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Participants aged 1825 years had significantly higher odds of increased smoking behavior compared with no change (aOR 11.78, 95% CI 1.37101.20

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Labelling: Clearly label the opened container with the date of opening and any other relevant information, such as the expiration date or the intended use of the water

This is fundamentally different from taking a drug that activates GLP-1 receptors directly, but it represents a biologically plausible pathway for potential benefit

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