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Researchers have found that counterfeit cigarettes can have as much as seven times the lead of authentic brands and close to three times as much thallium, a toxic heavy metal.[19] Other sources report finding insect eggs, dead flies, mold, and human feces in counterfeit cigarettes.[20] During the prohibition of alcohol in the United States during the 1920s, increased enforcement failed to significantly decrease the prevalence of bootlegging because the profit margins were so large and the distribution networks sophisticated

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Higgins, S

For example, one study of people with type 1 diabetes showed that participants who smoked had nearly five times the risk of not achieving glycemic goals compared to those who didnt smoke

Nigra AE, Sanchez TR, Nachman KE, et al

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