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However, health risks include respiratory symptoms, lung damage, and potential development of chronic obstructive pulmonary disease similar to tobacco

People come in worried that theyre dying, he said

National Institute for Occupational Safety and Health (NIOSH) Environmental and Biological Assessment of Environmental Tobacco Smoke Exposure Among Casino Dealers, Chandran Achutan, PhD, Christine West, RN, MSN, MPH, Charles Mueller, MS, Yvonne Boudreau, MD, MSPH, Kenneth Mead, PhD, PE

My message to them is always to do whatever they are passionate about, I dont care, as long as they work hard to achieve it,' he told The Sun in 2022

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