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Completed studies were done in a double-blind, randomized, placebo-controlled clinical trial assessing 30 healthy adults over the course of 3 months

Whilst not explicitly examined in this study, some lesser-acknowledged consequences of tobacco use, such as male impotence, earlier onset of menopause, osteoporosis and several dental diseases may benefit from greater exposure on both cigarette packaging and cigarette sticks, potentially made more effective through embarrassment or guilt when visible to onlookers 11,13,40,41

The long-term risks for smokers extend beyond immediate cardiovascular effects