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A colleague once suggested that he give more ecumenically, but Duke demurred

16 17 We must recognise that smokers are not a homogenous population and reflect more carefully on the varied stimuli required to cue and reinforce behaviour

However, the NHS notes that people should visit a doctor if the smell does not go away, or if they also have any of the following symptoms: cloudy urine bloody urine pain or difficulty urinating pain in the back, pelvis, or abdomen confusion or agitation fever chills fatigue These signs indicate an infection or another internal issue that needs prompt medical treatment to prevent complications

In addition, cigarette smoking also increases the risk of development of a pre-cancerous condition called oral leukoplakia

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