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is more likely due to possible acid reflux." According to Moffitt, other factors for stomach cancer include: Decreased acid secretion from a prior stomach surgery such as gastric bypass Exposure to certain compounds like nitroso, which are found in cured meat Infection with the Epstein-Barr virus, in rare cases Smoking Drinking alcohol As with all other types of cancers, genetics and family history also play a role in risk factors

It is also the most common risk factor for periodontal disease

Presumably Ian Fleming carried a similar cigarette case in his hip pocket and it is this that he is describing in the books

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