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Concentrations of the carcinogen 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone in sidestream cigarette smoke increase after release into indoor air: results from unpublished tobacco industry research

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Additional studies, particularly prospective cohort studies, are needed to verify the causality, determine the generalizability to other countries, and elucidate the underlying mechanism.

He loves it because it he doesnt have to worry about stuff in his teeth or the bad aftertaste of tobacco

The chamber inside the gourd acts as a cooling place for the smoke

Oczypok EA, Milutinovic PS, Alcorn JF, et al