tobacco age in iowa Stores cannot sell to 'anyone under 21 immediately'; complies with limit  Iowa Legislature Approves Tobacco Purchasing

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This impact on the economy is caused by smoking related lost earnings, unemployment, and early death

1984 O'Connor RJ, Kozlowski LT, Flaherty BP, Edwards BQ: Most smokeless tobacco use does not cause cigarette smoking: results from the 2000 National Household Survey on Drug Abuse

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However, some studies suggest that taking high-dose corticosteroids could weaken the immune system and might not provide strong or long-lasting protection