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Constitutional challenges could arise if the rule infringes on due process, the First Amendment or the Commerce Clause

Because both mechanisms operate simultaneously and continuously in active smokers, cigarette stains on enamel are considerably more complex and more difficult to treat than the staining caused by dietary sources such as coffee or red wine, which primarily affect only the enamel surface

For example, dietary habits, stress levels, or genetic predispositions could have affected the outcomes

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There is no safe level of smoking for the cardiovascular system and the risk is not linear