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Another main factor has been found to be exposure to second hand cigarette smoke as this can irritate the lining of parts of the ear causing it to become inflamed
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These include France, Ireland, New Zealand, Norway and the United Kingdom
It is not always clear whether these countries would prohibit international travellers from entering the country with pouches
However, people who quit smoking in middle age may, within a decade, reduce their risk of developing dementia to that of people who never smoked, according to a study published in the September 2025 issue of The Lancet Healthy Longevity
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