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Based on the findings of a 2022 study, smoking and vaping are not only risk factors for a more severe clinical form and slower progression of COVID-19, but they are also risk factors for the development of lengthy and persistent post-COVID-19 symptoms [183]

By reducing harsh compounds such as ammonia and chlorophyll, fermentation transforms raw tobacco leaves into a smoother, more refined material suitable for cigarette production

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Vidyasagaran AL, Siddiqi K, Kanaan M (2016) Use of smokeless tobacco and risk of cardiovascular disease: A systematic review and meta-analysis