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Chewing tobaccos effect isnt as well documented, but studies suggest a similar reduction in lifespan due to heart disease, cancer, and other complications

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According to the American Heart Association, the risk of ischemic stroke in smokers is almost twice that of non-smokers (2)

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Lack of Anaesthetics: Traditional cigarette smoke contains chemical additives

For example, exposure was disproportionately higher among non-Hispanic blacks and those who had an income below the federal poverty level compared with non-Hispanic whites and those who had an income three or more times greater than the federal poverty level, respectively