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Additionally, fermentation of tobacco leaves using microorganisms significantly improves their quality by modulating the internal chemical composition of tobacco, promoting the degradation of lignin, protein, starch and other biological macromolecules, and increasing the content of aromatic substances 19

Other health effects of cocaine use include: constricted blood vessels dilated pupils nausea raised body temperature and blood pressure fast or irregular heartbeat tremors and muscle twitches restlessness Long-term health effects of cocaine include: snorting: loss of smell, nosebleeds, frequent runny nose, and problems with swallowing smoking: cough, asthma, respiratory distress, and higher risk of infections like pneumonia consuming by mouth: severe bowel decay from reduced blood flow needle injection: higher risk for contracting HIV, hepatitis C, and other bloodborne diseases, skin or soft tissue infections, as well as scarring or collapsed veins Even people involved with non-needle cocaine use place themselves at risk for HIV because cocaine impairs judgment, which can lead to risky sexual behavior with infected partners

This is essential for the delicate plum note of the Chunghwa brand, which can dissipate if the leaf becomes too dry