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INTRODUCTION Over the past decade, the fire service demonstrated an exceptionally high prevalence of smokeless tobacco (SLT) use (1118%) 1-4

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Amongst the symptoms that can develop with chronic liver damage, patients can suffer from inexplicable weight loss, pruritus, coagulation disorders that cause the patient to bleed and bruise easily, chronic fatigue, jaundice, ascites (abdominal fluid buildup), swollen legs, spider angiomas (spider-like blood vessels on the skin), hepatic encephalopathy (slurred speech, confusion), vomiting blood (hematemesis or melena caused by variceal bleeding), gynecomastia

Some scholars believe that vaping is permissible because it does not contain alcohol, while others believe that it is forbidden because it contains nicotine