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After all, quitting smoking is a big change that requires many steps which can seem overwhelming to think about

While smoking is a proven risk factor for heart attack and stroke, researchers have yet to determine its overall effect on blood pressure

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This is a long-standing dispute, and even the resolution mentioned in the story, a 1974 public law and following court cases assigning one large area for the Hopi, requiring thousands of Navajos to move, did not resolve the issue