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Tobacco use weakens the lower esophageal sphincter, increases stomach acid production, and impairs the esophaguss natural ability to clear acid, creating a perfect storm for persistent and worsening reflux symptoms

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Relapse into smoking can occur at any stage, at which point efforts should be renewed at the level appropriate to the patient

Learn more - including how the real thing is made - in Tzictli Part 2

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Additionally, consider cleaning the air ducts