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This suggests that there are several possible triggers, each of which is capable of producing the disease in different subgroups

Josh Gilbert If 18-year-olds are old enough to die for their country in the military and vote, then they're old enough to decide on smoking

I don't think this is one of them

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Due to the controlled, at-home environment of participation, we were ethically restricted from asking participants of their smoking status and experiences, and were unable to assess participant responses in real-world scenarios