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Smoking increases your risk of diseases and conditions such as: Cancer smoking is the single biggest cause of cancer in the world Chronic obstructive pulmonary disease (COPD) nearly 9 out of 10 people who die from COPD are smokers Stroke smokers are 3 times more likely to have a stroke than non-smokers Coronary heart disease smokers under 40 are 5 times more likely to have a heart attack Psoriasis Hair loss Erectile dysfunction (ED) Fertility problems Discoloured skin and teeth How much does smoking cost

But I think focusing on Juul which was the name brand [ is important], he said

Another possible cause might be hormonal

A couple of years later, Melissa sent me a message with an obituary attached