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Although 12 of 15 studies in which the effects of smoking cessation on vascular endothelial function was assessed by physiological methods including measurements of FMD and reactive hyperemia index (RHI) showed that smoking cessation improved FMD, RHI or vascular response to vasoactive agents [18, 21, 22, 25,26,27,28,29, 32,33,34,35], three of those 15 studies showed no effects of smoking cessation on FMD or RHI [89,90,91]

Tobacco use is on the rise among young adults

336: 1276-1282 [DOI] [PubMed] [Google Scholar] 66).Levine PH: An acute effect of cigarette smoking on platelet function

Eventually, the brain gets used to the nicotine levels and requires more to have the same effects

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Smoking also irritates the stomach lining, triggering ulcers in patients recovering from bariatric sleeve surgery
