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The risk factors for reflux include: Use of alcohol (possibly) Hiatal hernia (a condition in which part of the stomach moves above the diaphragm, which is the muscle that separates the chest and abdominal cavities) Obesity Pregnancy Scleroderma Smoking or tobacco use Lying down within 3 hours after eating Heartburn and gastroesophageal reflux can be caused by or made worse by pregnancy

The Beginning of ENDS The Tobacco Control Act provided general direction for the regulation of cigarettes but did not go beyond the purview of what was already in the market

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