06 Oct 04:58 PM

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Question about English (US)

In the text below, I'd like to know what "since" means.
Thanks in advance.

Little by little, isolation and a feeling of abandonment can cause psychological pains that add to the physical aches, weakening these women's mental health and annihilating their self-esteem. Especially /since/ traditional Nepalese women simply don't talk about menstruation
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Filipino English (US)

English (US)

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