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Animals such as birds and fish have been shown to eat tobacco trash, like cigarette butts, and they have been discovered in the stomachs of animals (3)

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moderate certainty), but may result in little to no harm from other adverse events, such as hiccups, gastrointestinal disturbances, skin irritation from patches, throat irritation, or runny nose.43 Varenicline results in small harms from increases in nausea (32 RCTs, n = 14 963

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