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So even if the nicotine content seems similar, the health impact is very different

What the Mortality Data Actually Shows Between pipe and cigarette smokers, no significant differences appear in mortality from smoking-related diseases

CDC Case Study: The Effect of Expanding Cessation CoverageThe Massachusetts Medicaid Cessation Benefit: A CDC case study highlighting how a broad Medicaid cessation benefit can increase use of evidence-based cessation treatments, reduce smoking rates, improve health outcomes, and decrease medical costs over a short time period

Half a century ago, however, the situation was different

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