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In her extensive review of the existing literature, Kalben concluded that the fact that women live longer than men was observed at least as far back as 1750 and that, with relatively equal treatment, today males in all parts of the world experience greater mortality than females. There are several classes with different modes of action as drugs, both recreational and pharmaceutical. It also provided a discrete way for people to purchase needles without having to feel embarrassed going into a pharmacy.

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