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Although menthol is a relatively harmless compound processed in the liver and excreted from the body, its cold sensation in the throat is undoubtedly harmful

These actions can come in the form of stealing cigarettes, importing duty-unpaid cigarettes at cheaper prices, or buying cigarettes from improper sources which may contain dangerous ingredients. This runs into dangerous territory where anti-smoking policies discriminate against smokers based on their wealth

In more severe cases, they may be put on a mechanical ventilator or an extracorporeal membrane oxygenation machine

Methodological limitations This study was conducted in three preparatory schools in Upper Egypt, which may limit the transferability of findings to other Egyptian regions or school types