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"At some point it went from being a way to describe tobacco specifically from England, or tobaccos that followed the English purity laws, to describing virtually any blend that had Latakia in it." In a similar association of concepts, Balkan blends have changed in meaning, defying universally accepted definitions

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3.2.3 Influence on cardiovascular biomarkers Acute effects on biomarkers across five studies involving healthy populations with a history of smoking, including a randomized crossover study between tobacco smokers and non-smokers, demonstrated that active e-cigarette use in smokers and passive use in healthy individuals did not affect blood count markers