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[PubMed: 14583977] [CrossRef] Lovato C, Watts A, Stead LF

Also, they say they use some form of pasteurization with their products: " The tobacco leaves are heated with steam so that when the stems are removed the leaf is not damaged "

Exposure to secondhand smoke also increases stroke risk, though quitting smoking can quickly reduce this risk

11 (Suppl 1): I4050

Importance of Thuoc Lao - Pipe Smoking in Vietnamese Custom Thuoc Lao is Not Just Used to Get High Pipe smoking has been an indispensable part of Vietnamese custom for a very long time