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failing to perform immediate surgery and control the active bleeding and failing to perform an emergency endoscopy to diagnose the bleeding

Yes, according to How Tobacco Smoke Causes Disease, a 704-page report from the United States Surgeon Generals office

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However, as of 2024, where safer nicotine products are legally available, they generally enjoy more favourable taxation compared to cigarettes although not always proportionate to their relative harms

Thats why it deserved to be in my personal Holy Grail fragrance category