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Exposure to cigarette smoke (CS) has long been identified as a major risk factor for airway diseases, including OM, emphysema, chronic obstructive pulmonary disease, allergies, and malignancy 10,11,12,13

Ministry of Health, New Zealand.

Long-term use of certain medications, particularly in older adults, exacerbates these effects according to The Cognitive Impact of Anticholinergic Drugs by Campbell et al., Journal of the American Geriatrics Society, 2009

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For example, non-smokers typically eat about 46.4 grams of fruit per 1,000 kcal per day, while cigarette smokers eat only 22.2 grams, and HTP (heated tobacco product) smokers eat 31.4 grams. Similarly, non-smokers consume around 76.3 grams of dairy daily, compared to 48.2 grams for cigarette smokers and 57.6 grams for HTP smokers