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The seriousness of this situation prompts some bariatric surgeons to conduct nicotine-level tests on patients before proceeding with surgery

Fetterman JL, Weisbrod RM, Feng B, Bastin R, Tuttle ST, Holbrook M, Baker G, Robertson RM, Conklin DJ, Bhatnagar A, Hamburg NM (2018) Flavorings in tobacco products induce endothelial cell dysfunction

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They also compared people who took action to increase vitamin D levels with those who did not