3 февраля 2020
Вопрос:
Добрый день. Как вы относитесь к препарату Акнетин? Можно им лечиться девушке 18 лет? Анализы все в норме, только гидротестостерон повышен.
Инна
Ответ:
Добрый день! Вопрос не простой. А пробовали ли Вы альтернативные методы лечения? Каков Ваш домашний уход?
Про Акнетин:
Вам должно быть полных 18 лет.
У Вас должна быть диагностирована тяжелая степень акне.
Препарат применяют при невозможном лечении другими дерматологическими медикаментами или при безрезультатности.
Пациент должен понимать, что лекарство Акнетин имеет тератогенное влияние. Другими словами, влияет на плод при беременности или приводит к мутациям генов у ребенка. В дальнейшем девушке, которая решилась на прием Акнетина, нужно следить за своим здоровьем, сдавать анализы и т.д. Возможно, что препарат приведет к снижению иммунитета и в самом плохом случае приведет к образованию онкоклеток.
Из этого следует, что если в выборе препарата пациент на 100% уверен, нужно понимать и соблюдать следующее.
Акнетин противопоказан женщинам репродуктивного возраста, если только состояние женщины не соответствует всем нижеуказанным критериям:
Пациентка должна посещать врача каждые 28 дней - гинеколога и дерматолога.
Мой совет - этот препарат просто так использовать не стоит.
Приходите на консультацию, буду рада Вам помочь.
В ближайшее время с Вами свяжется менеджер
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select * from `categories` where `slug` = 'hvorobi-i-stani' limit 1390μsc1_dev_oberig| Metadata | |
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- EXPLAIN # 1: `categories` (SIMPLE)11| Metadata | |
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| id | 1 |
| select_type | SIMPLE |
| table | categories |
| partitions | null |
| type | ref |
| possible_keys | categories_slug_index |
| key | categories_slug_index |
| key_len | 768 |
| ref | const |
| rows | 1 |
| filtered | 100 |
| Extra | null |
select * from `news` where `is_active` = '1' and `news`.`category_id` in (3) order by `priority` asc2.07msc1_dev_oberig| Metadata | |
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- EXPLAIN # 1: `news` (SIMPLE)1031| Metadata | |
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| id | 1 |
| select_type | SIMPLE |
| table | news |
| partitions | null |
| type | ref |
| possible_keys | news_category_id_index |
| key | news_category_id_index |
| key_len | 5 |
| ref | const |
| rows | 103 |
| filtered | 10 |
| Extra | Using where; Using filesort |
select * from `news` where `id` = '257' and `is_active` = '1' limit 1350μsc1_dev_oberig| Metadata | |
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- EXPLAIN # 1: `news` (SIMPLE)11| Metadata | |
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| id | 1 |
| select_type | SIMPLE |
| table | news |
| partitions | null |
| type | const |
| possible_keys | PRIMARY |
| key | PRIMARY |
| key_len | 8 |
| ref | const |
| rows | 1 |
| filtered | 100 |
| Extra | null |
select * from `news_blocks` where `news_blocks`.`news_id` in (257)53.38msc1_dev_oberig| Metadata | |
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- EXPLAIN # 1: `news_blocks` (SIMPLE)11| Metadata | |
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| id | 1 |
| select_type | SIMPLE |
| table | news_blocks |
| partitions | null |
| type | ref |
| possible_keys | news_blocks_news_id_index |
| key | news_blocks_news_id_index |
| key_len | 8 |
| ref | const |
| rows | 1 |
| filtered | 100 |
| Extra | null |
select `tags`.*, `news_tag`.`news_id` as `pivot_news_id`, `news_tag`.`tag_id` as `pivot_tag_id` from `tags` inner join `news_tag` on `tags`.`id` = `news_tag`.`tag_id` where `news_tag`.`news_id` in (257)400μsc1_dev_oberig| Metadata | |
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- EXPLAIN # 1: `news_tag` (SIMPLE)11| Metadata | |
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| id | 1 |
| select_type | SIMPLE |
| table | news_tag |
| partitions | null |
| type | ref |
| possible_keys | news_tag_news_id_index,news_tag_tag_id_index |
| key | news_tag_news_id_index |
| key_len | 8 |
| ref | const |
| rows | 1 |
| filtered | 100 |
| Extra | null |
- EXPLAIN # 1: `tags` (SIMPLE)11| Metadata | |
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| id | 1 |
| select_type | SIMPLE |
| table | tags |
| partitions | null |
| type | eq_ref |
| possible_keys | PRIMARY |
| key | PRIMARY |
| key_len | 4 |
| ref | c1_dev_oberig.news_tag.tag_id |
| rows | 1 |
| filtered | 100 |
| Extra | null |
select * from `news` where `category_id` = 3 and `id` != 257 order by `created_at` desc limit 61.02msc1_dev_oberig| Metadata | |
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- EXPLAIN # 1: `news` (SIMPLE)1021| Metadata | |
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| id | 1 |
| select_type | SIMPLE |
| table | news |
| partitions | null |
| type | range |
| possible_keys | PRIMARY,news_category_id_index |
| key | news_category_id_index |
| key_len | 13 |
| ref | null |
| rows | 102 |
| filtered | 100 |
| Extra | Using index condition; Using filesort |
select * from `categories` where `categories`.`id` in (3)240μsc1_dev_oberig| Metadata | |
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- EXPLAIN # 1: `categories` (SIMPLE)11| Metadata | |
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| id | 1 |
| select_type | SIMPLE |
| table | categories |
| partitions | null |
| type | const |
| possible_keys | PRIMARY |
| key | PRIMARY |
| key_len | 4 |
| ref | const |
| rows | 1 |
| filtered | 100 |
| Extra | null |
select * from `news` where `is_active` = '1' and `news`.`category_id` in (3) order by `priority` asc1.08msc1_dev_oberig| Metadata | |
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- EXPLAIN # 1: `news` (SIMPLE)1031| Metadata | |
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| id | 1 |
| select_type | SIMPLE |
| table | news |
| partitions | null |
| type | ref |
| possible_keys | news_category_id_index |
| key | news_category_id_index |
| key_len | 5 |
| ref | const |
| rows | 103 |
| filtered | 10 |
| Extra | Using where; Using filesort |
select * from `news_comments` where `news_comments`.`news_id` = 257 and `news_comments`.`news_id` is not null and `is_active` = 1 order by `created_at` desc320μsc1_dev_oberig| Metadata | |
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- EXPLAIN # 1: `news_comments` (SIMPLE)11| Metadata | |
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| id | 1 |
| select_type | SIMPLE |
| table | news_comments |
| partitions | null |
| type | ref |
| possible_keys | news_comments_news_id_index |
| key | news_comments_news_id_index |
| key_len | 8 |
| ref | const |
| rows | 1 |
| filtered | 10 |
| Extra | Using where; Using filesort |
select * from `authors` where `authors`.`id` = 38 limit 1260μsc1_dev_oberig| Metadata | |
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- EXPLAIN # 1: `authors` (SIMPLE)11| Metadata | |
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| id | 1 |
| select_type | SIMPLE |
| table | authors |
| partitions | null |
| type | const |
| possible_keys | PRIMARY |
| key | PRIMARY |
| key_len | 8 |
| ref | const |
| rows | 1 |
| filtered | 100 |
| Extra | null |
select * from `doctors` where `doctors`.`id` = 50 limit 1370μsc1_dev_oberig| Metadata | |
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- EXPLAIN # 1: `doctors` (SIMPLE)11| Metadata | |
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| id | 1 |
| select_type | SIMPLE |
| table | doctors |
| partitions | null |
| type | const |
| possible_keys | PRIMARY |
| key | PRIMARY |
| key_len | 8 |
| ref | const |
| rows | 1 |
| filtered | 100 |
| Extra | null |
select `doctors_specialty`.*, `doctor_doctors_specialty`.`doctor_id` as `pivot_doctor_id`, `doctor_doctors_specialty`.`doctors_specialty_id` as `pivot_doctors_specialty_id` from `doctors_specialty` inner join `doctor_doctors_specialty` on `doctors_specialty`.`id` = `doctor_doctors_specialty`.`doctors_specialty_id` where `doctor_doctors_specialty`.`doctor_id` in (50)300μsc1_dev_oberig| Metadata |
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- EXPLAIN # 1: `doctor_doctors_specialty` (SIMPLE)21| Metadata | |
|---|---|
| id | 1 |
| select_type | SIMPLE |
| table | doctor_doctors_specialty |
| partitions | null |
| type | ref |
| possible_keys | doctor_doctors_specialty_doctor_id_index,doctor_doctors_specialty_doctors_specialty_id_index |
| key | doctor_doctors_specialty_doctor_id_index |
| key_len | 8 |
| ref | const |
| rows | 2 |
| filtered | 100 |
| Extra | null |
- EXPLAIN # 1: `doctors_specialty` (SIMPLE)11| Metadata | |
|---|---|
| id | 1 |
| select_type | SIMPLE |
| table | doctors_specialty |
| partitions | null |
| type | eq_ref |
| possible_keys | PRIMARY |
| key | PRIMARY |
| key_len | 4 |
| ref | c1_dev_oberig.doctor_doctors_specialty.doctors_specialty_id |
| rows | 1 |
| filtered | 100 |
| Extra | null |
select `types`.*, `doctor_type`.`doctor_id` as `pivot_doctor_id`, `doctor_type`.`type_id` as `pivot_type_id` from `types` inner join `doctor_type` on `types`.`id` = `doctor_type`.`type_id` where `doctor_type`.`doctor_id` in (50)290μsc1_dev_oberig| Metadata | |
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| Hints |
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- EXPLAIN # 1: `doctor_type` (SIMPLE)21| Metadata | |
|---|---|
| id | 1 |
| select_type | SIMPLE |
| table | doctor_type |
| partitions | null |
| type | ref |
| possible_keys | doctor_type_doctor_id_index,doctor_type_type_id_index |
| key | doctor_type_doctor_id_index |
| key_len | 8 |
| ref | const |
| rows | 2 |
| filtered | 100 |
| Extra | null |
- EXPLAIN # 1: `types` (SIMPLE)21| Metadata | |
|---|---|
| id | 1 |
| select_type | SIMPLE |
| table | types |
| partitions | null |
| type | ALL |
| possible_keys | PRIMARY |
| key | null |
| key_len | null |
| ref | null |
| rows | 2 |
| filtered | 50 |
| Extra | Using where; Using join buffer (hash join) |
select * from `doctors` where `id` = '50' and `is_active` = '1' limit 1240μsc1_dev_oberig| Metadata | |
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| Bindings |
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- EXPLAIN # 1: `doctors` (SIMPLE)11| Metadata | |
|---|---|
| id | 1 |
| select_type | SIMPLE |
| table | doctors |
| partitions | null |
| type | const |
| possible_keys | PRIMARY |
| key | PRIMARY |
| key_len | 8 |
| ref | const |
| rows | 1 |
| filtered | 100 |
| Extra | null |
select `doctors_specialty`.*, `doctor_doctors_specialty`.`doctor_id` as `pivot_doctor_id`, `doctor_doctors_specialty`.`doctors_specialty_id` as `pivot_doctors_specialty_id` from `doctors_specialty` inner join `doctor_doctors_specialty` on `doctors_specialty`.`id` = `doctor_doctors_specialty`.`doctors_specialty_id` where `doctor_doctors_specialty`.`doctor_id` in (50)210μsc1_dev_oberig| Metadata |
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- EXPLAIN # 1: `doctor_doctors_specialty` (SIMPLE)21| Metadata | |
|---|---|
| id | 1 |
| select_type | SIMPLE |
| table | doctor_doctors_specialty |
| partitions | null |
| type | ref |
| possible_keys | doctor_doctors_specialty_doctor_id_index,doctor_doctors_specialty_doctors_specialty_id_index |
| key | doctor_doctors_specialty_doctor_id_index |
| key_len | 8 |
| ref | const |
| rows | 2 |
| filtered | 100 |
| Extra | null |
- EXPLAIN # 1: `doctors_specialty` (SIMPLE)11| Metadata | |
|---|---|
| id | 1 |
| select_type | SIMPLE |
| table | doctors_specialty |
| partitions | null |
| type | eq_ref |
| possible_keys | PRIMARY |
| key | PRIMARY |
| key_len | 4 |
| ref | c1_dev_oberig.doctor_doctors_specialty.doctors_specialty_id |
| rows | 1 |
| filtered | 100 |
| Extra | null |
select `types`.*, `doctor_type`.`doctor_id` as `pivot_doctor_id`, `doctor_type`.`type_id` as `pivot_type_id` from `types` inner join `doctor_type` on `types`.`id` = `doctor_type`.`type_id` where `doctor_type`.`doctor_id` in (50)250μsc1_dev_oberig| Metadata | |
|---|---|
| Hints |
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- EXPLAIN # 1: `doctor_type` (SIMPLE)21| Metadata | |
|---|---|
| id | 1 |
| select_type | SIMPLE |
| table | doctor_type |
| partitions | null |
| type | ref |
| possible_keys | doctor_type_doctor_id_index,doctor_type_type_id_index |
| key | doctor_type_doctor_id_index |
| key_len | 8 |
| ref | const |
| rows | 2 |
| filtered | 100 |
| Extra | null |
- EXPLAIN # 1: `types` (SIMPLE)21| Metadata | |
|---|---|
| id | 1 |
| select_type | SIMPLE |
| table | types |
| partitions | null |
| type | ALL |
| possible_keys | PRIMARY |
| key | null |
| key_len | null |
| ref | null |
| rows | 2 |
| filtered | 50 |
| Extra | Using where; Using join buffer (hash join) |
select * from `seo` where `seo`.`seo_id` = 257 and `seo`.`seo_id` is not null and `seo`.`seo_type` = 'App\Models\News' limit 1290μsc1_dev_oberig| Metadata | |
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- EXPLAIN # 1: `seo` (SIMPLE)11| Metadata | |
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| id | 1 |
| select_type | SIMPLE |
| table | seo |
| partitions | null |
| type | ref |
| possible_keys | seo_seo_id_seo_type_index |
| key | seo_seo_id_seo_type_index |
| key_len | 1026 |
| ref | const,const |
| rows | 1 |
| filtered | 100 |
| Extra | null |
select * from `tb_tree` where `template` = 'news' limit 1260μsc1_dev_oberig| Metadata | |
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- EXPLAIN # 1: `tb_tree` (SIMPLE)371| Metadata | |
|---|---|
| id | 1 |
| select_type | SIMPLE |
| table | tb_tree |
| partitions | null |
| type | ALL |
| possible_keys | null |
| key | null |
| key_len | null |
| ref | null |
| rows | 37 |
| filtered | 10 |
| Extra | Using where |
select * from `tb_tree` where ((select `_`.`rgt` from `tb_tree` as `_` where `id` = 5 limit 1) between `tb_tree`.`lft` and `tb_tree`.`rgt`) order by `lft` asc400μsc1_dev_oberig| Metadata | |
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- EXPLAIN # 1: `tb_tree` (PRIMARY)151| Metadata | |
|---|---|
| id | 1 |
| select_type | PRIMARY |
| table | tb_tree |
| partitions | null |
| type | range |
| possible_keys | tb_tree_lft_index,tb_tree_rgt_index |
| key | tb_tree_rgt_index |
| key_len | 4 |
| ref | null |
| rows | 15 |
| filtered | 83.78378295898438 |
| Extra | Using where; Using filesort |
- EXPLAIN # 2: `_` (SUBQUERY)12| Metadata | |
|---|---|
| id | 2 |
| select_type | SUBQUERY |
| table | _ |
| partitions | null |
| type | const |
| possible_keys | PRIMARY |
| key | PRIMARY |
| key_len | 4 |
| ref | const |
| rows | 1 |
| filtered | 100 |
| Extra | null |
select * from `categories` where `categories`.`id` = 3 limit 1160μsc1_dev_oberig| Metadata | |
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- EXPLAIN # 1: `categories` (SIMPLE)11| Metadata | |
|---|---|
| id | 1 |
| select_type | SIMPLE |
| table | categories |
| partitions | null |
| type | const |
| possible_keys | PRIMARY |
| key | PRIMARY |
| key_len | 4 |
| ref | const |
| rows | 1 |
| filtered | 100 |
| Extra | null |
select * from `news` where `is_active` = '1' and `news`.`category_id` in (3) order by `priority` asc720μsc1_dev_oberig| Metadata | |
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| Bindings |
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- EXPLAIN # 1: `news` (SIMPLE)1031| Metadata | |
|---|---|
| id | 1 |
| select_type | SIMPLE |
| table | news |
| partitions | null |
| type | ref |
| possible_keys | news_category_id_index |
| key | news_category_id_index |
| key_len | 5 |
| ref | const |
| rows | 103 |
| filtered | 10 |
| Extra | Using where; Using filesort |
select * from `settings` where `slug` like 'fb-messager-app-id' limit 1330μsc1_dev_oberig| Metadata | |
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- EXPLAIN # 1: `settings` (SIMPLE)211| Metadata | |
|---|---|
| id | 1 |
| select_type | SIMPLE |
| table | settings |
| partitions | null |
| type | ALL |
| possible_keys | null |
| key | null |
| key_len | null |
| ref | null |
| rows | 21 |
| filtered | 11.110000610351562 |
| Extra | Using where |
select * from `news_comments` where `news_comments`.`news_id` = 257 and `news_comments`.`news_id` is not null and `is_active` = 1 order by `created_at` desc310μsc1_dev_oberig| Metadata | |
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- EXPLAIN # 1: `news_comments` (SIMPLE)11| Metadata | |
|---|---|
| id | 1 |
| select_type | SIMPLE |
| table | news_comments |
| partitions | null |
| type | ref |
| possible_keys | news_comments_news_id_index |
| key | news_comments_news_id_index |
| key_len | 8 |
| ref | const |
| rows | 1 |
| filtered | 10 |
| Extra | Using where; Using filesort |
select * from `news_comments` where `news_comments`.`news_id` = 257 and `news_comments`.`news_id` is not null and `is_active` = 1 order by `created_at` desc210μsc1_dev_oberig| Metadata | |
|---|---|
| Bindings |
|
| Hints |
|
- EXPLAIN # 1: `news_comments` (SIMPLE)11| Metadata | |
|---|---|
| id | 1 |
| select_type | SIMPLE |
| table | news_comments |
| partitions | null |
| type | ref |
| possible_keys | news_comments_news_id_index |
| key | news_comments_news_id_index |
| key_len | 8 |
| ref | const |
| rows | 1 |
| filtered | 10 |
| Extra | Using where; Using filesort |
select `menu_header`.*, (select count(*) from `menu_header` as `laravel_reserved_0` where `menu_header`.`id` = `laravel_reserved_0`.`parent_id`) as `children_count` from `menu_header` where `is_active` = 1 order by `lft` asc530μsc1_dev_oberig| Metadata | |
|---|---|
| Bindings |
|
- EXPLAIN # 1: `menu_header` (PRIMARY)151| Metadata | |
|---|---|
| id | 1 |
| select_type | PRIMARY |
| table | menu_header |
| partitions | null |
| type | ALL |
| possible_keys | null |
| key | null |
| key_len | null |
| ref | null |
| rows | 15 |
| filtered | 10 |
| Extra | Using where; Using filesort |
- EXPLAIN # 2: `laravel_reserved_0` (DEPENDENT SUBQUERY)32| Metadata | |
|---|---|
| id | 2 |
| select_type | DEPENDENT SUBQUERY |
| table | laravel_reserved_0 |
| partitions | null |
| type | ref |
| possible_keys | menu_header_parent_id_index |
| key | menu_header_parent_id_index |
| key_len | 5 |
| ref | c1_dev_oberig.menu_header.id |
| rows | 3 |
| filtered | 100 |
| Extra | Using where; Using index |
select * from `tb_tree` where `tb_tree`.`id` in (2, 3, 4, 5, 7, 14, 23, 24, 25)430μsc1_dev_oberig| Metadata | |
|---|---|
| Hints |
|
- EXPLAIN # 1: `tb_tree` (SIMPLE)91| Metadata | |
|---|---|
| id | 1 |
| select_type | SIMPLE |
| table | tb_tree |
| partitions | null |
| type | range |
| possible_keys | PRIMARY |
| key | PRIMARY |
| key_len | 4 |
| ref | null |
| rows | 9 |
| filtered | 100 |
| Extra | Using where |
select * from `menu_header` where `menu_header`.`parent_id` in (1, 2, 3, 12, 15, 16, 18, 19, 20, 21, 23, 24, 26, 29) order by `lft` asc350μsc1_dev_oberig| Metadata | |
|---|---|
| Hints |
|
- EXPLAIN # 1: `menu_header` (SIMPLE)151| Metadata | |
|---|---|
| id | 1 |
| select_type | SIMPLE |
| table | menu_header |
| partitions | null |
| type | ALL |
| possible_keys | menu_header_parent_id_index |
| key | null |
| key_len | null |
| ref | null |
| rows | 15 |
| filtered | 100 |
| Extra | Using where; Using filesort |
select * from `social_networks` where `is_active` = 1 order by `priority` asc200μsc1_dev_oberig| Metadata | |
|---|---|
| Bindings |
|
| Hints |
|
- EXPLAIN # 1: `social_networks` (SIMPLE)41| Metadata | |
|---|---|
| id | 1 |
| select_type | SIMPLE |
| table | social_networks |
| partitions | null |
| type | ALL |
| possible_keys | null |
| key | null |
| key_len | null |
| ref | null |
| rows | 4 |
| filtered | 25 |
| Extra | Using where; Using filesort |
200
[]
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