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Its about the same with cleanliness, the markers of manipulation are the same

About 20 per cent of dual users continued to use both EC and CC for 16-24 months, while 8 per cent of dual users did so for 24-48 months, exposing themselves to the potentially harmful dual-use state and associated health risks for longer

8 / 16 Medicines Some prescription and over-the-counter medicines cause palpitations as a side effect, including: Antibiotics Antifungal medicines Antipsychotic drugs Asthma inhalers Cough and cold medicines Diet pills High blood pressure medicines Thyroid pills If you take one or more of these types of meds, ask your doctor if it could affect your heartbeat

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Harm reduction focuses on reducing risks rather than eliminating behaviors entirely