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[42] [33] [43] [44] Quasi-experimental studies provide moderately strong evidence that prenatal alcohol exposure causes detrimental cognitive outcomes, and some evidence of reduced birthweight, although no study was fully rated at low risk of bias and quantity of studies was limited

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In a cliffhanging move, Ava then got a call from her agent Jimmy (Downs), who asked why she emailed the British "Bitter End" writers personal and potentially damaging notes about Deborahs life

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