So it is Toxemia - The breakdown of cells creating their poor condition causes the disease. Germs then are the result of this breakdown and not the direct cause. I am assuming they may be considered a byproduct or secondary cause if I read this right. Mom should read this LOL She is a germa phobic and thinks you can get cancer by being around folks with cancer or get germs and illness from second hand merchandise. I am the opposite. Interesting. Thanks @reddust. PS: I do not understand toxemia. Is that like toxins????