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In the mid-20th century, medical research demonstrated severe negative health effects of tobacco smoking such as lung cancer, which led to governments adopting policies to force a sharp decline in tobacco use

Import permits, tobacco licences, destination taxes, product registrations and local regulatory approvals remain the buyers responsibility unless the contract specifically states otherwise

Tobacco addiction raises heart rate and blood pressure and, long-term, increases cancer, respiratory, and heart-disease risk, while worsening anxiety and depression, complicating recovery

Using information from the table, explain which source contributes most to this effect

They were given to him as a gift by the American Indians

Nicotine restricts blood flow to hair follicles, depriving them of oxygen and nutrients