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I think it would be more natural to push the tusks down though so I imagine many of the poor smoking elephants have damaged ivories.

PMID 33127118

MMWR 54:11211124 Wynder EL, Graham EA (1950) Tobacco smoking as a possible etiologic factor in bronchiogenic carcinoma

The longer you smoke, the higher your risk of serious illnesses that include: Cancers such as lung, throat, stomach, liver and colorectal Stroke Respiratory disease Cardiac disease Cataracts and macular degeneration Damaged gums and teeth, sometimes including tooth loss Rheumatoid arthritis Peptic ulcers Type 2 diabetes In men: erectile dysfunction, reduced fertility and increased risk of birth defects in offspring In women: lower bone density, which can lead to hip and other fractures

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