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Comparative study of lipid profile in smokers, tobacco chewers nad diabetic patients

43 This group were also significantly less likely to report tobacco brand awareness, over-estimate peer smoking, or be current smokers

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"This possible connection suggests that with adolescents we should focus not only on preventing the uptake of smoking but on shortening smoking careers as soon as possible." Kandel, D.B., and Chen, K

Later recommendations advised perforated handkerchiefs rather than paper, perhaps to alleviate the lip burns that must have accompanied paper insulation