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"Some of these patients are forced into nicotine withdrawal, which is so detrimental to their therapeutic recovery that it doesn't make a lot of sense." Ms Waterhouse agreed, saying a wholesale ban on smoking at healthcare facilities could be counter-productive

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Stephens and other travelers seem to regard it as tobacco of excellent quality, and allude to its constant use by the ladies who smoke puros, a cigar made of a single leaf, or formed entirely of tobacco

Additionally, one study found an increased incidence, determining the risk was twice as high (OR = 2, 95% CI 0.84.4)