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Nicotine causes blood vessels to become narrow, thereby reducing oxygen flow and nutrients to the skin cells

Weight gain

Oral fluid and hair tests have different detection windows

Damage to the lungs and a decline in lung function are directly proportional to the number of packs of cigarettes smoked per day multiplied by the number of years smoked, a metric known as pack years. The longer years in the pack, the more probable the lungs may be permanently damaged

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