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At least, thats according to the Centers for Disease Control and Prevention

Cigarette smoke contains tar and carbon monoxide, which constricts the blood vessels and settles in the lungs

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Impact of Smoking on Kidney Health: Risks and Consequences Smoking poses significant risks to kidney health, exacerbating or directly causing various kidney-related issues: Chronic Kidney Disease (CKD) : Accelerates the progression of CKD and increases the risk of kidney damage