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I told him his flock is doing fine

[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

The trial was not randomized and controlled, and thus causality cannot be determined, partly because of an unexpectedly high cessation rate which resulted in a control group without sufficient power

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