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☆ Chemical toxin exposure in the womb linked to greater health risks for children ages 6 to 11
▼ + stars: | 2024-05-23 | by ( Sandee Lamotte | ) edition.cnn.com time to read: +11 min

CNN —Chemical toxins are everywhere — in our water, food, air and soil. Children born to European mothers exposed to four families of chemicals that disrupt the body’s endocrine (hormone) system had elevated levels of metabolic syndrome at ages 6 to 11. Metabolic syndrome can include obesity, elevated blood pressure, and abnormally high cholesterol and insulin resistance, which is a precursor to type 2 diabetes. Metabolic syndrome is typically associated with adult cardiovascular disease, type 2 diabetes and stroke, but the growing epidemic of childhood obesity has seen symptoms appearing in kids at younger and younger ages. Having metabolic syndrome as a child is highly predictive of chronic disease as an adult, experts say.

Persons: Nuria Güil, ”, Oumrait, Vicente Mustieles, Mariana Fernández, Carmen Messerlian, Messerlian, phthalates, “, Jane Houlihan, ” Houlihan, Houlihan, PFAS, EWG Organizations: CNN, Icahn School of Medicine, JAMA, Biomedical Research, University of Granada, Harvard, of Public Health, International Council for Chemical Associations, American Chemistry Council, EPA, Food, Food and Drug Administration, FDA, NSF, National Sanitation Foundation Locations: Mount Sinai, New York City, Spain, Messerlian, Chan, Boston, United States

☆ Microplastics have been found in human testicles. Now what?
▼ + stars: | 2024-05-20 | by ( Hilary Brueck | ) www.businessinsider.com time to read: +8 min

The latest bad news on microplastics and human health emerged last week, when a study from researchers at the University of New Mexico examined 47 canine and 23 human testes, taken from neutering operations and cadavers, respectively. All of those testicles had microplastics inside — there were 12 different kinds of microplastic inside the organs studied, including the common plastic making material that plastic silverware and plastic bottles are made from. Woodruff isn't exactly surprised that microplastics are showing up in testicles. AdvertisementBut Dr. Ranjith Ramasamy, an expert in reproductive urology, says if it's true that microplastics are invading testicles, that's of extra concern. Getty ImagesScientists know that certain chemicals inside plastic disrupt our hormones.

Persons: —, microplastics, Tracey Woodruff, Woodruff isn't, Woodruff, Ranjith Ramasamy, Jonathan Kitchen, Ramasamy Organizations: Service, University of New, Business, University of California San, New, of, Getty Locations: University of New Mexico, —, University of California San Francisco, California

☆ Robots and AI are being used to help women get pregnant. Is this the future of IVF?
▼ + stars: | 2024-05-18 | by ( Blake Dodge | ) www.businessinsider.com time to read: +21 min

There, a startup called Conceivable Life Sciences is automating the IVF lab from start to finish. Conceivable Life SciencesEleven women so far have become pregnant with help from one or more of these Conceivable robots. Conceivable Life Sciences"No baby, no fee"Today, IVF demand is surging, despite the treatment being slow, uncertain, and expensive. Conceivable's future IVF lab. Conceivable Life SciencesFrom prayer to AIHalf a continent away, a physician was growing frustrated by the constraints of his job.

Persons: —, robotically, embryologist Jacques Cohen, Cohen, Joshua Abram, Conceivable's, Abram, Lora Shahine, Emma wasn't, Emma, Alan Murray, Murray, — embryologists, that's, Alejandro Chávez, Badiola, REI, didn't, Conceivable's cofounders, Dr, REIs, What's, Langham, Conceivable's cofounders tinker, Tesla, Brian Bixon, Gerardo Mendizabal, Ruiz, Bixon, Carla Patricia Barragan Álvarez, OBGYNs, aren't, Eduardo Hariton, Hariton Organizations: Service, Business, Sciences, BI, New York City, pipettes, Life Sciences, San, Langham Hotel, Quest Diagnostics Locations: Guadalajara, Mexico, New York, Seattle, pipettes, Petri, San Francisco, London, Abram, Mexico City

☆ Olivia Munn, 43, says she froze her eggs for the third time after getting diagnosed with breast cancer
▼ + stars: | 2024-05-13 | by ( Amanda Goh | ) www.businessinsider.com time to read: +4 min

Olivia Munn told Vogue she underwent egg freezing three times in her life. AdvertisementOlivia Munn, 43, says she has frozen her eggs on three separate occasions in her life, most recently in response to her breast cancer diagnosis. She shared that she underwent egg freezing at ages 33, 39, and 42. Clearly, the month we did at 39 was not a good month," Munn told Vogue. Due to the rise in hormone levels, there are side effects associated with egg freezing, including mood swings, headaches, and nausea.

Persons: Olivia Munn, —, Munn, John Mulaney, uteruses, Raegan McDonald, Mosley, Chrissy Teigen, John Legend, Paris Hilton, Rebel Wilson Organizations: Vogue, Service, Power, American College of Obstetricians

☆ Japan aging: Women’s participation in ‘naked festival’ a sign of how aging is forcing changes to male-centric traditions
▼ + stars: | 2024-05-10 | by ( Himari Semans | Chris Lau | ) edition.cnn.com time to read: +8 min

Tokyo/Hong Kong CNN —With a history spanning more than 1,200 years, “hadaka matsuri,” or the naked festival, is Japanese masculinity on full display. Some women in Japan still battle deep-rooted cultural expectations that require them to take the role of “shufu,” or housewife, experts say. But in the naked festival, women have recently found hope. Men strip naked — except for a delicate piece of crotch-covering white loincloth — to take part in the naked festival at Konomiya Shrine on February 22, 2024. Women — donning happi, a traditional festive coat — are responsible for carrying a bamboo offering during the naked festival at Konomiya Shrine on February 22, 2024.

Persons: —, Saudi Arabia —, “, Christopher Gallagher, ”, we’ve, ” Haruhiko, Atsuko Tamakoshi, Chris Gallagher, Enyukai, Ayaka Suzuki, Mitsuko Tottori, Yoko Kamikawa, Fumio, Kaori Katada, Hiyori Kon, Sumo, won’t Organizations: Hong Kong CNN, Economic, Japan, Reuters, Mikiko, Hosei University, pre, CNN, ”, Ministry of Health, ” Eto, Organization for Economic Cooperation, Development, Japan Airlines, Netflix, Little Locations: Tokyo, Hong Kong, Japan, jostle, Germany, Britain, United States, India, Saudi Arabia, Konomiya Shrine, Konomiya

Seoul, South Korea CNN —South Korea’s leader on Thursday said he plans to create a new government ministry to tackle the “national emergency” of the country’s infamously low birth rate as it grapples with a deepening demographic crisis. In a televised address, President Yoon Suk Yeol said he would ask for parliament’s cooperation to establish the Ministry of Low Birth Rate Counter-planning. “We will mobilize all of the nation’s capabilities to overcome the low birth rate, which can be considered a national emergency,” he said. South Korean President Yoon Suk Yeol at a press conference in Seoul, South Korea, on, May 9, 2024. Countries like South Korea, Japan and China, however, have shied away from mass immigration to tackle the decline in their working age populations.

Persons: Yoon Suk Yeol, Yoon, Yoon Suk, Kyung, Fumio Kishida Organizations: South Korea CNN, of, South, AP, Korea, Families Agency Locations: Seoul, South Korea, Korea, Japan, China

☆ ‘Ozempic babies’: What the science says on whether GLP-1s lead to surprise pregnancies, and their safety if they do
▼ + stars: | 2024-05-08 | by ( Mira Cheng | Meg Tirrell | ) edition.cnn.com time to read: +12 min

“I was depressed, severely depressed for that whole time.”Five months earlier, in October 2022, Bentley had started taking Mounjaro for weight loss. Ozempic uses the active ingredient semaglutide, and Wegovy is the version approved for weight loss. Mounjaro uses tirzepatide, which also targets a second hormone called GIP, and Zepbound is its brand name for weight loss. Safety in pregnancyEven as GLP-1 medicines may increase fertility, little is known about their safety during pregnancy. “It’s kind of like heart failure or sleep apnea,” he said, referring to conditions for which GLP-1 drugs have recently shown positive results.

Persons: CNN — Catera Bentley, Bentley, ”, “, ” Bentley, she’d, —, ‘, ’ Bentley, Jody Dushay, Dushay, Catera Bentley, Ivy, Daniel Drucker, ” Drucker, they’re, Drucker, Eli Lilly, ” Dushay, haven’t, That’s, Anuja Dokras, Dokras, Melanie Cree, Cree, PCOS, aren’t, Eli Lilly’s, Daniel Skovronsky, ” Skovronsky, Dr, Sanjay Gupta, it’s, Mounjaro Organizations: CNN, Beth Israel Deaconess Medical Center, Harvard Medical School, University of, Mount Sinai, Novo Nordisk, Zepbound, US Centers for Disease Control, University of Pennsylvania, PCOS, Children’s Hospital, National Institutes of Health, CNN Health Locations: Steele , Alabama, Mount, United States, Children’s Hospital Colorado, —, Colorado

☆ Super-aged Japan now has 9 million vacant homes. And that’s a problem
▼ + stars: | 2024-05-07 | by ( Chris Lau | Mayumi Maruyama | ) edition.cnn.com time to read: +6 min

“This is a symptom of Japan’s population decline,” said Jeffrey Hall, a lecturer at Kanda University of International Studies in Chiba. “It’s not really a problem of building too many houses” but “a problem of not having enough people,” he said. According to figures compiled by the Ministry of Internal Affairs and Communications, 14% of all residential properties in Japan are vacant. “When an earthquake or a tsunami occurs, there is a possibility that vacant houses will block evacuation routes as they break down and get destroyed,” he said. In other rural areas with a high concentration of vacant houses, akiya have stalled development, the professor said.

Persons: ”, Jeffrey Hall, “ It’s, don’t, Akio Kon, it’s, “ They’re, Buddhika Weerasinghe, Yuki Akiyama, Akiyama, ” Akiyama Organizations: CNN, Kanda University of International Studies, Ministry of Internal Affairs and Communications, Kanda University, “, Bloomberg, Getty, Ministry, Internal Affairs, Communications, Tokyo City University, Homes Locations: Japan, New York City, Tokyo, Kyoto, Chiba, Kanda, Yato, Yokosuka City, Kanagawa prefecture, Tambasasayama, Noto, Ishikawa, Europe, West, “

☆ I'm pregnant at 47. It's not how I once pictured things, but it was the right path for me.
▼ + stars: | 2024-05-04 | by ( Heather Grossmann | ) www.businessinsider.com time to read: +5 min

That was eight years ago and followed an egg-freezing debacle that made it blindingly clear my path to parenthood would be circuitous, at best. @#$" — assumedly a stand-in for an expletive and, as it turned out, a very accurate foreshadowing of what was to come. Being pregnant at my age has proven a challenge, in more ways than oneNow, at 47, I am eight months pregnant and nearly downright blissful. AdvertisementLast summer, following two surgeries (one nearly killed me) for uterine fibroids, I was finally ready to go. The truth is, there was no other path to parenthood for me.

Persons: — Organizations: Service, Central, Business

☆ Being an 'old mom' was the right decision for me. Motherhood didn't define my identity.
▼ + stars: | 2024-05-03 | by ( Sara Lyle | ) www.businessinsider.com time to read: +7 min

"I didn't want to be an old mom. Those in the other camp often think: "But aren't there potential health risks to giving birth later?" If you read the research, there are various suggested causes for this trend toward giving birth later, but I can only speak for myself. Sara LyleHere are three reasons why waiting to become a mom was the right path for me1. While being an "old mom" has come with a few wrinkles, both figuratively and literally, the laughter and love make it completely worth it.

Persons: —, Griselda, Joe Manganiello, Vergara, Michelle Williams, Hilary Swank, It's, Sara Lyle, it's, there's Organizations: Service, Spanish, El, Business, United States Census Bureau Locations: New York, Colorado

☆ Here's why Americans having fewer kids won't doom the economy
▼ + stars: | 2024-05-02 | by ( Jennifer Sor | ) www.businessinsider.com time to read: +3 min

America's falling population isn't necessarily bad for the economy, Fisher Investments said. The US birth rate just fell to its lowest level in over 40 years, according to provisional CDC data. AdvertisementAmericans aren't having nearly as many kids as they used to, but that won't be the blow to the US economy that many have feared, according to Fisher Investments. Related storiesBut fewer babies being born isn't necessarily a bad thing for the economy, the firm said. "Yes, falling birth rates could have negative long-run ramifications if a true reduction in human capital and other factors don't offset this.

Persons: —, Goldman Sachs, Fisher, Ken Fisher Organizations: Fisher Investments, Service, Centers for Disease, Bank

☆ I grew up homeless and was a millionaire by 35. I'm teaching my kids to budget so they always have stability.
▼ + stars: | 2024-04-28 | by ( Kelly Burch | ) www.businessinsider.com time to read: +5 min

I had a home, and I also knew I wanted money. That's when I really started thinking about the life I wanted my children to live. Our kids save for their wantsBoth my kids earn money through doing chores. I want my kids to be motivated, not entitledThere are many things I'm able to give my kids that my parents couldn't give me. I'm thrilled to be able to offer my kids the kind of life I only saw on television.

Persons: —, Stephanie Mearse, Joseph, Vincent, I'd, Tiffany, they'll, They'll Organizations: Service, Business

☆ I was desperate to have a second baby because I disliked being an only child
▼ + stars: | 2024-04-26 | by ( Janine Clements | ) www.businessinsider.com time to read: +4 min

When it came to having kids, I wanted a big, noisy family. download the app Email address Sign up By clicking “Sign Up”, you accept our Terms of Service and Privacy Policy . AdvertisementI wasn't always an only child; I became one when I was 4 and my brother, who was 18 months old, died. Desperate for my daughter not to be an only child, I couldn't give up. But my fears were unfounded, and we were blessed with a healthy baby girl — and a sibling for my daughter.

Persons: I've, —, I didn't, didn't Organizations: Service, Asherman's Locations: Singapore, New York

☆ Sophia Bush says she and Ashlyn Harris, retired USWNT star, are in relationship
▼ + stars: | 2024-04-26 | by ( Lianne Kolirin | ) edition.cnn.com time to read: +2 min

CNN —Actress Sophia Bush has come out as queer, a year after announcing that her short-lived marriage had ended. The 41-year-old star of “One Tree Hill” has opened up about her love life in an intimate feature-length magazine article. Instead of running away, I doubled down on being a model wife,” she wrote. Among them was former soccer player Ashlyn Harris, whom Bush said she had known for four years and who was splitting from her wife and former teammate, Ali Krieger. She described “falling in love” with Harris, adding: “I sort of hate the notion of having to come out in 2024.

Persons: Sophia Bush, Grant Hughes, “, ”, Ashlyn Harris, Sydney Leroux, Todd Williamson, Peacock, Bush, acceping, Ali Krieger, Harris, I’m, I’ve, ” Bush Organizations: CNN, FIFA, Gracias Locations: Los Angeles, London’s, LA

☆ I was afraid of losing my ex because I didn't want kids. I realized I'd be losing myself if I compromised.
▼ + stars: | 2024-04-25 | by ( Cristabelle García | ) www.businessinsider.com time to read: +7 min

I loved my ex almost immediately, but he wanted kids, and I didn't. I wondered how much doubt about having kids was normal. When Cristabelle Garcia and her ex had differing desires about wanting kids, they parted ways. However, it only made me notice the relief I would feel whenever my ex entertained the idea of not having kids. My ex felt I was over-indexing on my alone time.

Persons: —, We'd, wouldn't, Cristabelle Garcia, hadn't Organizations: Service

☆ Male infertility contributes to about 40% of cases of infertility. What to do about it
▼ + stars: | 2024-04-24 | by ( Dr. Jamin Brahmbhatt | ) edition.cnn.com time to read: +9 min

I think the possibility that the man could have fertility issues can be more than just a clinical concern. That isn’t the case, which is why it’s crucial to broaden our focus and address male infertility. Within this context, male infertility plays a significant role, contributing to around 40% of cases of infertility. Treating male infertilityTreating your male fertility issues can start right now. Don’t stay silentTackling male infertility requires care that extends beyond the confines of medical treatment.

Persons: Jamin, That’s, “, you’re, what’s Organizations: Orlando Health, University of Central Florida’s College of Medicine, CNN, Consulting Locations: Alabama, United States

☆ US fertility rate dropped to lowest in a century as US births dipped in 2023
▼ + stars: | 2024-04-24 | by ( Deidre Mcphillips | ) edition.cnn.com time to read: +4 min

CNN —The fertility rate in the United States has been trending down for decades, and a new report shows that another drop in births in 2023 brought the rate down to the lowest it’s been in more than century. But the 3% drop between 2022 and 2023 brought the rate just below the previous low from 2020, which was 56 births for every 1,000 women of reproductive age. The birth rate fell among most age groups between 2022 and 2023, the new report shows. For older women, the option of waiting is not as viable.”Meanwhile, births continued to shift to older mothers. Provisional births data is based on birth records received and processed by the National Center for Health Statistics as of January 25.

Persons: “ We’ve, ”, Brady Hamilton, ” Hamilton, Court’s Dobbs, Dr, Sanjay Gupta, Hamilton Organizations: CNN, US Centers for Disease Control, Prevention’s National Center for Health Statistics, National Center for Health Statistics, CNN Health, CDC Locations: United States

☆ Some workers are choosing housing and student loan benefits over a retirement plan, and it says a lot about America's cost-of-living crisis
▼ + stars: | 2024-04-23 | by ( Cork Gaines | ) www.businessinsider.com time to read: +6 min

"Standard benefits, like medical, dental, or vision care, are typically included in most employee benefits plans. "With workers of all ages repaying student debt, student loan assistance should be a key consideration in the enhancement of employee benefit programs," Newcome said. Non-traditional benefits could also convince workers to rethink remote workRethinking employee benefits could also be the key to enticing remote workers back to the office. Additionally, 69% said they would be willing to change their job or career for employer-based housing benefits. As the landscape of employee benefits evolves to meet the changing needs of the workforce, companies are becoming more innovative.

Persons: —, John Newcome, Kelly, Newcome, Boring, Bonds Organizations: Service, Business, Employees, Walmart, SpaceX Locations: Austin, Bastrop

☆ I spent over $50,000 on IVF treatments. Eventually, one of my sisters donated her eggs, and the other was my surrogate.
▼ + stars: | 2024-04-22 | by ( Jane Ridley | ) www.businessinsider.com time to read: +5 min

download the appSign up to get the inside scoop on today’s biggest stories in markets, tech, and business — delivered daily. Stephanie, 41, stepped up as our surrogate, while Meredith, another of my sisters, was our egg donor. AdvertisementStill, we did a total of six more rounds of IVF, costing more than $50,000. But we're a very close family — Stephanie, Meredith, and my youngest sister, Samantha, lived through every high and low of our IVF journey. Meredith and Stephanie presented us with the most special gift in the world.

Persons: —, Jacyln, Stephanie, who'd, Jaclyn, Greg, We'd, Meredith, Turner, Mosaic Turner, Jaclyn Feiberg, endometriosis, Samantha, selflessness, didn't, David Berck, Barbara, hysterically Organizations: Service, Business, Health Locations: Westchester , New York

☆ Breasts take center stage at Venice Biennale exhibition
▼ + stars: | 2024-04-22 | by ( Jacqui Palumbo | ) edition.cnn.com time to read: +4 min

CNN —What is one of the earliest and enduring subjects in art and media — as well as one of the most censored? And these are all themes explored broadly in the exhibition “Breasts,” a robust survey on display at the 60th Venice Bienniale. “It’s very intimate, so it’s perfect for international artists to develop a dialogue with each other,” she said in a video call. “Artists keep going back to it.”“It’s been a wonderful moment to contemplate my own relationship with the meaning of breasts,” she added of the show. Scroll to see artworks from the show, which will run through November 24 at the Palazzo Franchetti.

Persons: they’re, Cindy Sherman, Robert Mapplethorpe, Salvador Dalí, Anna Weyant, Chloe Wise, Lakin, Carolina Pasti, “, ”, Bernardino del Signoraccio, Sherman, Jesus, Del, Raphael, Flavio Gianassi, we’ve, Teniqua Crawford, “ It’s, Todd White, Europe Allen Jones, Maggiore Allen Jones, Maggiore Laura Panno, Christopher Bucklow, Tetrarch, Claudia, Schiffer, Christopher Bucklow Giorgio de Chirico, Nudo, Turin Louise Bourgeois Organizations: CNN, Venice Bienniale, Artists, Buchanan Studio, Maggiore Locations: Venice, Europe, Italy

☆ You Finished I.V.F. and Want to Donate Embryos. Is There a Tax Benefit?
▼ + stars: | 2024-04-20 | by ( Ron Lieber | ) www.nytimes.com time to read: +1 min

But a few unusual ones linger for people all over who want to explore every option. What does the law say about what you can and can’t do with your embryos? And if you donate them — say, to a university for research — can you take a tax deduction? It is not clear how many human embryos sit in storage across the United States, but plenty of people who put them there worry about losing control over them. Selling embryos seems outlandish, though it may not violate federal law.

Persons: Tara Siegel Bernard, I, — Organizations: Alabama, Transplant Locations: United States, Alabama

☆ Opinion | Is the Internet the Enemy of Progress?
▼ + stars: | 2024-04-19 | by ( Ross Douthat | ) www.nytimes.com time to read: +5 min

But it’s 29 years old, written when the true internet era was still just a gleam in Al Gore’s eye. You could further argue that the passage predicted the Great Stagnation that Tyler Cowen identified in 2011, the productivity slowdown and disappointing economic growth that followed the initial 1990s-era internet boom. Writing for Quillette, he argues that globalization and homogenization have reduced cultural competition in roughly the way that the “Lost World” passage describes. It’s not just that we’re forgoing opportunities to improve our macro cultures. Shouldn’t we expect that macro cultures, when selection is weak, will drift into dysfunction just as firm cultures do?

Persons: Marc Andreessen, Michael Crichton’s, Crichton’s, Ian Malcolm, ” Malcolm, Al, John, Tyler Cowen, Malcolm, Crichton, Robin Hanson, It’s, Hanson, ” Organizations: Benetton, Western, George Mason University Locations: Bangkok, Tokyo, London, Al Gore’s, John Hammond’s, Davos, South Korea

☆ E.P.A. Will Make Polluters Pay to Clean Up Two ‘Forever Chemicals’
▼ + stars: | 2024-04-19 | by ( Coral Davenport | ) www.nytimes.com time to read: +1 min

The Biden administration is designating two “forever chemicals,” man-made compounds that are linked to serious health risks, as hazardous substances under the Superfund law, shifting responsibility for their cleanup to polluters from taxpayers. The compounds, found in everything from dental floss to firefighting foams to children’s toys, are called forever chemicals because they degrade very slowly and can accumulate in the body and the environment. The chemicals are so ubiquitous that they can be detected in the blood of almost every person in the United States. One recent government study discovered PFAS chemicals in nearly half of the nation’s tap water. found the chemicals could cause harm at levels “much lower than previously understood” and that almost no level of exposure was safe.

Persons: Biden Organizations: Environmental Protection Agency Locations: United States

☆ Ashanti and Nelly are engaged and expecting a baby
▼ + stars: | 2024-04-17 | by ( Lisa Respers France | ) edition.cnn.com time to read: +2 min

CNN —Congratulations are in order for singer Ashanti and rapper Nelly. “This new year of my life is such a blessing full of love, hope, and anticipation,” Ashanti, 43, said in a statement to the publication. Ashanti attended the MTV VMA Awards around that time, where Nelly was a scheduled performer. She carried a clutch with a photo of her and Nelly from when they attended the awards ceremony together back in 2003. It wasn’t anything that was planned.”CNN has reached out to representatives for Nelly for additional comment.

Persons: Ashanti, Nelly, ” Ashanti, she’s, Tina Y, Douglas, gasps, Baby Haynes, ”, Cornell Iral Haynes Jr, “, Rasheeda, Kirk Frost, Rasheeda ”, ” Nelly Organizations: CNN, ”, Cornell, MTV, Hop Atlanta

☆ My friend said he'd be my sperm donor, and I was ecstatic. When we learned he was infertile, we were both heartbroken.
▼ + stars: | 2024-04-17 | by ( Valerie Bauman | ) www.businessinsider.com time to read: +5 min

I know this is going to sound crazy, but I've been trying to get pregnant for months now. I want to be a single mother by choice, and have actually been working with a sperm donor here in DC. But it occurs to me…you would be an excellent candidate for the role of biological father to my baby… Would you ever consider being a sperm donor? It really would mean a lot to me for my child to have a relationship with the donor. I chose David because I wanted to be able to be certain that I wasn't going to screw up my kid — at least not by using the wrong donor sperm.

Persons: David, I've, —, David I, Eddie, Valerie Bauman Organizations: Service, Union Square & Co Locations: inseminations, DC, Mexican American

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