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Common causes of secondary hypertension include kidney disease, adrenal gland disorders, thyroid problems, sleep apnea, certain medications (e.g., birth control pills, decongestants, and nonsteroidal anti-inflammatory drugs), and substance abuse (e.g., alcohol or illicit drugs)

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[1] Effects of environmental tobacco smoke [edit] Multiple studies have also been conducted to determine the carcinogenicity of environmental tobacco to animals

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Although Hawaii county MS youth report higher rates of tobacco and ESD usage, Honolulu and Kauai counties report higher rates tobacco and ESD usage among knaka MS youth