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Prof Bidhan Ranjan Roy Podder, adviser to the Primary and Mass Education Ministry, said tobacco companies employ various tactics to advance their interests

Lisa McConnell Tobacco Prevention Specialist Behavioral Health and Treatment Services Sieda Community Action 310 West Main Street, Ottumwa

Reversibility post-cessation : Evidence suggests partial restoration of oral and gut microbiota after smoking cessation (e.g., Neisseria recovery in saliva, Lactobacillaceae increase with modified-risk products), but long-term ecological resilience and its health implications require longitudinal human cohort studies

Of these respondents, 82.7% reported past year alcohol use, whilst tobacco (34.2%), cannabis (13.5%), and any other illicit substance use (8.3%) was less commonly reported