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A 2012 systematic review and meta-analysis that included 13 prospective cohort studies with 56691 participants found a significant positive association between active smoking and risk of metabolic syndrome (pooled relative risk, RR=1.26
Our findings suggest that an area of policy consideration for the brand Backwoods would be to restrict the use of claims like always true in advertising and all natural leaf wrapper on packaging

Tobacco is the leading cause of preventable death around the world and its never just about the smokers, either

For example, one study in the Journal of Clinical Endocrinology and Metabolism found that smokers had higher testosterone than non-smokers

Tanaka H, Sasazawa Y, Suzuki S, Nakazawa M, Koyama H