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Smoking may cause two kinds of permanent damage to your lungs: Emphysema: With emphysema, the small air sacs in the lungs, called alveoli, are destroyed, which decreases the lungs surface area

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Direct-mail ads may widen gaps in tobacco use in vulnerable populations Many mailed ads also featured themes that appeal to other vulnerable populations including rural white and Black audiences

Habits and routines Smokers often have lots of activities that they associate with smoking

Furthermore, smoking is strongly associated with insulin resistance and visceral fat accumulation, both of which are central to the pathogenesis of metabolic syndrome and MASLD [46]

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