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Although not explored in our study, it is possible that this relationship can be explained by shared social, environmental, and genetic risk factors, or it may point to possible self-medicating behaviours. She said in the short term, nicotine may reduce feelings of anxiety and stress, and young people could be reaching for vapes as a coping mechanism. Regardless of whether mental ill-health influences smoking or vice-versa, it is clear that if we are to prevent vaping onset, we need to address mental health at the same time, she said

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The connection between pack-years smoked and elevated likelihood of developing reflux esophagitis underscores tobaccos negative impact on gastrointestinal health

Approximately two thirds of patients exhibit gastrointestinal symptoms such as nausea, emesis, and diarrhea [22], [23]