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According to the American Cancer Society, pipe smoking is associated with a striking increase in laryngeal cancer mortality, with a relative risk (RR) of approximately 13.1

First, there is nicotine (which the Royal College of Physicians in London referred to as a very safe drug), then propylene glycol (which is used in asthma inhalers and theatrical smoke machines), water and some FDA-approved food flavorings

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Cessation 2024;10(September):41 RELATED ARTICLE This article has been corrected: Erratum: Self-reported smoking status and exhaled carbon monoxide in secondary preventive follow-up after coronary heart events: Do our patients tell the truth

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