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It's explained though that smoking is effectively unheard of in Equestria, with cigarettes themselves being outright unavailable and needing to be imported from elsewhere, and the two smokers happened to spend a good period of their lives in a country where smoking is apparently rather common

For instance, in 1971, when cigarette broadcast advertising was banned, manufacturers rapidly shifted their advertising expenditures from broadcast media to print media (CDC office on Smoking and Health, 2018)

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By age 25 to 30, people have reached their maximum bone density, and its downhill from there, he says

however, follow up interviews revealed that some Black smokers had quit, reduced their usage, or were contemplating quitting