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Retrieved 21 July 2026.

Although we found evidence suggesting an association between SHS exposure and these other investigated health outcomes, the associations did not achieve statistical significance when using the BPRF approach to capture uncertainty that accounts for between-study heterogeneity

The cause is not completely understood but involves a T cell-mediated immune response triggered by a variety of factors which may include nutritional deficiencies, local trauma, stress, hormonal influences, allergies, genetic predisposition, certain foods, dehydration, some food additives, or some hygienic chemical additives like SDS (common in toothpaste)

Tobacco associated mortality in Mumbai (Bombay) India