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Ethics declarations Ethics approval and consent to participate This study was approved by Ethics Committee II of the Medical Faculty Mannheim at the University of Heidelberg, Germany (Ethics approval number: 2018625 N) and is in accordance with the requirements of the World Medical Associations Declaration of Helsinki

In smoking filters, activated carbon may reduce certain compounds that contribute to strong smell

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Skin reactions may likewise occur, especially if allergic individuals touch nicotine-containing products or inhale nicotine

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References WHO (2023)