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Smoking can also damage cells that line the blood vessels, and cause thickening and narrowing of blood vessels

The long-term effects of CSE are ascribable to chronic inflammation and immune disfunction that lead to tissue remodeling and fibrosis, infectious susceptibility, and eventually lung function decline

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The various toxic substances from tobacco, when present in breast milk, can inhibit growth by changing the supply and bioavailability of essential nutrients, such as zinc [35]