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While states such as West Virginia and Kentucky have long been at the heart of the opioid epidemic, South Carolina saw overdose deaths spike 65% in the first eight months of 2020 compared with a year earlier, according to the Centers for Disease Control and Prevention, allowing us to edge out No

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It meshes well with any hookah and makes the perfect base to other tobacco flavors, delivering tartness and tanginess to the mix

Smokers are also often at higher risk for developing periodontal (gum) disease since the smoke irritates the gums and the toxins attack them directly

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