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Patients typically present with symptoms related to a mass in that particular area, leading to issues with speech or swallowing, hoarseness, cough, or difficulty breathing

However, occasional smokers may prefer buying individual packs, as it requires a lower upfront cost and avoids purchasing more cigarettes than needed

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[7] These courts also rejected the industrys argument, relied on by Dobbins, that FDA committed a surprise switcheroo by failing to give adequate notice of the special evidentiary burden that must be borne by flavored products