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When re-interviewed a year later, those who initially reported having used a non-cigarette tobacco product were twice as likely to have smoked cigarettes during the past 30 days and those who used more than one type of product were nearly four times as likely, the study said

Thick smoke suggests concentrated energy or strong emotions

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Dimensions: 5200 x 3460 px | 44 x 29.3 cm | 17.3 x 11.5 inches | 300dpi Date taken: June 2012 Location: malang java indonesia More information: model release available for the woman but not the out of focus people behind