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Tuinskas correctly points out, a little ambiguously, that giving consumers a choice and meeting biodegradability requirements (see side box) will be strong trends. Essentra likewise is rather hesitant to make definite projections, but Thomas nevertheless discloses that while it is difficult to predict for sure what the future will hold, we fully expect that there will be more of the same trends that we are currently seeing an even larger variety of visually different and interactive products, and [Essentra] are optimally positioned to respond to a continually changing backdrop. Further tightening of tobacco legislation as well as the advent of plain packaging are likewise going to play major roles in coming years

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The final sample size included 46,104 men with 510,684 person-years and 15,845 deaths

See Nicotine in Breast Milk for further information on the effects of nicotine