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A study of the risk of cancers of the lung, upper aerodigestive tract, and bladder found that pipe smokers had 2.2 times higher risk than non-smokers, cigar smokers had 3.0 times the risk, and cigarette smokers had 5.3 times the risk

But when they first came to the market, there wasnt enough research to be sure of this

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Perceptions of natural and additive-free cigarettes and intentions to purchase

doi:10.1136/tc.11.suppl_1.i18