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ESC, ACC, AHA) must act as independent watchdogs, resisting industry attempts to rebrand nicotine as therapeutic

(5) The result of this is xerostomia, or "dry mouth," which has been shown to lead to an increase in cavities, gum disease, and other oral health issues

doi: 10.1186/1471-2261-14-78 43

These combined effects create a perfect storm for gastroesophageal reflux, explaining why smokers have significantly higher rates of GERD and more severe symptoms