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However, smoking significantly accelerates hair loss in people with genetic risk through four mechanisms: vascular restriction, oxidative stress, DHT amplification, and mitochondrial damage to follicle cells

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1989 The Health Benefits of Smoking Cessation: A Report of the Surgeon General US Department of Health and Human Services, Public Health Service, Centers for Disease Control, Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health: Rockville, MD US Department of Health and Human Services