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The decision to include past tobacco users in this study, despite the potential for recall bias 21 , is justified by the need to understand the full spectrum of tobacco use behaviors and the complexities surrounding cessation experiences

there were no differences by harm perception

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And we need to be able to rely on information grounded in science and thorough data analysis

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That said, the sheer volume of nicotine in a large cigar means that even with lower absorption efficiency, substantial amounts still enter the bloodstream over the extended smoking period