Smoking increases heart attack risk through multiple pathways: arterial plaque buildup, increased blood clotting tendency, coronary artery spasm, and reduced oxygen delivery
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Concerning the others, smoking was heavily promoted as late as the 1950s as having health BENEFITS, so the oldtimers may have some excuse
Items like silks or satins will be harder to penetrate as their make-up is more robust
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For example, if you are allergic to ragweed, you may be more likely to have an allergic reaction to cannabis pollen