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While diabetes and smoking are mutually inclusive, its possible for a person with diabetes to also be a smoker

it is morally indefensible, since it means that cigarette smokers who could dramatically reduce the health risks they face by switching to a less hazardous source of nicotine can be denied that option based on the FDA's prophecy of how other people will behave

Smoking may exacerbate the pathogenic effects of alcohol on the liver, implying that the combined exposure to both substances leads to more severe liver damage than either factor alone [77]

The limited research on potential risks and the unknowns surrounding these products have fueled debates about their safety