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Limitations of Pack Years While pack years are a useful tool, they have some limitations: Does Not Account for Smoking Intensity: Two individuals with the same pack years may have different health risks depending on how intensely they smoked

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In smokers cancer cells, five of those 20 were elevated that were not elevated in nonsmokers cells

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The cloves are finely ground to ensure that they dont pop too loudly, which is a feature aimed at the modern, urban smoker who might want to be more discrete