chewing tobacco stokers Loose Chew Apple 1lb-6/96oz – Arango Cigar Co Stoker's - Wikipedia

Average = 68 (28)

10.1016/j.pain.2004.12.035 Andersson H, Ejlertsson G, Leden I: Widespread musculoskeletal chronic pain associated with smoking

Researchers followed 6,381 people aged 50 and over who took part in the National Health and Nutrition Examination Survey and found that those aged 50 to 65 who ate high-protein dietsthose that are rich in meat, milk, and cheesewere 74 percent more likely to die prematurely than those who ate low-protein diets

The combination amplifies the harmful effects of each substance and can lead to a spiraling pattern of dependency, reinforcing the use of one when consuming the other