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The shift towards a pathogenic microbial profile often exacerbates inflammation, leading to tissue destruction and further compromising oral health [31, 32]

American-Medicine Publishing Company: 799

Avoid caffeine or processed foods six to twelve hours before bedtime, as they can interfere with sleep quality

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Contraindications: IUDs are not recommended for women having anatomical abnormalities of the uterine cavity because of increased difficulty with insertion and increased risk of expulsion