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however, they leave behind rather large black-brown frass deposits as evidence of their presence, and further scouting is warranted when such deposits are seen

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The evidence presented shows that both cause a significant distortion of physiological balance characterized by dysregulation of a group of important, strongly interrelated physiological factors that play key roles in the developmental process of many (most?) non-communicable diseases

Its a simple measure that will go a long way

In patients with purulent or foul-smelling vaginal discharge, specimens should be collected for culture to rule out sexually transmitted infection

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