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In 1599, a Swiss traveller to England was astounded at what was quickly becoming a London-wide addiction amongst the elite and middling-sort: They always carry the instrument on themlighting up on all occasions: at the play, in the taverns, or elsewhere

They are dense and have a semi-powdery tone

Relationship of cigarette smoking to blood pressure and serum lipids and lipoproteins in men Clin Exp Pharm Physiol 1996 23 : 397402 Agner E

Shields and many others believe that because the smoothness of the smoke means people tend to take deeper breaths and hold them longer, and this pulls the smoke deeper into the lungs, this really changes the exposure to the compounds in the smoke