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Exclusion criteria included the following: elevated depressive symptoms, defined as a score of 16 or higher on the Center for Epidemiologic Studies Depression Scale (CES-D) [15], use of medications affecting mood or ovarian hormones (e.g., anti-depressants, anxiolytics, hormonal birth control), current use of smoking cessation aids or programs, self-reported psychiatric disorders (e.g., bipolar disorder, psychotic disorder), and pregnancy and lactation (either currently or in the last 12 months)

Decades later, John shares with us that he developed pleural mesothelioma

These symptoms usually become milder and improve over time

These compounds can trigger inflammation and damage DNA