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Accessed March, 2023

New York: Rodale Books

The FDA must establish minimum package sizes, and prohibit the sale of non-premium cigars in singles or two-packs or little cigars in packages containing fewer than 20 little cigars

Some users mix tobacco with marijuana in joints or blunts, exposing themselves to nicotine and potentially creating dual nicotine-cannabis dependence that complicates addiction patterns

The harmful chemicals in cigarette smoke can damage the DNA in skin cells, impairing their ability to function properly and increasing the likelihood of mutations that can lead to cancerous growths

Mechanisms Nicotine is a well-established respiratory irritant 58 , but other chemicals in e-cigarettes (e.g., diacetyl 59 , propylene glycol, carbon monoxide, and formaldehyde 60 ) also have detrimental effects for lung function including respiratory volume 61