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As we navigate the intricate pathways through which smoke exerts its harmful effects, it becomes evident why sustained smoking poses such a significant risk to respiratory health and underscores the importance of prevention and smoking cessation efforts

The research and ethics committee of Bellvitge University Hospital (LHospitalet de Llobregat, Barcelona, Spain) approved the study protocol and all participants signed an informed consent

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Land used for growing tobacco then has a lower capacity for growing other crops, such as food, since tobacco depletes soil fertility