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The Islamic Republic is the largest market for tobacco products in the Middle East: the government has a monopoly on local tobacco, but there is a strong demand for international brands and, according to local agencies, about 20% of cigarette consumption is made up of smuggled brands[26]

By contrast, the link between smoking and many serious diseases like cancer, cardiovascular disease or chronic lung disease is unquestionable

whose prospective-observational cohort study of 308 patients showed no significant differences in pH values between smokers and non-smokers [36]