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It is known to increase the risk of inflammatory bowel disease like IBD." Dr Rohan Badave, Consultant - Medical Gastroenterology, Manipal Hospital, Goa, echoes the concern, "Tobacco use (smoking or chewing) can alter the balance of gut bacteria, potentially contributing to bloating, flatulence, abdominal discomfort, and altered bowel habits." Experts say this microbial imbalance may explain why many tobacco users frequently complain of gas, abdominal discomfort, unpredictable bowel movements, and persistent digestive uneasiness

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This can be a challenge, since the caterpillars themselves are green, as is their host plant

Then, in December 2019, the Tobacco 21 Act was passed by the US federal government, which made it illegal in all 50 states to sell tobacco products to anyone under 21