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MMWR Morb Mortal Wkly Rep 2023;72:11731182

This could be linked to historical influences, where colonization played a role in shifting tobacco use from sacred to commercial, contributing to long-term addiction in these communities [33, 34]

Nicotine, a key component in tobacco products, relaxes the LES and can lead to acid reflux

"Since the 1950s, there have been several alterations to cigarettes, including the addition of filters and menthol and lowering tar levels, in response to public concern about health risks

From 1999 to 2019, firearm assault-related and suicide-related mortality increased 16 percent in the U.S

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