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[15] Likewise, studies associate youth hookah use with subsequent cigarette use, increased intensity of cigarette use, and decreased success in quitting

This remained the case until cultivated tobacco became widely available in the 20th century

Gum disease is caused by plaque bacteria

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This includes increased risk of macular degeneration, glaucoma, diabetic retinopathy, and thyroid eye disease

[29] [30] The move came just weeks after the FTC complaint in May, and shortly after RJR and other tobacco companies agreed to pay a $368.5 billion settlement to states seeking to recover costs due to tobacco-related illnesses