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Kumar R, Kant S, Chandra A, Krishnan A (2022) Tobacco use and nicotine dependence among patients with diabetes and hypertension in Ballabgarh, India

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As a short, coarse definition, bacteria or fungi cause the tongue to appear black and hairy, especially after oral hygiene in patients with altered texture and color of taste buds, resulting in the appearance of black pile tongue or black pile

And lately since the P & T smoking contest that got me reinterested in Meerschaums, it may be a very long time if ever when I do go back to my briars or at least try this blend out in a briar