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It causes fatigue, coughing and expectoration and, contrary to the attractive image it sometimes has, tobacco produces some undesirable alterations shortly after it is started, including: Premature wrinkles in the upper lip area, around the eyes (crow's feet), chin and cheeks, and a greyish skin colour that constitutes the so-called smoker's face

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Smoking is known to cause long-term health problems like cancers of the throat and lungs

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