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In particular Dialister , Mobiluncus , Atopobium , Prevotella , Mycoplasma and Gardnerella species were correlated with the presence of several metabolites along with vaginal odor and discharge 45,46,47,48

This trend was reflected in the prevalence of tobacco-related illnesses, which disproportionately affected marginalized groups such as low-income individuals and people of color

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However, second-hand smoke exposure in those who have never smoked would likely bias our results toward a null association