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A 2025 study by the Center for Indonesias Strategic Development Initiatives (CISDI), conducted in six major cities, found that illegal cigarette circulation is more prevalent in regions with extensive tobacco plantations and a high concentration of cigarette factories

Teachers have taught our youth to plant, nurture and grow the traditional tobacco plant, Doud said

We as physicians also need to educate these patients and be careful about what we suggestwe need to be careful about what we publish in the literature to avoid suggesting therapies that arent proven effective, and we need to carefully read published articles to make sure they have proper studies to back up any claim of real benefit.

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