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But there is more, repeated exposure to the heat from burning cigarettes and the facial expressions you make when smoking such as pursing your lips when inhaling and squinting your eyes to keep out smoke can contribute to wrinkles (upper lips wrinkles known as smokers lines!!) So if we didnt know before to what extent smoking cigarettes speeds in your aging process we do now

Evidence for causal effects of lifetime smoking on risk for depression and schizophrenia: a Mendelian randomisation study

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The reason for the variation in cigarettes per pack is due to regulations in some regions to control the consumption of cigarettes and promote healthy lifestyles in individuals