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As tobacco burns, it produces tars and oils that are carried along with the smoke

Studies show that nicotine alone is enough to trigger BP elevation , and over time, this may increase the risk of developing long-term cardiovascular problems

To avoid stains and unpleasant smells caused by nicotine, it is of course best to avoid smoking indoors

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For these patients, it is really important that they improve their reflux management with either higher doses or frequency of PPIs, and have a repeat scope in 6 months to reassess the area