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Several factors may contribute to this imbalance: Use of intimate cleansers with an inappropriate pH Frequent vaginal douching Antibiotic therapies that reduce protective lactobacilli Changes in sexual habits or new sexual partners Cigarette smoking Use of intrauterine devices (IUDs), in some cases The presence of one or more of these factors does not necessarily mean BV will develop, but it may increase the likelihood of dysbiosis

Thailand has won praise from a United Nations conference on tobacco control for its success in fighting off legal challenges from the tobacco industry in the last two years

Incapsula incident ID: 179000700181651694-479021198637994385

4.1.2 Campbell R

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