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They contain more total nicotine and produce more smoke per stick, but they're generally not inhaled the way cigarettes are, which changes how much nicotine and smoke actually reaches your lungs

Cigar Lighting & Cutting Etiquette It is said to not cut the end off of someone else's cigar without at least first asking that person

It is worth noting that ETD also has other common causes, including viral upper respiratory tract infections (URTIs), barotrauma (e.g., from flying or diving), and particularly in children adenoid hypertrophy

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