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It is easier for an AD individual to determine how many cigarettes they smoked on a typical day you just need to look how many cigarettes are left in that pack and then extrapolate back over the last years than to recall how many alcoholic drinks they consumed over the past year or even lifetime. Despite questions that may remain about measures, Schmidt emphasized that smoking, chronic alcohol consumption, or a combination of the two can create severe health complications

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Research conducted at the National Cancer Institute of Sri Lanka (Apeksha Hospital) (PMCID: PMC9810316, PMID: 36172654) found that individuals smoking two packs or more per day had twice the risk compared to those smoking one to two packs daily

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