Indirectly, smoking can lead to secondary polycythemia due to increased carboxyhemoglobin levels, which reduces the oxygen-carrying capacity of the blood and results in tissue hypoxia [11, 12]
This is where Charless career becomes especially instructive
In fact, Springsteens father, Doug (also known as Dutch), did have a drinking problem and was abusive to his family
This can lead to sometimes life-threatening events like a heart attack or stroke
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