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Understanding how smoking contributes to the development and exacerbation of bags under the eyes requires an exploration of its wide-ranging influence on the bodys cardiovascular, immunologic, and lymphatic systems, along with its impact on the nervous system, and the structural components of the skin, including muscle, bone, and fat, especially as they relate to the under-eye area

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"There is no evidence of their net benefit for public health, but mounting evidence of their harm." One major concern in this debate is that the products are often used by non-smokers especially young ones who are attracted by the flavors and packaging