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This damage can lead to COPD and lung cancer

Last reviewed: July 2026

Dr Joshua Muscar, lead researcher, said: "These smokers have higher levels of nicotine and possibly other tobacco toxins in their body, and they may be more addicted than smokers who refrain from smoking for a half hour or more." Cancer Research UK's Professor Robert West said: "Smokers who light up soon after waking tend to smoke each cigarette more intensively

Despite the wide variety of products, as noted in Chapter 1, no universally accepted classification system exists