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The air is more dry and crisp in the winter, said Briscoe, making it harder to breath for those with existing lung problems. By continuing to smoke, various infections could turn into pneumonia or something worse

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Moreover, microstructural studies found that the generally higher fractional anisotropy (FA) seen in smokers may reflect an increase in FA that follows the initiation of smoking, but prolonged smoking appears to reverse this effect with a progressive decline in FA with increasing pack-years of smoking 34, 35