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Carbon monoxide, tar, and fine PM2.5 particles absorbed by herbal cigarette smokers cause endothelial dysfunction, increase oxidative stress, and promote the formation of atherosclerotic plaques

Prolonged exposure to second-hand smoke can cause airway inflammation, broncho-constriction, airway obstruction and lung tissue damage, increase the likelihood of developing COPD, worsen existing COPD symptoms and accelerate lung function decline [100, 101]

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The health effects of passive smoking: an overview of systematic reviews based on observational epidemiological evidence

Youre also more likely to stay sick longer and can have worse outcomes for serious illnesses from treatments like surgery and chemotherapy