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In addition to numerous other difficulties, smoking has been linked to fertility issues, tooth loss, and diabetes

As that information comes to the department, its our obligation to act upon it, ultimately as a matter of tax fairness, its simply not fair for someone who purchases a pack of cigarettes at the store down the street to pay that cigarette tax and for someone who buys cigarettes online not to pay the tax, Brassell said

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But even without this research, there is sufficient evidence about the dangers that nicotine-containing cigarettes pose for youth and young adults that health care providers and professionals can act now to prevent the use of such products among their young patients