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[Google Scholar] Bouquot JE, Gorlin RJ

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Digestion is impacted, the reproductive system functions are decreased, the immune system suffers, and changes to blood pressure, blood sugar, and heart rate occur

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Altria's domestic cigarette shipment volumes continue to face structural pressure from industry-wide declines, with Q1 2026 reported shipments falling 2.4% year-over-year to 13.867 billion sticks and adjusted volumes down approximately 4%, reflecting discretionary income constraints on adult nicotine consumers and competition from illicit e-vapor products

PMID 15208004