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His pulse was 92, and his blood pressure had fallen from 140/100, when first seen, to 100/76

While Wagner was a tobacco user himself, he may have objected to the card's inclusion with tobacco products due to a personal objection to tobacco, though this objection is disputed

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NEW ORLEANS (AP) A federal requirement that cigarette packs and advertising include graphic images demonstrating the effects of smoking including pictures of smoke-damaged lungs and feet blackened by diminished blood flow does not violate the First Amendment, an appeals court ruled Thursday.

Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014