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the amount of air dilution for an air diluted cigarette may be greater than about 10 percent, generally may be greater than about 20 percent, and sometimes is greater than about 40 percent

doi: 10.1038/ajg.2013.73 22

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Pain is also a central symptom of numerous health conditions (e.g., migraine, fibromyalgia, cancer, endometriosis), and greater pain is related to greater odds of cigarette smoking and heavier tobacco use among populations in which pain is a central symptom

And as those health problems have been brought to light, more and more people are avoiding smoke altogether