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For tobacco users with cardiovascular history or elevated cardiac risk factors, our resource on life insurance for heart disease covers the cardiac underwriting framework and how tobacco class interacts with cardiac ratings in combined files

These ratios, the paper notes, are high by international standards

Sublingual nicotine-containing tablets could possibly cause transient oral mucosal lesions

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For example, in consumer surveys conducted by Kretek, 59% of menthol smokers ranked taste as their main motivating factor, compared to only 24% who said nicotine was most important

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