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Pamela Ling, professor of medicine at UCSF and director of the UCSF Center for Tobacco Control Research and Education

To find out, the researchers drew on 15,259 respondents to the 2023 online International Tobacco Control Youth and Youth Adult Tobacco & Vaping Survey

This refers to a complex biological system that balances and regulates key bodily functions

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Urban males who started smoking before they turned 20 had twice the mortality rate of non-smokers, with substantially increased rates of death from smoking-linked pulmonary disease, lung cancer, heart disease and stroke