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First, the reduced levels of volatile toxicants are likely to be a consequence of the smaller ratio of internal volume to paper surface area in reduced circumference cigarettes, facilitating greater diffusional losses through the cigarette paper as the smoke travels down the tobacco rod during a puff

The researchers note that the rates of symptom resolution were 14% lower (for cough) and 15% lower (for wheeze) among those who switched to dual use and maintained or increased their smoking intensity