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They are marketed as less harmful and often appeal to smokers seeking alternatives

To breathe in, a person needs a mouthpiece

It's terribly upsetting

What is well established is that roll-up smokers are not taking in less nicotine as a rule, and hand-rolling tobacco carries the same health risks as any other tobacco

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12A.5.2.4 Further studies A study using data from the ITC project, described above in Section 12A.5.1.6, found that increasing the size of graphic health warnings (from 30% to 75%) and introducing them concurrently with plain packaging in Australia appears to have led to an overall increase in desired levels and strength of the reactions of smokers, such as noticing and cognition