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[135] He also became the 16th recipient of the Commissioner's Historic Achievement Award, awarded by Commissioner Rob Manfred, [136] who formally recognized Ohtani's 2021 season as "historically significant" and "unprecedented", calling it "so special that it was important to recognize the historic achievement that took place in 2021 with an award just about 2021." [136] Ohtani was offered Japan's national honor, the People's Honor Award, by the Prime Minister of Japan in recognition of his accomplishments, but Ohtani rejected it, saying it was "still too early" for such an award

The answer is yes - chewing tobacco does affect your lungs