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Following this the tobacco is put into piles known locally as "estibas" of about 150 quintales and allowed to ferment under controlled conditions of temperature for about two months, during which time the piles are torn down and rebuilt by moving the inside leaves to the outside of the pile, and vice versa, some six or eight times as the fermentation process requires

doi:10.1093/jnci/91.14.1194

Evarts A

Moreover, a person who has experienced a heart attack or stroke needs to wait for six months before donating

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That would mean an annual saving of over 3,000