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Sometimes it is travel, poor sleep, stress, dehydration, a heavy workload, or the feeling that your routine has caught up with you

Surg Endosc 22:565 Tatum RP, Shalhub S, Oelschlager BK, Pellegrini CA (2008) Complications of PTFE mesh at the diaphragmatic hiatus

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When taking pictures, he only smiled at the moment he was taking the picture, but as soon as the picture was taken, he frowned again and put his hat on.[58] Considering that Kyle weighs 83 pounds (37.6 kg), he's actually a bit thinner than a fourth grader would be.[59] Kyle, who was shocked to hear this, asked his younger brother Ike to tell him honestly whether he was really ugly, and Ike responded with no comment .[60] Since the paper with the actual rankings was burned, it will never be known, but according to the deleted ending, Cartman is said to be in last place.[61] The Canadians of South Park are separated from their heads and chins, so their heads are shaken every time they speak.[62] For reference, this episode is ranked among the top 10 Except for one person [83] Cartman is Even the namuwiki document says that nine times out of ten it is Cartman