acid reflux from chewing tobacco Is Smoking Making Your Worse Chewing Tobacco and Stomach Problems:

Effect of Toxic Gases on Intestinal Microbiota The main toxic gases of tobacco smoke, including carbon dioxide, carbon monoxide (CO), hydrogen sulfide (H 2 S), ammonia, hydrogen, and nitrogen oxides (NO x ), are inhaled into lung and entered into blood through alveolar exchange, which affects the O 2 transport, decreases the pH of blood, and induces systemic inflammation and diseases ( 2 transport and results in systemic hypoxia (West, 2017)

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Atlanta: Published by the American Cancer Society