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Using tobacco with other drugs Using tobacco with other drugs can have unpredictable effects and increase the risk of harm

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Furthermore, a synergistic effect between smoking and alcohol consumption on elevated ALT levels has been observed in HCV patients, indicating that the combined exposure significantly exacerbates liver injury [84]

Tobacco Leaf: Its Culture and Cure, Marketing and Manufacture

Blood sugar levels rise when cells cant absorb sugar from the blood because of insulin resistance
