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However, in gastroesophageal reflux disease (GERD), one of the earliest signs of damage is the development of dilated intercellular spaces in the esophageal lining

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They were equally likely to say they had stopped (30%) or decreased (13%) their vaping as to say that they had maintained the same level (43%), and it was fairly uncommon to report an increase in vaping (7%) or not know (8%) (Figure 35)

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This gives the scent an underlying dark, warm, bittersweet chocolatey quality