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They don't have as many harmful chemicals as conventional cigarettes, which they often resemble, but they do contain nicotine, which is addictive and is derived from tobacco leaves

Our findings reinforce the courts conclusion that positioning cigarettes as natural deceives the American public of the harms of smoking, says senior author Judith Prochaska, an associate professor in the medicine department at the Prevention Research Center

We also excluded straight-lined responses or those that contained discrepancies for example, if respondents reported themselves to be former users of tobacco products but also indicated that they had never used these products

Even the twins who smoked just five fewer years than their siblings had younger-looking faces, the study shows

That was such a disturbing little scene