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Cancer is the second leading cause of death in America, right behind heart disease.

Cancer affects your cells and how they divide and grow, which makes it a difficult disease to treat. It takes such a toll on the body, especially when going through treatment like chemo.

While some forms of cancer are genetic, there are some forms that are caused by environmental and outside forces, including food. Here is a list of 32 things that have been linked to cancer.

Sugar

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You know sugar has been linked to diabetes, but did you know it may also cause cancer? Cancer cells feed off of sugar and will multiply quicker. “The hyperactive sugar consumption of cancerous cells leads to a vicious cycle of continued stimulation of cancer development and growth,” molecular biologist, Johan Thevelein, said.

Processed Food

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Any food that you buy in a package that has been made in a factory is likely to be linked to cancer. This was proven by a study done in France. However, it isn’t clear if it’s the plastic packaging or the preservatives that cause the disease.

Smoking

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This one is a given. Since the 1970s people have been made aware of the harm of smoking cigarettes. In fact, there are a total of 70 chemicals found in cigarettes that can cause cancer. Don’t think you’re safe if you don’t smoke though. Secondhand smoke can also cause cancer. “Nonsmokers who are exposed to secondhand smoke at home or at work increase their risk of developing lung cancer by 20-30%.” The Centers for Disease Control and Prevention said.

Tanning

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We all love to get that bronze summer glow while at the beach. However, it’s shown that there is a 75% higher chance of developing skin cancer in people who use tanning beds by the age of 35.

Toxic Chemicals

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Some people expose themselves to cancer-causing chemicals everyday at their jobs. These jobs include painters, rubber manufacturers, nail technicians, aluminum workers, and hair stylists.

Working Overnight

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Some scientists believe that people who work the nightshift may cause cancer since it disrupts the body’s natural circadian rhythm.

Arsenic

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Arsenic is a natural part of the earth and may be found in contaminated water in places such as Bangladesh. It’s estimated that about 140 million people are drinking contaminated water. Arsenic is also one of the dangerous chemicals found in cigarettes.

Meat Cooked Over a Flame

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Smoked and charred meat is delicious, but did you know that it could cause cancer? This is caused by the fat from the meat dripping into an open flame while cooking and releasing dangerous chemicals.

Coal

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Coal miners have experienced higher rates of stomach, bladder, and lung cancer. This may be caused by coal gasification and dust.

Alcohol

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People who consume heavy amounts of alcohol are more likely to have breast, colon, throat, or liver cancer. “The risk of developing cancer increases with the amount of alcohol a person drinks,” the National Cancer Institute said.

Diesel

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There are a whopping 30 components in diesel oil that may cause cancer. People are exposed to this from the exhaust on cars.

Salted Meats

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Salt-cured meats, especially fish, is very popular in China. It has high levels of nitrites and nitrates, which has been linked to cancer. Pickled foods can also be harmful and may cause stomach cancer.

Fracking

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The chemicals that are used in fracking oil contain formaldehyde and benzene, which can cause cancer when released into the water or air.

Processed Meat

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Bacon, sausage, and hotdogs, which are all made in a factory, may cause cancer. In fact, if you two slices of bacon every single day, you have increased your risk of getting cancer by 18%.

Asbestos

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Once used to insulate homes and buildings, asbestos, when exposed, can cause lung cancer. This is due to small fibers released in the air that we breath.

Glyphosate

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This weed-killer chemical is one of the most common used on our food and has been linked to non-Hodgkin lymphoma in farmers. There are contradicting studies about the link, though.

Wood Dust

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Carpenters and people who work with wood experience a higher risk of cancer in the nasal or sinus cavity from breathing in the wood dust they create when they work.

Estrogen and Birth Control

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Being exposed to more estrogen may cause an increased risk of breast cancer. This is common in women who have early menstruation or menopause. Birth control is believed to cause a higher risk of cervical cancer. Although, some believe that it reduces the risk of cervical cancer.

Viruses

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“Some viruses linked to cancer are the human papillomavirus (HPV), which causes cervical cancer; hepatitis B and C viruses, which can cause liver cancer; and the Epstein-Barr virus, which may cause a type of lymphoma. Also, the H. pylori bacterium can cause gastric cancer,” the Center for Disease Control states.

Genetics

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Genetics can also be the cause of cancer. If someone in your family has had cancer, then they may pass it down to you. “Genetic changes that promote cancer can be inherited from our parents if the changes are present in germ cells, which are the reproductive cells of the body (egg and sperm),” the National Cancer Institute has said.

Obesity

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You have a higher risk of colon, rectum, breast, kidney, pancreas, and esophagus cancer if you suffer from obesity.

Formaldehyde

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This chemical is used in certain glues and other building products. It has caused nasal cancer in rats, which can only mean it is harmful to humans too.

Silicone Implants

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Foreign objects, like silicone breast implants, may cause cancer. However, “a recent review of documented cases of breast implant-associated anaplastic large cell lymphoma in the United States from 1996 to 2015 determined that the incidence of BIA-ALCL was two per 1 million women with a textured breast implant,” the Mayo Clinic reports.

Air Pollution

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Breathing in harmful chemicals that cause air pollution can also lead to cancer in the lungs, bladder, and esophagus.

Disaster Sites

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Whether it’s a terrorist attack or a nuclear explosion, breathing toxic fumes may cause cancer. For example, firefighters and victims of the 9/11 terrorist attacks have been diagnosed with over 70 different cancers over the years from being near the attack.

Silica

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Construction and mine workers who deal with silica, which is a mineral in concrete, stone, and sand, may have a higher risk of developing lung cancer when they breathe it in.

Radiation

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It’s okay to have X-Rays done when you go to the doctor. However, a large amount of exposure to radiation may cause cancer. This can be seen in workers at the Chernobyl nuclear accident.

Chronic Inflamation

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Chronic inflammation can cause someone’s DNA to change, which results in a higher risk of cancer. Make sure to get any infections or diseases checked out by your doctor as soon as possible.

Plastic

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Not only is plastic bad for our environment, but it can cause cancer in people too. Many plastic containers and bottles had BPA, which can cause cancer. This can cause prostate and breast cancer.

Nowadays, manufacturers and creating plastic without BPA.

Intimacy

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The human papillomavirus (HPV) is passed through sexual contact and may cause penal, vaginal, anal, and cervical cancer. There is a vaccine that you can receive. It’s best to have the vaccine before you first have sexual intercourse.

Kisses

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While rare, you could get cancer from kisses. If someone with the mononeucleosis virus passes it on to you, it may turn into cancer of the stomach or lymphoma.

Acrylamide

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When food is cooked and comes out brown, such as coffee, fries, and bread, it naturally produces a chemical called acrylamide.

This chemical can be dangerous when consumed in large amounts. So, a cookie or a cup of coffee won’t harm you.