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They include: poor oral hygiene smoking tobacco drinking a lot of coffee or tea using antibiotics (which may disrupt the normal balance of bacteria in the mouth) being dehydrated taking medications that contain the chemical bismuth (such as Pepto-Bismol for upset stomach) not producing enough saliva regularly using mouthwash that contains peroxide, witch hazel, or menthol getting radiation therapy to the head and neck Black hairy tongue is more common in men, people who use intravenous drugs, and those who are HIV-positive

The Ministry also provided substantial policy support in areas such as raw material supply

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He received his famous facial scars as a teenager during an altercation at Coney Island's Harvey Island with Frank Galluccio, an underling of Italian boss Lucky Luciano, whose sister he had insulted and trying to make his girlfriend