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Smoking is still the leading cause of preventable death and disease in the United States

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One JAMA study compared post-surgery risks for 125,000 people who smoke, 78,000 people who quit smoking at least a year before surgery and 400,000 people who have never smoked

[21] : 2527 [56] [57] As the long-term harms of cigarette smoking emerge after ~20 years of use, claims of reduced long-term harms for a new product cannot immediately be refuted