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It may be due to: A weakness in your immune system (for example, from the cold or flu) Hormone changes Stress Lack of certain vitamins and minerals in the diet, including vitamin B12 or folate Less commonly, mouth sores can be a sign of an illness, tumor, or reaction to a medicine

[97] found as expected, that compared to controls, tobacco smokers had significantly altered intestinal bacterial profiles, yet e-cigarette users had similar oral and intestinal microbiota as controls

Its not about scaring you into quittingits about laying out a realistic, informed approach that works, especially for those of us here in Canada who may be balancing rural routines, work stress, or social habits tied to chewing tobacco

(Laughs)

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