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When Tobaccoreviews ran their first Hall of Fame My Mixture 965 came in second place, behind the now unavailable?Edgeworth Sliced

We limited the sample to men with complete information on smoking and ST use ( n = 46,538) and we excluded those who had missing race/ethnicity, education, marital status, and self-reported health status

In other words, there is no up or down like you have in a traditional smoking pipe and no top or bottom to be properly oriented

Oh, maybe that goes with COIN, LIGHT SWITCH, and PANCAKE as things one flips: Flip THE BIRD (aka throwing up the middle finger), flip a COIN, flip a LIGHT SWITCH, and flip a PANCAKE