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The disruption of the bottom-up limiting processes may allow blooms of dinoflagellates, including harmful ones, to develop (Almeda et al., 2018)

If your handling technique is sloppy, you can introduce contaminants that even benzyl alcohol can't overcome

Mild vitamin B deficiencies can improve within weeks with proper supplementation, while severe cases may require months of consistent treatment, including injections or dietary changes

More recently, the fouling of Israels beaches by a tanker apparently intentionally releasing oil reportedly led to the initial response workers suffering respiratory difficulties that required supplemental oxygen (Rasgon, 2021), and a refinery oil spill affecting beaches in Peru was said to cause early responders to pass out from breathing the fumes (Taj, 2022)