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Smoking is associated with many comorbidities multiple medical conditions that appear simultaneously including emphysema and compromised immune function, which likely exacerbate COVID-19 infections, they wrote

Sources: How people think about the chemicals in cigarette smoke: A systematic review | NCBI Current Cigarette Smoking Among Adults in the United States | cdc.gov US Adult Population Grew Faster Than Nations Total Population From 2010 to 2020 | census.gov

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Other symptoms could include: Mouth ulcers may occur for a number of reasons, including: Certain health conditions, including many autoimmune diseases, can also cause mouth ulcers