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Tobacco use contributes to the three leading causes of death among African Americans: heart disease, cancer and stroke

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The same applies when flying into the US from another country

The throat hit from a menthol cigarette comes from inhaled vapor or smoke making contact with the back of the throat, which pouches do not replicate because there is no inhalation involved

[45] Physiology Inhaling the vaporized gas form of substances into the lungs is a quick and very effective way of delivering drugs into the bloodstream (as the gas diffuses directly into the pulmonary vein, then into the heart and from there to the brain) and affects the user within less than a second of the first inhalation

When it comes to nicotine, it is highly addictive in nature and can have negative effects on health