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HEALTH EFFECTS Tobacco use is associated with heart disease and cancer, the two leading causes of death among American Indian and Alaskan Native adults

It's tough to get rid of without help from a dentist

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Some 90% of tobacco users start before the age of 21, and about 80% first try tobacco before age 18, according to the National Survey on Drug Use and Health

Whatever the reasons may be, it must be relevant to them and keep them motivated