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Key takeaway: Tobacco smoke causes far more proven lung damage overall because of higher exposure and strong evidence for COPD and lung cancer

Conclusion and recommendations The past 40 years have brought ever more assertive public health campaigns against cigarette smoking

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These findings align with a prior study that reported an earlier TTFC had a significant direct effect on increased 4-(methylnitrosamino)-1-(3pyridyl)-1-butanol (NNAL) levels, but the relation was also not mediated by CPD 12

So, heres the thing: quitting smoking isnt easy, but its possible

Grinspoon finishes with some sage advice on the best way to avoid greening out: Keep the doses low and know yourself