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There have been calls to expand the range of warnings to reflect current research into the effects of smoking, such as impacts on fertility

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Higher state cigarette taxes can have a final consequence, though it is difficult to quantify: smokers substituting cheaper "roll-your-own" cigarettes for commercial ones.[3] This "hand-rolled tobacco" may be smoked with or without a filter, thereby regulating the amount of nicotine according to the smoker's preference

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to differentiate PM-specific effects from more general effects on memory, we also examined group differences in retrospective recognition performance

This delivers, on average, 20 to 30mg of nicotine to the smoker