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Tobacco use impairs insulin sensitivity and damages pancreatic cells responsible for insulin production

Themes were identified, defined and merged as necessary through discussion and agreement between JH and DG [21]

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Commercial tobacco is laden with chemicals and additives that not only make it highly addictive, but also extremely harmful to human health

Once the sub-themes and themes were generated, they were compared with the textual segments of the interview transcripts to ensure that the themes reflected the message conveyed by the participants during the interviews