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"Cigar smoking is linked to fatal oral, oesophageal, pancreatic, laryngeal, and lung cancers, as well as heart disease and aortic aneurysm." Cigar use is on the rise in the US, where the study was carried out, while cigarette smoking declines

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These patterns matter because earlier exposure (especially before age 25) may make tissues more vulnerable to harm from nicotine and toxic chemicals