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In additional covariate-adjusted analyses of participants of all ages from all time periods, we found no evidence of an ANA association with pack-years among 4,795 ever (former or current) smokers (p=0.91), years of smoking among 5,047 ever smokers (p=0.18), or years since quitting among 2,738 former smokers (p=0.56)

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Unlike pre-packaged cigarettes, rolling tobacco allows users to control the size, strength, and flavor of each smoke