if procreating with close relatives causes dangerous mutations and increased risks of disease, how did isolated groups of humans deal with it?

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if procreating with close relatives causes dangerous mutations and increased risks of disease, how did isolated groups of humans deal with it?

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You may find this article from a couple days ago interesting!

[Medieval Teeth From Ancient Ashkenazi Jews Indicate ‘Genetic Bottleneck’ Variation 600 Years Ago](https://www.sciencetimes.com/articles/41165/20221202/medieval-teeth-ancient-ashkenazi-jews-indicate-genetic-bottleneck-variation-600.htm)

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