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Collectively, these studies demonstrate that smokeless tobacco induces oral microbiome dysbiosis characterized by enrichment of pro-inflammatory taxa (e.g., Fusobacterium and Prevotella ), depletion of symbiotic species (e.g., Lactobacillus and Neisseria ), and activation of carcinogenesis-linked metabolic pathways (nitrogen metabolism and LPS biosynthesis), with dose-dependent effects and product-specific virulence

Among teens, 38.5% of those receiving the text message intervention achieved dual abstinence from both nicotine e-cigarettes and cannabis, compared to 25.0% in the control group a 13.5% advantage

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Input: 8-32 VDC