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Although convenience sampling may introduce bias, participants were recruited through both online and in-person channels in academic institutions and community settings, which allowed the inclusion of individuals from different age groups, educational levels, occupations, and residential areas, thereby enhancing sample diversity despite the absence of formal stratification or quotas

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Although our study did not measure COHb levels, focusing on smokeless tobacco users, it is essential to consider the broader implications of tobacco use

another leaf is called volado, which is in charge of the combustion inside the cigar