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Just like all the other times, your best bet is to just not do it

Concerning race/ethnicity (where participants could select multiple categories), 78.2% identified as white, 11.6% as black/African American, 4.4% Hispanic/Latino (any race), 4.3% Asian/Indian/Pacific Islander, 0.5% Native American, and 1% as other. There were relatively fewer white respondents (64% of total) among persons who had never smoked, and relatively more among those who formerly smoked (90% of total)

Therefore, an exposure summary nexus letter from your doctor isnt going to carry much weight with the VA because the VA knows that your doctor only knows about your exposures based on what you have told them

My exact settings were Brightness: 18 and Contrast: -11

Adult cigarette beetles are about 1/10 inch and dark tan