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to a lesser extent the word refers to retail outlets, often called smoke shops or head shops , that typically sell tobacco products alongside other smoking products, legal psychotropics, cannabis culture-associated products and paraphernalia, and related consumables and accoutrements.) Health impacts [edit] Tobacco products [edit] The health effects of tobacco consumption are significantly deleterious: tobacco use, and especially smoked and smokeless tobacco use, is associated with the development and aggravation of numerous diseases, many of which may lead to mortality or a lessening of lifespan and quality of life