At the time of the letter he was in the habit of using a water pipe, perhaps for its filtration capabilities: Until now I have smoked 1 pipe with water condensation on beginning work in the morning, a miniature cigar after lunch, equal to 1-2 cigarettes, another pipe at 4 o'clock, after supper another little cigar, and generally another pipe about 9:30
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Coughing It is Usually, smoking damages the cilia by either paralyzing or destroying them, which allows irritants to get into the airways
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The Mayo Clinic and other health authorities have been clear on this point: cigars expose users to many of the same health risks as cigarettes, including various cancers, heart disease, and lung diseases
It's been my go-to, everyday pipe tobacco for years