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If the planet is warming and political institutions feel increasingly unreliable, a cigarette seems like a vanishingly small addition to the list of concerns

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Kodell RL & Pounds JG (1991) Assessing the toxicity of chemical mixtures

However, the body is quite sensitive to such changes, and as the volume of blood increases, the blood thickens, increasing the risk of high blood pressure, strokes, heart attacks, and sudden death