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57 The Appellate Body agreed with the United States that the panel should have considered adult smokers as well as youth smokers: "In an analysis of likeness based on products' competitive relationship, it is the market that defines the scope of consumers whose preferences are relevant." 58 The proportion of youth and adults smoking different types of cigarettes may vary, but clove, menthol, and regular cigarettes are smoked by both young and adult smokers

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Health consequences eventually surfaced when Ryan suffered a stroke in her early 70s , followed by diagnoses of an inoperable brain tumor and heart disease