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Nat Rev Cancer 3 , 733744 (2003)

While the exact mechanisms are complex and not fully understood, researchers have identified several ways in which smoking can damage the kidneys and contribute to the development of kidney diseases: Vascular Damage: Smoking causes damage to blood vessels throughout the body, including those in the kidneys

Reduces Blood Flow to Gums: Smoking narrows your blood vessels, which means less blood flows to your gums

Some alternative approaches may be considered during this time

Over time, your body gets used to having the drug, and it's harder to live without it

NIH Publication 92-3330, 1992