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J Gastroenterol Hepatol

Cigarette smoking is still the leading preventable cause of death in the United States. Michigan is one of 10 states that spend less than 5% of the tobacco prevention funding levels recommended by the US Centers for Disease Control and Prevention

I suspect this is related to the tight draw, though it could be something else

1 Guiyan was once selected for the State Tobacco Monopoly Administration's "Hundred Cigarette Brands Catalog" and the "Industry 36 Key Famous and Excellent Products Catalog"

Made of thick hemp (usually about 60gsm), hemp wraps burn slowly and add an earthy flavor, perfect for the modern blunt smoker