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The details of the SAAS study protocol with inclusion, exclusion and specific diagnostic criteria have been published previously (eTable 1) 24

However, while vaping may not involve the combustion of tobacco leaves, it can still cause various side effects, including dizziness

The suckers as Grey called them, which are new tobacco shoots growing on existing plants, have to be pulled by hand and when the plants start to flower, the flowering stalks are broken off by hand

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However, Nicaragua is exceptionally reliant on the United States as a market