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Their first findings were published in 1958 in the Journal of the American Medical Association: ...it was found that the death rates were higher among regular cigarette smokers than among men who never smoked, that the mortality ratio increased with the number of cigarettes smoked per day, and that the death rates were higher among pipe and cigar smokes than among men who never smoked
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but presence of carbonyls (formaldehyde, acrolein), volatile chemicals, metals, and potential exposure to diacetyl-like flavorants linked to bronchiolitis obliterans in workers exposed to high levels

doi: 10.1186/s13578-023-01134-z 28 McAninchDMkelJALaHMHughesJNLovell-BadgeRHobbsRMet al

However, no such association was found in participants with other cotinine levels
