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Frontiers Which Factors, Smoking, Drinking Alcohol, Betel Quid Chewing, or Underlying Diseases, Are More Likely to Influence the Severity of COVID 19? Consumer Smokeless tobacco products like zarda, khaini & other tobacco products & paan masala increase a very strong urge to spit and it can contribute to the spread of COVID 19. We Bryan Ardis claims that nicotine may have played a major role during the COVID 19 pandemic. He argues that smokers reportedly had lower death rates from COVID and believes nicotine itself was the Assessment of COVID 19 Symptoms Distribution According to Tobacco Prod IJGM Dove Medical Press

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