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The ALA also highlights certain smoking-related health risks that people may not be so aware of, including: age-related macular degeneration, an eye condition that can result in blindness erectile dysfunction due to the narrowing of blood vessels in the penis fertility concerns ectopic pregnancy, when a fertilized egg implants itself somewhere outside of the uterus, which can be life threatening and does not result in pregnancy hip fracture, as smokers lose bone density faster than non-smokers cleft lip and cleft palate, when the infants lip or mouth does not develop properly during pregnancy periodontitis, a gum infection that decays the bone supporting the teeth and can lead to tooth loss If a person has chest pain that comes and goes, they should still see their physician to rule out any serious underlying cause

[85] [17] Since 2019, the smoking age in Washington has been 21 under federal law

The long-term effect of local policies to restrict retail sale of tobacco to youth