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Nicotine, the primary active substance in cigarettes, can hinder muscle protein synthesis, just like alcohol

doi:10.1039/D0EA00009D

These can include: Respiratory system Smoking damages the airways, air sacs (alveoli) in the lungs, and cilia, which are tiny hair-like structures that prevent dirt and mucus from entering your lungs

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Heres what the evidence actually says about each approach
