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Research suggests the virus reaches nearby lymph nodes They include swelling in the lymph nodes

Nicotine, whether consumed through smoking or smokeless tobacco, activates brain nicotine receptors, which leads to decreased appetite 28

The prevalence of smoking is generally much lower in East Riding of Yorkshire (particularly in the villages to the west of Hull where many of these patients will live) and thus it is likely that the prevalence would be slightly higher if only patients who live in Hull were to be included