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High levels of these hormones may contribute to a decrease in bone mass and alter bone metabolism

Environmental triggers play their part too

Ecological causes of tobacco addiction include: Social Norms and Peer Influence: Growing up in environments where tobacco use is normalized or socially accepted can increase the likelihood of tobacco experimentation and subsequent addiction

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In a study published in the open access journal BMC Public Health , researchers from the University of North Carolina at Chapel Hill suggest that the Food and Drug Administration (FDA) expand its messaging activities so that information about these constituents reaches all segments of the US population, especially those most vulnerable to tobacco product use and its associated health risks