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Most traditional blunt wraps are made from tobacco pulp and contain nicotine, even if marketed as "natural." However, tobacco-free alternatives exist, including hemp wraps and palm leaf wraps
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Ethics declarations Ethics approval The study did not require ethical approval since it didnt involve human subjects and/or animals
The risk of miscarriage may rise as a result of inadequate blood supply to a growing pregnancy caused by the narrowing of blood vessels seen in smokers
Sensitivities for the ascertainment of current smoking produced by the four algorithms ranged from 59% to 84%, with the lowest sensitivities found when current smoking diagnoses were retrieved from the most recent separation or hospitalisation episode record
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