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While the primary cause of developing visceral fat among smokers remains undiscovered, the study has discovered that initiating smoking and continuing to smoke throughout life may contribute to increased abdominal adiposity, as evidenced by a higher waist-to-hip ratio

It isn't a ribbon, but a coarse cut/mixture

doi:10.1177/10454411950060020401 17.Lauritano D, Boccalari E, Di Stasio D, et al

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The SPD population, comprising 8.0 million people, would accrue 966,000 (0.3%) fewer life-years over 40 years under the status quo scenario than they would in the alternate scenario
