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Note from the poll creator: I want to make a withdrawal <a href=" http://www.greekwithenvy.com/using-tramadol-for-opiate-withdrawl/ ">does tramadol cause pregnancy complications</a> However, unlike factors such as global warming or human population growth, nutrient loading is something that might be more easily addressed on at least a local basis, Vega-Thurber said. Improved sewage treatment or best-management practices to minimize fertilizer runoff from agricultural or urban use might offer practical approaches to mitigate some coral reef declines, she said.