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I asked Medium about this. They replied, "if you don't have your Twitter/Facebook account connected to your Medium account, you won't be able to sign in at all. You'll need to contact us to regain access to your account. If you don't want this to happen, please do not use an email address you think you won't be using in the future."

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I can't figure what is the Medium process when they are being contacted to regain access to an account.

In a near future, we could have a "Argh I lost my email address" link replacing the now very common "I lost my password". Nevertheless, I have no clue what would be a standard process to recover a lost account because of a lost email address, maybe a SMS based process and personal questions like "what was your first pet name?"

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