z tobacco and vape zs A A-Z Smoke Shop | Appleton
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doi: 10.1007/s00213-009-1643-z
For a similar but tamer expression, try sans blague (no joke)

It can impact treatment For people taking the disease modifying drug Tysabri (natalizumab), there is evidence that smoking increases the risk of the body developing neutralising antibodies to the therapy, causing the drug to have little or no therapeutic effect

Garland's 75% share of the profits generated by her engagement earned her more than US$200,000 (equivalent to $1,430,000 in 2024)

Mouth Cancer Surgery Cost: How Much Should You Expect to Pay
Barclay, J