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Results in Real Numbers Sphincter pressure reduction : 40% decrease in lower esophageal sphincter pressure in smokers Increased relaxation frequency : 3-fold increase in transient lower esophageal sphincter relaxations Impaired acid clearance : 50% longer esophageal acid clearance times in smokers Reduced saliva production : 30% decrease in saliva flow rate and bicarbonate content Increased reflux episodes : 2-3 times more reflux episodes per hour in smokers Symptom severity : 60% higher symptom scores in smoking GERD patients Safety, Limits, and Caveats The study examined acute and chronic effects of smoking but didnt extensively assess the reversibility of these mechanisms after smoking cessation

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However, this phase is temporary

Morbidity and Mortality Weekly Report 65(42):1177

Because since 2000, over 700 passengers have been prosecuted for smoking on planes, and their place of choice is almost always the lavatorywhich happens to be the space with the most paper products