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Care: Gentle machine wash or hand wash recommended

Long-term use of nicotine gum is associated with hyperinsulinemia and insulin resistance

Specific findings include: Pipe smoking increases the likelihood of heart disease and stroke by similar margins as cigarette smoking Smokers are 24 times more likely than non-smokers to suffer coronary heart disease and stroke Cigar smoking boosts the risk of early death from coronary heart disease by 30%

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See Table 2 and Supplementary Information 4.3 for results for the additional health outcomes with an association with smoking rated as 3 stars