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N Engl J Med 372:631640 Choi S, Chang J, Kim K, Park SM, Lee K (2017) Effect of smoking cessation and reduction on the risk of cancer in Korean men: a population based study

The real harm from cigarettes comes from combustion burning tobacco produces tar, carbon monoxide, and over 7,000 toxic chemicals, many of which are carcinogenic

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And, the American-grown tobacco allows for a super smooth smoke thats never overpowering or unpleasant in terms of overwhelmingly complex flavor