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For example, tobacco tax increases and reduced affordability of cigarettes and tobacco may have had an increased effect in the context of economic uncertainty and hardship caused by the pandemic

Table 5 lists several relevant concepts and results, including the following information

eLife 12, e91824

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How smoking affects muscle growth Reduces protein synthesis: Slower muscle repair and growth Lowers testosterone: Less of the key hormone needed for muscle development Decreases oxygen supply: Weaker performance and endurance during workouts In short, smoking takes a toll on your ability to build muscle in multiple ways, making it much harder to see the gains you're working for