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In reality, tobacco use impacts costs associated with many chronic conditions

The amount of money the public spends on alcohol equals 12.5 percent of what it spends on food (US Department of Agriculture, 2011)

Cigarette smoke contains thousands of harmful chemicals, including carcinogens like tar, carbon monoxide, and formaldehyde that damage multiple organs

Association Between Cadmium Exposure and Liver Function in Adults in the United States: A Cross-sectional Study

Notably, two of the herbal brands utilized tendu (ebony) leaves as wrappers, identical to those used in bidis, India's most widely consumed smoking product