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Canker sores are one of the many ailments that have no clear cause, but medical professionals cite several things that may trigger an outbreak, such as: A minor injury (if you bite your cheek, brushing too aggressively, etc.) Some food sensitivities, and more serious issues like celiac disease Shifts in hormones during menstruation Stress Oral products that contain sodium lauryl sulfate (a surfactant that makes things like toothpaste foam up) Not getting enough vitamin B12, folate, or iron How Are Canker Sores Treated

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Torkashvand, J., Godini, K., Jonidi, A., Esra, A., Farzadkia, M.: Environment assessment of littered cigarette butt in urban environment, using of new cigarette butt pollution index (CBPI) 769 (2021)