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Damage caused by dipping and chewing may be permanent Whenever patients ask me about how damaging smokeless tobacco is, I tell them all the same thing: it really depends

This is in the broadest sense more democratic than the practiced alternative, but unfortunately not better

But if it happens over and over, because a person is smoking cigarette after cigarette, the arterial walls can become permanently damaged, and that damage can cause blood clots, heart attack or stroke

The marketing may be slightly more transparent now, but there are lots of other kinds products where similarly misleading trends may be afoot