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Intensive efforts by all stakeholders are needed if we are to increase the number of people who consume a balanced diet, such as that recommended by the U.S

Smoking-driven restructuring of gastrointestinal microbial communities Beyond the respiratory tract, cigarette smoke exerts profound systemic effects that extend to the gastrointestinal ecosystemthe largest and most metabolically active microbial reservoir in the human body

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But even that, analyzed as intention to treat, would leave us guessing about how to correct for the effects of residual confounding from smoking