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6 Tobacco Increases Spine Surgery Risk And Reduces Its Success In surgeries like spinal fusion or decompression: Smokers have higher risk of poor bone fusion (nonunion) More infections Slower nerve recovery Longer hospital stays Even after a technically perfect surgery, tobacco undoes your surgeons effort from the inside

We think the Board of Supervisors is limiting freedom of choice for San Francisco voters, said Jaime Rojas, a spokesman for the group Lets Be Real San Francisco, which is running the referendum campaign

BMJ 2016;354:i4645 Hartmann-Boyce J, McRobbie H, Bullen C, Begh R, Stead LF, Hajek P

Choose nicotine pouches if you want: A clean, tobacco-free product Discreet, modern use Wider flavour options Lower long-term risks Easier daily convenience For most people comparing nicotine pouch vs chewing tobacco, pouches offer a more practical and balanced solution