There was a chemical in the blood and urine of those who smoked cigars, called cotinine, which is a chemical that takes the place of nicotine in the blood of those who smoke cigars instead of cigarettes
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Sources Mayo Clinic Staff
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Key impacts include damage to the protective mucosal tissue and cilia that normally clear irritants from the nose, sinuses, throat, and ears, reducing the bodys ability to clear contaminants effectively. This repeated exposure also leads to inflammation, chronic swelling, excess mucus production, and tissue irritation