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Since cigar smoke is purely an olfactory affair, very little of the nicotine within the adult product actually reaches the brain, as the majority of it quite literally goes up in smoke

Patients who smoke are at a higher risk of a heart attack during or just after surgery, because smoking causes constriction of the blood vessels, says Simran Randhawa, MBBS, assistant professor of cardiothoracic surgery in the University of Colorado Department of Surgery

To summarize: don't stare at the numbers, how you smoke is the key

In fact, only about 10% of all cigarette butts are actually thrown away or put into ashtrays (2)