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While the primary cause of developing visceral fat among smokers remains undiscovered, the study has discovered that initiating smoking and continuing to smoke throughout life may contribute to increased abdominal adiposity, as evidenced by a higher waist-to-hip ratio

Ahli, Tobacco Smoking Prevalence, Health Risk, and Cessation in the UAE , Oman Medical Journal [2020], Vol

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5) consistent with an increase in activation of the parthanatos pathway in cells derived from habitual smokers

Or just maybe, James Dean would have escaped that tragic fate, and at last come to terms with the loss of his mother and the rejection of a cold unloving father, and found a sense of peace within himself and continue to grow as an artist and a man