can cigarette smoke cause sore throat Effects of smoking on the Sore Throat From Smoking: Causes,

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In addition to over 8 million human lives lost every year to the tobacco industry, we also lose 600 million trees, 200,000 hectares of land, and 22 billion tonnes of water, as well as 84 million tonnes of carbon dioxide being released into the atmosphere (source)

Fetal and neonatal exposure to nicotine in Wistar rats results in increased beta cell apoptosis at birth and postnatal endocrine and metabolic changes associated with type 2 diabetes

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For those suffering from this condition, vaping can indeed make tonsillitis worse