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Later, they suggest this isnt the only issue: tobacco product waste also contains over 7000 toxic chemicals, including known human carcinogens, which leach into and accumulate in the environment and are toxic to aquatic organisms

The combined odds ratio (OR) and 95% confidence intervals (CIs) were calculated, and the I 2 test was applied to examine heterogeneity, with I 2 50% indicating high heterogeneity and I 2 0.05 indicated no potential publication bias

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Severe menstrual cramps are often associated with medical conditions like endometriosis or adenomyosis (3)