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The most evident risk factors of BC include obesity, using combined estrogen and progestin hormones after menopause, alcohol consumption, early menarche, late menopause, family history of BC, and genetic predisposition especially BRCA1 and BRCA2 mutations (Friedman et al

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Males experienced a more prolonged decline, while females saw fluctuations, particularly with notable changes after 2015 (Table 3 and Fig

Of the total, 94 didn't smoke, 45 used e-cigarettes, 52 used both e-cigarettes and traditional cigarettes, while 285 smoked tobacco