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The overall structure remains tobacco-forward with a secondary cooling characteristic

In 2023 there was a sharp increase in middle-class women smoking read full article here Source: University College London, Top-line findings on smoking in England from the Smoking Toolkit Study Vera Buss, Robert West, Loren Kock, Dimitra Kale, Jamie Brown Gender Historically, smoking rates have been higher among men than women in the UK

It doesn't refer to sexual orientation at all, just to the end of a burning stick

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Cigarettes as a source of heavy metal toxicity: evaluating human health risks