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Working in a practice room on the top floor of a building with a panoramic view of Montreal, Isaiah honed the songs on Western Medicine , some of them right up to the albums recording sessions in May 2025 at Montreals Mixart Studios with a band comprised drummer Robbie Kuster, bassist Mishka Stein, pianist Jrome Beaulieu, and guitarist Warren Spicer who also oversaw engineering and mixing

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They included only studies that (1) reported on cigarette consumption and its relationship to coronary heart disease and stroke