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These include a very small increased risk of heart attacks, high blood pressure, strokes and blood clots in the legs and lungs

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On top of that, nicotine increases stomach acid production, which can irritate your gut lining and make you more vulnerable to intestinal infections

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And in those groups, you see higher rates of tobacco-related disease and deaths, including death from cancer. Southern states have higher smoking-related cancer deaths than, say, states like Utah or Connecticut because black men tend to smoke more than white men and Southern states have more black residents