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As tobacco ages, natural processes like fermentation and oxidation continueeven after harvesting and packaging

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Regular cigar smoking is linked to a higher risk of cancers in the lung, esophagus, larynx (voice box), and oral cavity (lip, tongue, mouth, throat)

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This cancer often remains asymptomatic until it has reached an advanced stage, which makes it especially lethal The Permanent Damage Smoking Does to Your Lungs 1