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Evidence also indicates that cessation efforts improve both patient and graft survival, highlighting the need for comprehensive smoking cessation programs and supportive measures within transplant centers [113]

Yoshioka N, Ishigami M, Watanabe Y, Sumi H, Doisaki M, Yamaguchi T, et al

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Cohen JF, Ward KM, Gittleman J, Perez E, Pia T, Shuter J, et al

This pattern is particularly alarming in individuals with existing metabolic risk factors or liver disease, where dual use may exacerbate hepatic steatosis, inflammation, and fibrosis