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Consistent with the notion that structural alterations in these regions are a product of prolonged nicotine/tobacco exposure, group differences between smokers and nonsmokers within, for example, the insula were not detected among an adolescent/young adult participant sample with relatively lower exposure levels (0.9 0.7 pack-years on average) [85] but were observed among similarly aged individuals with relatively higher exposure levels (4.0 1.8 pack-years) [86]

India is also one of the leading tobacco exporting countries, with exports of leaf tobacco and tobacco products contributing around Rs 6,000 crore annually in terms of foreign exchange to the government

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