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Low levels of carbon monoxide exposure are not clearly associated with birth defects, but pregnant workers can be particularly at risk

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Beit Tabakforsch 17:7595 Connolly GN (2001) Establishing tolerance limits for tobacco specific nitrosamines (TSNAs) in oral snuff under the Massachusetts Hazardous Substance Act Mg L c 94 s-, Massachusetts Department of Public Health Curtis MM (1935) The book of snuff and snuff boxes

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Among these various negative effects, another less known one may also occur: an acne breakout