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Its not just cardio that can do the trick, either

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Indirectly, smoking can lead to secondary polycythemia due to increased carboxyhemoglobin levels, which reduces the oxygen-carrying capacity of the blood and results in tissue hypoxia [11, 12]

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[DOI] [PubMed] [Google Scholar] 69.Brown-Johnson CG, England LJ, Glantz SA, Ling PM