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Thus, while pipe smoking is often considered less harmful to the respiratory system, it should never be classified as "healthy." Oral Cavity & Throat Cancer Risk Cigarettes: Smoking more than one pack (20 cigarettes) per day increases the risk of oral/oropharyngeal cancer by at least fivefold compared to non-smokers, and in some cases, up to tenfold

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Still, some early research suggested that most of the nicotine from vapour is absorbed in the upper throat (Farsalinos, 2014), although this is not likely to be the case with nicotine salts (OConnell et al, 2019)

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Recommendations from the behavioral risk factor surveillance team