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Spicy and acidic foods, including citrus fruits Poor-fitting dentures, braces (whether metal or invisible), and other appliances that may rub against your gums and mouth area Deficient fillings and other bad dental work Hormonal changes that can occur during puberty, pregnancy, and menopause Certain medications, including painkillers and beta-blockers Stress and anxiety Genetic factors Food sensitivities, particularly to strawberries, nuts, eggs, cheese, chocolate, coffee, and acidic or spicy foods Health problems

1 In a 2022 survey, almost 3.7 million people, aged 12 or older, initiated marijuana use within the previous 12 months