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The supposedly lower tar and nicotine yields are often negated by deeper inhalation, longer puffs, or increased cigarette consumption, resulting in similar or even higher exposure to harmful chemicals

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Because it can irritate the eyes, nose and throat at even low levels, formaldehyde exposure often causes headaches, runny nose, nausea, wheezing, shortness of breath and other respiratory symptoms

(2024), published in Drug Testing and Analysis , noted that HHC undergoes hydroxylation and subsequent oxidation, producing metabolites that are primarily glucuronidated and excreted in urine

But the WHO says that high-income countries with taxes on tobacco products do not face widespread issues related to illicit trade, while low-income countries continue to do so, precisely because of weaker tobacco-control programmes and taxes