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it sweetens and gives the smoke a creaminess

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The mechanisms behind these associations suggest that oral bacteria and their metabolites can enter the bloodstream through oral epithelial barriers or via direct interactions with the respiratory and digestive systems, thereby influencing systemic health [33,34,35]

Smoking reduces blood flow and oxygen supply, impairs wound healing, and affects bone growth, leading to a higher likelihood of infections, poor wound healing, and failed spinal fusions

doi: 10.1016/0306-4603(79)90021-2