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Alcohol consumption, particularly in combination with smoking, synergistically elevates the risk, as ethanol acts as a solvent for tobacco carcinogens, enhancing their absorption in the laryngeal mucosa 21

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Service users received two additional sessions (5th and 6th session) with the stop smoking practitioner, which focussed on reducing daily cigarette consumption by half, with the aim of setting a new quit date, and stopping smoking altogether within a 6 months period

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