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Apparently it's not a coincidence

I used to smoke the Rodong Sinmun tobacco, and after defection, couldn't smoke with Chinese paper tobacco due to the poor taste." [22] Because the Rodong Sinmun is in limited circulation, most North Koreans roll their cigarettes with some other paper

The official publication of the Scientific Research Society, American Scientist , reported that alcohol is one of the most toxic drugs and using just 10 times what one would use to get the desired effect could lead to death

And really, there's nothing to be surprised about

Surgery may be followed by radiation to ensure that no part of a tumour has been left behind

Its a trade-off