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88 Nicotine itself increases the likelihood of another painful condition, gastrointestinal reflux disease (GERD), because it relaxes the sphincter muscle at the lower end of the esophagus

Malawi Tobacco Has Record Earnings Despite Falling Prices Malawis tobacco sector generated a record $540 million in 2025, driven by a sharp 66% increase in export volumes to 221,000 tons, according to Telephorus Chigwenembe, spokesperson for the Tobacco Commission

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According to the Global Adult Tobacco Survey (GATS) 2016-17, 21.4% of Indian adults use smokeless tobacco, compared to 10.38% who use smoking tobacco