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"Pipe and cigar smoking has been found to be less harmful than cigarette smoking in some studies because many pipe and cigar smokers do not inhale the smoke into the lungs whereas almost all cigarette smokers do." But he added: "All tobacco smoke contains carcinogens whether it is from pipes, cigars or cigarettes."

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Regrettably, the historic progress we have made in reducing smoking is under threat both in Minnesota and the rest of the country

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However, for bariatric patients, the recommendations go even further: Smoking should ideally be stopped permanently to protect your new stomach, reduce complications, and support long-term weight loss success