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This usually is not a serious problem

One study by Mosley and Gibbs in the UK observed two identical male twins: one was a heavy smoker, while the other was a non-smoker

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however, the cracks of her past and the aging that is seeping through them are starting to show

With HCM, your heart is already working harder than it typically would to give your body the oxygen-rich blood it needs, and smoking can add to this strain