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Importantly, this meta-analysis included historical data where biologics were either not yet established or emerging, so it is impossible to deduce the impact of contemporary medical therapies on the risk of surgical resection in this context

The National Fatwa Council has made it very clear that smoking cigarettes is haram and the same applies to vaping as well

Moreover, you will also have a reduced risk of stroke, heart disease, and other chronic illnesses

doi: 10.1099/mic.0.081034-0 63 FettweisJ

Moreover, the possible consequences of a ban on just this one tobacco product are concerning

It looks like a plastic cigarette holder