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Chronic hiccups are more likely when a patient has more than one medical condition (x)

Lepidoptera (moths and butterflies) Sphingidae (sphinx moths) (tobacco hornworm) Manduca sexta (tomato hornworm) Manduca quinquemaculata Tobacco hornworms and tomato hornworms are large, blue-green caterpillars with a black spine (or horn) protruding from their last abdominal segment

But their habit imposes huge public health costs

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London: Society for Promoting Christian Knowledge