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Since 2010 ethanol (the major ingredient of alcoholic beverages) and acetaldehyde (the principal metabolite of ethanol) have been classified as Class I carcinogens in humans (similar to asbestos and tobacco smoke)

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Canvas Sizes: XX Large (A1) 24 x 34 inches | Extra Large (A2) 16 x 24 inches | Large (A3) 12 x 16 inches | Medium (A4) 8 x 12 inches

Nationally, the rate was 15.5%.1 In 2019, 5.0% of high school students in Maryland smoked cigarettes on at least one day in the past 30 days

Its long, thick paper with perforated strips forms the W shape, preventing debris from entering the mouth while allowing for a smooth smoke till the end