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For anyone that hasn't seen this Clive Bates post then you really need to
This imbalance disrupts digestion and increases inflammation, which can eventually lead to gastrointestinal disorders
Notably, a Korean casecontrol study identified both active and passive smoking as independent risk factors for PBC (OR: 2.03

"In the Air Force Academy, when we used to return from flying training, all bruised and bleeding thanks to our instructor, a puff of cigarette started to feel like the best thing in the world

Physically, particularly in younger women or those treated before significant disease progression, there is usually no barrier to resuming a normal sex life
