While the exact cause is not known, it has been linked to factors like the Human Papillomavirus (HPV), smoking, poor mouth cleanliness, presence of lichenoid lesions (small white patches or bumps on the skin), or chewing tobacco
doi:10.1136/tobaccocontrol-2014-051580
Conclusion Tobacco smoke and e-cigarette vapour have detrimental impacts on neurocognition and neurodevelopment, resulting in memory and other cognitive function decline mediated by oxidative stress and inflammatory responses in the brain
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Distributing a coachs resource packet that provides information about substance use and abuse