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I used to be a two-pack-a-day smoker

Circulation 107(18):23422347 Bermudez EA et al (2002) Relation between markers of systemic vascular inflammation and smoking in women

Renal biopsy specimens taken from cigarette smokers showed a range of long-term changes with varying degrees of glomerulosclerosis, ischemic glomeruli, interstitial fibrosis and tubular atrophy, and arteriolar hyalinosis [16], This broad spectrum of histologic findings combined with initial renal hyperfiltration suggested that cigarette smoking induced renal damage was primarily the result of alterations of renal hemodynamics and its sequelae on glomerular and tubular function /structure [17,18,19]

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This will help him determine the best quitting approach to use and the right dosage to prescribe