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For someone who previously smoked, switching to a cleaner nicotine product such as a patch or gum usually lowers overall heart risk because it removes smoke toxins, but continuing high-dose nicotine still keeps heart rate, blood pressure and vessel stress elevated compared with being nicotine-free

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But if you smoke, these cilia have to work harder to remove these toxins, because the chemicals in tobacco can slow and impair cilia function," explains Dr Diana Gall GMC

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It is interesting to note that a high level of the viral genomic RNA, but not subgenomic RNA, was present in the olfactory mucosa, indicating no active viral replication in these cells [66]