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Chronic smoking has been linked to higher rates of anxiety disorders, depression, and stress, creating a vicious cycle where individuals may smoke more to cope with these symptoms, further deepening their mental health struggles

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[91] Finally, the presence of CO in the blood is considered responsible for severe anatomical and morphological changes in the myocardium, such as partial or total necrosis of muscle fibrils, and degenerative processes in the mitochondria

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Table 1 Demographic characteristics of participants from Abu Dhabi premarital screening program 20192023 ( n = 74,791)