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This misconception is further reinforced by the lack of comprehensive treatment guidelines for co-occurring tobacco and alcohol or other drug use

CNNs Ben Tinker, Jen Christensen and Joseph Netto contributed to this report

The short-term effects include: Dry skin Development of fine lines, particularly around the mouth and eyes Yellowing of fingers and nails Brittle fingernails A persistent odor that remains in the hair and on clothing Slower healing of minor skin blemishes, like acne These appearance changes can begin developing much earlier than many people realize, and often become noticeable to others with months of regular tobacco use