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After the Civil War, there was an increased demand for not only Bull Durham tobacco but for tobacco products in general

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A few factors, such as rapid urbanization, increasing disposable incomes, and growing awareness of alternative nicotine delivery systems in consumers, are responsible for this very rapid growth

Smoking immediately afterward adds further strain on the heart, increases blood clotting, and can raise the risk of cardiovascular eventsespecially in people with genetic predispositions, high blood pressure, or diabetes