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Diagnosis is often delayed, because the symptoms are burdensome but not debilitating, and most cases occur in immigrants and other groups that have limited access to high-quality medical care

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Esophageal Damage: Prolonged use of tobacco leads to chronic inflammation that eventually weakens lining tissues, thereby exposing them quickly to irritation, especially if they come into contact with harmful chemicals found in smoke like carbon monoxide butane, formaldehyde, etcetera, hence increasing chances for developing GERD among other related diseases

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