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   If symptoms persist
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   Please see your doctor if symptoms persist.
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                      Ask your doctor about...
                     </h1>
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                      For all our cultural similarities, I experience some surprising differences when visiting the US. One is the American obsession with injecting peanut butter into everything. I’m ok with it.
                     </p>
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                      Another is the incredible number of
                      <a data-hs-link-id="0" data-hs-link-id-v2="77HjlX0d" style="color:#304ddb; text-decoration:none !important" target="_blank">
                       pharmaceutical commercials with their fast-paced litany of unpleasant side effects
                      </a>
                      . It’s pretty rare at home to hear about dry mouth, hallucinations, diarrhea, and unexpected urges all in the same day, let alone in the space of 12 seconds.
                     </p>
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                      It is obviously important to understand the potential risks of the medication you are taking, so you can balance them against the benefits. Not that all side effects are negative. Aspirin was a pain reliever that also turned out to be a great heart-attack-reducing blood thinner. Viagra began as a heart medicine but found its primary use... further south.
                     </p>
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                      Everything we do in life creates unintended consequences. We can’t blame the butterfly for the tornado (or, as the phrase’s coiner Edward Norton Lorenz originally intended,
                      <a data-hs-link-id="0" data-hs-link-id-v2="NEZTPw+P" style="color:#304ddb; text-decoration:none !important" target="_blank">
                       the seagull for the storm
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                      ), but in the case of more immediate side effects we should be thoughtful in our actions.
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                      <br/>
                      In business the most well-intentioned policies can create unexpected outcomes.
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                     <ul style="line-height:175%">
                      <li aria-level="1" style="margin-bottom:20px !important; padding-left:10px">
                       <strong>
                        You create a “reply-time” metric to encourage faster service
                       </strong>
                       ,
                       <em>
                        but also incentivise closing down insightful customer conversations.
                       </em>
                      </li>
                      <li aria-level="1" style="margin-bottom:20px !important; padding-left:10px">
                       <strong>
                        You carefully write scripts and replies to ensure consistently good responses,
                       </strong>
                       <em>
                        but also reduce opportunities for your team to deepen their learning.
                       </em>
                      </li>
                      <li aria-level="1" style="margin-bottom:20px !important; padding-left:10px">
                       <strong>
                        You send satisfaction surveys to measure your customer service quality
                       </strong>
                       ,
                       <em>
                        but end up capturing ratings that are really about your products.
                       </em>
                      </li>
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                      Good side effects happen too:
                     </p>
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                       <strong>
                        You invest in making your team feel safe and supported
                       </strong>
                       <em>
                        and find that they deliver better service to customers.
                       </em>
                      </li>
                      <li aria-level="1" style="margin-bottom:20px !important; padding-left:10px">
                       <strong>
                        You improve your self-service resources for your customers
                       </strong>
                       ,
                       <em>
                        but also create better inputs to new AI tools
                       </em>
                       .
                      </li>
                     </ul>
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                      <br/>
                      Sometimes the side effects can be predicted and mitigated (or encouraged). Other times, those side effects might only show up months later and be harder to track back to the original cause.
                     </p>
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                      If you’re a leader who is implementing new processes or policies to solve a pressing challenge, you might not be fully aware of the potential side effects in the moment. You probably have experienced people on your team who can help you predict some of them, and help you adjust your planning to take them into account. They will love you for asking.
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                      Changing one thing at a time will also help your team identify the trigger of surprise changes. Side effects are not a reason to avoid change, they are just another factor that should be taken into account for best results.
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Standard ITW text styles:
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- Font weight is forced to be 500 for italicized text due to a conflict with Hubspot's GUI
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- We tried elminating some of the spacing around the headers for the :first-of-type but ran into
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                     <h3 style="font-size:17px; margin:0; line-height:175%">
                      <br/>
                      Questions to ask before making a change:
                     </h3>
                     <ul style="line-height:175%">
                      <li aria-level="1" style="margin-bottom:20px !important; padding-left:10px">
                       What is the primary aim of this new change?
                      </li>
                      <li aria-level="1" style="margin-bottom:20px !important; padding-left:10px">
                       How will we know it is working?
                      </li>
                      <li aria-level="1" style="margin-bottom:20px !important; padding-left:10px">
                       What are other outcomes that this change might create, or exacerbate?
                      </li>
                      <li aria-level="1" style="margin-bottom:20px !important; padding-left:10px">
                       How could we adjust this change to mitigate the risks of unintended consequences?
                      </li>
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                      If pain persists, please see your manager.
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              </tr>
             </tbody>
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            <!--Help Scout - Signature Module -->
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               ">
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                        <!-- Signature image 1 75px x 75px -->
                        <img alt="patto-headshot" height="75" loading="lazy" src="https://inboxflows.com/_/image/https%253A%252F%252Femail.helpscout.com%252Fhs-fs%252Fhubfs%252Fpatto-headshot.png%253Fwidth%253D300%2526upscale%253Dtrue%2526name%253Dpatto-headshot.png/?inbox_flows_img_sig=eyJwYXRoIjoiaHR0cHMlM0ElMkYlMkZlbWFpbC5oZWxwcyIsInRpbWUiOjE3NjQyNTI0MDQuMDQyMDk2NH0:1vOcdw:By0KxJuhdyNH9iC_flPyMguSTptnssNwuxAcYfJk020" style="outline:none; text-decoration:none; height:75px; width:auto" width="auto"/>
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                        Mat Patterson
                        <br/>
                        <span style="color: #405261; font-size: 15px; font-style: italic; font-weight: 400;">
                         Help Scout
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                        Wistia almost became a surgery streaming service...
                       </div>
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                        Why didn't they?
                        <span style="display: inline-block; vertical-align: middle; height: 33px; font-size: 20px;">
                         ›
                        </span>
                       </a>
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                     <!--[if mso]>
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                         <p style="font-family:'Helvetica Neue', Helvetica, Arial, sans-serif !important; color:#405261 !important; font-style:normal; font-weight:normal; font-size:16px !important; line-height:175%; margin-bottom:12px !important">
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                          <a data-hs-link-id="0" data-hs-link-id-v2="x9gA44Ny" rel="noopener" style="color:#304ddb; text-decoration:none !important" target="_blank">
                           encourage people to signup for their own copy right here
                          </a>
                          .
                         </p>
                        </div>
                       </td>
                      </tr>
                     </tbody>
                    </table>
                   </td>
                  </tr>
                  <tr>
                   <td style="font-family:Arial, sans-serif; font-size:18px; color:#556575; word-break:break-word">
                    <!-- Buttons Module -->
                    <table align="center" border="0" cellpadding="0" cellspacing="0" role="presentation" style="max-width: 600px; width: 100%; border-collapse: collapse;">
                     <tbody>
                      <tr>
                       <td class="hs-buttons-wrapper" style="font-family:Arial, sans-serif; font-size:18px; color:#556575; word-break:break-word; padding:0px 35px 12px 35px">
                        <table border="0" cellpadding="0" cellspacing="0" role="presentation" style="width: 100%; border-collapse: collapse;">
                         <tbody>
                          <tr>
                           <td style="font-family:Arial, sans-serif; font-size:18px; color:#556575; word-break:break-word">
                            <!-- CTA Button 1 -->
                            <!--Uses a "bulletproof" button design from https://buttons.cm/ as a fallback for Outlook -->
                            <!--[if mso]>
                            <v:roundrect xmlns:v="urn:schemas-microsoft-com:vml" xmlns:w="urn:schemas-microsoft-com:office:word" href="https://email.helpscout.com/side-effects" style="height:50px;v-text-anchor:middle;width:200px;color:#ffffff !important;text-decoration:none;" arcsize="10%" stroke="f" fillcolor="#304DDB">
                            <w:anchorlock/>
                            <center>
                          <![endif]-->
                            <a bgcolor="#304DDB" class="hs-primary-button" data-hs-link-id="0" data-hs-link-id-v2="kq3yzyeV" style="display:inline-block; padding:17px 30px; margin-bottom:18px; background-color:#304DDB; border-radius:4px; color:#ffffff !important; transition:all 0.2s ease-in; font-family:'Helvetica Neue', Helvetica, Arial, sans-serif; font-style:normal; font-weight:500; font-size:16px; line-height:1; text-decoration:none !important" target="_blank">
                             <span style="color: #ffffff !important;">
                              <font color="#ffffff">
                               View this newsletter as a web page
                              </font>
                             </span>
                            </a>
                            <!--[if mso]>
                            </center>
                            </v:roundrect>
                          <![endif]-->
                           </td>
                          </tr>
                         </tbody>
                        </table>
                       </td>
                      </tr>
                     </tbody>
                    </table>
                   </td>
                  </tr>
                 </tbody>
                </table>
               </td>
              </tr>
             </tbody>
            </table>
            <!--[if true]>
</td></tr></table>
<![endif]-->
            <style type="text/css">
             .hs-richtext-wrapper p {margin-bottom: 18px !important; }
    .hs-richtext-wrapper a { color: #304DDB; text-decoration: none !important; }
    .hs-richtext-wrapper a:hover, .hs-richtext-wrapper a:focus, .hs-richtext-wrapper a:active {color: #263AAD !important;}
    .hs-richtext-wrapper h1 {line-height: 1.2 !important;  font-size: 32px !important; margin-top: 30px; margin-bottom: 30px !important; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif !important;  color: #131B24 !important; font-style: normal; font-weight: 500 !important; }
    .hs-richtext-wrapper h2 {line-height: 1.3 !important;  font-size: 24px !important; margin-top: 30px; margin-bottom: 30px !important; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif !important;  color: #131B24 !important; font-style: normal; font-weight: 500 !important; }
    .hs-richtext-wrapper li {margin-bottom: 20px !important; padding-left: 10px;}
    .hs-richtext-wrapper h1 em { font-weight: 500 !important; }
    .hs-primary-button:hover, .hs-primary-button:active, .hs-primary-button:focus {
        background-color: #263AAD !important;
      }
    .hs-secondary-button:hover, .hs-secondary-button:active, .hs-secondary-button:focus {
        color: #263AAD !important;
      }
  
  @media all and (max-width: 479px) {
    .hs-richtext-wrapper { padding: 0px 25px 12px 25px !important; }
    .hs-buttons-wrapper {padding: 0px 25px 12px 25px !important;}
    .hs-illustration-wrapper {padding: 15px 25px 0px 13px !important;}
  }
  @media all and (min-width: 480px) {
    .hs-richtext-wrapper { padding: 0px 50px 12px 50px !important; }
    .hs-buttons-wrapper {padding: 0px 50px 12px 50px !important;}
    .hs-illustration-wrapper {padding: 15px 50px 0px 38px !important;}
  }
  
  @media (prefers-color-scheme: dark ) {
      .hs-primary-button  {
        color: #ffffff !important;
      }
    }
  [data-ogsc] .hs-primary-button {color: #ffffff !important;}
            </style>
           </div>
           <div class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module" data-hs-cos-general-type="widget" data-hs-cos-type="module" id="hs_cos_wrapper_module-0-0-6" style="color: inherit; font-size: inherit; line-height: inherit;">
            <!--Help Scout - Footer Module -->
            <!-- Notes: -->
            <!-- 
Multiple tables are used to control the responsive layout. With custom media queries for
some limited changes in dark mode where it is supported.
See https://css-tricks.com/ideas-behind-responsive-emails/ 
-->
            <!--1st table is a container table giving the full width background color primarily -->
            <table align="center" border="0" cellpadding="0" cellspacing="0" class="hs-footer-container" role="presentation" style="background-color: #FFFFFF; width: 100%; border-collapse: collapse;" width="100%">
             <tbody>
              <tr>
               <td style="font-family:Arial, sans-serif; font-size:18px; color:#556575; word-break:break-word; padding:0px 15px 10px 15px; width:100%" width="100%">
                <!-- Container table which primarily gives us the 500px container width -->
                <table align="center" border="0" cellpadding="0" cellspacing="0" role="presentation" style="max-width: 500px; width: 100%; border-collapse: collapse;" width="100%">
                 <tbody>
                  <tr>
                   <td class="hs-footer-logo-wrapper" style="font-family:Arial, sans-serif; font-size:18px; color:#556575; word-break:break-word; width:100%; padding-bottom:20px" width="100%">
                    <!-- In The Works Logo, 162px x 43px not in its own table as not responsive -->
                    <a data-hs-link-id="0" data-hs-link-id-v2="/ZepYRJ0" style="color:#304ddb; text-decoration:none !important" target="_blank">
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                    </a>
                   </td>
                  </tr>
                  <tr>
                   <td class="hs-footer-address-wrapper" style="font-family:Arial, sans-serif; font-size:18px; color:#556575; word-break:break-word; width:100%; border-bottom:1px solid #F1F3F5" width="100%">
                    <!-- Two tables here to manage the address area and social media graphics -->
                    <!-- Table one has the address, unsubscribe and view as webpage links -->
                    <table align="left" border="0" cellpadding="0" cellspacing="0" role="presentation" style="width: 76.2%; min-width: 300px; border-collapse: collapse;">
                     <tbody>
                      <tr>
                       <td class="hs-footer-address" style="word-break:break-word; padding-bottom:30px; color:#314351; font-size:13px !important; font-family:'Helvetica Neue', Helvetica, Arial, sans-serif; line-height:1.6">
                        68 Harrison Ave Ste 605
                        <br/>
                        PMB 78505  •  Boston, MA 02111
                        <br/>
                        <a data-hs-link-id="0" data-hs-link-id-v2="pMB6B+Fc" data-viewaswebpage="true" style="color:#314351 !important; text-decoration:underline !important" target="_blank">
                         view in your web browser
                        </a>
                        |
                        <a data-hs-link-id="0" data-hs-link-id-v2="qjPJqCop" data-unsubscribe="true" style="color:#314351 !important; text-decoration:underline !important" target="_blank">
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                        </a>
                       </td>
                      </tr>
                     </tbody>
                    </table>
                    <!-- Table two has the Social Media Logos -->
                    <table align="left" border="0" cellpadding="0" cellspacing="0" role="presentation" style="min-width: 131px; width: 23.8%; border-collapse: collapse;">
                     <tbody>
                      <tr>
                       <td style="font-family:Arial, sans-serif; font-size:18px; color:#556575; word-break:break-word; padding-bottom:30px; padding-right:15px">
                        <!-- Twitter logo-->
                        <a data-hs-link-id="0" data-hs-link-id-v2="x+Gd4KBL" style="color:#304ddb; text-decoration:none !important" target="_blank">
                         <img alt="Twitter-1" height="20" loading="lazy" src="https://inboxflows.com/_/image/https%253A%252F%252Femail.helpscout.com%252Fhs-fs%252Fhubfs%252FTwitter-1.png%253Fwidth%253D198%2526height%253D160%2526upscale%253Dtrue%2526name%253DTwitter-1.png/?inbox_flows_img_sig=eyJwYXRoIjoiaHR0cHMlM0ElMkYlMkZlbWFpbC5oZWxwcyIsInRpbWUiOjE3NjQyNTI0MDQuMDQyOTM5Mn0:1vOcdw:jRGa7QbgCvnVSW2hgh4XyZ8fTnkFOxQ6Pkyx-NhxDDo" style="outline:none; text-decoration:none; border:none; height:20px; width:auto" width="auto"/>
                        </a>
                       </td>
                       <td style="font-family:Arial, sans-serif; font-size:18px; color:#556575; word-break:break-word; padding-bottom:30px; padding-right:15px">
                        <!-- Facebook logo-->
                        <a data-hs-link-id="0" data-hs-link-id-v2="joAnq744" style="color:#304ddb; text-decoration:none !important" target="_blank">
                         <img alt="Facebook-sq" height="20" loading="lazy" src="https://inboxflows.com/_/image/https%253A%252F%252Femail.helpscout.com%252Fhs-fs%252Fhubfs%252FFacebook-sq.png%253Fwidth%253D160%2526height%253D160%2526upscale%253Dtrue%2526name%253DFacebook-sq.png/?inbox_flows_img_sig=eyJwYXRoIjoiaHR0cHMlM0ElMkYlMkZlbWFpbC5oZWxwcyIsInRpbWUiOjE3NjQyNTI0MDQuMDQzMDc1fQ:1vOcdw:7wEMpprqYEX1ZhN69-mvsMXKxwgfhizwP918Ljyf5Ac" style="outline:none; text-decoration:none; border:none; height:20px; width:auto" width="auto"/>
                        </a>
                       </td>
                       <td style="font-family:Arial, sans-serif; font-size:18px; color:#556575; word-break:break-word; padding-bottom:30px; padding-right:15px">
                        <!-- Linked In logo-->
                        <a data-hs-link-id="0" data-hs-link-id-v2="d/TgnBbs" style="color:#304ddb; text-decoration:none !important" target="_blank">
                         <img alt="LinkedIn-sq" height="20" loading="lazy" src="https://inboxflows.com/_/image/https%253A%252F%252Femail.helpscout.com%252Fhs-fs%252Fhubfs%252FLinkedIn-sq.png%253Fwidth%253D162%2526height%253D160%2526upscale%253Dtrue%2526name%253DLinkedIn-sq.png/?inbox_flows_img_sig=eyJwYXRoIjoiaHR0cHMlM0ElMkYlMkZlbWFpbC5oZWxwcyIsInRpbWUiOjE3NjQyNTI0MDQuMDQzMTcyOH0:1vOcdw:5z_Lb2W8PCE_T_372ElBk4z1i_86NxlbpGYPlkPdT6o" style="outline:none; text-decoration:none; border:none; height:20px; width:auto" width="auto"/>
                        </a>
                       </td>
                       <td style="font-family:Arial, sans-serif; font-size:18px; color:#556575; word-break:break-word; padding-bottom:30px">
                        <!-- Instagram logo-->
                        <a data-hs-link-id="0" data-hs-link-id-v2="V7abSKZq" style="color:#304ddb; text-decoration:none !important" target="_blank">
                         <img alt="Instagram-sq" height="20" loading="lazy" src="https://inboxflows.com/_/image/https%253A%252F%252Femail.helpscout.com%252Fhs-fs%252Fhubfs%252FInstagram-sq.png%253Fwidth%253D162%2526height%253D162%2526upscale%253Dtrue%2526name%253DInstagram-sq.png/?inbox_flows_img_sig=eyJwYXRoIjoiaHR0cHMlM0ElMkYlMkZlbWFpbC5oZWxwcyIsInRpbWUiOjE3NjQyNTI0MDQuMDQzMjY3N30:1vOcdw:XGiFrTatfuwtU8kzDPKE8jzeEczMwP5Lm5mFRZ3EyIA" style="outline:none; text-decoration:none; border:none; height:20px; width:auto" width="auto"/>
                        </a>
                       </td>
                      </tr>
                     </tbody>
                    </table>
                   </td>
                  </tr>
                  <tr>
                   <td style="font-family:Arial, sans-serif; font-size:18px; color:#556575; word-break:break-word; width:100%; padding-top:20px" width="100%">
                    <!-- Three tables to manage the Scribble image, Made by... and the copyright text -->
                    <!-- Table one has the scribble image (Commented out for Evolution Project)
        <table role="presentation" border="0" cellpadding="0" cellspacing="0" align="left" style="margin-top: 4px; width: 10%; min-width: 60px; border-collapse: collapse;">
          <tr>
            <td>
                
                
                
                 
                <img src="https://fs.hubspotusercontent00.net/hubfs/2760806/hs-scribble.png" alt="hs-scribble" loading="lazy" width="222" height="61" style="height: 15px; width: auto;">
              
            </td>
          </tr>
        </table>
        -->
                    <!-- Table two has the Created by text -->
                    <table align="left" border="0" cellpadding="0" cellspacing="0" role="presentation" style="width: 67.3%; min-width: 310px; border-collapse: collapse;">
                     <tbody>
                      <tr>
                       <td class="hs-footer-madeby" style="word-break:break-word; padding-bottom:10px; color:#405261; font-weight:600; font-size:13px !important; font-family:'Helvetica Neue', Helvetica, Arial, sans-serif; line-height:1.6">
                        <span style="font-weight: 400;">
                         The only
                        </span>
                        people-first
                        <span style="font-weight: 400;">
                         customer support platform.
                        </span>
                       </td>
                      </tr>
                     </tbody>
                    </table>
                    <!-- Table three has the copyright text -->
                    <table align="left" border="0" cellpadding="0" cellspacing="0" class="hs-footer-copyright-table" role="presentation" style="min-width: 120px; width: 32%; border-collapse: collapse;">
                     <tbody>
                      <tr>
                       <td class="hs-footer-copyright" style="word-break:break-word; padding-bottom:10px; color:#405261; font-size:13px !important; font-family:'Helvetica Neue', Helvetica, Arial, sans-serif; line-height:1.6">
                        © 2025 Help Scout
                       </td>
                      </tr>
                     </tbody>
                    </table>
                   </td>
                  </tr>
                 </tbody>
                </table>
               </td>
              </tr>
             </tbody>
            </table>
            <style type="text/css">
             @media (prefers-color-scheme: dark ) {
      .hs-footer-container {
        background-color: #1E1E1E;
      }
      .hs-footer-address {
        color: #A7B3BE;
      }
      .hs-footer-madeby {
        color: #D1DAE3;
      }
      .hs-footer-copyright {
        color: #A7B3BE;
      }
    }
  /* data-ogsc tag targets Outlook email clients */    
    [data-ogsc] .hs-footer-container {
        background-color: #1E1E1E;
      }
    [data-ogsc] .hs-footer-address {
        color: #A7B3BE;
      }
    [data-ogsc] .hs-footer-madeby {
        color: #D1DAE3;
      }
    [data-ogsc] .hs-footer-copyright {
        color: #A7B3BE;
      }
    [data-ogsc] .hs-footer-address-wrapper {
        border-bottom: 1px solid #000000;
      }
  /* Tweak the padding up on screens larger than 600px */
  @media all and (min-width: 600px) {
    .hs-footer-address {
        padding-bottom: 40px !important;
      }
    .hs-footer-copyright {
        text-align: right !important;
      }
  }
            </style>
           </div>
           <div class="hs_cos_wrapper hs_cos_wrapper_widget hs_cos_wrapper_type_module" data-hs-cos-general-type="widget" data-hs-cos-type="module" id="hs_cos_wrapper_module_165629046000314" style="color: inherit; font-size: inherit; line-height: inherit;">
            <div style="overflow:hidden">
             <table align="right" cellpadding="0" cellspacing="0" class="hse-pre-header hse-secondary" role="presentation" style="text-align:right; font-family:Arial, sans-serif; font-size:12px; line-height:135%; color:#23496d; margin-bottom:0; padding:0" width="100%">
              <tbody>
               <tr>
                <td style="font-family:Arial, sans-serif; font-size:18px; color:#556575; word-break:break-word">
                 <p style="margin-bottom:18px !important; font-family:'Helvetica Neue', Helvetica, Arial, sans-serif !important; line-height:1.6 !important; color:#405261 !important; font-style:normal; font-weight:normal; font-size:16px !important">
                  <a data-hs-link-id="1" data-hs-link-id-v2="WCKznKkY" style="text-decoration:none !important; display:none; color:#1292ee" target="_blank">
                   View in browser
                  </a>
                 </p>
                </td>
               </tr>
              </tbody>
             </table>
            </div>
           </div>
          </div>
          <!--[if gte mso 9]></table><![endif]-->
          <!--[if (mso)|(IE)]></td><![endif]-->
          <!--[if (mso)|(IE)]></tr></table><![endif]-->
         </div>
         <!--[if gte mso 9]></td></tr></table><![endif]-->
        </div>
       </div>
      </td>
     </tr>
    </tbody>
   </table>
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