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The CoE was able to mentor and support nurse champions who are becoming tobacco control leaders in their countries

Issues in Mental Health Nursing, 45 (5)

Gopal Grandhige, MD, FACS, Board-Certified Surgeon Last Reviewed: April 5, 2026 Smoking significantly worsens acid reflux and GERD by weakening the lower esophageal sphincter (LES), increasing stomach acid production, and impairing the esophaguss ability to clear acid

Perhaps the next step will be a proposed rule from FDA that will bring greater clarity about the effective date of the age change.

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