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Someone may have begun smoking in their teens, then quit for several years in their 30s, so if what were trying to get from pack-years is a measure of exposure, we have to calculate that in

Benowitz NL, Goniewicz ML, Halpern-Felsher B, Krishnan-Sarin S, Ling PM, OConnor RJ, Pentz MA, Robertson RM, Bhatnagar A

L and M Turkish Night 100's Pack L and M Turkish Night 100's cigarettes offer a distinct blend of Turkish tobacco in a long-lasting 100's pack

All of it is absurd

Previous studies have demonstrated associations of use of individual products such as e-cigarettes, smokeless tobacco, and hookahs with future cigarette smoking