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In addition, CD patients who smoke have a worse course of illness and quality of life, and are more likely to develop complications, have a higher rate of hospitalization, show a worse response to treatments, and have a greater need for surgery (59)

Nationally, smokeless tobacco use prevalence among high school students was 2.5%.2 In 2021, 2.1% of high school students in Michigan smoked cigars, cigarillos or little cigars on at least one day in the past 30 days

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