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So while its possible to suffer from CAS as a non-smoker, youre more likely to develop these symptoms as a smoker

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Thus, while pipe smoking is often considered less harmful to the respiratory system, it should never be classified as "healthy." Oral Cavity & Throat Cancer Risk Cigarettes: Smoking more than one pack (20 cigarettes) per day increases the risk of oral/oropharyngeal cancer by at least fivefold compared to non-smokers, and in some cases, up to tenfold

Am J Respir Crit Care Med 175(7):712719 Lee CH, Hyun MK, Jang EJ, Lee NR, Kim K, Yim JJ (2013) Inhaled corticosteroid use and risks of lung cancer and laryngeal cancer

The potential for advertising was soon recognized in these stiffeners, and thus began the practice of printing pictures and words on cigarette cards