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But a factor of 4 is at least plausible, so lets check it

The vagina is self-cleaning and any attempt to manually wash it or flush it out with water (douching) disrupts healthy vaginal microbes, setting the scene for opportunistic, BV-causing pathogens

Willis GB

Saving lives also means helping people addicted to nicotine to quit and we are committed to providing free help to anyone in Oregon

An old woman who disdains her family pays a price

The authors note in the discussion section of the paper that the protection associated with smoking in our study was very substantial (75% decrease in risk of infection), and deserves full attention. Theres a scene in the 1973 film Sleeper in which the protagonist, waking up 200 years in the future, is given a cigarette by a doctor who exhorts him: Its tobacco