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The answer is yes smoking cigarettes makes it harder to manage diabetes and control blood blood sugar levels

Miscellaneous Revenue Forecast, May 2025 Plan Source: Office of the New York City Comptroller, Mayors Office of Management and Budget

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In addition to the hundreds of unidentified chemicals, they discovered compounds linked to respiratory problems, a pesticide, industrial chemicals and caffeine, a known addictive substance

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PMID 15924009