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In a meta-analysis, the relative risk for CHD among nonsmokers with TSE compared to nonsmokers without TSE was 1.31 (95% CI 1.211.41).(33) In another meta-analysis, TSE by nonsmokers was associated with increased risk of stroke (RR 1.25, 95% CI 1.121.38) (34)

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These effects can disrupt the normal functioning of cells and organs, making it more challenging for the body to eliminate toxins efficiently

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Although normal in some individuals and animals, excess fat deposition in the liver can lead to liver inflammation and scarring and, in severe cases, liver failure 2325