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However, a recent Swedish study compared the MAO activity of three groups of tobacco use among alcohol dependent subjects: non-tobacco users (n = 46), snuff users (n = 14), and cigarette users (n = 33) [24]

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Some observational studies suggest that patients with NAFLD who continue using tobacco products may have higher rates of advanced fibrosis compared to non-users with similar metabolic profiles, though the strength of evidence specific to smokeless tobacco remains uncertain

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