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Dimensions: 3234 x 2259 px | 27.4 x 19.1 cm | 10.8 x 7.5 inches | 300dpi Date taken: 23 October 2008 Photographer: Paul Sakuma More information: This image could have imperfections as its either historical or reportage

Defined by their lack of tobacco leaf, these products typically consist of a small, pre portioned pouch containing nicotine (often synthetic or highly purified tobacco derived), fillers (like plant fibers), sweeteners, and various flavorings (, , )

[13] [14] The risk of dying from lung cancer before age 85 is 22.1% for a male smoker and 11.9% for a female current smoker, in the absence of competing causes of death

Nicotine addiction makes it much harder for people to quit smoking

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