Literature search methodology This article is designed as a narrative review aiming to integrate current evidence on smoking-induced microbial dysbiosis and its systemic implications
Nicotine exposure itself may exacerbate gut permeability and dysbiosis, amplifying oxidative stress
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This leads to increased mucus production, chronic cough, and a higher risk of infections
[15] [22] Cancer [edit] Chewing tobacco is a cause of oral cancer, oesophagus cancer, and pancreas cancer
It does, however, still contain the active ingredients of chewing tobacco