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Results This study could show that CMSS-associated PM released from tobacco brands without additives, which are therefore promoted as natural and less harmful, are higher than expected Conclusions It is highly improbable that Natural American Spirit tobacco products are a less harmful choiceat least not for passive smokers as this study could show

6 While the role of conventional cigarette smoking in oral cancer development is well-known, the role of ENDS in oral cancer and systemic disease is less clear

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