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Additionally, the presence of nicotine can likewise become a factor in determining whether alternatives to cigarettes are healthy or not

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Several risk factors increase the risk of getting this cancer, including tobacco use (smoking, chewing tobacco), alcohol misuse, viral infections (human papillomavirus or HPV, Epstein-Barr virus), a diet lacking in fruits and vegetables, toxic substances, and gastroesophageal reflux disease (GERD)

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