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The proportion who disliked their pack of cigarettes rose from 48% to 53% after the change

Although smoking rates have declined, the study warns that cigarettes today may be smoked more intensively to compensate for reduced consumption, potentially increasing the harm caused

The retrospective design, reliance on self-reported data, lack of information on dietary factors, unmeasured heavy metal exposure, and unaccounted variability in E-cigarette devices all limit causal conclusions and generalizability

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