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Smoking Pack Years is a term that is used by doctors and medical professionals to determine your exposure to smoking cigarettes over your lifetime as is based on smoking 20 packs a day

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Tob Control 4:6266 Du X, Squier CA, Kremer MJ, Wertz PW (2000) Penetration of N-nitrosonornicotine (NNN) across oral mucosa in the presence of ethanol and nicotine

Even small gestures like making a phone call or doing an activity together can make a difference