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The reason is that tobacco has received a lot of attention in Pakistan

Environ Sci Pollut Res 28:3220032209 Acknowledgements The authors gratefully acknowledge the financial support given by the Fasa University of Medical Sciences (Grant number: 401016)

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The reduced blood flow and exposure to nicotine tend to darken the lip melanin resulting in uneven pigmentation

Smokeless Tobacco 11% of Active duty Soldiers report smokeless tobacco product use, nearly 3 times the national estimate

This reflective process was seen as empowering, allowing pupils to draw their own conclusions based on values, consequences, and long-term goals