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Smoking and Your Heart How Smoking Affects the Heart and Blood Vessels NHLBI, NIH Does Smoking Affect Gym Performance And Muscle Gain Smoking cigarettes affects many aspects of your body, including your physical endurance. If you smoke, you get less oxygen in your heart, lungs and muscles. This reduces your physical fitness level. Smoking reduces muscle growth? Can smoking be the reason for your persistent pain? Square One Active Recovery
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