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No. 4: Mobile, Ala.
Lots of ladies in this southern city (it ranks number nine in lowest male to female population) means lots of cellulite in general, but coupled with the fact that nearly one-third of its citizens don't exercise, cellulite is Mobile's epidermal enemy numero uno.

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No. 3: Rock Springs, Wyo.
Heavy drinkers, plenty of smokers, lack of exercisers and a higher-than-average number of overweight or obese people (more than 60 percent) are the culprits behind Rock Springs� high-ranking cellulite status.

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No. 2: Wichita Falls, Texas
Sitting on your duff and smoking is a good way to wreck your skin and make cellulite look worse, and the population of Wichita Falls gets high marks in both categories. These Texans are the least active in the U.S., they�re no. 2 in the worst health category, and for every 100 adults, 30 smoke -- the highest rate in the U.S.

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No. 1: Birmingham, Ala.
The biggest city in Alabama is home to more women than men (the second highest female to male ratio in the U.S.), which means one thing: more cellulite. With one of the highest populations of adult smokers and a whopping 70.3 percent of its citizens either obese or overweight and 6 percent reporting poor health, there�s no better recipe for cellulite.

Here�s what we absolutely know about cellulite: you can�t "cure" it, women are more likely to have it, and it ain't pretty. What causes cellulite isn't so clear. Hormones and genetics definitely play a role (thanks, mom), but Howard Murad, M.D., and CEO/founder of Murad, Inc., says lifestyle factors that damage the skin or cause poor circulation, think: smoking, excess weight, a diet high in bad fats, alcohol, lack of exercise and overall poor health -- can also contribute. So we mined reams of official data and population research to find out what U.S. cities have the highest rates of cellulite risk factors. Find out if you live in one.
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