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Nicotine, carbon monoxide, and hundreds of toxic compounds pass through standard cellulose acetate filters relatively freely

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According to a 2021 study in the Journal of Health Economics, heavy smoking in young adulthood resulted in a wage penalty, by age 30, of 15.9% for women and 15.2% men

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Whilst they are considered to be less harmful than ordinary cigarettes, and a good first step towards quitting, they are not considered harmless