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Bofa is a non-destructive disease preceding ligma. No-one knows the exact cause of bofa, however some studies show that it can be closely related to Twitch streaming. Onset usually begins at age 20-30 years. Less than 0.01% of cases don't progress to Ligma, however, ligma is always preceded by bofa. Currently the cure for bofa is passing it on to someone else.
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