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The CDC also says that those who smoke have double the chance of developing gum disease as non-smokers and that treatment for gum disease (like surgeries and medications) dont have quite the same effects as they do for non-smokers

In contrast, those individuals who buy small packets limit their craving and have greater control over their smoking behavior

[PMC free article: PMC1509011] [PubMed: 10589312] Xu X, Weiss ST, Rijcken B, Schouten JP

This can lead to respiratory illnesses such as bronchitis, emphysema, and pneumonia (17)

The reasons why they start might be a desire to belong to a group or relief stress but these are in no way necessarily tied to cigarettes