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Neither did the GAO, which concluded: The shift can be mostly attributed to consumers switching from using roll-your-own tobacco to pipe tobacco in roll-your-own cigarettes, rather than to a sudden increase in pipe smoking. In fact, the GAO noted, manufacturers of roll-your-own tobacco products have simply re-branded their products as pipe tobacco by changing the packaging and labeling, while making minimal, if any, changes in the product

Parkinsons disease: mechanisms and models