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Environmental exposure happens through water-damaged buildings, damp basements, bathrooms, and HVAC systems, where molds like Stachybotrys ("black mold"), Aspergillus, and Chaetomium can grow

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Most of the participants were female (77.6%) and white (93.1%), with an average age of 47.3 years, an average weight of 106.0 kg, and an average body mass indexBMIof 38.5 kg/m