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for instance, participants diagnosed with gout or hyperuricemia might have altered their smoking habits due to their health condition

This, however, is a good thing since it signifies the cilia in the lungs have reactivated, and these fine hairs may now transfer excess mucus discharges from the lungs into the airways and toward the throat, where they can be coughed up

In fact I would suggest that it is not an option

For heavy smokers who regularly light up 20 or more cigarettes, the health impact gets less polite and more assertive

Considering the wider impact of our actions is embedded in our values and is a fundamental part of who we are