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After reviewing a complaint, our investigation may include: Performing an inspection of a tobacco product manufacturer, distributor, or importer

Slomian J, Honvo G, Emonts P, Reginster JY, Bruyre O

Mechanisms of Carcinogenesis Mutational Signatures Research into the mutational signatures associated with tobacco smoking reveals complex patterns of DNA damage

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No concrete evidence of exactly what they smoked exists, but the most probable theory is that the tobacco was much stronger, consumed in extreme amounts, or was mixed with other, unknown psychoactive drugs