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Description
The oral and perioral pigmentation persists throughout life and does not require treatment however laser therapy can be performed if the patient elects cosmetic intervention [11]

The author uses sugar as a metaphor for an alien culture since this product was brought to Cuba and adapted to regional characteristics by Europeans

Youth are not protected when most of the market is illicit
Council vice-chair, Jay Trickett, spent several minutes critiquing the ban, citing studies that show bans on flavored tobacco products result in increased levels of cigarette use and saying that the council had public health policy backwards with the ordinance

The large open chamber builds up smoke fast, and releasing the carb hole quickly clears the pipe in one breath
