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If theres a front line in the ongoing struggle to deal with the impact of smokeless tobacco, the Navy Dental Corps is helping to lead the charge for change on the chew

This approach is inherently subject to potential recall bias, reporting bias, and misclassification in both exposure (product use and intensity) and outcomes (adverse events)

This is definitely true for me, and I would avoid restaurants that allowed smoking for that reason

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Tobacco use weakens the lower esophageal sphincter, increases stomach acid production, and impairs the esophaguss natural ability to clear acid, creating a perfect storm for persistent and worsening reflux symptoms