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Although lesions in the anogenital region may be less specific for sexual abuse, a record should be made of any fissures detected, particularly if they are located away from the midline

10.1038/nrcardio.2013.8 Nat

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It has been really hard for me the first few days Health impact of dual use Dual use can pose health risks comparable to or potentially higher than exclusive smoking, with increased odds of several diseases and health conditions, including: Cardiovascular disease: Dual users have been found to have significantly higher odds of cardiovascular disease compared to those who smoke cigarettes but have never vaped