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Moreover, the tobacco utilized in filtered cigars is either fermented, aged, or both to infuse the tobacco with various flavors whereas cigarettes are stuffed with a blend of different tobacco types, however, the tobacco is never fermented or aged

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Replicating these elements requires sophisticated equipment and insider knowledge, making it prohibitively expensive for most counterfeit operations

11 While varenicline has demonstrated efficacy for smoking cessation, there are concerns about cardiovascular side effects and its use is recommended only in patients with stable cardiovascular disease by the ACC's ECDP on Tobacco Cessation