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Even Indian retailers should be concerned, because the consequences of such drastic losses of state tax revenues will inevitably result in more demands for an end to the historical tax immunities which Indians have enjoyed.[81] Officials in various states, as part of their overall efforts to reclaim lost cigarette tax revenue, began demanding that merchants on Native American lands start remitting tax on their cigarette sales to non-Indians

Formaldehyde is an irritating, acidic gas used in laboratory disinfectants and preservatives

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Indirectly, smoking can lead to secondary polycythemia due to increased carboxyhemoglobin levels, which reduces the oxygen-carrying capacity of the blood and results in tissue hypoxia [11, 12]