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Pros: Saves money in the long run, fewer trips to the store Cons: Higher upfront cost, storage considerations 4

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Tobacco use by adolescents has adverse consequences, such as premature atherosclerosis, diminished lung function, complications in oral health, impulse control difficulties, and reduced physical endurance 4,5

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Hard puffs use more

One says she needed plastic surgery to correct serious injuries to her lips and mouth and that she will need bone grafts for her jaw