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Jesse Nodora, assistant professor at the medical school at the University of California, San Diego, said that until now much of the outreach to Spanish-speakers is based on simple translation instead of culturally appropriate messages

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Tobacco use weakens the lower esophageal sphincter, increases stomach acid production, and impairs the esophaguss natural ability to clear acid, creating a perfect storm for persistent and worsening reflux symptoms

I take each day as it comes and I tell myself to not smoke for that one day, explains Khanna, adding that he would often feel the urge to smoke during stressful situations. Ask him what encouraged him to quit and Khanna says, I am 25 years old and I have smoked enough cigarettes in my lifetime