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It is often labeled in vague terms such as natural flavoring or processing aid. Most cigarette labels do not disclose sugar content Some brands may contain up to 20% sugar by weight, which is a startling amount when you consider how often smokers inhale The National Cancer Institutes Tobacco Control Research Branch has raised concerns about the strategic use of sugar additives to intensify addiction, especially among new and younger users

ECHA Risk Assessment Committee Opinion

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(2005) "Did Allen Weinstein Get the Hiss Story Wrong?" History News Network "Venona and Alger Hiss" (PDF)

The current trend is indeed towards increasing nicotine concentrations, particularly in pre-filled electronic cigarettes such as Juul, which suggests a long-term amplification of this neurological damage