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Nicotine & Necrosis Smoking can lead to a myriad of health problems including: Blood clots, aneurism & stroke Coronary heart disease Heart attack High blood pressure Poor circulation Erectile disfunction Cancer Emphysema Chronic bronchitis However, its not good enough to stop smoking and simply replace it with another form of nicotine such as: Vaping Nicotine gum, patch or lozenges Snuff Chewing tobacco Pipe Cigar This is due to the fact that its not simply the smoking that is the problem

A more thorough cleaning, including scraping the bowl and cleaning the pipes exterior, should be done every few weeks

Its critical to talk with patients about their tobacco use at every visit
