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Half of each group were cigarette smokers as confirmed by plasma thiocyanate concentrations

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In particular, these lactobacilli synthesise lactic acid, which maintains sufficient acidity within the vagina (vaginal pH between 3.5 and 4.5), create a protective biofilm by adhering to the vaginal walls and produce a biosurfactant that prevents infections (1-2)

The combination of these two things can typically produce the largest improvements in depression symptoms

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