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Compared to the control, mean snail production of egg clusters increased 1.33 (33%) when exposed to ibuprofen, 4.67 (367%) when exposed to microplastics, and 3 (200%) when exposed to ibuprofen and microplastics combined

This limitation highlights the inherent difficulties of performing a meta-analysis that relies exclusively on retrospective cohorts

doi: 10.1128/AAC.00415-12 192 RibeiroM.SimesM