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Each strength is designated with a step number

An upper GI endoscopy assesses the mouth, esophagus (the tube that connects the mouth and stomach), stomach, and duodenum

Tobacco is responsible for more than 8 million deaths annually, with more than 7 million of the deaths being results of direct tobacco use, while around 1.2 million non-smokers die from exposure to second-hand smoke. Mulombo then noted that, A recently released report by WHO termed Hooking the Next Generation showed that an estimated 37 million children aged 13 to 15 years use tobacco, and in many countries, the rate of e-cigarette use among adolescents exceeds that of adults. The report also indicated that most adults who use tobacco started when they were children or young adults, with lifetime users most likely to become hooked before the age of 21 years

Very pessimistic, excessive in business caution