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Lyon: the International Agency for Research on Cancer, 2012

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The public health campaign, Wise-Up to Roll-Ups dispels the myths that hand rolling tobacco is more natural and so less harmful than manufactured cigarettes and offers practical, straightforward information to local people through Wise Up pouches . Dr Virginia Pearson, Devons Director of Public Health said: Largely due to the way hand rolling tobacco is marketed, many roll-ups smokers believe that smoking in this way is a healthier and more natural alternative

Conversely, chronic alcohol consumption and a diet high in processed foods can depress these levels