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The letter is something of last-ditch effort, a desperate ask

These ingredients carry chemicals that can irritate the lungs and facilitate disease, especially if they arent purchased from licensed smoke shops

This act transcends mere smoking

DOI: [10] Marketing Little Cigars and Cigarillos: Advertising, Price, and Associations With Neighborhood Demographics, Cantrell et al, American Journal of Public Health, published October 2013

There are a few reports on the concentrations of salivary cytokines in the context of smoking and the immune response of healthy participants

Reducing exposure to polluted air by avoiding outdoor activities during high pollution days or relocating to areas with lower pollution can help mitigate this risk