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Through the MSA proceedings, tobacco industry internal documents revealed that the tobacco industry was aware of and began studying the carcinogenic effect on smokers in the 1960s, yet continued to mislead the public and ban all publication of their findings.

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However, some studies found no statistical difference in arterial stiffness between nonsmokers and long-term smokers, although chronic smoking seems to sensitize the arterial response to acute smoking

Opponents also have contended that the proposed ban would simply drive people out of state to buy flavored tobacco, which they argue should be available to adults who turn to vaping as a way to quit smoking