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Smoking can impact hearing by: Reducing oxygen supply to the cochlea, a critical part of the inner ear Damaging blood vessels and limiting circulation to the auditory pathways Increasing the risk of ear infections and inflammation Disrupting the transmission of sound signals from the ear to the brain Smokers are more likely to experience high-frequency hearing loss, which affects the ability to hear consonants, alarms or high-pitched voices

When controlling for confounding factors, such as age, the risk is even higherfor men, theres a 74 percent and 30 percent higher risk for heart disease and stroke respectively

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There are essentially four key factors that significantly influence the number of puffs per cigarette: Smoking behavior: Longer or stronger puffs reduce the total number

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