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Smoking tobacco has impacts on RA at all stages of the disease process and its treatment: It is a known environmental trigger of RA It impacts the patients response to disease-modifying medications (DMARDs) and disease progression Smoking also increases the risk of some comorbidities, such as heart and lung diseases Smoking increases the risk of developing RA Genetic and environmental factors combine to initiate RA, but these combinations are not yet fully understood

As e-cigarettes started to become popular, I think that traditional tobacco companies realized that if they didn't have a piece of that market, they were going to get left behind

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