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Another of Grushkas patients, Maria S., a retail worker in Toronto, said in an email that the most difficult aspect of burning mouth syndrome has been the pain and thinking that it may be something else or that it will stay forever. She first noticed burning in the tip of her tongue four years ago, which improved but, she says, unfortunately it seems to keep coming back. For Greg, the burning pain has lessened since he began taking medication in the fall

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nationally representative survey of 278,048 adults, people were asked about smoking and their experience with six socioeconomic or health-related disadvantages unemployment, poverty, low education, disability, serious psychological distress and heavy drinking

Well, to begin with, the very act of smoking plays a significant role