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The environment, lifestyles and climate change: the many nongenetic contributors to the long and winding road to autoimmune diseases

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Specific memetic forms are governed by rules which can be described in a grammar of memes, while the meaning of a meme emerges from integrating the meaning of the memetic template with the situations and frames evoked, with important roles in this meaning emergence played by figuration and viewpoint

Smoking reduces saliva production, slows digestion, and weakens the esophageal lining, all of which contribute to acid reflux and gastroesophageal discomfort