smokeless tobacco use statistics and cigarettes confer similar adverse vascular health risks Tobacco 21 - Thrive Allen

This can be for a variety of reasons, including faster nicotine consumption

As Allan Brandt states in The Cigarette Century (2007), The major players in the Tobacco Trust escaped with the lions share of assets and the potential to dominate key aspects of the tobacco market, especially cigarettes. He goes on to note that what did occur was a major intensification of advertising and promotion in the cigarette industry. In 1909, when the first legal briefs were being filed, Duke understood that it would take years for the case to wind through the court system and that the final outcome could force the breakup of his empire

Nicotine also changes the balance of other neurotransmitters in your brain

"He looked just as natural with a bong in his hands as he does swimming in the pool