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Compared to heterosexual youths, lesbian and gay youth had 2.67x higher odds and bisexual youth had 2.78x higher odds of co-using cannabis and nicotine

The shift towards a pathogenic microbial profile often exacerbates inflammation, leading to tissue destruction and further compromising oral health [31, 32]

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The nicotine content in cigars can remain detectable for 1-3 days in urine, 1-10 days in blood, and up to 90 days in hair