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This is due to extremely high PM levels in a local area, sometimes caused by severe pollution events or natural disasters such as forest fires

Sean Marsee, was a star athlete, who started using at age 12

Smokers cough can be caused by exposure to dust or, rarely, by an inherited protein deficiency, but is commonly caused by tobacco use

Nicotine Replacement Therapy (NRT): NRT offers a safer way to address nicotine withdrawal symptoms while avoiding the harmful toxins in tobacco smoke