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It can also damage blood vessels and make it more difficult for blood to clot, increasing the risk for heart attacks, strokes, and aneurysms

The present study complies with the PRISMA guidelines 190 (Supplementary Tables 9 and 10 and Supplementary Information 1.5) and Guidelines for Accurate and Transparent Health Estimates Reporting (GATHER) recommendations 191 (Supplementary Table 11)

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According to health groups such as the American Lung Association, smoking is an unhealthy practice, being a main cause of lung cancer and COPD

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