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This includes alternatives like bidis, gutkha, cigars, and hookahs, which also contain harmful substances like tobacco and carbon, damaging both your overall health and your ears

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Documented risks include: Lung damage Cardiovascular disease Reduced oxygen delivery due to carbon monoxide Increased cancer risk The Centers for Disease Control and Prevention continues to classify smoking as one of the leading causes of preventable death

Michael Blaha is a cardiologist and professor at the Johns Hopkins medical school in Baltimore