitamins D, A and E are fat soluble, which means they accumulate in the bodys fat and dont flush away easily. This content does not have an English version. Vitamin D insufficiency and deficiency can go unnoticed because noticeable symptoms typically dont manifest until a severe deficiency develops. We present the unique case of a previously healthy, 2-year-old boy with resistant hypercalcemia and hypertension resulting from an unintentional overdose with an imported vitamin D supplement. Infants who are breastfed or partially breastfed should receive a daily supplement of vitamin D starting in the first few days of life. Vitamin D. Office of Dietary Supplements. Farnaghi F, Hassanian-Moghaddam H, Zamani N, Gholami N, Gachkar L, Hosseini Yazdi M. BMC Pediatr. She also appreciated that she could find it easily in stores and just grab it when I needed it!". The patient's hypercalcemia persisted for 14 days and was complicated by persistent hypertension. PMC Is a Vitamin D Deficiency Causing Your Depression? You should never try to treat a vitamin D deficiency without consulting your childs healthcare professional. Vitamin D Intoxication and Nephrocalcinosis in a Young Breastfed Infant. JA: I'm sorry to hear that. If you are not sure how to measure the correct dose of vitamin D, ask your pharmacist or other healthcare provider to show you using the product and the measuring device that came with it. Cabrera hospitalized Elizabeth for 10 days, putting her on IV fluids and working on feedings to help the infant stabilize. Vitamin D is involved in bone health and your immune system. Bookshelf Signs and symptoms. This site needs JavaScript to work properly. Just like adults, children are considered to be deficient if their levels fall below 20 ng/mL (50 nmol/L) (6, 8, 9 That's a broad temperature range that's more reassuring than the "no refrigeration needed" or "store in a cool dry place" notices found on most vitamin D drop packaging. A nurse caring for a patient who was unable to swallow LOVAZA (omega-3-acid ethyl esters), punched holes in the large, soft gelatin capsule, squeezed the oily yellow liquid contents into a disposable foam plastic cup (often called a Styrofoam cup), and diluted it with cranberry juice. Then she started investigating the source of the toxic levels of vitamins. Vitamin D helps the body absorb calcium and utilize it to form and strengthen bones. After vitamin D levels have returned to an expected range, your teenagers healthcare professional may recommend an appropriate daily dose to maintain healthy levels for example, a daily maintenance dose of 1,5002,000 (37.550 mcg) (20). Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. The patient presented initially to the emergency department with colic and constipation and was discharged after a benign physical examination. Tan ML, et al. The term adequate intake (AI) is used for vitamin D recommendations in infants. I take 3000iu and 1000iu in the summer. ", "I buy the Enfamil drops from Walmart. In adolescents, it can cause rickets or osteomalacia. Just like adults, children are considered to be deficient if their levels fall below 20 ng/mL (50 nmol/L) (6, 8, 9). We talked to three members of BabyCenter's staff who gave two of the brands of drops on this list to their own babies. Dropper formulations are fed directly to babies from the dropper, or mixed with milk, formula, or food. U.S. Department of Health and Human Services and U.S. Department of Agriculture. Healthline Media does not provide medical advice, diagnosis, or treatment. The American Academy of Pediatrics recommends a daily dose of 400 units of vitamin D for infants. ", "Well I give the Enfamil straight from the dropper. The vitamin d council actually recommends 1000ui per day for babies under 25 lbs. Vitamins for Kids: Do Children Really Need Supplements? I think its just important to realize the impact that vitamins can have, both negative and positive, and not to think its OK., that its just a vitamin. Easy to use as welljust a drop on the nipple immediately prior to breastfeeding.". Consider these guidelines from the American Academy of Pediatrics for vitamin D for babies: When giving your baby liquid vitamin D, make sure not to give more than the recommended amount. Each of the vitamin D drops on this list got positive feedback for: Jennifer Shu, M.D., pediatrician, and former chief pediatric resident of University of California, San Francisco recommends these drops for her infant patients. Do not give your infant a vitamin D supplement without checking with the doctor first. Infants who drink less than a liter of formula also may need a lower dose of a vitamin D supplement. john deaton law felix's fish camp recipes. Advertising revenue supports our not-for-profit mission. Ingredients of the nasal drop Sodium Chloride IP 0.65% w/v in distilled water made isotonic and buffed . Learn more about vegan sources of vitamin D, as. Effects of oral vitamin D supplementation on linear growth and other health outcomes among children under five years of age. Use clean, lukewarm tap water for at least 20 minutes. Most multivitamins contain the RDA (or close to it) of each vitamin and mineral. 2022. Baby doesn't seem to mind them. She was prescribed the Vit D drops in her earlier months and we never had any issues with those. Unable to load your collection due to an error, Unable to load your delegates due to an error. National Library of Medicine Rickets is most likely to impact babies and young children of 623 months and adolescents ages 1215 (17, 18). 1) Madden K, Feldman HA, Smith EM, Gordon CM, et al. Levels of 2129ng/ml (5272 nmol/L) are considered insufficient. When Is It Safe to Give Cows Milk to My Baby? Regular blood tests and screenings can detect vitamin deficiencies and other health conditions in your child. Thank u everyone..yes it was baby D drops.. For example, the Endocrine Society an international medical organization claims that to maintain vitamin D levels above 30 ng/mL (75 nmol/L), adults likely need at least 1,5002,000 IU (37.550 mcg) per day of vitamin D supplements (5). "We use Mommys Bliss. One study found that mothers could safely supplement 6400 IU/day and adequately supply their breast milk to satisfy the infant requirement, says Dr. Liermann. Your childs physician will determine the best way to treat a vitamin D deficiency based on their needs and overall health. Studies suggest that using sunscreen on children during the summer months allows enough sunlight to be received by the skin to maintain typical serum levels while still limiting the risk of sunburn (25). These things also increase a childs risk for developing a deficiency (7): Vitamin D deficiency is common in all age groups, including infants, children, and teens. Advertising on our site helps support our mission. If you dont have insurance or need help finding affordable healthcare, click here. Whenever you see your pet ingest a vitamin or other human supplement, make sure to keep the vitamin bottle on hand in . And the easy-to-administer squeeze bottle has a full year's supply of vitamin D, so you can buy this once and take restocking off your to-do list. Get your query answered 24*7 only on | Practo Consult Group 2 8600 Rockville Pike Use the right dropper. Too little vitamin D can cause rickets, a softening and weakening of the bones. Additionally, kids with darker skin tones are significantly more likely to develop a vitamin D deficiency. Supports Teeth & Bone Health. The doctor did not tell the mother which brand of vitamin D drops to buy. Amazon Has Uncanny Dupes of CB2's Popular Dining Chair for Hundreds Less. Its also recommended that children and teens with vitamin D deficiency rickets maintain a daily calcium intake of at least 500 mg per day. It may be used in kidney disease to keep calcium levels normal and allow normal bone growth. As your baby gets older and you add solid foods to your baby's diet, you can help meet the daily vitamin D requirement by providing foods that contain vitamin D such as salmon, egg yolks and fortified foods. Growth plates typically close between ages 13 to 15 in girls and between the ages 15 to 17 in boys. I thought more must be good, Jackson said.The recipe called for a drop of Vitamin D for every 32 ounces of formula. Know how to measure doses. It depends on whether you breastfeed your baby or how much vitamin D-fortified formula or cow's milk your baby is drinking. You may not need to fill the entire dropper. About 9 bucks or so. Hypercalcemia and acute kidney injury caused by abuse of a parenteral veterinary compound containing vitamins A, D, and E. Life-threatening complications of vitamin D intoxication due to over-the-counter supplements. Unauthorized use of these marks is strictly prohibited. He assumed she would purchase a commonly used Enfamil brand supplement, D-Vi Sol, which contains 400 units of vitamin D per 1 mL (Figure 2). This is because there is insufficient evidence to develop a recommended dietary allowance (RDA) for that age group. These dye-free drops won't leave a colored stain on clothing or skin, and they're free of dairy, eggs, wheat, corn, and artificial colors and flavors. "Formula-fed babies need a vitamin D supplement until they are taking 32 ounces of formula every day," says Dr . Nasal spray accidentally in eye Mushu007 13/02/15 Hi everyone, yesterday when I tried to give my baby nasal spray, he just suddenly moved and the spray went into his left eye, I rinsed the eye with a wet cloth, however I am really worried about any ill effects it may have. This article explains how to, Vitamin D is essential for good health, but many people, especially vegans, may be deficient in it. Read the instructions that come with the supplement and use only the dropper that's provided. This usually happens after the first few months of life, but is different in every baby. Expect some redness for a few hours and some itching with possible watering of the eyes and slight swelling of the eyelids. You have to be patient since you can't squeeze the glass bottle, but since you're not applying force, you can be sure that you're getting the correct amount. Here's everything you need to know about. Parents feel secure about both the dosage and the delivery, and they say their babies absolutely love the taste (cherry flavor). He fussed for a moment and then seemed fine but now his eye looks red and irritated. Get safety tips for different types of medicines, Get safety tips for medicine in different settings such as your home, the doctor, and more, Get safety tips for young children, older adults, and pets. You need vitamin D throughout your life, from infancy through older age. Then she started investigating the source of the toxic levels of vitamins. Infant hospitalized after Vitamin D overdose. Also make sure that the units of measure correspond to those mentioned in the instructions. Medium-Chain Triglyceride. But the dose could be different, depending on which brand of drops you buy. If possible, have the container of whatever got in your child's eye nearby. Follow the dosing instructions carefully. So its important to give the exact amount of vitamin D prescribed by the infants doctor. It helps regulate the amount of calcium in the body and strengthens the bones and teeth. Some parents don't like that these drops contain polysorbate 80, caramel color, and artificial flavor. Thank u everyone..yes it was baby D drops.. It's also likely that a baby may get too much vitamin D when he is given both aqueous vitamin D oral drops and supplemented products, like infant formula or fortified beverages such as milk or juice. The worry here is that . Put the drop directly on your nipple before breastfeeding. Here are 7 healthy foods that are high in vitamin D. Regular sun exposure is the most natural way to get enough vitamin D, but too much sunlight comes with health risks. The companies website is zero help! Your use of this site indicates your agreement to be bound by the Terms of Use. my daughter is 4 month old while giving her vitamin D3 drops it went to her eyes accidentally , after that a small black dot is spotted after few minutes is it harmfully ??? Although formula is fortified with vitamin D, enough may not be consumed each day to get the total recommended dose of 400 units. They may experience pain when climbing stairs, when running, or when standing up from a squatting position (20). A healthcare professional can diagnose vitamin D deficiency through a blood test. Learn more about, Vitamin D is crucial for growing infants and children. This dose will depend on your childs age and other factors like: In addition to supplements, there are certain foods that are high in vitamin D that can be added to kids diets to help maintain healthy vitamin D levels. But doctors may check your babys vitamin D levels if your baby has: Dont wait to see if your baby has symptoms of vitamin D deficiency, Dr. Liermann says. So DD is sick with a cold still and getting two bottom molars at the same time, I mean her mouth is a war zone right now. Vegetarian families will rest easy knowing that the vitamin D3 in Nordic Naturals' vitamin D drops is sourced from lanolin obtained from shorn sheep's wool; other parents appreciate that the dropper bottle makes dosing a cinch. Share on Facebook. She has pink eye so I accidentally put vitamin D drops in her eyes vs her antibiotic 20062023 BabyCenter, LLC, a Ziff Davis company. Vitamin D deficiency is common in infants worldwide, with prevalence rates ranging from 2.7% to 45% (13). I thought more must be good, Jackson said. Treatment includes stopping vitamin D intake and restricting dietary calcium. Lets go to the app - To help out fellow parents & to get answers to your questions. Our e-newsletter will keep you up-to-date on the latest health information. Later, as the patient raised the cup to drink the juice, the cup began to leak. Most health plans offer mail-order prescriptions. Nutrients. Liquid vitamin D for infants comes in two strengths that can easily be confused: 400 units in a single drop and 400 units in a dropperful, which is about 1 mL (Figure 3). https://www.healthychildren.org/English/healthy-living/nutrition/Pages/Vitamin-D-On-the-Double.aspx [Accessed April 2023], 2023. Baby of 2 months and a half. Clipboard, Search History, and several other advanced features are temporarily unavailable. Its natural to compare the growth of babies, especially twins, so when Becky Jackson noticed her son outgrowing her daughter, it made her wonder. Find, Most milk and milk alternatives in the United States are fortified with vitamin D, but you may wonder why. We often hear that breast milk is a complete food, containing everything your baby needs. I did this. ScienceDirect. You'll give your baby a dropperful of the diluted formula, or a single drop of concentrated vitamin D once per day. "Baby Ddrops have no artificial color or flavor. Safety: More vitamin D isnt better. Vitamin D toxicity might progress to bone pain and kidney problems, such as the formation of calcium stones. Plus, check-ups can help ensure that your child is getting the right care for any underlying health conditions. They labeled her as failure to thrive, said Jackson, a term used to describe babies who are headed toward malnourishment. Taking 60,000 international units (IU) a day . I flushed it with warm water and he is acting normal, even giggled when getting water in his eye. Mix the vitamin D drops in with babys formula or expressed breastmilk in a bottle. All Rights Reserved. Alexandra Bison, Senior Art Director for Everyday Health Group echoed these thoughts, adding that she appreciated the wide availability and ease of use. Check that you have not accidentally purchased a supplement intended for older children or adults. Just be careful, Cabrera said, referring to Internet recipes for infant formula.She said that after reviewing the ingredients, she determined that the recipe itself was fine, but directions must be followed. Dr. Shu says that she prefers as few extra ingredients as possible, but the brand is parents' choice: Dietary supplements are not regulated by the FDA, so look for well-known brands." Cleveland Clinic 1995-2023. Supplement Vitamin D regularly to prevent deficiency. Symptoms like facial twitching and spasms in the hands and feet are less common symptoms of vitamin D deficiency in adolescents. The higher doses (5,000 units, 2,000 units, or 1,000 units) are intended for older children and adults; the lower doses (400 units) are for infants and young children. sign up to post a comment! 2020 Dec 8;12(12):CD012875. Vitamin D deficiency isnt easy to spot in babies, partly because they cant tell you how theyre feeling. accidentally got vitamin d drop in baby's eye . All rights reserved. The following charts show the current daily intake recommendations for vitamin D for children in the United States (5): RDAs for vitamin D are listed in both micrograms (mcg) and international units (IU); 1 mcg vitamin D is equal to 40 IU. I flushed it with warm water and he is acting normal, even giggled when getting water in his eye. Please suggest as to what should I do? Flush your eye with water. Severe vitamin D deficiency can lead to a brittle bone disease called rickets, says Dr. Liermann. If this deficiency goes undetected, it could lead to bone demineralization and fractures, convulsions, and damage to the heart (20). eCollection 2021. Besides the pristine ingredients, parents love that Mommy's Bliss has a one-drop dosage. "Most, if not all, vitamin D supplements sold in the U.S. are safe for infants, says Chandani DeZure, M.D., clinical assistant professor of pediatrics in the Department of Neonatology and the Department of Hospital Medicine at Stanford University School of Medicine. When your baby is outside, cover them with a hat, clothing, or a shade over their stroller or baby carrier. Use whichever of these approaches is quickest: Get into the shower and aim a gentle stream of water on your forehead over your affected eye. So she decided to feed the breast milk to her son, Joe, who had a fussy tummy. Then call the national poison control center at (800) 222-1222. But, even if your child . Learn safety tips about taking and handling OTCmedicines, Browse our top tips lists for medicine safety, Explore additional resources for medicine safety, Learn about general medicine safety topics to keep you safe. Instead of dispensing a single drop that you place on a nipple or pacifier, you fill the included dropper and feed it right into your baby's mouth, or mix with their food, milk, or formula. I did this. Having the right amount of vitamin D, calcium, and . Even though experts argue that current vitamin D recommendations are generally too low to maintain optimal levels, daily intake recommendations are the same for children, teens, adults, and those who are pregnant and breastfeeding or chestfeeding (5, 6). For Elizabeth, she found a recipe for formula.I was supplementing her with a very organic homemade formula, said Jackson, who bought items like powdered goats milk, coconut milk and a variety of liquid vitamins.Jackson followed a recipe that she found online, with a little something extra.I was adding too much Vitamin D. I wasnt following the recipe as it said. If youre concerned your child may be low or deficient in vitamin D, make an appointment with their pediatrician so they can undergo appropriate testing and get the right care. But infants cannot get vitamin D from the sun if they are wearing sunscreen, if the sunlight comes through a window, or if it is early morning or late afternoon sun. I had no idea there could be such a negative effect, Jackson said. We believe you should always know the source of the information you're seeing. Pediatrics. This content does not have an Arabic version. The infant had received at least 40,000 units of vitamin D per day because she gave the child a full dropper (about 1 mL) of the adult supplement! In teens, vitamin D deficiency may be treated with 300,000 IU (7,500 mcg) given either as weekly doses or multiple daily doses, such as (20): Other common treatment options for teens is an oral dose of 50,000 IU (1,250 mcg) vitamin D once weekly for 8 weeks or a mega dose of 300,000 IU (7,500 mcg) every 3 to 4 months (20). berenberg assessment centre, exemple sujet grand oral bac 2021 llce, spain got talent 2021 judges,
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