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Abstract Objective: Adolescent smoking is a critical form of psychoactive substance misuse, particularly in low- and middle-income countries like Egypt, where youth tobacco use remains a public health concern

Other adverse health effects of SLT products are dental caries, gingival recession, tooth attrition, oral submucous fibrosis (areca nuttobacco products), cardiovascular disease, diabetes, hypertension, reproductive health problems and overall increased mortality

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