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The heaviness of smoking index (HSI) was derived using cigarettes per day and time to first cigarette.33 Daily and non-daily smokers were also distinguished, as our sample included many non-daily smokers with low-HSI scores, particularly in Mexico

The rate of decline slowed from 5.2% in the years before the pandemic to just 0.3% between April 2020 and August 2022, according to the research

Alcohol and cocaine produce a third compound in the liver called cocaethylene, which is more cardiotoxic than either drug alone and extends the duration of cocaines effects while placing sustained stress on the heart

This becomes a cycle, pushing an individual to smoke cigarettes over and over again