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The history of alcohol use was divided into occasional (average of 2 or fewer drinks/day) and heavy drinkers (average of more than 2 drinks/day) (16)

It is still possible either: (1) that the supposed effect is really the cause, or in this case that incipient cancer, or a pre-cancerous condition with chronic inflammation, is a factor in inducing the smoking of cigarettes, or (2) that cigarette smoking and lung cancer, though not mutually causative, are both influenced by a common cause, in this case the individual genotype