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After researchers compared the facial features of 79 sets of twinsin which one twin currently smoked or smoked five years longer than his or her doublethey found that those who puffed on cigs experienced greater eye bags, more lip wrinkles, and jowls, according to a study published in Plastic and Reconstructive Surgery

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This type is often associated with chronic acid reflux (gastroesophageal reflux disease or GERD) and obesity, which can cause changes in the esophageal lining known as Barretts esophagusa precursor to adenocarcinoma