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Though the possibility can't be ruled out, the sight of people puffing away on paper-rolled, odd-smelling mixtures of tobacco and whatever else they can stuff in with it may contribute to persistent but unsubstantiated reports by visitors and foreign media outlets of widespread marijuana use

Alcohol is also a known contributor to dry mouth or xerostomia

WHO Report on the Global Tobacco Epidemic, 2015: Country Profile: Democratic People's Republic of Korea (PDF) (Report)

Swimming provides full-body movement without strain

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