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Over time, however, continual ingestion of these materials can elevate blood sugar levels and may contribute directly or indirectly to your risk of developing diabetes

It is generally accepted that some adverse cardiopulmonary effects induced by nicotine and carbon monoxide (CO) among the compounds are reversible with cessation of smoking.[] However, the optimal timing of preoperative smoking cessation is an important clinical question.[] An acceptable tool to quantify the exposure of an individual to cigarette smoke is the concept of pack-years. However, it is difficult to rely on this assessment as there are different types of tobacco leaves with varying degrees of processing and so varying amounts of nicotine as well as a different number of cigarettes per pack by different companies in the market.[] In India, an estimated 108 million males and 11 million women between 15 and 69 years of age have been smoking tobacco in any form in 2015

While no tobacco product is safe, some potentially carry lower risk profiles than combustible tobacco