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do cigarettes cause permanent damage Smoking even 2 daily substantially elevates long-term cardiovascular risk, and the excess risk can persist for decades after quitting. A large pooled analysis in PLOS Medicine (PMID: 41252354) looked at how Health Effects of Smoking on
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Nicotine abstinence is always and will always be the BEST choice

Missing covariate data were imputed (see below)

And this also applies to inhaling harmful chemicals through vaping
