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Memories continue to haunt, trapping the individual in unresolved feelings

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To minimize this potential bias from unmeasured confounding, analyses accounted for baseline differences between cohorts (eg, age), differences among current, former, and never smokers, temporal trends (eg, declining smoking rate, increasing BMI), birth cohort effects, and factors that could influence both smoking cessation and CVD risk, including sociodemographic factors and known CVD risk factors, which were time-updated

Composition of the smoke changes The extra air taken in with cigarettes that have filter ventilation also affects the composition of the smoke

This even covers damage from Cigarettes