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Given they literally never mention his existence for the rest of the show, they apparently lived with it pretty easy
Months later…
Tuvok: “Captain, I must object…”
Janeway: “Ugh, I should have left you in Tuvix.”
Tuvok: “… I beg your pardon?”
What’s the deal with Starfleet emergency rations.
Because I CAN live with it.
Computer… Erase that entire personal log.
I couldn’t understand you, do you want me to post the log?
No. Computer, erase the log.
Ok. Posting log.
Tuvix was an abomination and deserved to die. Janeway did nothing wrong.