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A potential reason for the lack of photos was an anti-smoking initiative launched by the North Korean government to tackle the problem among the wider population

PMID 30245461

There's a lot more we could go over here that I'm going to skip because, A) there's just so much to deal with if you want to start explaining multiversal spider totems and, B) Cindy's appearance at Miles' apartment as a normal teenager suggests none of the comics canon applies - in the game she turns up with her single father, whereas in the comics she leaves married parents to go into hiding

Sometimes its a stiff neck

While snus is often advertised as having less harm than cigarettes, the most significant health effects snus can have include maintaining dependence to cigarettes and using snus as an initial tobacco product before trying other tobacco products