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But our study shows that nicotine is pretty high in this class of cigars, and future regulation that affects cigarettes should also affect these cigars. John Richie, professor of public health sciences and pharmacology in the Penn State College of Medicine, added that studying the different levels of nicotine in products is crucial because its the chemical that drives addiction

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Shoaib M, Gommans J, Morley A, Stolerman IP, Grailhe R, Changeux JP (2002)

Many of these cancers about 40,000 a year are driven by tobacco and alcohol use, most notably oral cavity and larynx cancer