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"Constant exposure to heat from smoking can lead to darkening and pigmentation of the lips, which also can become dry and coarse," California-based dermatologist Dr

The harmful chemicals in cigarettes can lead to various health issues, such as respiratory problems, cardiovascular diseases, and an increased risk of developing certain types of cancers

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The CH4 produced in the process could also be obtained and turned into electricity

Another method aimed to address limitations in conventional experimental designs and seeking to understand better the ways in which programs achieve their effects in a particular context is the realist approach (Tones & Tilford 2001, p.176)