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Another potential red flag is the presence of diacetyl, which is used to add a butter flavouring but has been linked to a serious but relatively rare lung disease
Regulatory advantages in certain markets also contribute to snuff's market leadership over other smokeless tobacco products
Together, these conditions are known as Chronic Obstructive Pulmonary Disease (COPD)
So maybe the differences werent due to menthol but were due to the fact that the patients were different. Forsythe, who is division director of Pulmonary and Critical Care Medicine at Loyola University Medical Center in Maywood, Illinois, said that while exacerbations appeared to be worse for the menthol smokers, only a longer study could say for sure
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