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Tobacco in History and Culture: An Encyclopedia (2 vol Thomason-Gale, 2005) Hahn, Barbara

While some may argue that it can be safe, it is best to avoid smoking and vaping altogether

Since Blacks predominately smoke menthol cigarettes (~75 percent preferences) compared to Whites (5 to 20 percent), it was examined whether menthol could account for the slower metabolism in Blacks by interfering with nicotine metabolism [65,66]

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Each of these elements plays a role in increasing the likelihood of developing the disease, though genetic factors are more difficult to modify compared to lifestyle and environmental risks