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In the decades that followed a crackdown on cigarette advertisingespecially those aimed at kidswe saw a noticeable decline in teenage smoking, yet the number of adolescents who smoke, chew, and vape remains surprisingly high

Timothy Root is a practicing ophthalmologist and cataract surgeon in Daytona Beach, Florida

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The scene also tapped into a broader internet trend of alien-encounters-mundane-human-things comedy, but the specific escalation to "500 cigarettes" gave it a punchline that worked as a standalone catchphrase outside the original context

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[PubMed: 18400700] Chiriboga DE, Ma Y, Li W, Olendzki BC, Pagoto SL, Merriam PA, Matthews CE, Herbert JR, Ockene IS