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At right : Check out the free Quitline and more in, What You Need to Know About Quitting Smoking: ADVICE FROM THE SURGEON GENERAL. The following is a summary of a recent study on the topic of smoking and complications after joint replacement surgery

These differences indicate that dual product use, meaning smoking combustible cigarettes and also using e-cigarette products, may actually be worse for vascular health than either smoking or vaping alone." Both cigarette smoking and e-cigarette vaping are known to promote endothelial dysfunction, which is the inability of big blood arteries to open sufficiently to give enough blood to the heart and other tissues

Deighton, 1829

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