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It is not underfermented or raw, or any tricks to fool the smoker

Bronchiolitis obliterans is also known as popcorn lung based on its initial description in patient clusters of microwave popcorn factory workers exposed to diacetyl-based flavourants

So far, its worked

[277] There is increasing alignment among many multinational tobacco companies regarding the tasks that constitute hazardous work, including work involving direct contact with green tobacco leaf, such as topping, suckering, and harvesting, as well as work with hazardous chemicals, sharp tools, farm machinery, at heights, and other tasks, although there is not yet complete consensus among all companies