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PMID 33862579

Public Health 13 , 306 (2016)

Pipe smokers face significantly elevated lung cancer risk, though potentially lower than heavy cigarette smokers Oral, esophageal, laryngeal, and pancreatic cancer risks increase substantially The data doesnt support the notion that switching from cigarettes to pipes reduces health risks meaningfully

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Cosec Short for cosecant, a trigonometric function

Hjalmarson, A., & Saloojee, Y
