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It is thought to inhibit protein synthesis by binding to the 70S ribosomal unit, thereby causing abnormal proteins essential for bacterial survival to be produced, ultimately leading to bacterial cell death (Knox et al., 2024

Organizations like CAMH offer a wide array of resources, including guides, publications, online tutorials, and crisis resources

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Further, it is important to note that the prevalence in high-income countries may be underestimated, as surveys in the region often only inquire about cigarette use and not other forms of tobacco