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Genera such as Stenotrophomonas and Schlegelella dominated the oral cancer microbiome of Toombak users, potentially contributing to metastasis and poor prognosis, highlighting microbiome modulations as a risk factor for oral cancer progression [78]

People dealing with substance abuse can often quit or modify their harmful behaviors

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That means it excludes some groups with historically elevated smoking rates, including active-duty military personnel, people who are incarcerated or living in long-term care institutions, and people without fixed housing