Best Menstrual Cups for a High or Low Cervix

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Finding the right menstrual cup can take some trial and error. The good news is that you can avoid that wasted time and money by narrowing down your choices based on a few personal factors with the help of some unique menstrual cup comparison tools we’ve created for you!

Menstrual cup manufacturers tell you to buy a smaller size cup if you’re under 30 and have never given birth vaginally. This is based on the belief that if a person is under the age of 30, they may not have had any pregnancies or children, and/or have stronger pelvic floor muscles (PFM).

If you’re older than 30 or have delivered a baby via the vaginal canal (i.e. not through a cesarean section), then they say to get the larger size. This is because of the assumption that those who are over 30 are more likely to have a weakened PFM and/or have had pregnancies or children.

However, an often overlooked factor that can make a big difference in the comfort and effectiveness of a menstrual cup is the position of your cervix – that is, how high or low it is in your body. This varies from person to person and moves throughout your cycle.

What’s a Cervix?

The cervix is the lowest part of the uterus. It’s sometimes referred to as the neck of the uterus, similar to the neck of a bottle. It is tubular in shape and is the passage between the vaginal canal to the uterine cavity.
While the uterus cannot be seen, the cervix can be seen and felt from inside the vagina.
During your period, the endometrium (mucous lining) is shed from the uterine walls and menstrual blood flows out of the cervix.

How to Locate Your Cervix?

Click here to read our simple step-by-step guide on how to locate your cervix!

How to Measure the Cervix

How to Measure the Cervix

Once you have located the cervix, you will need to take a mental note of how high or low you have inserted your finger.

Prep Time 10 minutes
Total Time 10 minutes


  • Personal Lubricant specifically made for use inside of the vagina, if needed.


  1. Very low to Low: If your finger only goes in an inch or so before it comes into contact with the cervix, it is considered low. Tip: You can measure this at approximately the first knuckle or knuckle line closest to your fingertip.
  2. Medium or Average: If your cervix is easy to reach but not especially low, it is considered medium or average height. Tip: You can measure this at approximately the middle knuckle on your finger.
  3. High to very heavy: If you can insert your complete finger before locating the cervix or can’t reach it at all, you have a high or very high cervix.


You cervix can move during your period. As mentioned, the cervix may be hard to reach or completely out of reach depending on where you are in your cycle. If your cervix moves drastically, you may want to purchase a two-pack of menstrual cups that offer both a small and a large-sized menstrual cup. This will allow you to use whichever cup is more comfortable and/or easier to reach for you when your cervix is at its different heights.

The Best Dual Menstrual Cup on the Market

Since your cervix tends to move around a lot, a dual cup is what you’ll need! The Venus Cup is available in both small and large sizes. The Starter Kit is a great option, as it contains both sizes. The small size is 42 mm across and holds 6 tampons, or 29 ml worth of menstrual fluid. The large size is 47 ml across and holds 9 tampons, or 56 ml worth of menstrual fluid.

The small Venus Cup is more comfortable for a medium to low, or tilted cervix. The large Venus cup is better for a medium to high cervix.

The Venus Cup is very popular as it’s well-priced in the market. It’s really comfortable, is made in the United States with Biocompatible, Medical Grade Silicone, and is FDA registered. It has no excess chemicals, BPAs, Phthalates, Dioxins, or Toxins. Also, it’s completely latex free! It is the perfect cup to choose when you need two sizes to facilitate you at different “periods” of the month!

Which Menstrual Cup Goes with Which Type of Cervix?

Let us Help you Choose a Menstrual Cup!


If your cervix is located at average height (middle knuckle), any standard large-sized menstrual cup may be comfortable for you. However, if your cervix is on the lower or higher side, it pays to check the length measurements to find a cup that will be more comfortable or easier to reach for you.

The cup’s length measurement is particularly important for finding the right cup for your cervical height. We provide a very handy comparison tool that sorts the many menstrual cup brands from large to small. This allows you to select your preferred length, which is heaven for the detail-oriented shoppers among you!

Click here to enter our menstrual cup comparison tool »


1. Very Low Cervix Menstrual Cups

If you have a very low cervix, we suggest trying a menstrual cup that’s shorter in length because if the cup is too long, it may not fit comfortably during use.

Click here to compare menstrual cups for a very low cervix »

2. Medium to Low Cervix Menstrual Cups

If you have a medium to low cervix, you can use the small size of almost any brand. You can also look into cups that were designed to be shorter than the “average” small-sized cup, often indicated by labels such as teen, mini, shorty (short menstrual cup), or low cervix.

A bell-shaped cup might be more comfortable for you because the base of the cup is rounded off. This makes it a bit shorter and it doesn’t have the pointed base like V-shaped cups do, which may protrude out of the vaginal opening.
Furthermore, a bell-shaped cup with a flared rim tends to ride up and sit higher in the vaginal fornix. Again, this keeps the base of the cup away from the vaginal opening.

Click here to compare menstrual cups for a medium to low cervix »

3. Medium to High Cervix Menstrual Cups

If you have a medium to high cervix, using a cup with more length might be easier for you to reach when the time comes to remove and empty it. It may be the larger size of a specific brand or a cup that is V-shaped. A V-shaped cup normally has more length, even in the smaller size. This will allow you to reach your cup with less difficulties.

Click here to compare menstrual cups for a medium to high cervix »

4. Very High Cervix Menstrual Cups

If you have a high cervix, we suggest looking into menstrual cups that are longer in length. If the cup is too short, it’s not going to be as easy for you to remove and empty it.

Click here to compare menstrual cups for a very high cervix »

Features to Consider

Although the cup’s length measurement is particularly important, here are some other features worth taking into consideration.

  • Stem length – Because most of the cup stems can be trimmed, it is best to check the cup’s total length with and without the stem to find the best fit.

  • Cup diameter – Although the vagina can expand up to 200 times is normal size, some people may find a narrower cup more comfortable to wear. These may include (but are not limited to) teens, new users, and those with no experience inserting items such as tampons.
  • Cup Softness/Firmness – It may help to compare the softness/firmness of each cup model. This will give you a simple at-a-glance view of the essential features of every cup.
  • Check out our article on how to choose a menstrual cup to find out more.

Final Say

No single menstrual cup is going to work for every person! You can, however, increase your chances of finding the perfect cup if you take the time to check your cervical height. We wish you luck and hope this website is a valuable tool in your search!

More Useful Videos

  1. Hi there!

    I am 17 and have a high cervix. I am currently using a small (b) Dutchess cup, but I leak every single time within an hour of inserting even though I know for sure that the cup is sealing properly. I would say I usually have a medium to high flow. What would you recommend?

    • Hello,

      This is my second month using a menstraul cup. I’m 31 with a high up cervix I can’t reach and I’ve had a baby vaginally. Even the ob nurses had a hard time finding my cervix bc it was so far up. They had to bring someone in with “long fingers” 😣
      I am using a Flexicup full fit. I have very painful heavy periods the first few days. My biggest issue is I feel like the cup makes me feel “full” when inserted and uncomfortable. I also feel pressure on my bladder from it with a sense of urinary urgency.
      I’m nervous to switch to a smaller cup since my cervix is so high up, I am worried I will struggle to remove it. That’s why I chose the Flexicup in the first place. The long stem seems much easier to grasp and pull out.
      Would a smaller cup be better for relieving my symptoms? Is there a smaller cup with a long stem available?

    • Hello There!

      Thank you for sharing the details that you did. I appreciate that the information that’s important to your situation. It helps a lot.

      The small Dutchess Cup holds about 20 ml to 25 ml at max. Although this is about the average capacity of a small-sized cup, there are some things going on that could compromise it.

      You mentioned that you have a high cervix. For me, depending on the length, a small/short cup will ride up and sit higher around my cervix. If this is the case for you, it will cause the cervix to sit deeper into the cup and displaces the blood/air. This could be the reason that you’re experiencing leaks within an hour.

      Is this cup comfortable for you? Do you feel like you have to reach in to retrieve it? Do you think that a slightly longer cup will still feel comfortable?

      A larger-sized cup with slightly more length should give you some extra capacity and keep your cervix from dipping in too far. If you don’t think that you would feel comfortable with more length, a bell-shaped cup with a standard style rim would also be a good option.

      Here are a couple of cups that you can look into:
      Venus Cup – wider base with more capacity (47 ml a max for the large). Although the base is wider, it is also rounded which may still be comfortable at the vaginal opening.
      LaliCup (medium) – the body itself is just a bit longer than the small Dutchess but the rounded body will allow more capacity. It holds 36 ml at max.

      You can also check the “Cup Comparison” chart on this site to see if any other cups look like they might work out.

      Hope this helps. Let me know if you have any questions or concerns about the cups I recommended and I’ll do my best.
      Have a great weekend!
      Red Herring
      RedHerringTV on YouTube

  2. Hi! I am a first time cup-user. Currently I have Diva, larger size (had a birth). I have a high cervix, I don’t feel a cup when wearing and don’t have any leaks. I tent to move a lot during a day and when I reach to remove it -the cup is very high up and it makes it difficult to “catch” it. Sorry for saying, but I still have to insert about a half of my finger just to be able locate it …. What cup for a high cervix should I look into? I absolutely loved the cup, even my cramps seemed to be better this time, and I Would not want to quit just because of a haste of locating and removing it …

    • Hello There!

      It sounds like you have a very high cervix! Based on the Diva Cup’s length, here are a few cups that you can check out (in no particular order):

      Yuuki Cup – Although the body of the cup is slightly shorter than the Diva Cup, the stem has a little more length.
      Juju Cup Model 3 (High Cervix) – The body of this cup is slightly longer and has a longer stem as well. However, the body is narrow which results in a lower capacity.
      LuvUrBody Medium – The medium-sized cup is longer than its large size. This is the longest cup compared to other cups of similar design which is slightly longer than the Juju Cup and holds much more as well.
      Tampax Cup large – This cup is actually shorter than the Diva Cup but the rim design is so wide that it isn’t supposed to ride up or high sit high in the vaginal canal.

      You can also check out the Cup Comparison on this site. Change the settings to view the longest cups/cups for a very high cervix, and see what comes up.

      Good Luck! <3
      Red Herring
      RedHerringTV on YouTube

  3. Hello! I am so much thankful for your hard work in giving out information about menstrual cups!
    I have a question. My cervix is around 55mm when I’m on my period and is tilted towards the left and to the back. You mentioned here that the Venus small is okay for people with a tilted cervix. However, it’s too long for me and I’m afraid that if I cut the stem, it might just poke my vaginal wall. Will menstrual cups for very low cervix okay for me? Like the Juju 4 and others? Thanks!

    • Hello There!

      55mm falls just past my middle knuckle on my middle finger from the fingertip. I would consider that medium/high. This is about the same as my cervix on any given day except during ovulation (really high) and sometimes during the beginning of my period (lower). My cervix favors the right side but I have never been diagnosed with a tilted, tipped, retroverted, or retroflexed uterus/cervix. Using my experience, maybe I can lend some tips that might help.
      Our cervix is not typically located straight up, but more back towards the rectum. Make sure that you’re aiming the cup into the right position. If you’re aiming it straight up, it might be preventing the cup from being inserted completely as it should.

      If you’re new(ish) to using menstrual cups, try squatting on the ground or in the tub while inserting the cup. It will help guide your cup into the correct position.
      -Aim the folded cup down and back towards your tailbone.
      I know it sounds and may feel awkward, but it helps.

      Scroll down a bit from the video in this link for a photo (#5)
      How To Use a Menstrual Cup – For beginners & Pros

      -Trim the stem bit by bit until it’s comfortable yet still reachable for removal. A trimmed stem won’t harm the vaginal walls and should be comfortably placed past the concentration of nerves at the entrance of the vaginal canal. If you can still feel it, trim another small piece.
      -If you’re comfortable removing the cup without a stem, you can try turning the cup inside out. This will shorten it a bit and help keep the stem from poking you. Again, only do this if you’re comfortable removing it without a stem.

      If all else fails, there are still many shorter menstrual cup options out there. Check out the cup comparison chart in the menu (of this site) to find other cups that might be more comfortable for you. You might also want to look into menstrual DISCS to see if they might work as well.

      I hope you can work it out.
      Good Luck <3
      Red Herring
      RedHerringTV on YouTube

  4. Hi! I’ve been using a Lena sensitive small for about two years. I enjoy it however I experience pressure on my bladder, slow in my urine stream and leaking. I have a medium to low cervix. I am wondering if I should get a new cup or if I am not using mine properly? And which cups are recommended.

    • Hello Danielle,
      I actually experienced the same issues with the large Lena Original. I found the small was fine as well as both sizes of the Sensitive version.
      Anyhow, the issues you mentioned are common when someone has a sensitive bladder. You may also experience a feeling that you can’t empty your bladder when you do use the toilet, or that you feel like you need to use the toilet more frequently.
      Even though you’re using the Lena Sensitive, you may need a slightly softer cup or one without a flared rim. You can always try turning the Lena Cup inside out (as long as you’re comfortable with removing it without the stem) and see if that feels more comfortable.

      If that doesn’t relieve the extra pressure, some options might be the small Venus Cup and the Soft Saalt Cup.

      Good Luck! <3
      Red Herring
      RedHerringTV on YouTube

  5. Hello, I really wanted to try a menstrual cup, so I bought the origanicup a couple months ago. I’ve tried and tried but the cup doesn’t want to unfold. I’ve tried a lot of different methods but it never works. What is my best option? (I’m 23 and never given birth)

    • Hi Anne,

      I understand your frustration with your cup not opening.
      The OrganiCup has a pretty firm rim. It’s not known for needing a lot of coaxing to open so I’m thinking there might be something else going on.
      I hope that these tips will help.

      -Let the cup open in a lower position (insert cup 1/2 way). The cervix can often prevent the rim from expanding if inserted all the way in. Use a single finger to push the cup into place after it opens.
      -Insert the cup and use a single finger to press the body into the vaginal wall. Then slowly release the pressure and allow the cup to open against your finger. Sometimes the cup needs a little space to open in.

      If these don’t help, you might want to try a narrower cup like the small Venus or the Diva Cup Model 0.

      Good Luck! <3
      Red Herring
      RedHerringTV on YouTube

  6. I am a 16 year old girl and a Virgin, I want to switch to menstrual cups and I am currently using sanitary napkins, I am a lot scared to check my cervix as I’ve never put a finger there and whenever I try to I don’t really get the proper place and I feel like my structure is kind of different, could you please help me with this in a bit more detail?

    • Hi There!
      First, I want to commend you for making the choice to try menstrual cups. Indeed, the whole process of finding one can be frustrating, but I hope that I can help.

      A narrow menstrual cup would probably be more comfortable to start with. If you want to try locating and measuring your cervix, here’s another link with a video that might help:

      If you don’t feel comfortable with locating your cervix or can’t find it, I would suggest starting off with a longer cup. It’s better to find out that a cup is too long for you than to find out it is too short to reach it.

      The Diva Cup Model 0 (teen) and Model 1 (small) are narrow, long cups. They are a great option to start with.

      Please let me know if there’s anything else I can do to help.
      Until then, Good Luck <3
      Red Herring
      RedHerringTV on YouTube

  7. Hi, I’m just starting my cup journey. I’m a 18 year old who has never given birth. I just got my first cup, the OrganiCup size A. At first the stem was sticking out and it was really uncomfortable so I cut most of it off. I left the cup in for 6 hours today but once I got up and started to move around I felt a bunch of air come out and it started to leak. I took the cup out and it was about half full. I have just measured my cervix and I think its a medium height? I’m on day 4 out of 6 of my period though. I really want this cup to work for me because it is expensive to buy a new one. Is the OrganiCup ok for a medium cervix? I don’t have any trouble inserting it or anything but I was a little unsettled by the air coming out and the seal breaking today. I don’t want that to happen again but I’m not sure what I did wrong?

    Thanks for any advice, I know this post is pretty old!

    • Hi There!
      Size A is fine perfectly fine for any cervical height as long as it’s comfortable, yet still easy to reach during removal, and has a decent capacity for your flow.
      After you cut the stem, were you still able to reach it easily or did you have to bear down and reach in a bit?

      The OrganiCup has quite large air holes. It might have contributed to the seal breaking prematurely. It wouldn’t be the first time I’ve heard of this happening with this cup. Not to say that it’s a bad cup, but not every cup works for every person’s body. Anyhow, if the cup settles higher around your cervix over the day, it can allow the cervix to sit deeper into the cup and compromise the already low capacity. The only thing that I can suggest is to empty it a little sooner even if the cup isn’t full.

      If you decide to try another cup, I would suggest one with a rounded base and/or bell-shaped. Although these tend to ride up higher around the cervix, the rounded base can compensate for some of the capacity that is displaced if/when the cervix sits lower, as well as be more comfortable as opposed to the pointed base of the V-shaped OrganiCup. A cup like the small Super Jennie, Venus Cup, and Saalt Cup, or cups with a flared rim like the Lena might be more comfortable and allow you more capacity. You can even check out cups like the Tiuet or the Merula Original which are short cups with rounded bodies and hold a high capacity for their size.

      I know that cups are initially very expensive, but they do save you money over the months and years. If the OrganiCup doesn’t work out for you, you might try contacting the company. They have a 100% Satisfaction Guaranteed policy ( They seem to have good customer service that really cares.

      If you’re passed the 90-day policy, check out some Menstrual Cup B/S/T groups on Facebook. They allow resale of gently used cups. At least you might be able to recoup some of your funds.

      Good Luck <3
      Red Herring
      RedHerringTV on YouTube

  8. I have a high/medium cervix according to the knuckle test but struggle with having my body push out my Saalt soft size small menstrual cup when I run or use the bathroom. It’s never come out completely or leaked but it does jut out when I do these activities and I can feel it despite having pushed the cup as far up as I could prior to starting them. Any advice?

    • Hello There!
      Is that with or without the stem trimmed? You might want to start there if it’s the stem that can be felt. Only cut a little at a time until it’s comfortable but still reachable.
      I also have a medium/high cervix but can still feel the stem on some of my smaller cups when I do various activities. I’ve had to trim the stem on some and cut it completely off on others.
      One thing to remember is that everyone has different size hands so the knuckle test isn’t 100% accurate.
      If that’s not what’s happening, you might want to try a bell-shaped cup with a flared rim. Something more like the Lena Cup which is very similar to the Lena but more narrow and has a rounded base and flared rim.
      A rounded base may feel more comfortable than the tapered point of the Saalt. A flared rim tends to make the cup ride up higher around the cervix which will bring it away from the vaginal opening.
      A menstrual disc may be another option to check into.
      Good Luck! <3

      Red Herring
      RedHerringTV on YouTube

  9. My cervix is pretty high, I measured on day 2 of my period, it’s around 4 inches high. Should I purchase the lily cup original or the diva cup 0? I’m 14(almost 15), if I should get a diva cup which size, debating between 0 and 1.

    • Hi Mads Dickens!

      I’m not a huge fan of the Lily Cup, but I’ll leave some information on both cups so that you can compare which one might be right for you.

      First of all, I’m no one to you but I’m still proud of you for looking into menstrual cups and your willingness to try them. I’m also grateful that you did a little research about the height of your cervix. Thank you for that.

      Both of these cups are considered to be on the longer side.
      All three sizes of the Diva Cup are the same length but have different diameters. Total length – 67mm
      Both sizes of the Lily Cup are also the same length but have different diameters. Total length – 78mm

      While the Lily Cup is longer and might be easier to reach, it also has a hard piece of solid and thick silicone at the base of the cup. This can be uncomfortable if your cervix drops a little lower and pushes the cup down as well.

      Both brands have fairly short stems.
      For comfort, the Diva Cup stem can be trimmed easily if needed.
      Trimming the Lily Cup stem can be more tricky since you can’t see through the silicone and that it’s solid and thick.

      The Diva Cup has four air holes that help the cup open by allowing air to fill the cup. These holes also help break any seal that is created when the cup is pinched.
      The Lily Cup has no air holes. This can cause difficulties in getting the cup to open, as well as the possibility of it creating a suction while inserting or removing the cup.

      Because of the Lily Cup’s “ergonomic” design, it needs to be positioned in a specific way (short side of the cup facing up/facing the bladder) for the best fit and menstrual protection. Having it positioned incorrectly will likely cause premature leaking and may also put the stem in an uncomfortable area.
      The Diva Cup is a standard design and can be inserted with the mouth of the cup near or around the cervix in any direction.

      These are some main features of these two cups that might help make your decision.

      Of these two cups, the Diva Cup was a lot easier for me to get open and positioned correctly. Since the Lily Cup doesn’t have air holes, as soon as I released it to let it open, it would immediately create suction and prevented me from moving it up any further. I also had a very difficult time removing the cup because of the suction.
      I normally have a high cervix that drops down to about medium towards the end of my period. Even with the stem trimmed and filed down, I could feel the hard base of the Lily Cup if I coughed, sneezed, squatted, pushed my muscles down voluntarily or involuntarily, or sat the wrong way.

      *This was my experience and many others have experienced the same thing. Many other users love the Lily Cup and you may have a very different experience than I did.

      If you do choose the Diva Cup:
      If you can insert your finger or have used tampons without any issues, you should be fine using model 1 (medium). This size is only slightly wider than the model 0 but gives you a little more capacity.
      If you’re not comfortable with inserting your finger or have never used tampons, model 0 (small/teen) might be the better option as it is narrower. It also holds a little less than model 1.
      Either one you choose (or any cup you choose), a water-based lubricant will be very helpful in having a smooth insertion.
      *TIP for using lube – apply a small amount to yourself, rinse your hand and then handle the cup. It can be too slippery, otherwise.

      I hope this helps. Let me know if you have any additional questions or concerns and I’ll try to answer you to the best of my knowledge.

      Again, I’m proud of you 🙂
      Good Luck!
      Red Herring
      RedHerringTV on YouTube

  10. Hi, actually i bought a cup last month and it was the first time i used it. and the main issue with this is that whenever i lie down it leaks the cup goes inside and the blood comes out. first i thought it happens with every cup user but then i got to know about cervix but i don’t how cervix works and what would be the best choice for me. i am 20 years old.

    • Hi Shivangi!

      Congrats on trying out menstrual cups! There is a learning curve to using them, so don’t be discouraged. We all were new once and had to work out how to use them and which cup worked and felt comfortable for us.

      First, it’s common that new users insert a cup straight up. Our cervix isn’t usually positioned there. Instead, the cup should be aimed down and back towards your tailbone. While learning to insert the cup, it might be easier to get this position by squatting on the ground.
      Inserting the cup straight up may push your cervix to the side or block your cup from opening completely. Both of which will not allow the cup to collect your flow as intended.

      To ensure that your cervix is right above or sitting inside of the cup, wiggle the cup down a bit to let your cervix readjust. Then, run a finger around the cup after it’s inserted to feel if the rim is open and that your cervix isn’t on the outside of the cup.

      If you have a smaller or shorter cup design your cervix can be sitting inside of the cup taking up some of the capacity space making you leak sooner than you expect.

      Some people experience leaking with a very soft cup.

      The links below might also be of some help for your situation:

      How to Insert & Remove a Menstrual Cup + Tips:

      Creating a Good Seal:

      I’m sorry that I can’t pinpoint exactly what’s going on for you, but I hope that this makes sense and you’ll be able to get your cup placed and working as intended. If you still have some issues with your cup, please let me know which cup it is so I might have a better understanding of what may be the problem.

      Good Luck!

      • Hye! I have a high/medium cervix so I got the Lena and Lily cup. When I was not on my period both cups worked very well but when I was on my period – I had to completely cut the Lena stem and the Lily cup very short nearing base of cup. Even then I still felt the Lily cup poking out uncomfortably. Yipes! I tried Intimina Ziggy but the fitting is awkward Owh no. Can you recommend a cup like The Lena cup or a menstrual disc brand that I can perhaps try? And I soo want to make Lily Cup work. But how? I’ve already cut it near the base. Thanks Red Herring!

        • Hi Lea!
          Our cervix moves throughout our cycle. Lowest right before and at the beginning of our periods, and then moves up higher during the middle to the end. Ovulation is when the cervix is at its highest, sometimes so high that we can’t even reach it. Anyhow, it sounds like you’re one of the people that has a noticeable difference in cervical height (some people don’t notice at all).
          You mentioned that you had to trim the stem from the Lena Cup but were you still able to feel the base? Do you feel that you still need something shorter? What size do you have?
          As for a menstrual disc, the Lumma Disc offers three sizes. They also normally have a buy1get1 deal. I would suggest getting a medium and large if the offer is available.
          I don’t have much to say about the Lily Cup. It’s one of those hit or miss cups IMO. I try not to recommend it too often because it seems like I hear more complaints about it than happy endings.

          Let me know about the Lena size and a bit more info about your experience with it and I’ll see what other cups I can suggest.

          Happy New Year!
          Red Herring

          BTW…this isn’t my website but the owners were nice enough to get ahold of me 🙂

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