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HHT causes fragile telangiectatic vessels within the nasal mucosa that rupture easily, leading to spontaneous and recurrent epistaxis, which is often the earliest and most common manifestation of the disease
Large doses and long term usage can result in higher tolerance levels and dependence
Its astonishing that over half a century later we are only just finishing the job. Broughton added that this delay was mainly a consequence of all the resistance encountered from Big Tobacco
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