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Gopal Grandhige, MD, FACS, Board-Certified Surgeon Last Reviewed: April 5, 2026 Smoking significantly worsens acid reflux and GERD by weakening the lower esophageal sphincter (LES), increasing stomach acid production, and impairing the esophaguss ability to clear acid

Some people will become severely addicted after just a few uses, while others will be more resistant

Youre choosing to prioritize your health and well-being - even though you know its going to be an uncomfortable process

Women who smoke are more likely to experience complications such as ectopic pregnancies

It also comes highly recommended by many frontrunners, including world-class athletes, journalists, and authors