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This is not arbitrary but based on real, documented scientific evidence

Schirone L, Loffredo L, Carnevale R, Battaglia S, Marti R, Pizzolo S, Bartimoccia S, Nocella C, Cammisotto V, Saade W, Tanzilli A, Sciarretta S, Chimenti I, De Falco E, Cavarretta E, Picchio V, Peruzzi M, Marullo A, Miraldi F, Violi F, Morelli A, Biondi-Zoccai G, Frati G (2022) Sex-related differences in oxidative, platelet, and vascular function in chronic users of heat-not-burn vs conventional combustion cigarettes

I think that's hard to measure the outcome of education efforts, but I think more people are starting to understand how much of a problem this is and how it was created, Richardson said

The predilection for specific varieties of cigars among cowboys was steeped in tradition and history, mirroring the iconic imagery of the bygone Old West days