Just once. Tokens last 18 months. Our next release will have more reminders before the 18 months is up to renew your token. Including emails and when you log into the site.
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When you block a person, they can no longer invite you to a private message or post to your profile wall. Replies and comments they make will be collapsed/hidden by default. Finally, you'll never receive email notifications about content they create or likes they designate for your content.
Note: if you proceed, you will no longer be following .