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A distinction must also be made in the use of concepts such as healthier and less addictive

There was only one thing to do

Feel alive, take the dive

Considering the rate of MVP observed in our cEDS cohort and the knowledge that the mitral valve depends upon collagen for its tensile strength and that myxomatous MVP is characterized by disruption of the collagen layer with expansion of glycosaminoglycans within the middle layer of the valve [123], it is reasonable to consider MVP as a potential clue for cEDS, although the true clinical significance is so far unknown

But once youve secured some referrals from medical practitioners, and have done your best to make these subsequent clients non-smokers for life, ask these clients if they would mind writing a letter (the freedom letter) explaining that theyve quit, how great they feel, and so on