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Over time, Health Concerns and tighter rules reduced these sizes, although some regions also experimented with 26 or 30, reflecting evolving demand and policy shifts

Tob Control (2016)

Earlier this year, Ruth Malone, a professor at the University of California, San Francisco and editor-in-chief of the Tobacco Control journal, wrote an op-ed in the British Medical Journal criticizing the tobacco industrys embrace of harm reduction as a way to weaken tobacco control and take over the narrative about their products

Legally, theyre considered large cigars if they weigh more than 3 pounds per thousand units

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40 smokers of conventional cigarettes, 40 exclusive heat-not-burn cigarette users, and 40 non-smokers with similar age and sex who were medical personnel in a university hospital were included in the study