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This is because the acid flows out of the stomach and into the oesophagus

Under an exclusive licensing agreement with PMI, Philip Morris USA (PM USA), which is a subsidiary of Richmond, Va.-based Altria, commercialized IQOS nationally, along with three varieties of the insertable tobacco sticks called HeatSticks that the device requires

Outside South Africa, school-based studies consistently link SHS exposure among teenagers with respiratory morbidity, supporting biological plausibility for symptom risk in this group [15]