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1:173174 Goodman, Tobacco in History and Culture (2 vol 2005) pp

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Effects of smoking cessation on coronary endothelial function in patients with recent myocardial infarction

In addition to being smoked, tobacco was commonly used as an offering in religious contexts as well as in daily practice, for example, by casting or sprinkling unburned tobacco leaves or stems or through burning (i.e., smudging) (20, 28, 33)