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Notably, the increased likelihood of depressive symptoms in women and their possible association with nicotine use have been documented 35 , implying that even low-level smokers could be self-medicating subtle mood disturbances

Lesser known risks include increased risk of infertility in both men and women, weaker muscles and bones, a weakened immune system and a reduced ability to heal. Smoking has decreased for a number of reasons, Koch added

Study: Early age at smoking initiation is associated with elevated cardiovascular disease and mortality risk in a nationwide population-based cohort

The pandemic may also have had an influence