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Makes a great gift too

Arthritis Rheum 54(1):3846

according to the Missouri State Highway Patrol water patrol

State Tobacco products (including cigars, cigarettes, smokeless tobacco and smoking tobacco), alternative nicotine products (non-combustible product containing nicotine that is intended for human consumption, whether chewed, absorbed, dissolved, or ingested by any other means) and vapor products such as e-cigarettes (noncombustible product containing nicotine or other substances that employs a heating element, power source, electronic circuit, or other electronic, chemical or mechanical means, regardless of shape or size, that can be used to produce vapor from nicotine in a solution or other form)

And the risks of Chronic Obstructive Pulmonary Disease (COPD), heart disease, stroke, reduced kidney function, complications from Type 2 Diabetes, and weakened immune systems skyrocket with smoking too

This can create a real challenge for those looking to start a family