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Smoking, by increasing free oxygen radicals in the aqueous humour and decreasing the level of ascorbic acid (an important antioxidant), has strong effects on the eyes and can cause tear film instability which results in dry eye symptoms (foreign body sensation, burning eyes, granularity and tearing)

However, another study found that, among nonsmoking Canadian adolescents, having less spending money was associated with lower knowledge of the negative health effects of smoking but that disparities in knowledge were not as strong in adolescent smokers as they were in other studies with adults (Ref

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Like the pharmaceutical industry, and what a powerful lobby that is in Washington