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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

It turns out that cold turkey is a dish many a smoker cannot stomach, but the good news is theres help at hand because now you can have your nicotine cake and eat it as long as you know what youre doing

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I may be willing to concede that it is less harmful than cigarettes, but that doesnt mean it is harmless