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Smoking in cold weather presents additional challenges: cold air can constrict airways, making it difficult to breathe, which may result in coughing and further throat irritation

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The website of the American Academy of Otolaryngology lists the following ingredients of smokeless tobacco

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A study published in the American Heart Association journal Circulation 5 found no significant differences in heart attacks, heart failure, or strokes among dual-smokersthose using a combination of traditional cigarettes and e-cigarettescompared to those who smoked traditional cigarettes only