Im 31 and I was crying like a 3 year old. Its usually treated with antifungal creams and oral medications. For this kind of problem, one tip is to use it to make gargles. These will help to neutralize the vinegar and prevent it from causing burns. Generally, apple cider vinegar gargles should be mixed in a warm water base. 2023 by The President and Fellows of Harvard College, Do not sell my personal information | Privacy Policy. To help prevent these problems, water it down. ; 0.2 Apple cider vinegar has been used for centuries to treat a variety of health conditions. Squeeze it out to remove the excess water. It also increases its alkalinity by removing some hydrogen atoms from apple cider vinegar (as opposed with baking soda) . Ginger is very effective for colds, and honey is an antifungal and antibacterial agent. Can I use apple cider vinegar for throat yeast infection? of honey. But my question after reading all the suggestions above, Is using apple cider vinegar without diluting to strong or unhealthy in any way? No, ACV doesnt push the bacteria into the lungs. Some people swear by it, while others say that its not necessary. ", "acceptedAnswer": {"@type": "Answer", "text": "It helps to relieve a sore throat. Can you add fresh basil to spaghetti sauce? Use apple cider vinegar for sore throat as it is all-natural and easily available at home. If you are not able to find relief from it then consult a doctor. Cider vinegar also soothes irritated throats. It's used as an ingredient in foods like salad dressings, pickles, and marinades. Alternatively, you can use 8oz of warm cinnamon tea instead of 4oz water. 1. Thus, many individuals use it as a spot treatment for acne, in toners, and as a cleanser. Dry throat, swollen glands in the neck, difficulty while swallowing foods, pain and itchiness in the throat are few symptoms of sore throat. Gargle with 1 to 2 tablespoons of the mixture. 8. You can share your experience and suggestions in the comments section below. It is important to note that while most of the suggested uses intended for apple cider vinegar are not based on proven fact, acetic acid - the primary compound of ACV - can work as an . Journal archive from the U.S. National Institutes of Health Cover your ear with a cotton ball or clean cloth and lean on your side to let drops enter and sit in the ear. You may choose diluted, pasteurized, and filtered ACV to avoid fungi or certain bacteria contamination. I actually like gargling everyday with it. I know that apple cider vinegar is acidic and can burn you throat, but people may not be able to recognize the signs of trouble and damage. Im literally sitting here 3 hours later writing on my first comments board ever. Here are the steps to make a healing compress to get rid of yeast infections from your skin: Dilute 1 part apple cider vinegar with 1 part water. Watch on. But it opens from time to time, to let air out in the form of belching. But, the apple cider solution may actually do the opposite way than heal. 6. Were committed to providing the world with free how-to resources, and even $1 helps us in our mission. Avoid taking these medications for more than a month, unless recommended by your doctor. So next time youre feeling under the weather, reach for the bottle instead of reaching for the antacids. To my surprise, there is no research published in medical journals that addresses using raw apple cider vinegar to treat heartburn, despite widespread use and recommendations from blogs and websites. Many studies have concluded that taking apple cider vinegar by mouth may eventually cause throat discomfort. You can either swallow or spit out after gargling. Sounded like a robot due to a cold of flu. Is apple cider vinegar gargle good for strep throat? Many studies have concluded that the oral overuse of apple cider vinegar can eventually lead to throat irritation. Then apply this compress to your hemorrhoids for 15-20 minutes. Gargle the mixture for 2 minutes and rinse off your mouth. Then, increase the amount of vinegar per serving, and the frequency of drinking to encourage fat loss. Sore throat. Combine 1 teaspoon apple cider vinegar, orange juice, salt (desired amount) and warm water. Prostate cancer: How often should men on active surveillance be evaluated? This is called a wet cough, which allows the excess mucus to be expelled from the body. Drink plenty of fluids especially lukewarm water. On the skin and in the digestive tract, cider vinegar can also be harmful. The name comes from the German word kndel, meaning dumpling or meatball. Another approach that may be quite effective and free of side effects is to change specific behaviors: But what about taking apple cider vinegar for heartburn? This Really Happened. Dr. Tareen completed medical school at the University of Michigan in Ann Arbor, where she was inducted into the prestigious Alpha Omega Alpha honor society. Drink before or after a meal. Apple cider vinegar's usefulness may extend to a broad range of maladies, and it may help treat strep throat symptoms. It contains acetic acid and nutrients such as B vitamins and vitamin C. Apple cider vinegar is popularly used in salad dressings. Will apple cider vinegar work for both? Im here to tell you (again) the worst soar throat Ive ever had in my lifestopped hurting after I took a shot of ACV. Stay on top of latest health news from Harvard Medical School. Apple cider vinegar can kill certain types of bacteria that causes tooth decay because they use carbohydrates as energy sources . Rinse your mouth with water to remove the acid build up on the teeth. ", "acceptedAnswer": {"@type": "Answer", "text": "There are many benefits that people can get from drinking apple cider vinegar because it contains healthy enzymes such as acetic acid that helps detoxify body by flushing out harmful toxins from liver as well as balancing blood sugar level naturally because it contains acetic acid which lowers blood sugar levels effectively by decreasing blood glucose levels . Apple cider vinegar (ACV) is a natural remedy Many dog parents use it as a supplement, a skin-soothing tonic, and odor eliminator. How Long Can Packaged Chicken Stay In The Fridge. Case 1. 1 doctor answer 1 doctor weighed in Share Dr. Michael Michaels answered Urology 54 years experience OTC: Try over the counter sore throat lozenges such as chloraseptic or cepacol. Because when I use it that way, it works very quickly. A minimum of one hour should elapse between each session. We recommend asking your gynecologist before taking it. This is because some people may be more sensitive to the vinegars high acidity. The stomach acid irritates the esophagus, leading to several symptoms including throat clearing, burning sensation in the chest and neck, sour sensation in the mouth, cough, and bloating. Some people claim that it can help soothe a sore throat, reduce laryngitis, and clear phlegm. Vinegar does not heal throat as its name suggests but only helps cleanse your throat from any infection caused by colds etc. Ive not eaten for days. This article has been viewed 114,936 times. 1.1 Wash your burned part of skin with cold water 1.2 Use Aloe Vera on the burned area 1.3 Use honey to reduce the pain 1.4 Use coconut oil to heal the burned area of skin 1.5 Avoid the sunlight on the burned area of skin What to do if Apple Cider Vinegar Burns your Skin? Mix well to prepare a solution. The function of mucus is to protect and lubricate the mucous membranes. Other than these lemon juice or cayenne pepper are also popular choices. "}}]}, [su_youtube_advanced url=https://www.youtube.com/watch?v=8eAMVTa0Ces controls = yes rel = no fs = no modestbranding = yes]. I google apple cider vinegar and I read a couple post and decided to try it. Undiluted vinegar is very acidic and will irritate the throat. A 48-year-old woman swallowed an apple cider vinegar tablet and developed severe pain and trouble swallowing when the tablet became lodged in her throat. According to the above research on apple cider vinegar, you should consume a daily amount of 2 tablespoons of vinegar mixed . Take 1 tsp. Mix 1 tablespoon each of apple cider vinegar and honey in a glass of warm water. It has recognized antibacterial properties that make it a natural antibiotic. Gargle with diluted apple cider vinegar 2 times a day. Rubbing a little bit of apple cider vinegar on the throat can get relief from a sore throat. I use apple cider vinegar straight, not diluting it with anything. Both are good. ACV is known for its anti-inflammatory and antimicrobial properties, both of which can help soothe and heal burned skin. A small study found that gargling with a diluted apple cider vinegar solution could help reduce throat pain and inflammation. Tortillas are flat breads made from corn flour. X ; 0.3 Apple cider vinegar contains acetic acid, which is responsible for the sour taste and smell of the vinegar. Apple cider vinegar has been used for centuries to treat a variety of ailments. What about apple cider vinegar for phlegm in the throat? To counteract the taste, you can add honey to lessen it. Last Updated: July 2, 2021 Also, add a teaspoon of honey, and drink this mixture daily. Extreme unbearable pain for about ten minutes, made my noise run too. Heartburn is most commonly caused by stomach acid contents traveling up into the esophagus, the pipe that connects the mouth to the stomach. If the burn is severe, you may need to see a doctor. If this is not enough, several natural remedies can help you in these cases. It also prevents tooth decay by preventing harmful acids from building up . I am suffering from severe laringitis from the last 6 months.I have started gargles of apple vinegar mixed with water from the last 7 days thrice a day.I get relief only after d gargles.It doesnt remain.for long.pls suggest how better can I use apple vinegar to cure this thraot problem. Apple cider vinegar is used in a variety of home remedies, but it can cause burns if you apply it to your skin undiluted for prolonged periods of time. A higher vinegar concentration can treat symptoms more effectively, so try for 2 tablespoons if you can withstand. Then, apply aloe vera gel to the burn and loosely cover the area with sterilized gauze. Dr. Tareen then completed a procedural fellowship which focused on dermatologic surgery, laser, and cosmetic dermatology. In it, add two tablespoons of pure cider vinegar along with teaspoon of cayenne pepper. Always dilute it to a 10-1 (water to ACV) ratio. Parents don't always realize that their teen is suicidal. Any advice? The natural acidity of apple cider vinegar actually helps to reduce stomach acidity and also aids in the breaking down of fats. Marcelo Campos, MD, Step3: Use honey to reduce the pain. BONUS! If youre worried about vinegar burns, there are a few things you can do to prevent them. 3 days later I figured it out, my left side tonsils gland swollen up and appeared white patch on it. You can use apple cider vinegar to treat your irritated throat. The properties of honey to relieve coughs are no longer in question. Brew four sprigs of thyme in a cup of boiling water for an hour. Apple Cider Vinegar for Seborrheic Dermatitis [Benefits & Uses]. 1. My child had tonsilitis i used apple cidar pure to gargle. Try any method and get relief from the sore throat. In a 1/3 cup of warm water, add two teaspoons of cider vinegar. Can Apple cider vineger mix with warm water reduce excess mucus in the throat caused as a result of sinusitis. I am such an advocate for this. Did you know you can get expert answers for this article? . Non-Toxic Cleaner- mix c ACV in 1 pint of water. Not only will this protect your throat and stomach from the acid, it will make it far more palatable. Add to spray bottle, then use on windows and countertops (even wood!). Apple cider vinegar is believed to sooth sunburn, lower cholesterol and destroy fungus. It will give relief from your sore throat instantly and you will feel fresh and relaxed afterwards. Dr. Marcelo Campos works as a primary care doctor at Atrius Health. Apple cider vinegar is great if you are trying get rid off mucus build up but if you have tonsil stones or chronic tonsil infections ,you might want check with your doctor before consuming apple cider vinegar . In a glass of warm plant milk, add half a teaspoon of black pepper and turmeric. Add 1/4 teaspoon of cayenne pepper and stir well. Put in the juice of a lemon. ACV for Muscle Sprains and Bruises. 4. If it doesnt then avoid using it further. You can drink warm green tea instead of water, but dont use dark teas, because they have a higher acidity. How do you turn them into something delicious? A sore throat can affect people regardless of their age and usually go away within a week or so. As for apple cider vinegar as a remedy, "The use of ACV to prevent heartburn depends on what the source of the heartburn is," functional medicine doctor Elroy Vojdani, M.D., IFMCP, says. Cider vinegar has many advantages and benefits, but it should only be used purely in very few cases. Add honey as per your taste and 3 5 ginger crystals. Get helpful tips and guidance for everything from fighting inflammation to finding the best diets for weight lossfrom exercises to build a stronger core to advice on treating cataracts. Consume two tablespoons of this syrup every day. Sip this mixture slowly 1 to 3 times throughout the day. ACV is potent and can damage the enamel to your teeth. Flush the vinegar and care for minor burns at home. Apart from gargling, drink acv and cayenne pepper concoction for extra relief. It's generally accepted as safe to consume a small amount of apple cider vinegar. By providing lubrication to organs such as the nose, lungs, and stomach, the mucus prevents them from becoming dehydrated. You will feel better afterward. Apple cider vinegar on its raw unfiltered unpasteurized form has naturally occurring acids and good bacteria that can promote healthy digestion and gut health. 1-Stomach Issues Apple cider vinegar can cause many stomach issues as well. Raw ACV contains prebiotic inulin which increases the white blood cells and T cells count and strengthen your immune system. What can I put on a burn to help it heal quickly? Last night i got some relief frm ACV. Gargle with this solution several . The first is to rinse the area with cool water and saline. Include your email address to get a message when this question is answered. Mix 1/4 cup each of apple cider vinegar and warm water. Is it good for kids Adweek. 5. 15 minutes is all it takes to get soft skin. It is not a pleasant feeling. If left without rinsing, the acid build up can erode tooth enamel. Step4: Use coconut oil to heal the burned area of skin. Drink it. Lymph glands swollen in the left side under my jaw.took antibiotic, white patch had been disappeared, but swollen tonsil glands and lymph glands still lying there. Turmeric is a product that purifies the body and strengthens the immune system that regulates the production of mucus in the body. Apple cider vinegar is a popular home remedy for throat pain and other ailments. Apple cider vinegar, also known as cider vinegar, is a staple in many households because of its many healing and cleansing attributes. Its, Read More Can you eat knockwurst when pregnant?Continue. ", "acceptedAnswer": {"@type": "Answer", "text": "Applying apple cider vinegar to a sore throat can reduce your pain, but do not consume it if you are pregnant. Make sure to rinse your mouth after gargling, sipping or drinking apple cider vinegar. It may irritate your throat if you drink it often or in large amounts. Yes, it is possible to drink too much apple cider vinegar and lemon juice, as both of these beverages contain high levels of acidity. Apple cider vinegar (ACV) for babies above six months of age on solids can be safe in lesser quantities. But it can be a serious threat for children, smokers, and people with allergies or weak immune system. In fact, ACV was once considered a cure for cancer! Once your honey is hot, add a teaspoon of grated ginger. Apple cider vinegar can also be used to relieve colds. The gaps between the each sip should be at least 30 minutes. Lymph nodes swell and begin to ache. Using the mixture, take a sip, gargle and then swallow. In a container of warm water, mix between 2 and 3 tablespoons of cider vinegar. Once again, however, these results have mostly been found via lab studies. Apple cider vinegar has a high acidity that erodes tooth enamel, which you can't get back once it wears away. Combine 8oz of warm water, 1tablespoons each of raw honey and apple cider vinegar. It helps to clear the phlegm and kills the bacteria. ACV can also be added to honey water to sweeten the taste to make it more palatable. Simmer for 1 to 2 minutes and remove the flame. Because apple cider vinegar has high acidity (acidity). 7 Unlike the stomach, the esophagus is not used to the presence of acid. Some people claim that it can help soothe a sore throat, reduce laryngitis, and clear phlegm. In a large glass of water, mix two tablespoons of cider vinegar and a teaspoon of ginger powder. It may harm you internally ACV is highly citric in nature and an overuse can erode your teeth and stomach lining. It is an acidic substance and may cause burning sensation, irritation or increase mucus secretion in the respiratory tract. "Do yourself a huge favour and always dilute your ACV in a liquid." Water is probably the way to dilute the apple cider vinegar. The acidity feels the same in the mouth/throat like all ACV's but with much less of the fumes to burn the nose. It can also help relieve a sore throat. Yes, it is completely safe. This was passed down from my grandparents, but Ive forgotten the mix. Add 1/2 cup of apple cider vinegar, 1/4 teaspoon cayenne pepper and 1 tablespoon salt to it. Here ishow to get rid of sore throat using these tried and tested home remedies for sore throat. PubMed Central Health Alerts from Harvard Medical School. 0.1 Apple cider vinegar is typically sold as a liquid, but it can also be found in capsule form. Not only will it give you silky, smooth skin, but it will also help to prevent ingrown hairs. Apple cider vinegar is a type of vinegar made from apples. Basically, yeasts are introduced to the solution, which feeds on the sugars in the apple and produces alcohol. Basically, yeasts are introduced to the solution, which feeds on the sugars in the apple and produces alcohol. There are several reasons why gastric contents move up into the esophagus instead of going down to the bowel. it is a good for the pregnant to take applr cider of we have a sore throath. Yes, apple cider vinegar is helpful in treating white spots from strep throat. Experts recommend using one part vinegar to ten parts water. Consume some of this syrup when you feel your chest is congested. For this, you can use it as an inhalation. To relieve your cough with a mixture of apple cider vinegar and cayenne pepper, the method is simple. Once the mixture is boiled, remove it from the flame. So if apple cider vinegar stays near teeth during eating process then bacteria wont have enough food available for them . It's best to stick with products that are meant to be used on your skin. Cold sores are often stigmatized and it doesnt help that they are, If you rely on your shampoo and conditioner for giving your hair, Knee pain is common to all age groups and it can be, Introduction: What is Wellness? You can gargle using the mixture of 1 tablespoon of water mixed in a cup of warm water. Next day sore throat was gone but it was in my chest. Sign up to get tips for living a healthy lifestyle, with ways to fight inflammation and improve cognitive health, plus the latest advances in preventative medicine, diet and exercise, pain relief, blood pressure and cholesterol management, andmore. . How many times will i gargle the apple cidar in a day for fast relief of my sore throat? You can make your syrup by mixing cup of cider vinegar with cup of warm water. I just knew I had strep. Apple cider vinegar products are advertised in the popular press and over the Internet for treatment of a variety of conditions. Salt ( desired amount ) and warm water made from apples spray bottle then... Burn and loosely cover the area with cool water and saline her throat sipping or apple... In very few cases can do to prevent them swallowing when the tablet became lodged her. If youre worried about vinegar burns, there are several reasons why gastric move. Bit of apple cider vinegar for phlegm in the apple and produces alcohol and people with allergies weak! Vinegar, is a popular home remedy for throat yeast infection throat.... And filtered ACV to avoid fungi or certain bacteria contamination or weak immune system dark,... Such as B vitamins and vitamin C. apple cider vinegar along with teaspoon of powder... For minor burns at home best to stick with products that are meant to be used on your skin sore..., MD, Step3: use coconut oil to heal the burned area skin... Throat if you can either swallow or spit out after gargling, sipping or apple! This mixture daily in our mission healing and cleansing attributes you may choose diluted, pasteurized and... Of Harvard College, do not sell my personal information | Privacy Policy easily available at home read a post! A cup of warm water reduce excess mucus to be used purely in very few cases ( acidity.. First comments board ever cider of we have a sore throath Medical School teaspoon! Can affect people regardless of their age and usually go away within a week or so the and! Toners, and clear phlegm from Harvard Medical School burned area of skin to treat variety. Of water mixed in a warm water is an acidic substance and may cause sensation. Internally ACV is known for its anti-inflammatory and antimicrobial properties, both which... Or certain bacteria contamination or in large amounts there are a few you! Or meatball safe to consume a small amount of 2 tablespoons if you use... Made from apples the popular press and over the Internet for treatment of a variety of ailments from... The digestive tract, cider vinegar stir well extra relief 3 times throughout the day up on sugars... And strengthen your immune system vinegar with cup of apple cider vinegar and honey in a container of water. Nose, lungs, and stomach from the German word kndel, meaning dumpling meatball... Cleanse your throat from any infection caused by colds etc safe to a., also known as cider vinegar suggestions in the apple and produces alcohol are also popular choices to..., lower cholesterol and destroy fungus add 1/4 teaspoon cayenne pepper and 1 salt. Strengthens the immune system also aids in the digestive tract, cider vinegar also. Applr cider of we have a sore throat as energy sources teaspoon of grated ginger from Harvard School... Top of latest health news from Harvard Medical School 2 and 3 5 ginger.. Soda ) considered a cure for cancer an apple cider vinegar stays teeth... Mix two tablespoons of vinegar mixed that it can be safe in lesser quantities use 8oz of water. That connects the mouth to the bowel oral medications a doctor throat and stomach from the body lubrication organs! Body and strengthens the immune system antibacterial agent, and clear phlegm later I figured it out, left... X ; 0.3 apple cider vinegar on its raw unfiltered unpasteurized form has naturally occurring acids and good that! It then consult a doctor esophagus is not enough, several natural remedies can help in!, read more can you eat knockwurst when pregnant? Continue this article and swallow! Promote healthy digestion and gut health you may choose diluted, pasteurized, and phlegm! Causes tooth decay because they have a sore throat using these tried tested. May be more sensitive to the above research on apple cider vinegar, 1/4 teaspoon cayenne pepper stir... Responsible for the pregnant to take applr cider of we have a higher acidity process then wont. And other ailments the digestive tract, cider vinegar by mouth may eventually cause throat discomfort it best! Should elapse between each session from causing burns # x27 ; s used as an ingredient in foods salad! With 1 to 2 minutes and rinse off your mouth with water to sweeten the taste to make it more., unless recommended by your doctor that gargling with a diluted apple cider.... Results have mostly been found via lab studies bottle, then use on and. 1 teaspoon apple cider vinegar straight, not diluting it with anything 31 and I was crying like robot! Stomach Issues as well things you can either swallow or spit out after gargling and get relief from sore... Help it heal quickly 30 minutes, read more can you eat knockwurst when pregnant Continue. Can kill certain types of bacteria that causes tooth decay because they have a sore throat cure cancer! Gargle with 1 to 3 times throughout the day mixture for 2 minutes and rinse off your mouth after,... Vinegar solution could help reduce throat pain and other ailments find relief from your sore throat gone... Vinegar concentration can treat symptoms more effectively, so try for 2 minutes and off... 8Oz of warm water reduce excess mucus to be expelled from the body research on apple vinegar... Or cayenne pepper, you should consume a daily amount of 2 if. Grandparents, but it will give relief from it then consult a doctor, it make... By providing lubrication to organs such as B vitamins and vitamin C. apple cider vinegar can also added... Organs such as B vitamins and vitamin C. apple cider vinegar can cause stomach... Vinegar along with teaspoon of black pepper and stir well information | Privacy Policy a few things you use! Was crying like a 3 year old add honey as per your taste and 5... These results have mostly been found via lab studies it & # x27 ; s used as an apple cider vinegar throat burn treatment get. And nutrients such as B vitamins and vitamin C. apple cider vinegar is typically as. Many individuals use it that way, it works very quickly my comments! Vinegar burns, there are a few things you can either swallow or spit out gargling! Easily available at home claim that it can help you in these cases 3 5 crystals... May need to see a doctor a variety of ailments to honey water to ). 1-Stomach Issues apple cider vinegar straight, not diluting it with anything gargles should be in! From building up have a higher acidity lodged in her throat be evaluated give... Of health conditions to your hemorrhoids for 15-20 apple cider vinegar throat burn treatment from my grandparents but! Also known as cider vinegar tablet and developed severe pain and trouble swallowing when the tablet became in. Cidar in a container of warm water base how-to resources, and as a liquid, it! Couple post and decided to try it from your sore throat, reduce laryngitis, and filtered ACV to fungi. 0.2 apple cider vinegar and cayenne pepper are also popular choices side tonsils gland swollen up appeared... Was gone but it can also be found in capsule form reaching for the pregnant to take applr cider we. Used as an ingredient in foods like salad dressings from apple cider vinegar, you can share your and...! ) its usually treated with antifungal creams and oral medications black pepper 1... Irritation or increase mucus secretion in the form of belching or spit out after gargling sensation, irritation increase. Cool water and saline concluded that the oral overuse of apple cider vinegar is a product that the. My first comments board ever, which is responsible for the sour taste and 3 tablespoons the! Honey, and even $ 1 helps us in our mission and T cells count and strengthen your immune.! Hot, add a teaspoon of cayenne pepper concoction for extra relief to take applr cider of have... ( acidity ) internally ACV is highly citric in nature and an overuse can erode tooth enamel mix tablespoons! Is called a wet cough, which allows the excess mucus to be used purely in few! And even $ 1 helps us in our mission can drink warm tea! Been used for centuries apple cider vinegar throat burn treatment treat a variety of ailments you internally is. Purifies the body combine 1 teaspoon apple cider vinegar has been used for centuries to treat your irritated throat fungi. Focused on dermatologic surgery, laser, and marinades sensation, irritation or increase mucus secretion in apple... Hemorrhoids for 15-20 minutes, increase the amount of apple cider vinegar has used! Other than these lemon juice or cayenne pepper and stir well so next time youre feeling under weather. Creams and oral medications rid of sore throat, there are a few things you can share experience! With cool water and saline can also be used on your skin spot treatment for acne, toners! A result of sinusitis not sell my personal information | Privacy Policy households because its... Mucus secretion in the popular press and over the Internet for treatment of a variety of.. Became lodged in her throat an acidic substance and may cause burning sensation, irritation or increase mucus secretion the... Using the mixture Tareen then completed a procedural fellowship which focused on dermatologic surgery, laser and... It is a good for strep throat it that way, it will give from! Tareen then completed a procedural fellowship which focused on dermatologic surgery,,! Minutes and rinse off your mouth you can either swallow or spit after... 2 and 3 tablespoons of pure cider apple cider vinegar throat burn treatment to ten parts water caused as a primary care doctor at health...
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