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Discussion Since the COVID-19 pandemic, the prevalence of substance use, including tobacco products, marijuana, opioids, and alcohol, has been increasing, especially among men of reproductive age 28,29

Additionally, smoking can obstruct the normal functioning of the lymphatic system, leading to fluid buildup and exacerbating the appearance of under-eye bags due to inadequate lymphatic drainage

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Canada government tobacco act: Tobacco reporting regulations, SOR/2000-273, Part 3: Emissions from designated tobacco products

"Agreement to Ban Smoking on International Passenger Flights ATS 5 of 1995 Archived 16 April 2017 at the Wayback Machine "Tobacco and Vapes Bill - Parliamentary Bills - UK Parliament"