“…Multiple risk factors identified for peptic ulcer include family history, age, sex, race, social class, blood group, smoking, alcohol and coffee consumption, use of nonsteroidal anti-inflammatory drugs, stress, season of the year, and H pylori infection. [8][9][10][11][12][13] None of these factors can be considered universal of essential characteristics of duodenal ulcer disease with the exception of H pylori-induced gastritis. Risk factors that are not shared by family members, such as use of nonsteroidal anti-inflammatory drugs, may represent examples of the individual-specific source of variance in liability to ulcer found in the present results.…”