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A study published in the National Library of Medicine titled, Smoking and risk of Graves' disease , found that smoking appears to be one of many factors causing Graves disease in those who are genetically predisposed

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[3] Observatoire Suisse de la sant (2020)

"Effect of cigar smoking on carboxyhemoglobin and plasma nicotine concentrations in primary pipe and cigar smokers and ex-cigarette smokers"

The military branches were directed to implement plans to improve tobacco education for their personnel, strengthen programs for quitting tobacco, review efforts to institute smoke-free military housing and implement tobacco-free zones in areas frequented by children