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Smoking increases the risk of stroke and heart attacks by altering the clotting properties of blood

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It is offered in the sacred fire for prayers to communicate with the spirit world

5,23 Maternal snuff use has been associated with neonatal apnea and disturbed heart rate variability

10 The Morales Court found that preemption could occur even if the state law only had an indirect effect on carrier rates, routes, or services and that preemption did occur if "state laws have a 'significant impact' related to Congress's deregulatory and pre-emption-related objectives." 11 However, the Morales Court effectively said that preemption may not occur if the state law affects carrier rates, routes, or services "in only a 'tenuous, remote, or peripheral