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It's progressive, but it's a slow progression." She says it started with Leonard getting sick more often with bronchitis, followed by a "rumbly" cough, and noticing that her dad was clearing his throat a lot

The CDC research confirms that health risks persist even without reported inhalation, and increase substantially when pipe smoke gets inhaled

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Although nicotine is bad, flavorings and the addition of additives (such as thickening agents or flavor additives) can actually cause some really toxic effects, Marbrey said

Sparks JA, Chen CY, Jiang X, et al