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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

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Their fears played a crucial role in convincing Kilmer to seek traditional medical care

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