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Clinical improvements and quality of life Among those patients who transitioned to exclusive HTP use, annual COPD exacerbations dropped from 2.1 to 1.3, while respiratory symptoms, measured via the COPD Assessment Test (CAT), showed consistent improvement

A 2021 review in Frontiers in Endocrinology established that nicotine disrupts gut microbial diversity and composition inducing dysbiosis, an imbalance associated with obesity, type 2 diabetes, non-alcoholic fatty liver disease, atherosclerosis, and autoimmune disease

They live in abject poverty brought about by the perfect storm trifecta of wretched judgment, blind faith and unchecked procreation

and I freaking love the scent