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It just hurts that because of my smoking, hes not willing to make a commitment to me

The lack of saliva is one of the main causes of this problem , but the smell of tobacco itself also accentuates it

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Instead, there is a clear need to aggressively optimize medical therapy which represents one potentially modifiable variable to offset the multiplicity of negative cofactors associated with active smoking status that likely have a detrimental role in the course and severity of IBD, yet are not so easily modifiable, including socioeconomic and educational status, dietary behaviors and medication (non)adherence