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Further information This work was supported by Bloomberg Philanthropies through its funding for STOP, a global tobacco industry watchdog (www.bloomberg.org, www.exposetobacco.org), and by the UK Prevention Research Partnership (MR/S037519/1), which is funded by the British Heart Foundation, Cancer Research UK, Chief Scientist Office of the Scottish Government Health and Social Care Directorates, Engineering and Physical Sciences Research Council, Economic and Social Research Council, Health and Social Care Research and Development Division (Welsh Government), Medical Research Council, National Institute for Health Research, Natural Environment Research Council, Public Health Agency (Northern Ireland), The Health Foundation and Wellcome

Interestingly, smoking has been shown to disrupt gut microbiota composition in both human and animal studies 4

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International Joint Commission Great Lakes Science Advisory Board (2024)