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The WHO applies certain restrictions to limit the types of modifications to ICD to prevent changes in the concepts and meanings of three-digit categories and four-digit codes (Terron Cuadrado 2019)

This is how smoking affects the ear, and here is the scientific basis for it: Reduces Blood Flow to the Inner Ear Ingestion of nicotine and carbon monoxide into the body is a consequence of smoking

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Rate of nicotine metabolism and smoking cessation outcomes in a community-based sample of treatment-seeking smokers