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The cigar leaf is noticeable but for me it's only a hint not the forward flavour

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In our opinion, the increase in smoking with the universal custom of inhaling is probably a responsible factor, as the inhaled smoke, constantly repeated over a long period of time, undoubtedly is a source of chronic irritation to the bronchial mucosa. Audio recording of the plenary address by Alton Ochsner, MD, at the Annual Scientific Assembly of the American Academy of Family Physicians, September 11, 1980, in New Orleans, Louisiana, in which he reviews the history of the research on the association between cigarette smoking and disease, and calls for greater involvement by physicians in efforts to counteract cigarette use and promotion