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The main ones are adverse lipid profile (increases the risk of heart disease and stroke), atherosclerosis (increases the risk of heart disease), thrombosis (increases the risk of blood clots that can cause heart attack or stroke), constriction of blood vessels (increases risk of heart attack or stroke), increased heart rate (increases risk of heart disease and stroke) and increases blood pressure (increases risk of kidney damage and heart attack)

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Statistical analysis The following analyses were performed in R.4.1.1 [27]

Following political unrest in the 1950s and 1960s in Cuba, the DR emerged as the cigar powerhouse that it is today