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(Increases in lung cancer correlated with an uptick in smoking were observed as far back as the 1880s, said Suzaynn Schick, an associate professor of medicine at UCSF.) While menthol doesnt have a direct effect on nicotine levels, it does make cigarette smoke easier to inhale by masking its harshness

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Inhaling smoke of any kind even from herbs can lead to respiratory problems, reduced lung capacity, and chronic inflammation over time

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That means it raises the minimum age to buy cigarettes every year beginning in 2023