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Tobacco use is the leading cause of preventable disease and death in the United States, resulting in approximately 480,000 premature deaths and more than $300 billion in direct health care expenditures and productivity losses each year ( 1 )

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A large US population-based study (19972003) revealed that the prevalence of ulcer disease in current and former smokers (11.43 and 11.52%) is almost doubled that of never smokers (6.00%) (12)

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