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52 Discussion Excessive alcohol intake can affect the entire digestive system, leading to a wide range of inflammatory and non-inflammatory (direct toxic) changes, which result in various clinical phenotypes

In the mid-1960s, the culture of smoking was so accepted that even the Surgeon General's Advisory Committee had ashtrays on the table, when they met to discuss the evidence that would eventually conclude that cigarette smoking is a cause of cancer and other life-threatening diseases (Figure 14.1)

Together, the legislative package brings Michigan in line with the federal Tobacco 21 legislation, raising the state age for tobacco sales from 18 to 21

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