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One of the concluding paragraphs very fully sums up the situation, and this is well worth the attention of those who oppose the cigarette, as well as those who have not heretofore given the matter any attention:

And THAT is the problemnot cocaine, alcohol, cigarettes, whatever

It occurs naturally in plants, trees, volcanic gases, forest fires, and as a product of the breakdown of body fat

In his escape, Snake drops the cigarette, but after shaking off his pursuers he picks it up again, and finally has his smoke as the games title appears

Secondly, the warm temperature of the water stimulates blood flow and gastrointestinal movement