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Smoking: Progressive Lung Damage and Respiratory Decline Smoking causes cumulative structural and functional damage to the respiratory system through chronic exposure to toxic chemicals and particulate matter. Inhaled toxins impair ciliary function Impacts of cigarette smoking on immune responsiveness: Up and down or upside down? PMC Smoker's lungs vs. healthy lungs: Facts, pictures, and more Vaping could be more harmful to lungs than smoking cigarettes Smoking And The Immune System: Nicotine Causes An Increased Inflammatory Response

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