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For adult buyers, the most important things to understand are not only brand names and taste, but also legality, health risks, packaging differences, authenticity, import rules, and age restrictions

In a comment also carried by The Lancet, Jeffrey Koplan, of the Emory Global Health Institute in Atlanta, and Michael Eriksen, of the School of Public Health at Georgia State University in Atlanta, pointed out that China was not only the worlds largest consumer of tobacco, but also the largest grower and cigarette manufacturer

By contrast, such mutations occur in only 5% of current smokers and in 11% of former smokers with lung cancer in the United States

Buying in bulk helps protect against future price increases and allow consumers to save more when prices rise