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On physical exam, his teeth are stained and his tongue shows elongated papillae with brown discoloration ( Figure 37-1 )

Many physicians incorrectly believe all tobacco products are equally harmful and thus are less likely to recommend e-cigarettes for people seeking to quit smoking or those being treated for a tobacco-caused disease, according to a Rutgers study

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Interestingly, I also quit biting my nails at the same time

This can cause more frequent and sustained blood pressure spikes , raising the risk of hypertension and other heart-related issues