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39 Tsochatzis et evaluated the risk of heavy smokers (20 pack-years), current and past smokers and found an OR for severe fibrosis (staging score 4) of 3.9 (95% CI 1.3611.35) and OR of steatosis of 2.86 (95% CI 1.077.68) for heavy smokers on multivariate analysis with chronic HCV infection

As this is a relatively new area of knowledge, the information is still conflicting

Specialized Channels for Non-Cigarette Products: Chewing tobacco and snuff may have more localized distribution networks, often in specific provinces where these products have traditional usage

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