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Cigars are made from whole fermented tobacco leaves and are typically not inhaled, while cigarettes contain processed tobacco with additives and are inhaled into the lungs
Eur J Mark 35(3):428440 Vardavas CI, Connolly G, Karamanolis K et al (2009) Adolescents perceived effectiveness of the proposed European graphic tobacco warning labels

In particular, as the court put it in the Compass Group case, the claim was that all plan materials referencing the surcharge must also explain that a physicians recommendations with respect to the reasonable alternative standard would be accommodated

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