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First, the presented risk equivalencies do not take into account the following factors which may interact with alcohol and tobacco: harms to others, disability, non-health harms, and differences in an persons risk factors For example, both alcohol and tobacco carry risks for second-hand harms through non-user exposurei.e., increased risk of alcohol-related injuries (e.g., motor vehicle accidents) or secondhand exposure due to drifting tobacco smoke (1, 38)

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After that, his kidneys failed, and he went on dialysis

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Separately, previous literature has suggested that nicotine facilitates an increase in tumor progression [20], and similar cell proliferation associated with lung cancer [21]