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2 Bethesda, MA: National Cancer Institute, Department of Health and Human Services

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And because menthol interacts with nicotine to intensify tobaccos addictive properties, it becomes harder for menthol smokers to quit, raising their risk of tobacco-related diseases

The data implied that while smoke exposure induced microbiota disruption and emphysema, structural lung damage alone did not maintain the altered microbiota, indicating that microbial shifts might not directly contribute to emphysema progression [86]