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Journal of Archaeological Science , Vol 100, pgs 130-138.

Specific Concerns with Inhaling Pipe Tobacco Pipe tobacco presents unique risks when inhaled: Higher particulate matter: The coarser cut and aromatic additives create more particulates when burned Different chemical profile: Flavoring agents and humectants add compounds not found in cigarette tobacco Increased tar exposure: Some pipe tobaccos produce higher tar levels when combusted Respiratory irritation: The harshness indicates tissue inflammation, a precursor to disease According to FDA regulations, anyone who manufactures, modifies, mixes, fabricates, assembles, processes, labels, repacks, relabels, or imports tobacco products is considered a tobacco product manufacturer

Accessed 9/15/21

Smokers skin may be more likely to experience palmoplantar pustulosis, an inflammatory condition involving painful blisters on the hands and feet similar to psoriasis that may come back over time