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They found waterpipe smoking to be associated with gum diseases, dry socket, oral cancer and esophageal cancer among other conditions

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When Black Buffalo founders Jeffery David and Mark Hanson recognized that Americans needed a tobacco alternative just as satisfying as the originalone that honors the ritual as much as the flavor and feelthey knew creating one was no simple task

While the South consistently leads the nation in smokeless-tobacco use, the West is close behind especially the rural West, where use is nearly four times the national average

The key is thin slicing