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Pfister says other health effects include bad breath, periodontal disease or more commonly known as gum disease, gum recession, premalignant lesions in the mouth, scarring, possible reproductive effects in pregnancy and an increase of risk of vascular disease and diabetes

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Dr Sarah Jackson, lead author of the paper and principal research fellow at UCL's Institute of Epidemiology and Health Care said, This 15-year study captures shifts in smoking behaviour, showing that while the average number of cigarettes smoked per day has fallen, this trend has stalled since 2019. Smoking is the biggest cause of cancer in the UK, causing around 150 cases every day