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Furthermore, patients must not eat or drink for 15 minutes before or while using the lozenge so as not to decrease nicotine absorption across the lining of the mouth

Research published in the PMC (PubMed Central) database of the National Institutes of Health identifies cigarette smoking as a major risk factor for gastrointestinal disorders, including peptic ulcer, Crohn's disease, and several cancers

If youre a smoker, it could be down to nicotine, which triggers your adrenal glands and boosts your adrenaline
