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So they both appeal users seeking a discreet way to consume nicotine without combustion

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Smoking Worsens Pain Conditions In addition to causing many painful health problems like arthritis, COPD and low back pain, smoking can also worsen existing pain conditions

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Rob saw this and came up to me, upset that I was chewing tobacco

Theres also evidence that people who smoke while getting cancer treatment have a worse outcome (prognosis), are less likely to respond to treatment and are more likely to have the cancer come back (recur)