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[16] Public health guidelines emphasize moderation and smoking cessation efforts , as excessive nicotine intake can have toxic effects

But our study shows that nicotine is pretty high in this class of cigars, and future regulation that affects cigarettes should also affect these cigars. John Richie, professor of public health sciences and pharmacology in the Penn State College of Medicine, added that studying the different levels of nicotine in products is crucial because its the chemical that drives addiction

(eds) New York: McGraw-Hill pp 671679 Malone K, Daling J, Thompson J, O'Brien C, Francisco L, Ostrander E