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[3] [4] One study states that smokeless tobacco use has a "positive effect on cardiovascular risk factors in young physically fit men." [5] However, it is important to note that one Indian study from the state of Rajasthan states, "There is a significantly greater prevalence of multiple cardiovascular risk factors [sic] obesity, resting tachycardia, hypertension, high total and LDL cholesterol, and low HDL cholesterol, and electrocardiographic changes in tobacco users, chewing or smoking, as compared-to tobacco non-users

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Yellowing and ageing of teeth, hair and skin may mean smokers feel less attractive and the lingering smell of tobacco smoke on clothes and in homes is very unattractive to most non-smokers

The cardiovascular risks attributable to tobacco smoking increase with the amount of tobacco smoked and the years of having smoked