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The red blood cells carrying the carbon monoxide are more sticky than normal and the walls of the arteries that carry blood away from the heart around the body are more likely to develop fatty plaques inside them so that blood cant flow through so easily

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This explains it

These substances are contained in the filter of the cigarette, which, once thrown on the ground, end up in the sewers and contaminate the water

doi:10.1111/j.1360-0443.2010.03226.x Wellman, RJ, Savageau, JA, Godiwala, S, Savageau, N, Friedman, K, Hazelton, J, & Difranza, JR

High rise, straight leg, 27" inseam and a cropped hem complete the look