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Put the replacement where the cigarette used to be

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We explored the possibility that some heavy smokers reduced to light smoking during the course of the study, which in turn might substantially reduce the relative risks in the high consumption categories, moving them closer to that for light smokers, when using baseline consumption to produce relative risks

A 2014 study found that cigar smoking was responsible for approximately 9,000 premature deaths among adults aged 35 and older in the U.S