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Cigarettes are a bit like that friend who only gets more eccentric with time

Furthermore, to minimize potential reverse causality, we further excluded 1,232 participants who developed any cancer or died within the first 6 months of follow-up from the Exam 2 index date

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This creates a delayed signal that is out of phase and mixed with the original signal hence phasing

So dont take your husbands word just yet that its not your place to do or say anything