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Later with prolonged use this area of mucosa changes to more defined conditions referred to as leukoplakia or erythroplakia

However, because lower levels of chemicals in the smoke are not necessarily linked to a reduced exposure to harmful chemicals, concerns had been raised about whether or not smokers of these cigarettes are at a greater health risk than those who smoke regular cigarettes

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These include: Vitamin E acetate Diacetyl Formaldehyde Acrolein These chemicals lead to the damage of the air sacs needed for oxygen exchange in the lungs and can cause acute inflammation or pneumonia

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