Pipe tobacco has a high alkalinity which acts as an irritant, so most people prefer to hold the smoke in their mouths, much like with a cigar.
That said, it is uncommon, though not unheard-of, for pipe-smokers to inhale the smoke anyway.
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Smoke and other air pollution can affect the respiratory system. This can lead to COPD which is chronic obstructive pulmonary disease, or even something like emphysema or even cancer.
The effect of passive smoking is that if the person beside the smoker the person is actually getting the same amount of smoke into them!
it will make your balls fall of if your a guy and if your a girl it will make you grow balls
While pipe smoking is seen as less risky than cigarette smoking, there are still health risks. These include cancers of the lungs and mouth, COPD, Heart disease, and erectile dysfunction.