acid reflux from chewing tobacco gum to prevent gastroesophageal disease (GERD) chewing tobacco cause acid reflux

I would hope it is a when, as opposed to an if

A history of cardiovascular disease in male relatives (father, brother, or son) was found to be a protective factor for smoking intensity, with adult smokers with a history of cardiovascular disease in their male relatives smoked 15% fewer cigarettes than those who did not have such a history (95% CI 0.7710.951)

Data release by the Office for National Statistics in 2022 showed that vaping has helped to drive adult smoking to a record low in the United Kingdom

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These relaxations are the primary mechanism through which reflux occurs, and smoking dramatically increases their frequency