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Combined, these effects create a double hit on the GI tract: Gastric mucosa becomes thinner and more vulnerable Acid production increases significantly Blood clotting slows, making it harder to stop a bleed once it begins In practice, this means the stomach becomes more fragile and less able to recover from irritation a major risk factor for bleeding ulcers

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You can also brush up on what Westmaas calls the four D's: Youve resisted the craving to that point

She also appears on CSI: Miami and runs self-esteem programs for young women

McPherson et al