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Participants reporting 2 to 5 cigarettes per day had elevated hazards across outcomes, ranging from 1.26 for atrial fibrillation to 1.57 for heart failure, and showed higher cardiovascular disease mortality (hazard ratio 1.57) and all-cause mortality (hazard ratio 1.60) versus never-smokers

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Alternatively, pack the tobacco slightly more densely at the open end when distributing in Step 4