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As medical advances have shifted the global burden of disease from etiologies like infection and trauma to chronic disease, decreasing use of manufactured products that cause or exacerbate chronic disease is the most logical population intervention

The study was approved by local IRBs at UC San Diego (#170943) and the VA San Diego Healthcare System (#1198260), and informed consent was obtained from all participants

While they are primarily omnivores, they will also consume meat if available

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Sales of specialized chemical products (excluding hazardous chemicals)