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Chain-smoking can force these capillaries to burst out resulting in darker lip color

Epidemiological study of cigarette Smoking among over 15 years old population of Hormozgan in 2014

"Perceptions and Experiences with Flavored Non-Menthol Tobacco Products: A Systematic Review of Qualitative Studies"

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In other terms, when compared with people who don't smoke, women who smoke about one cigarette per day have a 57% higher risk of heart disease and a 31% higher risk of for stroke (or 119% and 46% when allowing for multiple confounders)