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[9] Indications that further investigations may be needed include: [18] Vomiting (vomit that is green or yellow, bloody or occurring more than five times a day) Change in stool (constipation or diarrhea, especially with blood or mucus) Abnormal temperature (a rectal temperature less than 97.0 F (36.1 C) or over 100.4 F (38.0 C) Irritability (crying all day with few calm periods in between) Lethargy (excess sleepiness, lack of smiles or interested gaze, weak sucking lasting over six hours) Poor weight gain (gaining less than 15 grams a day) Problems to consider when the above are present include: [18] Infections (e.g

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Blend with stronger tobaccos to enhance intensity, such as adding a portion of robust Burley to a mild Virginia blend