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Cigarette smoke affects digestion through multiple mechanisms: Nicotine stimulates the parasympathetic nervous system Inhaled chemicals create an inflammatory response in the gut Carbon monoxide alters blood flow to digestive organs Smoke exposure changes gut microbiome composition Research shows smoking encourages development of certain bowel diseases while potentially deterring others

(7) In nursing homes, assisted living facilities, small healthcare facilities and hospitals with a certified swing-bed program that designate private residential sleeping rooms as smoking allowed, the building owner, agent, or operator must conspicuously post a permanent sign on the door and meet the requirements of R392-510-6(1) and (2)

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