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Several studies have investigated the mechanisms by which CS increases the risk of microbial infection 28, 50

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Adverse effects of tobacco cigarettes are usually attributed to the vast number of chemicals found in burned tobacco leaves and smoke, as well as nicotine, which is known to impact cardiovascular and endocrine systems [77, 82]

According to the Fagerstrm Test for Nicotine Dependence, 14.1% (10/71) of participants reported low levels of nicotine dependence, 28.2% (20/71) reported moderate levels of nicotine dependence, and 57.7% (41/71) reported high levels of nicotine dependence

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