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The present analysis used the same patients as those in our published report, 21 but this figure is unique to the current paper

Cardiovascular and Hemodynamic Effects Arterial Stiffness and Blood Pressure In habitual smokers, smoking a single cigarette can cause a sharp increase in blood pressure and heart rate

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But when you measure the same young adults recent exposure to tobacco through biomarkers in their urine, you dont see any changes in recent exposure. And that means underage smokers might be hiding the fact that they smoke because it is now illegal

Break the chain. Instead of reading the paper and having a cigarette, Medina suggests taking a shower or going for a walk

Cell Mol Gastroenterol Hepatol (2021) 12(2):56784