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Nicotine, whether from smoking or vaping, harms spinal health. It reduces bone density by damaging cells (osteoblasts) responsible for bone growth, leading to osteoporosis and potential fractures. Additionally, nicotine constricts blood vessels What Smoking Does To Your Bones Southland Orthopaedics What smoking does to your bones UCI Health Orange County, CA Health Effects of Smoking on Your Body Tobacco heating system has less impact on bone metabolism than cigarette smoke ScienceDirect
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