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"John Middleton began as a small tobacco shop in 1856, eventually revolutionizing the market by merging the pipe smoking experience with the convenience of a cigar." Historical Brand Record, John Middleton Co

Long-term nicotine use poses serious health risks, including cardiovascular disease, respiratory issues, and increased cancer risk

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The menopausal drop in estrogen also leaves our bodies with relatively higher levels of testosterone produced by our ovaries in small amounts than before

Added to that there are also profound health costs, transportation (to and from appointments and hospitals), and medications