Botox for hyperhidrosis age limit. Primary Axillary Hyperhidrosis.

Jul 29, 2023 · Desired outcomes: Your aesthetic goals will be assessed to ensure Botox can deliver the results you want. Hyperhidrosis inhibits your body’s ability to limit its sweating, resulting in producing more sweat than is necessary. You can inherit it from your biological family. The Science Behind Botox for Hyperhidrosis. Mar 23, 2022 · Botox injections are a simple and quick procedure done right in your doctor’s office. It is not known whether BOTOX ® is safe or effective for severe sweating anywhere other than your armpits. Botox® for hyperhydrosis is an injectable procedure that helps control the symptoms of severe underarm sweating by temporarily blocking the chemical signals from the nerves that stimulate the sweat glands. 18 to 24. Sep 6, 2021 · "Botox works to treat hyperhidrosis by blocking the nerve signals that communicate with sweat glands," Dr. The patch is applied in your dermatologist’s office and left in place for no longer than 3 minutes. Botox® Treatment for Excessive Sweating in NY, NJ, PA, CT, FL, IL, MN and MO. Some tips to limit excessive sweating include: Avoid high temperatures or prolonged activity that can increase sweating; Apply antiperspirants to affected areas to prevent See full list on health. Botox injections may help reduce how often you get a migraine. A number of people report that their hyperhidrosis symptoms get worse as they get older. 9). The safety and effectiveness of BOTOX for hyperhidrosis in other body areas have not been established. If these fail, and if the sweating is bad enough to interfere with your work or social activities, you should ask your GP for investigations and advice. Therefore, the total cost can add up over time. To find the correct treatment, people must first pinpoint the cause. The maximum savings limit is $4,000 per year. Apr 23, 2013 · The diagnostic criteria for hyperhidrosis includes excessive sweating that lasts at least six months without any obvious cause and has at least two of the following features: impairs daily activities, a bilateral and relatively symmetric pattern of sweating occurring at least once per week, an age of onset younger than 25, cessation of focal Feb 1, 2022 · The cost varies geographically, but treatment for both underarms usually costs around $1,000. There are now other companies who make the drug. Exercise-induced sweat rate in the toxin group improved by 88. Schwarz explains, adding that it can work to reduce the severity and frequency of chronic 3 days ago · RealSelf features 37 Botox for Hyperhidrosis reviews you can trust, Age. Jul 15, 2014 · Botulinum toxin is a safe and effective treatment option for axillary hyperhidrosis. The Botox procedure takes about 30 minutes to perform in an office setting. BOTOX Injections: BOTOX for hyperhidrosis treatment injects the sweating area to limit nerve function. Dec 24, 2020 · Introduction. Does Insurance Cover Botox for Hyperhidrosis? Since Botox is FDA-approved to treat excessive underarm sweating, many insurance companies are willing to look into coverage. Using Botox® to treat excessive sweating problems is becoming an increasingly popular and safe method for those who simply don’t want to live with the embarrassment any longer. Its dosing, however, varies widely. As such, Botox effectively reduces the symptoms of scalp hyperhidrosis. Generally, it is recommended when more conservative treatments like prescription antiperspirants have failed to achieve the desired improvement. Feb 1, 2012 · Hyperhidrosis is defined as sweating in excess of what is required to regulate body temperature. Jul 1, 2023 · Hyperhidrosis is the result of your sweat glands overworking. It is also important to note that Jeaveau is a much newer formulation of Botox and has only been on the market since 2019. 45 to 54. : they work like a kind of magic eraser for your face, effectively smoothing wrinkles and fine lines while instantly returning a fresh, youthful appearance without the expense or recovery associated with cosmetic surgery. Botox, a brand name for the neurotoxin Botulinum toxin A, is traditionally associated with smoothing out wrinkles and fine lines. Many insurances are now covering the cost of Botox for this condition. Sometimes it gets better with age but there are things you can do and treatments that can help. Nov 17, 2023 · Instead, it affects a larger area, if not the whole body. Botulinum Toxin- Informed Consent Hyperhidrosis Botox® is indicated and licensed for the treatment of severe primary axillary hyperhidrosis that is inadequately managed with topical agents. Antiperspirants are regarded as the first-line therapy for primary focal HH and can provide significant benefit. What is a Sympathectomy (ETS and ELS)? Endoscopic thoracic and lumbar sympathectomy (ETS and ELS; both often generalized as ETS) are surgical procedures that cut, clip/clamp, or remove a part of the sympathetic nerve chain to stop palm, foot, or facial hyperhidrosis (excessive sweating), facial blushing (reddening of the face), or Raynaud's syndrome (excessively cold hands). The doc said that for HH the depth and the treated spots are a bit different than for anti age care, and he was right. 21). 3 million people) and most commonly affects the axillary, palmar, and plantar regions of the body 1, 2. Health care specialists will have to treat the underlying issue for secondary generalized hyperhidrosis to go away. 8% of the US population, is associated with considerable physical, psychosocial, and occupational impairments. It's called excessive sweating or hyperhidrosis. The most frequently treated areas are the underarms or axillary hyperhidrosis, followed by the hands & feet. Limitations of Use. Dermatology specialists' expertise in treating excessive sweating is due, in part, to extensive American Academy of Dermatology and International Hyperhidrosis Society educational programs. This will lead to social anxiety and nervousness, skin irritation, breakouts, and even difficulty performing manual tasks, especially for those who sweat from their hands. "Botox, in general, is a very well-tolerated treatment," notes Rabach. This flexibility ensures that your treatment plan remains aligned The most effective treatment for excessive sweating or hyperhidrosis is with Botox®. There’s a reason why botulinum toxin injections — Botox® and Dysport® — are the most popular minimally invasive aesthetic treatment in the U. 18 years of age for the prophylaxis of headaches in chronic migraine, the treatment of detrusor overactivity associated with a neurologic condition, upper limb spasticity, and axillary hyperhidrosis, in patients under 16 years of age for the treatment of cervical dystonia, and in patients Sep 9, 2020 · Botox® is approved to treat severe underarm sweating—axillary hyperhidrosis—in adults 18 years and older when topical medicines haven’t worked. Hyperhidrosis is the term we use for excessive sweating. One of the benefits of using Botox for hyperhidrosis in Los Angeles is that there’s no downtime. However: There is no specific age limit for Botox treatment. What are the types of hyperhidrosis? There are two types of hyperhidrosis: Primary focal hyperhidrosis: Focal hyperhidrosis is a chronic skin condition. BOTOX is indicated for the symptomatic treatment of: • treatment of focal spasticity, including: elbow, wrist and hand in paediatric cerebral palsy patients, two years of age or older as an adjunct to rehabilitative therapy. To evaluate the effectiveness of BTXA for adolescent PFH, investigators recruited 35 patients age 12 through 16 years with moderate to severe PFH; 21 had palmar and 14 had axillary PFH. Lifestyle changes, medication changes and changes to a person’s health may cause these changes. In fact, underarm, or axillary, hyperhidrosis is the most common form of hyperhidrosis to be treated with Botox. The approval of Botulinum toxin was based in part on a double-blind clinical study. Side effects of Botox treatment for hyperhidrosis are usually brief and mild. Jan 17, 2017 · The prevalence of hyperhidrosis in the general population was estimated at approximately 3 %, with much higher prevalence among patients at a dermatology clinic [2, 3]. Nov 16, 2020 · HH occurs in 2. Limitationsof Use Aug 26, 2022 · The success rate of Botox for hyperhidrosis varies depending on the individual. There is no doubt that hyperhidrosis treatment is medically necessary, so most insurance plans should cover the injections. 3 million Americans are diagnosed with severe hyperhidrosis. Botox is approved for the treatment of hyperhidrosis in adults over the age of 18. Botox, however, is the only Botox that has been FDA-approved to treat axillary (underarm) hyperhidrosis whereas the other formulations have not been cleared to treat any form of hyperhidrosis at all. BOTOX® injections can quickly relieve you of this embarrassing problem. 55 to 64. 79% in the subcutaneous curettage method (P = 0. Several tiny injections are made into the affected Botox injections. Treatment with botulinum toxin (Botox) blocks the nerves that trigger the sweat glands. Jun 19, 2024 · Sweat-control patch (underarms): The FDA cleared this patch to treat hyperhidrosis in the underarms of people 18 years of age and older. Michele Green’s preferred treatment option for hyperhidrosis and are widely recommended by experienced dermatologists and healthcare providers to treat axillary hyperhidrosis or excessive armpit sweating. 76% versus 88. Age Considerations. Most people only require one treatment session to see a reduction in sweating. 6 Primary Axillary Hyperhidrosis. Generalised hyperhidrosis is too widespread to treat with lotions, injections or surgery and oral medications can be used to reduce sweating. Medicines. Mar 22, 2024 · Receiving Botox for an FDA-approved therapeutic indication. 633. Hyperhidrosis Prevention. Botox injections provides a longer term solution to Hyperhidrosis and can quickly relieve you of this embarrassing problem. It can be driven by several things, including hormonal changes, anxiety, medications, and hyperthyroidism (overactive thyroid). Botulinum toxin is frequently referred to as Botox® which is the brand name and original form of the drug produced by the company Allergan. What Happens After I Receive Botox for Scalp Hyperhidrosis? You receive the Botox injections in a simple outpatient procedure that concludes within 15 to 20 minutes. This reduces excessive sweating in the treated areas for approximately 4-12 months, making it an effective option for treating hyperhidrosis. In addition, Botox treatments for underarm sweat are temporary and must be repeated every three to six months to maintain results. Primary Axillary Hyperhidrosis. The FDA has approved this treatment for underarm hyperhidrosis. Before the procedure, correct identification of the affected area is mandatory to avoid wastage of drug and neglect of target areas, and to Jul 2, 2024 · Botox and Dysport. Approved by Health Canada in 2001 for excessive underarm sweating (axillary hyperhidrosis), Botulinum toxin treatments have helped thousands of people with this stressful and frustrating condition. Primary (idiopathic) hyperhidrosis constitutes more than 90 % of the cases of hyperhidrosis and is diagnosed after excluding relevant underlying diseases or drug intake . How Does Botox Work for Hyperhidrosis? Botox was FDA-approved in 1989 and is used to treat multiple medical conditions in the U. 1 The use of BTA in patients with neuromuscular disorders must be performed with extreme caution and under strict supervision due to the risk of onset of excessive muscle To treat certain types of eye muscle problems (strabismus) or abnormal spasm of the eyelids (blepharospasm) in people 12 years of age and older BOTOX is also injected into the skin to treat the symptoms of severe underarm sweating (severe primary axillary hyperhidrosis) when medicines used on the skin (topical) do not work well enough in people Hyperhidrosis can be classified into two types mainly: Primary hyperhidrosis: Most of people have a genetic inclination for hyperhidrosis and include 30-50% of the affected population*. Of 104 individuals who underwent Botox® treatments, 57 saw an effective response when compared to six of 108 treated without Botox®. 96% axillary hyperhidrosis, and 9. identified the following primary sites of primary HH in a sample of 1657 patients: 48. 2-6 Sep 10, 2021 · Schedule an Appointment: 775-825-1586. Botox may be used for hyperhidrosis when topical medicines do not work as desired. Most people don't feel much pain during the procedure. 416. Jan 30, 2019 · Hyperhidrosis (HH) is a chronic disorder of excess sweat production that may have a significant adverse effect on quality of life. But you may want your skin numbed beforehand. Botox injections work by blocking the nerves that trigger your sweat glands. "While this is somewhat rare, it can happen," she admits. This treatment is used mainly for people who have headaches 15 or more days a month. Sep 13, 2021 · Botox® for hyperhidrosis is ideal for individuals who have exhausted alternative treatments, looking to reduce excessive underarm sweating interfering with quality of life. TREATABLE CONCERNS Severe Primary Axillary Hyperhydrosis in persons above 18 years of age. It has been shown that Botox for hyperhidrosis can reduce 82-87% of sweat in the underarms, greatly increasing the quality of life for those who suffer from excessive underarm sweating. Success rate for underarms is over 95% and for palms is over 75%. There is no specific age limit for Botox for hyperhidrosis, as the safety and effectiveness of the treatment has been established in adults of all ages. As many as 1. She says that on occasion—though Botox is used to treat headaches—some might experience a headache from the scalp Botox in the following 24 hours after treatment. The decision to use Botox for hyperhidrosis in younger individuals, such as adolescents, is typically made on a case-by-case basis. Hyperhidrosis can also change as time goes on to affect other areas of the body. Generalised Hyperhidrosis. ” Claims for (onabotulinumtoxinA), should be submitted under HCPCS code J0585. Although primarily a physical burden, hyperhidrosis can deteriorate the quality of life from a psychological, emotional, & social perspective. Intradermal onabotulinumtoxinA (Botox) injections may be considered first- or second-line treatments for many cases of primary hyperhidrosis involving the axillae, palms, soles, or face. Dr. Suitability for the treatment is determined on a case-by-case basis, not purely based on age. We wanted to study differences in efficacy and adverse effects when Botox(®) 100 MU (B100) or Botox(®) 50 MU (B50) per axilla is applied. Before the procedure, correct identification … Most of our hyperhidrosis patients enroll in the Botox Access Program, a pharmacy reimbursement program. having botox injections for sweating under the armpits (this may Additionally, Botox can help with sweating on facial areas, such as the forehead, nose and around the eyes. In addition to its ability to smooth facial lines and wrinkles, BOTOX® can temporarily prevent chemical nerve signals from triggering sweat glands, helping to stop the Apr 6, 2022 · Botox® injections improve appearance by relaxing muscles that cause wrinkles. 12 of hyperhidrosis of the axilla in patients under 18 years Appendix of age or in pregnant or breastfeeding women as there is insufficient data concerning safety and efficacy. S. The Botox injection effects generally last for 6 to 12 months and, in some cases, 14 months. 25 to 34. I was also a bit afraid that it could change my facial expressions and would be recognizable that i had botox. It works by temporarily blocking the In 2004, the FDA approved Botox as a treatment for hyperhidrosis. population (∼15. Current therapeutic strategies include topical aluminum salts, tap-water iontophoresis, oral anticholinergic Botox injections are Dr. Botox is commonly used by individuals in their late 20s to early 60s. 1 Affected patients are hampered in occupational and social situations, leading to diminished physical and emotional well-being, difficulty in personal relationships, and social stigmatization. Dec 1, 2023 · 1. Hyperhidrosis can occasionally get better with age, but this is rare. 0001 Botox® has been approved for the treatment of severe axillary hyperhidrosis (focal visible excessive sweating of the underarms) Of at least 6 months duration in adult and adolescent patients (>12 years of age) That has not been adequately controlled by topical aluminium chloride hexahydrate; With at least two of the following characteristics: Isya Aesthetics provides modern treatments like Botox & modern medication for excessive sweating, also called as Hyperhydrosis. With this treatment, you get shots in the areas that are causing problems, such as the armpits or the hands. 4 The incidence of craniofacial hyperhidrosis (FH) is unclear in the literature, but Wolosker et al. Oct 1, 2015 · Botulinum toxin type A (Botox®) (onabotulinumtoxinA), is supplied in 100-unit vials, and is billed “per unit. Botox injections are a simple, non-surgical procedure to treat hyperhidrosis. Though many health insurance plans cover all or most of the hyperhidrosis BOTOX® treatment, enrolling in the Botox Access Program will allow the first treatment to be complimentary if patients don’t have insurance or coverage. BOTOX® hyperhidrosis treatment can help. In hyperhidrosis Botox helps to stop or greatly reduce the symptoms. Limitations of Use The safety and effectiveness of BOTOX for hyperhidrosis in other body areas have not been established. Unlike many other treatment options, BOTOX treats the overactivity of the sweat glands, which can temporarily stop excessive sweating. org Hyperhidrosis, or excessive sweating, affects over 1 million Canadians. Migraine. 8% of the US population and rates are probably higher in tropical countries. Feb 4, 2024 · The exact causes of hyperhidrosis remain unclear, but it's believed that genetic factors, nervous system disorders, and certain triggers like stress or heat can play a role. Certain medicines may help by preventing the stimulation of sweat glands or by lowering the effects of stress. Botox is a purified protein which has the ability to block the chemical which activates sweat glands. This will usually happen within two weeks of treatment and the effects may last between six and seven months. The disorder, which affects up to 2. You can go back to your usual daily routine without any restrictions. Furthermore, the effects of Botox are not permanent, lasting about 4 to 12 months, which means treatments can be adjusted over time based on your feedback and preferences. Initial treatment includes lifestyle and behavioral recommendations. Botulinum toxin is a protein that is produced by a bacteria (Clostridium botulinum) that causes botulism which fortunately is now a rare infection. Although its pathophysiology is not clear and somewhat controversial, the beneficial effect of neuromodulators in inhibiting localized sweating temporarily is well known. BOTOX is indicated for the treatment of adults with cervical dystonia, to reduce the severity of abnormal head position and neck pain associated with cervical dystonia. I just had my botox treatment for my forehead a month ago. Essential tremor Botox • Sep 11, 2023 · As for side effects, there isn't much to worry about. May 3, 2022 · The International Hyperhidrosis Society states that underarm Botox reactions are beneficial in reducing sweating by 82 to 87%. Botox injections for axillary hyperhidrosis - patient information Author: Lorna Newman Subject: This factsheet contains information about having Botox (botulinum toxin) injections for axillary hyperhidrosis (excessive sweating). 41% After first trying and failing a topical Aluminum Chloride (Drysol®) treatment, you are eligible for a BOTOX® hyperhidrosis treatment. The Botox blocks the secretion of the chemical that is responsible for activating the sweat glands. The larger the ‘dose’ of Botox, the longer the effect lasts. It works by temporarily blocking the signals from the nerves to the sweat glands, which prevents sweat from being produced in the treated areas. Why Botox Works So Well for Hyperhidrosis. Jan 26, 2015 · Botulinum toxin A (BTXA) is approved for treating axillary hyperhidrosis in patients 18 and older. Jul 20, 2020 · According to sources, Botox can reduce excessive sweating for 4–12 months. How long will the Botox work for? Botox is not a permanent cure and some people may get greater benefit than others. Secondary hyperhidrosis: The condition may also arise due to an underlying health condition. 17 or under. Potential side effects of Botox for hyperhidrosis. clevelandclinic. Aug 23, 2023 · "Hyperhidrosis" is the medical term used to describe excessive sweating. Mar 10, 2023 · Botox might be used for a condition in which people sweat a lot even when they're not hot or working up a sweat. To treat certain types of eye muscle problems (strabismus) or abnormal spasm of the eyelids (blepharospasm) in people 12 years of age and older BOTOX is also injected into the skin to treat the symptoms of severe underarm sweating (severe primary axillary hyperhidrosis) when medicines used on the skin (topical) do not work well enough in people Learn about the step-by-step process of Botox treatment for hyperhidrosis. The Botox temporarily blocks the nerves that make you sweat. Primary hyperhidrosis is characterized by excessive sweating beyond what is necessary for thermal homeostasis 1. But more and more clinicians -- and particularly dermatologists -- are also learning injection techniques for the treatment of palmar hyperhidrosis (excessive sweating of the palms), sweaty feet, and profuse sweating of the face and Jul 1, 2023 · This method was used to identify subjects for study inclusion, defining axillary hyperhidrosis as production of at least 50 mg of sweat in each axilla at rest over 5 minutes at room temperature (limit chosen based on establishing normal sweating among volunteers self-reporting as normal sweaters). Online Shop Login / Register +353 (0)1 213 6220 Results: At 3 months post-treatment, the resting sweat rate in the toxin group improved by 80. Age 18 or older (or the parent or caregiver of someone under 18 who is receiving Botox) Receiving treatment in the U. In a prospective double blind intraindividua … Primary Axillary Hyperhidrosis. BOTOX® works by blocking the chemical signal that initiates the activation of the sweat glands. Consultation, preparation, injection, post-treatment care, and follow-up. In the majority of these patients, the cause is unknown. . Botulinum toxin type B (Myobloc®) (rimabotulinumtoxinB) is manufactured in three dosing volumes – 2500 units, 5000 units and 10,000 units and is Nov 3, 2022 · Botox (botulinum toxin) injection: For underarm, foot, and palm sweat, injections of Botox, a protein produced by the Clostridium botulinum bacterium, temporarily paralyzes the nerves that regulate the sweat glands. Primary Axillary Hyperhidrosis BOTOX is indicated for the treatment of severe primary axillary hyperhidrosis that is inadequately managed with topical agents. There can be a slight stinging feeling for 10-15 minutes after the procedure. Botox® for Hyperhidrosis The Toronto Dermatology Centre is one of the top places in Canada to manage your excessive sweating or hyperhidrosis problem. Keywords: Botox,botulinum,toxin,injections,axillary,hyperhidrosis,excessive,sweating Created Date: 5/30/2023 3:12:41 PM It essentially relaxes the overworked sweat glands to make it stop producing sweat. Its safety and efficacy have not been established for the treatment of hyperhidrosis on the hands, feet, scalp or face. A variety of treatment modalities currently exist to manage HH. OnabotulinumtoxinA (Botox) is considered medically necessary for continued use when initial criteria are met AND there is documentation of beneficial response (for example, reduction in monthly migraine days or hours or reduction in days requiring acute migraine-specific treatment from the time that Botox was started). It is an idiopathic condition (in contrast to secondary hyperhidrosis) that is estimated to occur in 4. “Effective response” means the treatment administered prompted improvement measuring at a minimum of two grades on the Hyperhidrosis Disease Severity Scale (HDSS). Axillary Botox. Get relief from excessive sweating. in order to treat hyperhidrosis, a dermatologist will inject around 50 units of Botox under each arm. 34% palmar hyperhidrosis, 35. BOTOX is indicated for the treatment of severe primary axillary hyperhidrosis that is inadequately managed with topical agents. Aug 21, 2012 · Primary focal hyperhidrosis is a disorder of idiopathic excessive sweating that typically affects the axillae, palms, soles, and face. In general, Botox is an effective treatment for both primary and secondary hyperhidrosis. These injections also treat medical conditions, including migraines, hyperhidrosis, overactive bladder and eye problems. Excessive sweating can be embarrassing, ruin clothing, and put you at risk of skin infections . Botox (Botulinum toxin) is best known for its cosmetic benefits, but it also provides a highly effective treatment for hyperhidrosis. 8% in the subcutaneous curettage group (P = 0. Listing of a code in this policy does not imply that the service described by the code is a covered or non-covered health service. 65 to over. Jun 14, 2018 · In fact, only two forms of treatment — Botox and prescription antiperspirants — are indicated as being successful for treating the underarms, face, head, feet, and hands. A genetic change causes this condition. 35 to 44. Botox® is not recommended for individuals under the age of 18. Electromagnetic energy. Find out how it works, costs, side effects, and more. Iontophoresis is The following list(s) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all inclusive. As skin experts, dermatology practitioners are often informed about hyperhidrosis, its diagnosis, and its treatment. When you have hyperhidrosis, your nerves over-communicate with your sweat glands, leading to excessive sweating. carleymorr. 32% versus 79. It affects up to 5% of Brisbane’s population. Holman explains that Botox is often used when other treatments have failed. 6295 Sharlands Avenue, Suite 1 Reno, NV 89523 775-825-1586 Jul 7, 2023 · This method was used to identify subjects for study inclusion, defining axillary hyperhidrosis as production of at least 50 mg of sweat in each axilla at rest over 5 minutes at room temperature (limit chosen based on establishing normal sweating among volunteers self-reporting as normal sweaters). Doctors typically ask that you wear a short-sleeved shirt and avoid shaving your armpits for 2 or 3 days Thankfully, individuals suffering from hyperhidrosis (excessive sweating) in the underarms, hands, and/or feet can find a simple solution in the form of BOTOX® injections. ankle and foot in ambulant paediatric cerebral palsy patients, two years of age or older as an adjunct to Botulinum toxin is a safe and effective treatment option for axillary hyperhidrosis. 8% of the U. Medicare & the PBS provides subsidised treatments for excessive underarm sweating. This prevents excessive sweating. In most cases, hyperhidrosis cannot be prevented, but by developing an effective treatment plan, you can prevent many of the most serious symptoms. Call (+91)-96673 77709 Botulinum toxin is considered the treatment of choice for axillary hyperhidrosis. Botox injections, a treatment popular for wrinkles, will control excessive sweating for 4 to 6 months. or its territories; You can save up to $1,300 on your first treatment of the year and $1,000 on each subsequent treatment. Results are seen within five days, though additional treatment becomes necessary after four to six months. BOTOX ® is injected into the skin to treat the symptoms of severe underarm sweating (severe primary axillary hyperhidrosis) when medicines used on the skin (topical) do not work well enough in people 18 years and older. Botox is a safe and effective treatment option for most people who suffer from excessive sweating. Additionally, Chrissy Teigen talked about getting treatment for hyperhidrosis with Botox injections, a process she was very grateful for. la kn fj xd xd uy qs gu nv zz