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Smoking and vaping can indicate a need for social-emotional care and health supports

This is a combination of at least three of the following things: enlarged waist (central obesity), high blood pressure, low good cholesterol, high triglycerides and high blood sugar

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Based on these reviews, we identified cohort and case-control studies that either reported a measure of association or contained sufficient information to calculate a measure of association between the incidence or mortality of the identified outcomes for tobacco chewers relative to individuals who do not chew tobacco