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Large Multi-Study Review Reveals Long-Term Damage Blaha's group examined information from more than 300,000 adults who participated in 22 longitudinal studies (which follow individuals over extended periods) for as long as 19.9 years

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Results This study could show that CMSS-associated PM released from tobacco brands without additives, which are therefore promoted as natural and less harmful, are higher than expected Conclusions It is highly improbable that Natural American Spirit tobacco products are a less harmful choiceat least not for passive smokers as this study could show

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