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Smoking also increases the risk of tuberculosis, certain eye diseases, and problems of the immune system, including rheumatoid arthritis

Chocolate, coffee, nuts, and spicy foods have also been reported as triggers

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Directly, many substances in cigarette smoke possess cytotoxic properties that induce oxidative stress, a critical pathway in liver injury and fibrosis [5]

Additionally, we recruited as participants the smokers who were attending a smoking cessation program, and the study findings would be strengthened with results from a control group who had not attended the program