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Alcohol Clin Exp Res 1994;18(4):852860

The social history of smoking and the role it has in everyday cultural practices may explain why smoking is so prevalent even when the health-related risks are known and widely accepted

As a result: Cortisol levels remain elevated Inflammation increases Blood pressure rises Immune function weakens Sleep quality declines Over time, this constant stress state contributes to cardiovascular disease, metabolic disorders, mental health challenges, and reduced lifespan

This was then compared with THR perceptions from other markets that used similar products (Table 4)

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