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All of these reduce skin elasticity and (cause) premature aging. The study was published in the journal Plastic and Reconstructive Surgery.

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Its a nasty habit, but its one of those traditions in baseball, said Red Sox manager John Farrell, who dipped smokeless tobacco when he played and admits to using it now on occasion

25% West Virginia 22% Kentucky Arkansas 21% Mississippi Indiana 20% Ohio Tennessee Oklahoma Alabama 19% Wyoming Michigan South Carolina South Dakota Louisiana Missouri 18% Maine Alaska North Dakota Montana 17% Kansas North Carolina New Mexico Iowa Pennsylvania 16% Georgia Wisconsin Delaware Florida 15% New Hampshire Nebraska 14% Vermont Minnesota Idaho Nevada Rhode Island Virginia Arizona Oregon 13% Texas Illinois Connecticut Colorado 12% New York Hawaii Washington 11% Massachusetts Maryland New Jersey 9% California 8% Utah PS: All of America's tobacco-growing states are in the South except Pennsylvania