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Although it can take years or even decades for the DNA damage that leads to lung cancer to occur, it has been demonstrated that even small but consistent amounts of nicotine can alter the DNA in a cell

Recent clinical advances have also improved management of common smoking-related diseases

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Increased demand for smoke-free living and other nicotine options also continue to suppress multiple market growth, making it difficult for both new entrants and existing vending operators to grow brand presence

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