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These codes were discussed, refined, debated, and agreed by all three authors who collectively generated the final themes and sub-themes

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Dr Satya Ranjan Sahu, Senior Consultant in Pulmonology at Narayana Hospital, Gurugram said, Smoking increases the likelihood of premature ageing partly because of the diminished circulation and chronic inflammation that is a result of smoking. Dr Sahu also emphasised that nicotine slows down the skin's oxygen supply, which decreases collagen formation and compromises skin structure

Tobacco rapidly depleted the nutrients in the soil and after three or four crops, the yield decreased