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These changes include: Reduction of beneficial bacteria, Bifidobacterium Reduction of beneficial short-chain fatty acids (a main energy source for the gut cells) Elevated pH in the gut can allow for less beneficial bacteria to grow, leading to dysbiosis

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Improvements in mood and reduced cravings are felt within a few days of starting an exercise routine

This at least suggests that smokers who started with menthol may not have progressed on to normal cigarettes, or would not have continued to smoke, if menthol cigarettes were not available