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Collectively, these microbial, physiological, and oxidative changes triggered by smoking may amplify its detrimental impact on health, exacerbating a wide range of diseases and impairing the bodys ability to repair and protect itself

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Current cigarette smoking among adults aged 18 and over, by sex, race, and age: United States, selected years 19652019 Tobacco Product Use Among Adults United States, 2021 Percentage of college students in the U.S

Shuwei Chen, Tobacco Induced Diseases, 2023

Some expressed surprise that the singer was a smoker, while others suggested the unhealthy habit would damage her award-winning vocals