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The selection of studies, data extraction and validation were performed independently by three reviewers

For example, Dar al-Ifta (Egypt) states: Smoking invalidates fasting as it involves inhaling a substance with a perceptible body that reaches the stomach. SeekersGuidance Similarly, IslamQA (in an answer addressing vaping during Ramadan) writes: Vaping invalidates the fast because it consists of inhaling a substance that has a perceptible body that reaches the stomach. Youll notice both statements use the same legal logic: a perceptible substance reaching inward (often described as reaching the stomach)

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Despite decades of public health efforts, tobacco use remains a persistent public health issue, especially for individuals experiencing depression and anxiety

Hopper, Hedda (September 1954)