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In 1888 Sarah and her daughter moved to Saint Louis, Missouri, where three of her brothers lived. Sarah found work as a laundress, barely earning more than a dollar a day, but she was determined to make enough money to provide her daughter with a formal education .During the 1880s, Breedlove lived in a community where ragtime music was developed she sang at the St. Paul African Methodist Episcopal Church and started to yearn for an educated life as she watched the community of women at her church.[1] As was common among black women of her era, Sarah experienced severe dandruff and other scalp ailments, including baldness, due to skin disorders and the application of harsh products such as lye that were included in soaps to cleanse hair and wash clothes. Other contributing factors to her hair loss included poor diet, illnesses, and infrequent bathing and hair washing during a time when most Americans lacked indoor plumbing, central heating and electricity.

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