{"id":1853,"date":"2026-10-04T20:12:35","date_gmt":"2026-10-04T20:12:35","guid":{"rendered":"https:\/\/praxis-dr-knauf.de\/?page_id=1853"},"modified":"2026-10-04T20:12:35","modified_gmt":"2026-10-04T20:12:35","slug":"migraene","status":"publish","type":"page","link":"https:\/\/praxis-dr-knauf.de\/en\/migraene\/","title":{"rendered":"Migraine"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"1853\" class=\"elementor elementor-1853\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3802b2e2 e-con e-atomic-element e-div-block-base e-default-div e-66c9983c-e21b\" data-id=\"3802b2e2\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"3802b2e2\">\n    \t\t\t<div class=\"elementor-element elementor-element-00x2ial e-con e-atomic-element e-flexbox-base e-default-div knauf-section e-755cb54e-4584\" data-id=\"00x2ial\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"2efe9892\">\n    <div class=\"elementor-element elementor-element-0u9ojwy e-con e-atomic-element e-flexbox-base e-default-div e-5df8a0db-3087\" data-id=\"0u9ojwy\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"39fe3a83\">\n    \t\t\t<img fetchpriority=\"high\" decoding=\"async\" class=\"e-image-base e-default-img knauf-image e-268015b0-2477\" data-interaction-id=\"12ba9dd2\" data-e-type=\"widget\" data-id=\"0wlhd7q\" id=\"110\" src=\"https:\/\/praxis-dr-knauf.de\/wp-content\/uploads\/2024\/11\/cropped-Logo-mit-re.png\" width=\"778\" height=\"236\" srcset=\"https:\/\/praxis-dr-knauf.de\/wp-content\/uploads\/2024\/11\/cropped-Logo-mit-re.png 778w, https:\/\/praxis-dr-knauf.de\/wp-content\/uploads\/2024\/11\/cropped-Logo-mit-re-300x91.png 300w, https:\/\/praxis-dr-knauf.de\/wp-content\/uploads\/2024\/11\/cropped-Logo-mit-re-768x233.png 768w, https:\/\/praxis-dr-knauf.de\/wp-content\/uploads\/2024\/11\/cropped-Logo-mit-re-233x71.png 233w\" alt=\"\"\/>\t\t<div class=\"elementor-element elementor-element-0q8phod e-con e-atomic-element e-flexbox-base e-default-div e-15c608af-3029\" data-id=\"0q8phod\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"afcb2fb\">\n    \t\t\t<p class=\"e-7718a3e2-81ed e-paragraph-base e-default-p\" data-interaction-id=\"51dc6b96\" data-e-type=\"widget\" data-id=\"0rnplwa\"><a href=\"\/en\/\">Home<\/a><\/p>\n\t\t\t\t\t<p class=\"e-3910d5f3-e4ec e-paragraph-base e-default-p\" data-interaction-id=\"60c31d5\" data-e-type=\"widget\" data-id=\"0p8buno\"><a href=\"\/en\/aktuelles\/\">News<\/a><\/p>\n\t\t\t\t\t<p class=\"e-3910d5f3-e4ec e-paragraph-base e-default-p\" data-interaction-id=\"29e806fa\" data-e-type=\"widget\" data-id=\"0ddcr91\"><a href=\"\/en\/hausarztprogramm\/\">GP programme<\/a><\/p>\n\t\t\t\t\t<p class=\"e-396c8eb3-517a e-paragraph-base e-default-p\" data-interaction-id=\"10842642\" data-e-type=\"widget\" data-id=\"0ndvr59\"><span class=\"knauf-service-menu\" data-no-translation><a href=\"\/en\/leistungen\/\">Services<\/a><button class=\"knauf-menu-toggle\" type=\"button\" aria-label=\"Open services menu\" aria-expanded=\"false\" aria-controls=\"knauf-service-submenu\">\u25be<\/button><span id=\"knauf-service-submenu\" class=\"knauf-service-submenu\"><a href=\"\/en\/vorsorge-frueherkennung\/\">Preventive care and screening<\/a><a href=\"\/en\/akute-beschwerden\/\">Acute symptoms<\/a><a href=\"\/en\/chronische-erkrankungen\/\">Chronic conditions<\/a><a href=\"\/en\/impfungen-reisemedizin\/\">Vaccinations and travel medicine<\/a><a href=\"\/en\/diagnostik\/\">Diagnostic tests<\/a><a href=\"\/en\/digitale-praxis\/\">Digital medicine<\/a><a href=\"\/en\/diga-apps-auf-rezept\/\">DiGA \u2014 apps on prescription<\/a><a href=\"\/en\/bescheinigungen\/\">Medical certificates<\/a><a href=\"\/en\/abnehmen-aerztliche-begleitung\/\">Weight management and medical support<\/a><a href=\"\/en\/akupunktur-und-taping\/\">Acupuncture and taping<\/a><a href=\"\/en\/infusionen\/\">Infusions<\/a><a href=\"\/en\/massage\/\">Massage<\/a><a href=\"\/en\/flugmedizin\/\">Aviation medicine<\/a><a href=\"\/en\/palliativmedizin\/\">Palliative care<\/a><\/span><\/span><\/p>\n\t\t\t\t\t<p class=\"e-5fd56f6e-c415 e-paragraph-base e-default-p\" data-interaction-id=\"31a8ea64\" data-e-type=\"widget\" data-id=\"0rq89mn\"><a href=\"\/en\/ueber-uns\/\">About us<\/a><\/p>\n\t\t\t\t\t<p class=\"e-2d8fddb9-fc86 e-paragraph-base e-default-p\" data-interaction-id=\"4653f079\" data-e-type=\"widget\" data-id=\"1spd5em\"><a href=\"\/en\/kontakt\/\">Contact<\/a><\/p>\n\t\t\t\t\t<p class=\"e-b2de60-76ed e-paragraph-base e-default-p\" data-interaction-id=\"cd11ab8\" data-e-type=\"widget\" data-id=\"0x57qim\"><a href=\"\/en\/karriere\/\">Careers<\/a><\/p>\n\t\t\n<\/div>\n\t\t\t<a href=\"https:\/\/www.doctolib.de\/gemeinschaftspraxis\/bergisch-gladbach\/hausarztpraxis-dr-knauf-und-partner-bergisch-gladbach\" target=\"_blank\" class=\"knauf-button e-5e30fdfc-abef e-button-base e-default-a\" data-interaction-id=\"6c1f8436\" data-e-type=\"widget\" data-id=\"1v7f8di\">\n\tBook an appointment\n<\/a>\n\t\t\n<\/div>\n\n<\/div>\n\n\t\t<div class=\"elementor-element elementor-element-40e2cd97 e-con e-atomic-element e-flexbox-base e-default-div e-6883b71b-b955\" data-id=\"40e2cd97\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"40e2cd97\">\n    <div class=\"elementor-element elementor-element-6ac4c921 e-con e-atomic-element e-flexbox-base e-default-div e-763ab30a-4682\" data-id=\"6ac4c921\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"6ac4c921\">\n    \t\t\t<p class=\"knauf-kicker e-paragraph-base e-default-p\" data-interaction-id=\"4f56dc0e\" data-e-type=\"widget\" data-id=\"4f56dc0e\"><a href=\"\/en\/leistungen\/\">Services<\/a> \/ Service details<\/p>\n\t\t\t\t\t<h1 data-interaction-id=\"688a7bd5\" class=\"knauf-h1 e-12e72ad4-8a73 e-heading-base e-default-h1\" data-e-type=\"widget\" data-id=\"688a7bd5\">Migraine<\/h1>\n\t\t\n<\/div>\n\n<\/div>\n<div class=\"elementor-element elementor-element-67b1b878 e-con e-atomic-element e-div-block-base e-default-div e-2cbf5403-761e\" data-id=\"67b1b878\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"67b1b878\">\n    \t\t\t<p class=\"knauf-copy e-53412bde-a87e e-paragraph-base e-default-p\" data-interaction-id=\"277abcbd\" data-e-type=\"widget\" data-id=\"277abcbd\">Understanding recurrent headache attacks and finding suitable treatment.<\/p>\n\t\t\t\t\t<h2 data-interaction-id=\"6d16354a\" class=\"knauf-h2 e-d6b9616-4b9d e-heading-base e-default-h2\" data-e-type=\"widget\" data-id=\"6d16354a\">What it involves<\/h2>\n\t\t\t\t\t<p class=\"knauf-copy e-1d13100d-5923 e-paragraph-base e-default-p\" data-interaction-id=\"1de36834\" data-e-type=\"widget\" data-id=\"1de36834\">Migraine may cause throbbing, often one-sided headaches, nausea and sensitivity to light and sound. Movement can worsen the pain. Some people experience an aura beforehand, such as temporary visual disturbances. The frequency and severity of attacks vary considerably.<\/p>\n\t\t\t\t\t<h2 data-interaction-id=\"2355e600\" class=\"knauf-h2 e-6bfb1a16-5d52 e-heading-base e-default-h2\" data-e-type=\"widget\" data-id=\"2355e600\">Triggers and assessment<\/h2>\n\t\t\t\t\t<p class=\"knauf-copy e-d52aec1-e393 e-paragraph-base e-default-p\" data-interaction-id=\"2a270421\" data-e-type=\"widget\" data-id=\"2a270421\">Changes in sleep patterns, stress or hormonal fluctuations may contribute to attacks. A headache diary helps identify patterns and record days with pain or medication use. We discuss and examine your symptoms to distinguish migraine from other headaches. Imaging is not automatically necessary for a typical pattern.<\/p>\n\t\t\t\t\t<h2 data-interaction-id=\"959c97f\" class=\"knauf-h2 e-3205417b-afe7 e-heading-base e-default-h2\" data-e-type=\"widget\" data-id=\"959c97f\">Treating and preventing attacks<\/h2>\n\t\t\t\t\t<p class=\"knauf-copy e-7d5862f9-e02d e-paragraph-base e-default-p\" data-interaction-id=\"511ba640\" data-e-type=\"widget\" data-id=\"511ba640\">Treatment considers severity, frequency and accompanying symptoms. Suitable pain relief or migraine-specific medication may help individual attacks. Preventive treatment may be useful for frequent or particularly disruptive attacks. Regular sleep, activity, relaxation and daily routines complement treatment. Frequent use of medicines for acute attacks can itself perpetuate headaches.<\/p>\n\t\t\t\t\t<h2 data-interaction-id=\"2ea473c1\" class=\"knauf-h2 e-308031f9-e855 e-heading-base e-default-h2\" data-e-type=\"widget\" data-id=\"2ea473c1\">When to seek immediate help<\/h2>\n\t\t\t\t\t<p class=\"knauf-copy e-69705879-3845 e-paragraph-base e-default-p\" data-interaction-id=\"16b8a3d6\" data-e-type=\"widget\" data-id=\"16b8a3d6\">A sudden, unusually severe headache, or new weakness or speech difficulties, should not wait for a routine appointment. Call 112 in these situations. Headaches that have clearly changed, fever with a stiff neck or symptoms after a head injury also need prompt assessment.<\/p>\n\t\t\t\t\t<h2 data-interaction-id=\"54485175\" class=\"knauf-h2 e-12f28d5f-7d37 e-heading-base e-default-h2\" data-e-type=\"widget\" data-id=\"54485175\">Your appointment at the practice<\/h2>\n\t\t\t\t\t<p class=\"knauf-copy e-paragraph-base e-default-p\" data-interaction-id=\"998c44b\" data-e-type=\"widget\" data-id=\"998c44b\">Please describe your current symptoms when arranging an appointment. Bring your health insurance card, existing medical reports and an up-to-date medication list. Together, we will decide which next steps are appropriate for your situation.<\/p>\n\t\t\t\t\t<p class=\"knauf-copy e-5d043f1f-2566 e-paragraph-base e-default-p\" data-interaction-id=\"5f00318f\" data-e-type=\"widget\" data-id=\"5f00318f\"><a href=\"https:\/\/praxis-dr-knauf.de\/en\/akute-beschwerden\/\">\u2190 Back to Acute symptoms<\/a><\/p>\n\t\t\n<\/div>\n<div class=\"elementor-element elementor-element-42aa06a5 e-con e-atomic-element e-flexbox-base e-default-div e-123c053b-7ffa\" data-id=\"42aa06a5\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"42aa06a5\">\n    \t\t\t<p class=\"knauf-copy e-307fffdc-898d e-paragraph-base e-default-p\" data-interaction-id=\"f79439d\" data-e-type=\"widget\" data-id=\"f79439d\"><a href=\"\/en\/leistungen\/\">\u2190 View all services<\/a><\/p>\n\t\t\t\t\t<a href=\"\/en\/kontakt\/\" target=\"_self\" class=\"knauf-button e-button-base e-default-a\" data-interaction-id=\"5bbcee61\" data-e-type=\"widget\" data-id=\"5bbcee61\">\n\tAppointments and enquiries\n<\/a>\n\t\t\n<\/div>\n\t\t\t<footer class=\"elementor-element elementor-element-1qpmvv2 e-con e-atomic-element e-div-block-base e-default-footer knauf-section e-3dc92d59-826b\" data-id=\"1qpmvv2\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"5805be83\">\n    <div class=\"elementor-element elementor-element-1jsp7oa e-con e-atomic-element e-flexbox-base e-default-div knauf-row e-70feb603-e1d1\" data-id=\"1jsp7oa\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"58487519\">\n    <div class=\"elementor-element elementor-element-0yixcls e-con e-atomic-element e-div-block-base e-default-div e-22bea648-e87b\" data-id=\"0yixcls\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"104416a2\">\n    \t\t\t<h3 data-interaction-id=\"6ffe7eb8\" class=\"knauf-h3 e-heading-base e-default-h3\" data-e-type=\"widget\" data-id=\"08mgzf8\">GP practice<br>Dr. Knauf &amp; Partner<\/h3>\n\t\t\t\t\t<p class=\"knauf-copy e-paragraph-base e-default-p\" data-interaction-id=\"3936d2b5\" data-e-type=\"widget\" data-id=\"1au6nnl\">Always here for you.<\/p>\n\t\t\n<\/div>\n<div class=\"elementor-element elementor-element-1b7upty e-con e-atomic-element e-div-block-base e-default-div e-7ec5c69e-25a7\" data-id=\"1b7upty\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"666f32b0\">\n    \t\t\t<h3 data-interaction-id=\"766465df\" class=\"knauf-h3 e-heading-base e-default-h3\" data-e-type=\"widget\" data-id=\"0fmn3az\">Bergisch Gladbach<\/h3>\n\t\t\t\t\t<p class=\"knauf-copy e-paragraph-base e-default-p\" data-interaction-id=\"43ca075a\" data-e-type=\"widget\" data-id=\"1cs8vf3\">M\u00fclheimer Stra\u00dfe 84<br>51469 Bergisch Gladbach<br><a href=\"tel:+49220259190\">02202 \/ 5 91 90<\/a><br><a href=\"mailto:mail@praxis-dr-knauf.de\">mail@praxis-dr-knauf.de<\/a><\/p>\n\t\t\n<\/div>\n<div class=\"elementor-element elementor-element-1ucxyq9 e-con e-atomic-element e-div-block-base e-default-div e-775f3b4c-f36c\" data-id=\"1ucxyq9\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"2fe32f46\">\n    \t\t\t<h3 data-interaction-id=\"2d546434\" class=\"knauf-h3 e-heading-base e-default-h3\" data-e-type=\"widget\" data-id=\"0qd5mcc\">Here for you<\/h3>\n\t\t\t\t\t<p class=\"knauf-copy e-paragraph-base e-default-p\" data-interaction-id=\"18a0041a\" data-e-type=\"widget\" data-id=\"0u8ubaa\">Mon\u2013Fri: 08:00\u201313:00<br>Mon, Tue, Thu: 15:00\u201318:00<\/p>\n\t\t\n<\/div>\n<div class=\"elementor-element elementor-element-1hju903 e-con e-atomic-element e-div-block-base e-default-div e-ae0576b-ad72\" data-id=\"1hju903\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"37027d12\">\n    \t\t\t<h3 data-interaction-id=\"44b0eb22\" class=\"knauf-h3 e-390ed395-187c e-heading-base e-default-h3\" data-e-type=\"widget\" data-id=\"1c0xknt\">Follow us<\/h3>\n\t\t\t\t\t<a href=\"https:\/\/www.instagram.com\/hausarzt_dr_knauf\/\" target=\"_blank\" class=\"e-11b95a1c-3e27 e-svg-base e-default-a\" data-interaction-id=\"2f8e569e\" data-e-type=\"widget\" data-id=\"0jotkyi\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" fill=\"currentColor\" style=\"width: 100%; height: 100%; overflow: unset;\" id=\"b62454c0-0463-412a-9492-fabdb97c2bec\" data-name=\"Layer 1\" width=\"21\" height=\"21\" viewbox=\"0 0 21 21\"><path id=\"a9b4ec56-f47e-4995-bb27-f770c3d572e7\" data-name=\"Combined-Shape\" d=\"M15.9967,0A5.008,5.008,0,0,1,21,5.0033V15.9967A5.008,5.008,0,0,1,15.9967,21H5.0033A5.008,5.008,0,0,1,0,15.9967V5.0033A5.008,5.008,0,0,1,5.0033,0ZM10.5,5.04a5.46,5.46,0,1,0,5.46,5.46A5.46,5.46,0,0,0,10.5,5.04Zm0,1.68A3.78,3.78,0,1,1,6.72,10.5,3.78,3.78,0,0,1,10.5,6.72Zm6.09-3.78a1.47,1.47,0,1,0,1.47,1.47A1.47,1.47,0,0,0,16.59,2.94Z\" style=\"fill-rule:evenodd\"><\/path><\/svg><\/a>\n\t\t\n<\/div>\n\n<\/div>\n\t\t\t<p class=\"knauf-copy e-4b09205a-9a67 e-paragraph-base e-default-p\" data-interaction-id=\"511015ce\" data-e-type=\"widget\" data-id=\"10lb6ra\">\u00a9 Dr Knauf &amp; Partners GP Practice \u00b7 <a href=\"https:\/\/praxis-dr-knauf.de\/en\/impressum-2\/\">Legal notice<\/a> \u00b7 <a href=\"https:\/\/praxis-dr-knauf.de\/en\/datenschutz\/\">Privacy policy<\/a> \u00b7 <a href=\"https:\/\/praxis-dr-knauf.de\/en\/barrierefreiheit\/\">Barrierefreiheit \/ Accessibility<\/a> \u00b7 <a href=\"https:\/\/praxis-dr-knauf.de\/en\/kontakt\/\">Contact<\/a><\/p>\n\t\t\n<\/footer>\n\n\t\t\n<\/div>\n\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Startseite Aktuelles Leistungen \u00dcber uns Kontakt Karriere Termin buchen Leistungen \/ Detail\u00fcbersicht Migr\u00e4ne Wiederkehrende Kopfschmerzattacken verstehen und passend behandeln. Worum es geht Migr\u00e4ne kann mit pulsierenden, h\u00e4ufig einseitigen Kopfschmerzen, \u00dcbelkeit sowie Licht- und Ger\u00e4uschempfindlichkeit einhergehen. Bewegung kann die Schmerzen verst\u00e4rken. Manche Betroffene erleben vorher eine Aura, etwa vor\u00fcbergehende Sehst\u00f6rungen. H\u00e4ufigkeit und Auspr\u00e4gung unterscheiden sich erheblich. Ausl\u00f6ser und Abkl\u00e4rung Ver\u00e4nderungen des Schlafrhythmus, Stress oder hormonelle Schwankungen k\u00f6nnen Attacken beg\u00fcnstigen. Ein Kopfschmerztagebuch hilft, Muster und die Zahl der Schmerz- und Medikamententage zu erkennen. Wir besprechen die Beschwerden und untersuchen Sie, um Migr\u00e4ne von anderen Kopfschmerzformen abzugrenzen. Eine Bildgebung ist bei einem typischen Verlauf nicht grunds\u00e4tzlich erforderlich. Akutbehandlung und Vorbeugung Die Therapie ber\u00fccksichtigt St\u00e4rke, H\u00e4ufigkeit und Begleitsymptome. F\u00fcr einzelne Attacken kommen geeignete Schmerzmittel oder migr\u00e4nespezifische Medikamente infrage. Bei h\u00e4ufigen oder stark belastenden Attacken k\u00f6nnen vorbeugende Verfahren sinnvoll sein. Regelm\u00e4\u00dfiger Schlaf, Bewegung, Entspannungsverfahren und ein strukturierter Alltag erg\u00e4nzen die Behandlung. Zu h\u00e4ufige Einnahme von Akutmedikamenten kann selbst Kopfschmerzen unterhalten. Wann sofort Hilfe n\u00f6tig ist Ein pl\u00f6tzlich einsetzender, ungew\u00f6hnlich starker Kopfschmerz oder neue L\u00e4hmungen und Sprachst\u00f6rungen sind keine Beschwerden, bei denen auf einen Routinetermin gewartet werden sollte. Rufen Sie in solchen Situationen 112. Auch deutlich ver\u00e4nderte Kopfschmerzen, Fieber mit Nackensteife oder Beschwerden nach einer Kopfverletzung m\u00fcssen zeitnah abgekl\u00e4rt werden. Ihr Termin in der Praxis Bitte schildern Sie bei der Terminvereinbarung Ihre aktuellen Beschwerden. Bringen Sie Ihre Versichertenkarte, vorhandene Befunde und eine aktuelle Medikamentenliste mit. Gemeinsam legen wir fest, welche n\u00e4chsten Schritte f\u00fcr Ihre Situation sinnvoll sind. \u2190 Zur \u00dcbersicht Akute Beschwerden \u2190 Alle Leistungen ansehen Termin oder R\u00fcckfrage HausarztpraxisDr. Knauf &amp; Partner Immer f\u00fcr Sie da. Bergisch Gladbach M\u00fclheimer Stra\u00dfe 8451469 Bergisch Gladbach02202 \/ 5 91 90mail@praxis-dr-knauf.de Wir sind f\u00fcr Sie da Mo\u2013Fr: 08:00\u201313:00 UhrMo, Di, Do: 15:00\u201318:00 Uhr Folgen Sie uns \u00a9 Hausarztpraxis Dr. Knauf und Partner \u00b7 Impressum \u00b7 Datenschutz \u00b7 Kontakt<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":{"footnotes":""},"class_list":["post-1853","page","type-page","status-publish","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.4 - aioseo.com -->\n\t<meta name=\"description\" content=\"Startseite Aktuelles Hausarztprogramm Services\u25bePreventive care and screeningAcute symptomsChronic conditionsVaccinations and travel medicineDiagnostic testsDigital medicineDiGA \u2014 apps on prescriptionMedical certificatesWeight management and medical supportAcupuncture and tapingInfusionsMassageAviation medicinePalliative care \u00dcber uns Kontakt Karriere Termin buchen Leistungen \/ Detail\u00fcbersicht Migr\u00e4ne Wiederkehrende Kopfschmerzattacken verstehen und passend behandeln. 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