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reviewed data from National Health and Nutrition Examination Survey and found that smokers had higher periodontal, debris, calculus, and oral hygiene index scores than non-smokers.[17] Smokers have greater susceptibility to periodontitis, and paradoxically less to gingivitis

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For this reason, smoking while on Ozempic for blood sugar control is extremely counter-productive, as it essentially works directly against the benefits that the medication is attempting to provide

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