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Dokha was associated with similar patterns of OM dysbiosis as found for cigarette use, although significant associations were found for fewer taxa, among which, the depletion of the phylum Cyanobacteria, the genera Actinobacillus , Lautropia (Proteobacteria) and Porphyromonas (Bacteroidetes) and the enrichment of the genus Bifidobacterium (Actinobacteria)