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There is a casual link between smoking and both the development and progression of diabetic retinopathy

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"Our findings indicate that the emissions characteristics of HCs (herbal cigarettes) matched or even exceeded those of TCs (tobacco cigarettes), suggesting that HCs are as hazardous as TCs and underscoring the urgent need for regulatory oversight guided by a comprehensive toxicological evaluation of herbal cigarettes," the authors wrote

References & Resources Adler, David A, and Susanna Natti