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Individuals who smoke even half a pack of cigarettes a day may [be at] increase[d] risk of having [peripheral arterial disease] by up to 50 percent. However, it is important to note that up to 40 percent of peripheral arterial disease patients are asymptomatic, often leaving the condition misdiagnosed

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But patients also undergo a battery of tests to rule out other causes: blood and urine tests, expensive CT scans, unpleasant upper GI endoscopy and gastric emptying tests, to name a few

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