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Smoking prevalence also varies significantly by state or other geographic area, ranging from 9.8% in Utah to 25.6% in Kentucky and West Virginia

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In June 2010, ten individuals with extensive experience over decades in fighting smoking, led by Michael Siegel, MD, of Boston University School of Public Health and Alan Blum, MD, of the University of Alabama School of Medicine, formed the FDA Tobacco Products Scientific Advisory Shadow Panel to provide an alternative perspective on tobacco product regulation free from political, corporate, or economic influence

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These changes could accelerate the progression of prostate cancer, especially more aggressive variants 4