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While absorption rates for non-inhaling pipe smokers (1-5 mg) remain lower than cigarette smokers who inhale, the nicotine content is sufficient to establish and maintain addiction

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[8] With tobacco it also raises the risk of fatal coronary artery disease, fatal stroke and non-fatal ischaemic heart disease [9] [10] Women who chew areca nut formulations, such as paan , during pregnancy significantly increase adverse outcomes for the baby

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Reproductive Issues: Smoking impairs fertility in both men and women and increases the risk of pregnancy complications such as miscarriage, preterm birth, and low birth weight