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In addition, the effects of chronic cigarette smoking on DMN function have been investigated in many studies

Reduced liver enzymes Quitting smoking has been shown to reduce levels of liver enzymes in the bloodstream, which is a sign of improved liver function

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This pattern is particularly alarming in individuals with existing metabolic risk factors or liver disease, where dual use may exacerbate hepatic steatosis, inflammation, and fibrosis

Anemia, in turn, exacerbates renal damage through hypoxia and indicates worse renal survival 33

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