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In a country like Japan, use of heat not burn products is relatively high, says Stephens

Engaging in unprotected sexual activities can increase the risk of contracting sexually transmitted infections (STIs), which can exacerbate skin problems

For several reasons, cigarettes became the preferred tobacco product of Americans over the 20th century

Previous generations were unaware of the consequences

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Overall, the evidence synthesized in this review indicates that dual use represents a critical challenge for tobacco control, as it appears to sustain nicotine dependence and expose users to compounded toxic effects