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In our analysis, among ever smokers who smoked for less than 35 years, or who started smoking at age later than 20 years, quitters within the first decade had a higher risk of all-cause mortality than current smokers based on the point estimates

Smoking exacerbates nerve damage by reducing blood flow to nerves and impairing their function

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This is not surprising given that smoking is likely associated to some degree of microvascular-related lesions with irreversible secondary cortical loss