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Association of W1 tobacco product use with COPD prevalence at W1 Reference group: past 30-day exclusive cigarette use at W1 When compared to exclusive past 30-day cigarette use, never users (fully adjusted model RR = 0.33, CI [0.260.42]), former users (RR = 0.57, CI [0.47, 0.70]), and cigar users (RR = 0.46, CI [0.28, 0.76]) had lower COPD prevalence

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The snuff has a medium grind according to user reports, with wintergreen and menthol notes plus eucalyptus and spearmint

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