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On the other hand, 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) in urine has been reported as an exposure indicator that is not affected by NRT [13, 14]

Still, since it is a cigarette with a long history of being smoked since the early 20th century, it still has a strong fan base, and a lot of consumption is mainly made by enthusiasts even in overseas countries

11 As a result, smoking-attributable personal health care expenditures in New York in 2010 were $4.1 billion less than they would have been had the prevalence of smoking remained at 2001 levels

Notably, the exact mechanisms underlying BP reduction after smoking cessation are not yet fully understood

So, almost 140 puffs per day are considered relatively safe