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They also have a black spike on their rear (they can't sting you or anything, it just looks sinister)

9 found that ST consumption leads to characteristic brown tooth staining on anterior teeth at contact sites

Contribution of Sugars to Harmful Emissions of Tobacco and Nicotine Products That Are Heated and Used via Inhalation Overview of the Thermal Degradation of Sugars and Sweeteners during Product Use Pyrolysis and other thermal transformations of sugars (e.g., caramelization) produce a broad range of reaction products, some of which are known toxicants and carcinogens

It also loses tax revenue from lost productivity when people are made ill by smoking