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For an extra touch, I sometimes add a small, edible sugar lighter or even a tiny candy matchbox. This really elevates it from just a cig cake to a fully themed masterpiece

Chemicals like nicotine and carbon monoxide shrink arteries, limit blood flow, and make the possibility of clotting more likely, leading to heart attacks, strokes, and high blood pressure (hypertension) all of which can be fatal

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Thats because small airflow issues can turn into frozen coils or overheating, both of which look like smoke

The American Film Institute Catalog of Motion Pictures Produced in the United States: Feature Films, 1941-1950