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Effects on Human Pancreas In light of the medical evidence linking tobacco smoking and pancreatitis, closer attention has been paid to smoking-induced changes in pancreatic tissue from patients enrolled in such studies (53, 56, 60, 98, 99, 102, 112)

It's not permanent - at least, not if you start addressing the problem early

Then you must be 18 years or older to get a piercing without consent