Sources: Johns Hopkins Medicine Stanford Medicine
Genera exhibiting this decreasing pattern included Haemophilus, Gemella, Neisseria, Alloprevotella, Aggregatibacter, Actinobacillus, Bergeyella, Peptostreptococcus, Capnocytophaga, Eubacterium nodatum group, Abiotrophia, Prevotella, Lautropia, Peptococcus, Cardiobacterium , and Johnsonella
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Equipment includes: Rotary drums use a rotating cylinder that continuously tumbles the tobacco while injecting steam or moisture
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These include atrophy (or thinning) of the skin, plethora (facial redness), and prominence of the underlying bony contours of the face