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Additionally, moderate to severe pain at Wave 4 was associated with a risk of exclusive use of cigarettes (45 percent) or e-cigarettes (4.78 percent) and a greater risk of dual use of cigarettes and e-cigarettes (4.94 percent)

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Alongside smoking cessation, NICE recommends: Achieving and maintaining a healthy weight (510% weight loss can significantly reduce liver fat) Regular physical activity (150 minutes of moderate-intensity exercise weekly) Mediterranean-style diet rich in vegetables, fruits, whole grains, and healthy fats Limiting alcohol consumption within recommended guidelines (14 units weekly maximum for the general population