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When the smoke is exhaled, or diffused into the room by the burning end of the cigarette, cigar, or pipe it is called "second-hand" smoke, and individuals who breathe this smoke are subject to respiratory problems and increased risk of cancer, stroke, premature aging, and heart disease much like the smokers themselves

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For context, VLNC cigarettes have around 0.5 mg of nicotine per rod, a level at which people would not experience the psychoactive and reward-generating effects of nicotine

Smoking can cause difficulties and have a major negative influence on the healing process