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In fact, the harm from smoking comes from the burning of the ingredients in a cigarette, not from the nicotine itself, said Jamie Hartmann-Boyce, a health policy researcher at the University of Massachusetts Amherst

However, the incidence of HPV-related oropharyngeal cancer has been increasing, mostly among men, while the incidence of cervical cancer has been declining and oropharyngeal squamous cell carcinoma was recently reported to have become the most common HPV-associated cancer in the United States (121)

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The throat may struggle to recover fully between exposures, which leads to ongoing discomfort, especially in individuals who smoke regularly