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The full source of a cigarette's carbon footprint is the same as for everything we choose to consume as individuals: the use of fossil fuels in the harvesting, manufacturing, packaging, storage, shipping, and distribution of the product
Accordingly, it has been shown that cigarette smoking increases the incidence and relapse of peptic ulcer disease (10), and has been associated with IBD, CD, and the development of esophageal, stomach, liver, pancreatic, and colon cancer (5)
But keep in mind, that many side effects are only temporary
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