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The increased blood pressure from prolonged nicotine use puts a serious strain on the cardiovascular system, making heart attacks and strokes just as much of a threat for smokeless tobacco users as they are for current smokers

For one, theyre not always filled with sand and cigarette butts, they get filled with water and trash, said Feihl

Surgeon General's Warning: Quitting smoking now greatly reduces serious risks to your health

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However the most common symptom is in fact no symptom at all, so it is good to have regular health checks and to check your personal level of risk based on factors such as smoking