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People who quit smoking see an immediate improvement in their oxygen, carbon monoxide, and nicotine levels and within five years, their risk of suffering from a stroke is half that of someone who smokes

S123S131 (PM&R, 2011)

I've had them and they hurt

Notably, game creator Shigesato Itoi approved of the change, and the subsequent Japanese releases of the game retained the edited sprites

Ive been smoking for most my 21 years and I feel great! She then shared screenshots from an article discussing how smoking cigarettes is a leading cause of lung cancer, as well as the lingering effects of smoking such as cigarette stench, damaged teeth and gums, cataracts, and brittle bones