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Even after adjusting for factors such as age, sex, ethnicity, education level, marital status, physical activity, BMI, dietary factors, and previous diseases (diabetes, stroke, or coronary heart disease), this relationship remained constant

The questions asked were, How would you describe this aspect compared to before the COVID-19 pandemic? Response options for cigarette smoking were: Currently much more than before the COVID-19 pandemic, Currently somewhat more than before the COVID-19 pandemic, About the same as before the COVID-19 pandemic, Currently somewhat less than before the COVID-19 pandemic, and Currently much less than before the COVID-19 pandemic

Smoking also narrows the blood vessels, obstructing the oxygen and nutrient supply to the skin, leading to vertical lines around your mouth, giving you that smokers face

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