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I can imagine people smoking this straight, but the smoke, along with the head rush is pretty heavy and intense if pulled into the lungs, so I'd imagine blending it with other tobaccos would make a more pleasant cigarette smoke

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In an analogous prospective cohort study conducted in Norway, which aimed to determine the risk of death from any cause and from specific smoking-related diseases in heavy smokers of both sexes, who had reduced cigarette consumption by at least 50%, Tverdal and Bjartveit enrolled 51,210 subjects aged 20-49 years in the mid 1970s

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