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Pulmonary hypertension, embolism, or other right heart dysfunctions that contribute to pulmonary circulatory disorders can aggravate pulmonary edema in neurologically vulnerable patients [21, 22]

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Specifically, plain packaging strengthens the impact of health warnings as their visibility is increased and smokers perceive tobacco to be a greater risk for their health 5-7

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Given that many vegans choose not to purchase or use products that contain palm oil on environmental grounds, there is clearly a case for tobacco to be avoided on similar grounds