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The bottom line is that smoking, especially long term, has serious and often irreversible damage

This can delay or even prevent a person from quitting smoking

Preventing Tobacco Use Among Youth and Young Adults (Fact Sheet)

However, there is limited scientific evidence evaluating the emissions and toxicological impacts of these products, said Alok Kumar Thakur, lead author

for Nonsmokers-Minnesota

Because treatments for stroke are much better now (fewer die from it straight away), many people who suffer one can have long-lasting consequences and physical disabilities at an age when they are usually expected to be working and physically active/fit.