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Long term consequences of prenatal exposure to gutkha were demonstrated in mice, where the adult male offspring exposed to a high fat diet developed histological evidence of non-alcoholic fatty liver disease in addition to significant alterations in hepatic fibrosis-related cytokines (interleukin (IL)-1b and IL-6) and in hepatic collagen mRNA expression levels compared to control (non-exposed) group (Doherty Lyons et al., 2020)

Am J Respir Crit Care Med

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Here's the full comparison: The upshot: a smoker buying cigarettes in DC is paying roughly $3.90 more per pack in taxes alone compared to buying the same cigarettes in Arlington, Virginia