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Two of the herbal brands used tendu (ebony) leaves as wrappers, identical to those used in bidis the most-widely consumed smoking product in India.

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Moreover, many of them still believe that it improves the smoking experience despite little to no scientific evidence to support their belief

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Given that the elevated ILC3 frequencies in smokers with asthma correlated positively with not only smoking amount and decreased lung function but also M1 macrophage and circulating neutrophil frequencies, it may be the key player in the pathogenesis of smoking-related asthma is the ILC3s