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Bulgaria 39% 7

Increase in heart-related illness Nicotine users are also increasingly at risk for heart disease

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This prevalence is higher in a similar study conducted in India, where 25% of students experienced GERD symptoms

In the 1950s, the British Medical Research Council suggested that a diagnosis of chronic bronchitis was warranted when the symptoms of chronic cough and production of sputum were present on most days of the month for at least three months in two consecutive years without any other explanation ( BMJ 1965)

Because of these features they are often favoured by smokers looking for an alternative to cigarettes