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This will be a light-to-no flavoured leaf - often a rejected wrapper leaf, or volado leaf

overcrowding may cause the air inside to become stagnant and affect moisture balance

Nicotine Tob Res 2018

In one study, adjusted odds ratios for MASLD demonstrated a clear gradient: lowest in never smokers, higher in exclusive cigarette smokers, and highest among dual users, suggesting an additive or even synergistic effect of combined exposure [140]

Drop expected among young smokers Eric Lindblom, research director for the Campaign for Tobacco-Free Kids, says he expects a drop of at least 6 percent to 7 percent among young smokers