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The hygiene hypothesis is pretty well proven now as far as I know. Its the idea that early childhood exposure to various germs is important to tune the immune system correctly. It atleast partially explains the rise of autoimmunity. From the wiki:

The rise of autoimmune diseases and acute lymphoblastic leukemia in young people in the developed world was linked to the hygiene hypothesis.



I wonder how our global lifestyle affects this too. You might have had a really dirty childhood in the UK and adapted to all the dirt and toxins there, but then you take a job in Nevada or something and you don’t have childhood immunity to anything there.

I’d love a study done on autoimmune disease prominence in expats vs local populations.





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