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The combination increases the risk of ulcers in the stomach and small intestine, and it can lead to inflammation of the pancreas

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That physical habit is so deeply ingrained for most smokers

"We're good at delivering messaging that cigarettes are harmful, but we need to do a better job with other products that teens may smoke," added Bonnie Halpern-Felsher, PhD, professor of pediatrics in adolescent medicine and the study's senior author