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The roles and regulatory mechanisms of cigarette smoke constituents in vascular remodeling ScienceDirect How Smoking Affects Your Blood Vessels Smoking affects the heart long before symptoms appear. Each cigarette delivers chemicals that enter the bloodstream within seconds, reaching the heart and blood vessels almost immediately. These substances damage the inner lining I've had patients tell me: Doctor, I smoke but I take really good care of my skin. Unfortunately, your skin knows. It knows when blood flow drops. It knows when collagen breaks Here's how the ingredients of cigarette smoke travel through the body and wreak havoc

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