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Several variables affect outcomes: Inhalation depth: Deep lung inhalation dramatically increases risks compared to keeping smoke in the mouth Cigar type: Large premium cigars differ from cigarillos or little filtered cigars in tobacco content and smoking duration Smoking duration: Years of daily use compound exposure effects Individual health factors: Pre-existing conditions, genetics, and overall lifestyle influence outcomes The National Academies of Sciences document on premium cigars notes that frequency and duration of use are major factors determining whether tobacco smoking causes disease

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This adjustment should align with the same frequency of inspections that the board followed when it implemented the inspection program, which is 26 percentor approximately one inspection every four yearsof these licensed locations

The Motion Picture of Americas consideration of smoking in the ratings of films is a step in the right direction