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To answer this question, researchers at the Penn State College of Medicine used data gathered from the long-running National Health and Nutrition Examination Survey (NHANES)

Based on a study of twin pairs discordant for cigarette smoking, women consuming one pack of cigarettes per day throughout life will have 58% less bone than non-smokers by the age of menopause [23]

These substances may also alter your body chemistry or otherwise damage your physical or mental health in the long run