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Adverse social determinants of health are common among those with low SES and those with SPD
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It's definitely not a metaphor for the hopelessness and self-destructive nature of the role they've been funneled into and groomed into making a part of themselves, it's just a silly aside about cigarettes
If dietary changes do not work, there are a variety of both over-the-counter and prescribed medications that your provider may recommend to help get you going
