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While many people associate lip darkening with sun exposure or genetics, smoking significantly contributes to lip pigmentation by affecting circulation, melanin production, and skin health

The first mass-produced ready-rolled cigarettes were made after the American Civil War by Washington Duke of North Carolina

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When we excluded snus from the composite measure of use of other non-ONP tobacco or nicotine products, the association was attenuated but remained strong (APR = 11.96, 95% CI: 4.9428.99

Its not going to be easy, but having strong determination will give you the courage to eliminate tobacco in your life

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