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ZYN's long-term effects remain unknown due to its recent introduction

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Jonathan Klein, a physician at Stanford University in California and a researcher in tobacco control, said the study adds important evidence to the understanding of the effects of tobacco and nicotine on abdominal fat

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The harmful chemicals present in cigarettes weaken the protective lining of the stomach, enabling stomach acid to erode the delicate tissues

The review included eleven published studies in the USA, India, Pakistan, Bangladesh and Sweden 17-27 , all were randomized controlled trials, except one study which was a prospective nonrandomized trial 27