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Despite early reports suggesting that smoking tobacco might have beneficial effects on cognition 7,8 and a reduced risk of dementia 9 , more recent evidence clearly suggests that active smoking has neurotoxic effects on the brain 10,11,12 and is associated with a doubling of dementia risk for older adults 13

Bidis are as harmful as cigarettes and command a market share of 85% of smoked tobacco products in India, making them the most popular form of smoking tobacco in the country (Nandi et al

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