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And regardless of brand choice, rolling tobacco carries the same health considerations as manufactured cigarettes

Reynolds Tobacco, Lorillard, and Philip Morris USA to make this statement about the health effects of secondhand smoke

In a mouse model of electronic cigarette exposure, platelets that were exposed to electronic cigarettes were more hyperactive, with a greater propensity towards aggregation induced by dense alpha granules secretion, and activation of alphaIIb-beta3 receptors and protein kinase B-extracellular signal-regulated kinase pathways.83 Moreover, these cells were also less sensitive to prostacyclin-induced inhibition when compared with clean air-exposed cells

There is also quite a bit of cigar smoking going on in this series