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Understanding the characteristics of adults who smoke bidis and their knowledge of the dangers of smoking could help interventions that can facilitate lifestyle change through a combination of efforts to enhance awareness, change behavior, and create environments that support good health practices 18 .

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Overall, these findings underscore the significant impact of mitochondrial function and dysfunction on cytokine production and inflammation in chronic lung diseases, paving the way for novel therapeutic approaches targeting mitochondrial pathways (Kamp et al., 2011