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Over time, this can lead to oxidative stress, where unstable molecules (free radicals) damage liver cells, restrict blood flow, and contribute to scarring (cirrhosis)

Limitations and strengths Strengths of the commercial literature are that it can provide unique insights into industry attempts to maintain and enhance profitability

The same group plans similar studies in North Carolina, where tobacco restrictions have traditionally been less strict, and in New York City, where they have been more stringent

[60] : 3032 [61] Weak evidence suggests that imposing institutional level smoking bans in hospitals and prisons may reduce smoking rates and second hand smoke exposure