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A grayish or dull undertone is common, caused by reduced blood flow from nicotine's effect on blood vessels

The factory specialized in counterfeit cigarettes, allegedly with the help of a former technician of an international brand

Yet for one group of Americans, smoking is still remarkably common

In addition, smoking further exacerbates endothelial dysfunction in individuals with hypertension, diabetes, dyslipidemia, and other coronary risk factors [45]

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