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Health Risks In a report on the health effects of spit tobacco, the Council on Scientific Affairs of the American Medical Association stated, "pharmacologic and physiologic effects of smokeless tobacco include the gamut of cardiovascular, endocrinologic, neurologic, and psychological effects associated with nicotine." [5] In addition, this report cites a number of studies which document the effects of snuff and chewing tobacco on reproduction, longevity, and oral health

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Gruen was an avid outdoorsman, who loved to hunt and fish

Not to mention he's even got his own stogies